Abstract
We describe the case of a male patient suffering from stroke induced right hemiplegia, who received behavioral training with activity monitoring of the affected arm to improve real-world use of the paretic arm and hand. The intervention was administered in an outpatient unit for 2 hour intervals, 3 times a week for a total of 10 times. The training conformed to the behavioral strategies (transfer package) in constraint-induced movement therapy. Paretic arm activity in daily life was monitored every week, and the results were reported to the patient. Following training, the function of the paretic upper limb and real-world arm use improved. The effect was maintained even 2 months after completion of the training. Both the patient and occupational therapist were able to objectively review the degree of functioning of the paretic hand via arm activity monitoring. We concluded that real-world arm activity monitoring can be a useful tool to enhance the effectiveness of transfer package.
