Abstract
Purpose:In addition to a multifaceted approach combined with a highly evidence-based approach, we encouraged the use of the paralyzed hand in real life under orthotic conditions in patients with sub-acute stroke who presented with severe upper limb paralysis. Methods:CI therapy combined with the orthosis, electrical stimulation, and robotics therapy for one to two hours per day. In addition, two types of orthoses were made for different purposes, such as suppressing muscle tone and using a paralyzed hand in real life, to encourage the use of the orthosis in real life. Results:Upper extremity limb outcomes improved beyond the minimum clinically meaningful change (MCID), and there were increased opportunities for paralytic hand use under orthotics. Conclusion:The use of a paralyzed hand with an orthosis in real life may improve function and expand the use of the paralyzed hand for sub-acute stroke patients with severe upper limb paralysis and inadequate finger extension.
