Successful treatment of severe upper limb paralysis and attention and memory impairment due to thalamic hemorrhage through intensive upper limb functional training and behavioral change: A case study

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  • Ryu Nami
    Department of Rehabilitation, Souseikai Shinyoshizuka Hospital
  • Takebayashi Takashi
    Graduate School of Rehabilitation, Osaka Metropolitan University
  • Hirayama Kouichirou
    Graduate School of Rehabilitation, Osaka Metropolitan University Department of Rehabilitation, Eishinkai Kishiwada Rehabilitation Hospital
  • Oda Taiji
    Department of Rehabilitation, Souseikai Shinyoshizuka Hospital

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Other Title
  • 重度上肢麻痺と注意・記憶障害を呈した視床出血症例で集中的上肢機能訓練による機能回復と難易度設定による行動変容が奏功した一例
  • ジュウド ジョウシ マヒ ト チュウイ ・ キオク ショウガイ オ テイシタ シショウ シュッケツ ショウレイ デ シュウチュウテキ ジョウシ キノウ クンレン ニ ヨル キノウ カイフク ト ナンイド セッテイ ニ ヨル コウドウ ヘンヨウ ガ ソウコウ シタ イチレイ

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Abstract

<p>We devised procedures to promote intensive upper limb functional training, voluntary training, and behavioral change in accordance with the characteristics of higher brain functions, including attention and memory impairment, for a case admitted to a recovery rehabilitation ward with various higher brain dysfunctions in addition to severe upper limb paralysis. As a result, improvement exceeding the prognosis of the admission process was observed. This suggests that intensive upper limb training, voluntary training, and behavior change procedures tailored to the characteristics of the patient's higher brain function may be one way to improve upper limb function when supporting the discharge of patients with severe upper limb paralysis and higher brain dysfunction who are admitted to the Rehabilitation Unit.</p>

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