Japanese Occupational Therapy Research
Online ISSN : 2434-4419
Print ISSN : 0289-4920
PRACTICAL REPORTS
Therapeutic intervention for brainstem infarction to integrate vision and somatosensory for diplopia in the acute phase:
A case study
Takamasa Oyaizu
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JOURNAL FREE ACCESS

2022 Volume 41 Issue 6 Pages 719-724

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Abstract
We report a case of acute brainstem infarction in a male in his 70s with diplopia who practiced a therapeutic intervention in the integrated mechanism of vision and somatosensory resulting in no paralyzed eyes. The case presented with adduction disorder in the right eye (paralyzed eye) and diplopia in the left eye. The patient lived with one-eye blockage such as using an eye patch for paralyzed eyes, experienced inconvenienced in walking. Treatment intervention using upper limb motor sensation and visual integration was performed up to 5 times a week, 20 minutes per day for a period of 9 days. As a result, it became possible to live with both eyes, and the degree of inconvenience in life was reduced. We believe that the use of both eyes prevented secondary changes such as shortening and atrophy of the extraocular muscles (paralyzed eye), which led to good results.
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© 2022 Japanese Association of Occupational Therapists
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