Repetitive facilitative exercise and task-oriented training in a subacute stroke patient with moderate upper paralysis:

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  • Fujimoto Koya
    General Rehabilitation Center, Kajikionsen Hospital (Former affiliation;Department of Rehabilitation, Kirishimasugiyasu Hospital) Department of Rehabilitation and Physical Medicine, Kagoshima University Graduate School of Medicine and Dental Sciences
  • Etoh Seiji
    Department of Rehabilitation and Physical Medicine, Kagoshima University Graduate School of Medicine and Dental Sciences
  • Tanoue Ayana
    Department of Rehabilitation, Kirishimasugiyasu Hospital
  • Kamezawa Takashi
    Department of Neurosurgery, Kirishimasugiyasu Hospital
  • Shimodozono Megumi
    Department of Rehabilitation and Physical Medicine, Kagoshima University Graduate School of Medicine and Dental Sciences

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Other Title
  • 回復期における脳卒中後片麻痺上肢に対し，課題指向型促通反復療法を実施した一例
  • カイフクキ ニ オケル ノウソッチュウ ゴ ヘンマヒ ジョウシ ニ タイシ,カダイ シコウガタソクツウ ハンプク リョウホウ オ ジッシ シタ イチレイ
  • A case study

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Repetitive facilitative exercise (RFE) is a form of physiotherapy that has been shown to improve hemiplegic upper limb function, the ability to manipulate objects, and the patient’s quality of life after stroke;however, the use of the hemiplegic hand in daily life and the effect on targeted movements after intervention have not yet been reported. We evaluated the effects of “Task-oriented RFE,” which combines RFE under continuous neuromuscular electrical stimulation and task-oriented training for the treatment of a hemiplegic upper limb in a subacute stroke patient. The subject did not report any adverse effects during RFE sessions. Upper-extremity function, use of the paralyzed hand in daily life, and the quality of movement improved after 6 weeks of intervention. In addition, satisfaction with performance of the targeted movements also improved. The function of the upper extremity improved 1 month after discharge. The results suggest that Task-oriented RFE may be effective in improving function and the use of a paralyzed upper extremity in subacute stroke patients.

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