Abstract
Study objective: The purpose of the present study was to investigate the effectiveness of training on the activities of daily living for a man with severe cognitive disorder and severe right hemiplegia. Design: A-B-A-B single-subject design. Setting: Rehabilitation unit at University Hospital. Participant: A 70-year-old man with severe cognitive disorder and severe right hemiplegia due to cerebral infarction. Intervention: In the baseline phase, the patient was trained with praise following correct responses. In the intervention phase, physical guidance was added to the training. Measure: Whether the patient could carry out 12 activities of daily living was assessed. Results: The number of activities of daily living that the patient could perform independently in-creased during the intervention phase. However, this trend leveled off when the physical guidance was with-drawn. Conclusion: The training in activities of daily living used in the present study was effective in increasing the patient's ability to perform independently. However, further research is needed to identify a method for maintaining this improvement after training is no longer being provided.
