Task-oriented training for unilateral hand clumsiness characterized by inability to form tool oriented hand postures in a left hemisphere stroke patient:

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  • Hanada Keisuke
    Department of Rehabilitation, Suisyokai Murata Hospital Doctor’s Programs, Graduate School of Health Sciences, Yamagata Prefectural University of Health Sciences
  • Sorano Kaede
    Department of Rehabilitation, Suisyokai Murata Hospital
  • Kohno Masashi
    Department of Rehabilitation, Suisyokai Murata Hospital
  • Takebayashi Takashi
    School of Comprehensive Rehabilitation, Osaka Prefecture University
  • Hirayama Kazumi
    Graduate School of Health Sciences, Yamagata Prefectural University of Health Sciences

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Other Title
  • 右手動作の拙劣さと両手に道具把握の障害を認めた左脳梗塞例に対する上肢機能訓練の試み
  • 右手動作の拙劣さと両手に道具把握の障害を認めた左脳梗塞例に対する上肢機能訓練の試み : 症例報告
  • ミギテ ドウサ ノ セツレツ サ ト リョウテ ニ ドウグ ハアク ノ ショウガイ オ ミトメタ ヒダリ ノウコウソクレイ ニ タイスル ジョウシ キノウ クンレン ノ ココロミ : ショウレイ ホウコク
  • A case study
  • ─症例報告─

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Description

We describe a case of right hand impaired dexterity and an inability to grasp tools with both hands with precise ability to move her hand and fingers individually. Magnetic resonance brain imaging demonstrated acute left frontal and temporoparietal ischemic infarctions. Once she grasped a tool correctly, she could use it. In addition, the inability to grasp tools was mitigated upon being handed a tool or shifting the tool from one hand to the other. Right hand training with tools consisted of utilizing these compensatory strategies over a 14-day period, resulting in resumption of her being able to use tools with her right hand in daily life.

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