Japanese Occupational Therapy Research
Online ISSN : 2434-4419
Print ISSN : 0289-4920
PRACTICAL REPORTS
A trial of combination therapy with mirror therapy in a stroke patient with severe upper-extremity paresis:
A case study
Daiki HaniokaTakashi TakebayashiKenta TakeuchiShinichi Shimada
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2020 Volume 39 Issue 3 Pages 333-340

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Abstract
Mirror therapy (MT) is an evidence-based treatment method for upper-extremity dysfunction after stroke. We conducted multiple treatments with evidence-based treatment methods including Constraint-induced movement therapy and robot therapy for a stroke patient with severe upper extremity dysfunction;however, we could not improve finger extension. We implemented MT in the late subacute period, resulting in improved extension function of the index finger. Furthermore, the patient could undergo task-oriented training with the paralyzed hand, resulting in partial use of the paralyzed hand in activities daily of living. Although the mechanism of recovery of MT is still unknown, combined therapy using MT for severe upper limb dysfunction may improve upper limb function.
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© 2020 Japanese Association of Occupational Therapists
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