Targeting ADOC and combined upper limb therapy (electrical stimulation therapy,orthotic therapy, repetitive facilitation exercises, and constraint-induced movement therapy) to achieve paralytic hand use in chronic stroke patients:

A case study

Abstract

It is important to share the details and progress of specific interventions performed on severe hemiplegic patients in the chronic phase of stroke in facilities ill-equipped with advanced equipment. The case involved a stroke patient with severe upper extremity paralysis 13 years after the onset of stroke. This study utilized a combination of target setting using ADOC and interventions using electrical stimulation therapy, orthotic therapy, repetitive facilitation exercises, and constraint-induced movement therapy. The functioning of the paralyzed hand did not change significantly after the intervention, but meaningful tasks were acquired, and subjective evaluations were improved. Such interventions are feasible even in a limited facility environment. Improving paralytic hand function and encouraging the use of the paralytic hand in daily life may contribute to meaningful work among patients with severe hemiplegia.