Abstract
Hybrid Assistive Neuromuscular Dynamic Stimulation therapy (HANDS therapy) has been shown to improve the function of the peripheral area of paretic upper limb after stroke. However, the issues related to HANDS therapy remain, including lack of improvement of the paretic arm use in real world, and the limited function of the central area of the paretic upper limb. Simplified Transfer Package (TP) is a therapy effective for improving function of paralyzed hands using task-oriented training aimed at enhancing the skills of specific tasks. Robot therapy is considered effective for the central nervous system. TP, Robot Therapy, and HANDS therapy were combined to improve the affected arm function and behavior of the stroke patient. Fugl-Meyer Assessment (FMA) and Motor Active Log (MAL) showed clinically meaningful improvements. Additionally, the patient was able to use the chopsticks that was the patient’s goal illustrating the efficacy of the combined upper limb approach.
