Abstract
We performed task-specific training in proximal parts and task-oriented training in distal parts for a stroke patient with severe paralysis in proximal parts of the upper extremity. Comparing this intervention with the usual occupational therapy resulted in changing the scores of both the Fugl-Meyer Assessment and the Action Research Arm Test. In addition, the improvement of the Fugl-Meyer Assessment exceeded minimal clinically important differences. This case study suggests that depending on the stage of recovery of each part of the upper extremity, upper extremity paralysis training in stroke patients is important in choosing appropriate treatments.
