One-year progress of upper extremity function after modified constraint-induced movement therapy (CI therapy) in two subacute stroke patients

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  • Hirata Atsushi
    Itami Kousei Neurosurgical Hospital (Former affiliation;Nishinomiya Kyoritsu Rehabilitation Hospital)
  • Yamaguchi Rie
    Itami Kousei Neurosurgical Hospital (Former affiliation;Nishinomiya Kyoritsu Rehabilitation Hospital)
  • Takebayashi Takashi
    Department of Occupational Therapy, School of Comprehensive Rehabilitation, Osaka Prefecture University

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  • 回復期脳卒中患者2事例におけるmodified constraint-induced movement therapy（mCI療法）後1年間の上肢機能の経過
  • カイフクキ ノウソッチュウ カンジャ 2 ジレイ ニ オケル modified constraint-induced movement therapy(mCI リョウホウ)アト 1ネンカン ノ ジョウシ キノウ ノ ケイカ

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Abstract

Constraint-induced movement therapy (CI therapy) is a representative approach for stroke patients that aims not only to improve the function of the paralyzed arm, but also to change the behavior of actual use of the arm in activities of daily living. This study employed the modified CI therapy for 2 stroke patients with arm paresis in the subacute phase. Consequently, the affected arm functions and real-world behaviors of the patients improved immediately, and maintained the improvement one-year after the modified CI therapy. Furthermore, the two patients refused the rehabilitation service covered by the medical and nursing-care insurance and were able self-manage their care. Therefore, implementing modified CI therapy in the subacute phase may promote rehabilitative self-management.

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