2019 Volume 38 Issue 5 Pages 609-616
We gradually introduced several treatments according to an improvement of upper extremity function in an acute stroke patient. From the early stage of stroke onset, we combined the following approaches, which improved the affected upper extremity function:Finger Equipped Electrode electrical stimulation (FEE-ES), repetitive facilitation exercise therapy (RFE), and neuromuscular electrical stimulation (NMES). Then, we use the combined approaches with the modified constraint-induced movement therapy (mCIMT), electrical stimulation, and orthosis, and adapted these to the upper extremity function in a stroke patient. As a result, the upper extremity function and amount of use in daily life improved in the stroke patient. In addition, affected upper extremity function in the stroke patient showed further improvement two months post intervention. This case study showed that evidence-based combined approaches might improve arm function in the acute phase.