Comparison of task- and impairment-oriented approaches for upper limb function and usage behavior among patients with upper extremity paralysis after cerebral infarction in the recovery phase

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  • Karato Hiroki
    Department of Rehabilitation, Ainomiyako Neurosurgical Hospital
  • Tokuda Kazuhiro
    Department of Rehabilitation, Hanwa Memorial Hospital
  • Takebayashi Takashi
    Department of Occupational Therapy, School of Comprehensive Rehabilitation, Osaka Prefecture University
  • Sasaki Isao
    Department of Neurosurgery, Ainomiyako Neurosurgical Hospital

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Other Title
  • 回復期において脳梗塞後の上肢麻痺に対する課題指向型アプローチと機能指向型アプローチの上肢機能および使用行動に関する比較検討
  • カイフクキ ニ オイテ ノウコウソク ゴ ノ ジョウシ マヒ ニ タイスル カダイ シコウガタ アプローチ ト キノウ シコウガタ アプローチ ノ ジョウシ キノウ オヨビ シヨウ コウドウ ニ カンスル ヒカク ケントウ

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Abstract

In our hospital, protocols differ between the Task-oriented approach (TOA) and Transfer package (TP), and the Impairment-oriented approach(IOA) and TP for paralyzed hands after stroke. 13 subjects participated in the study:7 in the TOA/TP group and 6 in the IOA/TP group. The upper extremity function (FMA) and the usage behavior of the paralyzed hand (MAL/AOU, QOM) were compared, and results indicated no significant change in FMA (p=0.18), but MAL changed significantly in the TOA group compared to the IOA group (MAL AOU:p = 0.04, MAL QOM:p ＜0.01). These results suggest that TOA could transfer the functions acquired in practice to life more efficiently even if the same TP is performed.

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