Effect of Graded Repetitive Arm Supplementary Program (GRASP) combined with Functional Electrical Stimulation (FES) in subacute stroke with severe upper-extremity paresis: A case study

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  • Hatafuku Nao
    Department of Rehabilitation, Yamagata Saisei Hospital
  • Otaki Ryoji
    Department of Rehabilitation, Yamagata Saisei Hospital Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine
  • Sasahara Hiroshi
    Department of Rehabilitation, Yamagata Saisei Hospital
  • Saito Yuki
    Department of Neurosurgery, Yamagata Saisei Hospital
  • Takemura Sunao
    Department of Neurosurgery, Yamagata Saisei Hospital

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Other Title
  • 脳卒中後重度上肢麻痺に対するGraded Repetitive Arm Supplementary Program（GRASP）と電気刺激併用の効果
  • 脳卒中後重度上肢麻痺に対するGraded Repetitive Arm Supplementary Program (GRASP)と電気刺激併用の効果 : シングルケースデザインによる検討
  • ノウソッチュウ ゴジュウド ジョウシ マヒ ニ タイスル Graded Repetitive Arm Supplementary Program (GRASP)ト デンキ シゲキ ヘイヨウ ノ コウカ : シングルケースデザイン ニ ヨル ケントウ
  • ―シングルケースデザインによる検討―

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Abstract

<p>The effect of Graded Repetitive Arm Supplementary Program (GRASP) combined with Functional Electrical Stimulation (FES) on stroke patients with severe upper limb paralysis was investigated in an ABA single case design. The method was the usual occupational therapy in phase A and the GRASP combined with FES in phase B, which was performed for 1 hour per day. Each period was set for 4 weeks. FES was applied to the proximal part of the upper limb where the paralysis was more severe. The results showed that the changes in upper limb function and real-world arm use exceeded the minimum clinical important difference in phase B. The patient was able to use the paralyzed hand as a support in daily life. The results suggest that the combination of GRASP and FES for severe upper limb paralysis may improve upper limb function and real-world arm use.</p>

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