Japanese Occupational Therapy Research
Online ISSN : 2434-4419
Print ISSN : 0289-4920
PRACTICAL REPORTS
Relationship between recovery of upper limb mobility and changes in white matter after cerebral hemorrhage:
Consideration of two cases according to time from onset
Naoya AnmotoAki InagakiHaruko KashiwagiTakashi TakebayashiKeisuke Hanada
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2022 Volume 41 Issue 1 Pages 78-85

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Abstract
In this study, we provided evidence-based practice for two cases with upper limb paralysis after cerebral hemorrhage. The intervention was tailored to the condition of the affected arm. We also investigated the relationship between improved upper limb function, behavior of using the affected arm, and changes in white matter Fractional Anisotropy (FA). As a result, the intervention improved both upper limb function and affected arm behavior in both cases. However, only FA in the uncinate fasciculus was improved. Therefore, it is unlikely that plastic changes in the corticospinal tract related to motor function will occur along with improvement of the upper limb function and behavior of using the affected arm. On the other hand, it was shown that the plastic change of the uncinate fasciculus related to the reward system may occur.
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© 2022 Japanese Association of Occupational Therapists
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