Combined mental practice and task-oriented training for a flaccid hemiplegic patient after stroke in the subacute phase: A case study

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  • 回復期の弛緩性片麻痺患者にMental Practiceと課題指向型訓練を併用した一例
  • カイフクキ ノ シカンセイ ヘンマヒ カンジャ ニ Mental Practice ト カダイ シコウガタ クンレン オ ヘイヨウ シタ イチレイ

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Abstract

<p>[Introduction] We report a case of flaccid hemiplegia in which the patient had difficulty using his dominant hand for Activities of Daily Living (ADLs). [Subject] A man in his 50s who had two cerebral infarctions (left cerebellum and left corona radiata) in a short period of time. Initially, he had difficulty using his dominant hand for ADL due to flaccid hemiplegia. [Methods] Mental practice, video observation task, task-oriented training, and praise from others were performed for 3 months. [Result] The affected hand can be used as the dominant hand in ADL due to functional improvement of the affected hand. [Discussion] The patient had difficulty using his affected hand due to damage to the pyramidal tract and cerebellum. Although interhemispheric inhibition and learned non-use of the affected hand were also assumed to have affected the patient's recovery, it is possible that combined interventions contributed to the patient's recovery.</p>

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