Occupational therapy using the transfer package for behavioral disorders of the paralyzed hand caused by self-awareness impairment after stroke:

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  • Moriya Takashi
    Department of Rehabilitation, Kosei Hospital, Medical Corporation Rokushinkai
  • Hanada Keisuke
    Department of Rehabilitation, Hanwa Memorial Hospital, Medical Kinshukai
  • Nagatani Noriko
    Department of Rehabilitation, Kosei Hospital, Medical Corporation Rokushinkai
  • Takebayashi Takashi
    Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University

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Other Title
  • 脳卒中後に生じた自己認識障害に起因した麻痺手の使用行動の低下に対するTransfer packageを用いた実践
  • 脳卒中後に生じた自己認識障害に起因した麻痺手の使用行動の低下に対するTransfer packageを用いた実践 : 症例報告
  • ノウソッチュウ ゴ ニ ショウジタ ジコ ニンシキ ショウガイ ニ キイン シタ マヒシュ ノ シヨウ コウドウ ノ テイカ ニ タイスル Transfer package オ モチイタ ジッセン : ショウレイ ホウコク
  • A case study
  • ─症例報告─

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Abstract

A right frontal lobe stroke patient with mild motor and sensory deficits, left hemisphere neglect, decreased use of the affected upper extremity, and self-awareness disorder received constraint-induced movement therapy combined with the transfer package (TP) for the upper extremity. Consequently, the Amount of Use and Quality of Movement Scales in the motor activity log were improved beyond the minimal important difference, and the Awareness Questionnaire, which assesses a client’s self-awareness disorder of one’s situation, showed improvement as well. The results of this case study indicate that the TP might improve self-awareness functioning and awareness of affected upper extremity use in the real-world.

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