Reducing fatigue through manipulation of chopsticks in a patient suffering from ideomotor apraxia: A case study

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  • Toyoda Takuma
    Department of Rehabilitation, Atago Hospital
  • Sasaki Katsuhisa
    Department of Physical Therapy, Shikoku Medical College
  • Shimizu Daisuke
    Department of Occupational Therapy, School of Rehabilitation, Hyogo Medical University
  • Okita Manabu
    Department of Rehabilitation, Atago Hospital Section of Neurorehabilitation, Atago Hospital Neurological Center

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Other Title
  • 観念運動失行症例の箸操作に着目した一例
  • 観念運動失行症例の箸操作に着目した一例 : 箸の把握形態の学習により疲労が軽減した介入報告
  • カンネン ウンドウ シッコウ ショウレイ ノ ハシ ソウサ ニ チャクモク シタ イチレイ : ハシ ノ ハアク ケイタイ ノ ガクシュウ ニ ヨリ ヒロウ ガ ケイゲン シタ カイニュウ ホウコク
  • ─箸の把握形態の学習により疲労が軽減した介入報告─

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Abstract

<p>A case of higher brain dysfunction including apraxia and motor paralysis caused by cerebral infarction complained of fatigue while manipulating chopsticks during mealtime. OT evaluation and movement characteristics indicated that due to the pathological condition, the patient was unable to grasp the chopsticks appropriately, leading to strenuous chopstick manipulation, an inability to recognize and correct errors in movement, and increased fatigue. OT intervention included helping the patient establish an optimal chopstick grasping form through replacing the somatosensory information with the patient's own movement and constructing the grasping form by looking at the object. As a result, the grasping form of the chopsticks imagined by the patient was established, and the fatigue of chopstick manipulation during mealtime was reduced.</p>

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