Successful treatment of severe upper limb paralysis and attention and memory impairment due to thalamic hemorrhage through intensive upper limb functional training and behavioral change: A case study

Abstract

We devised procedures to promote intensive upper limb functional training, voluntary training, and behavioral change in accordance with the characteristics of higher brain functions, including attention and memory impairment, for a case admitted to a recovery rehabilitation ward with various higher brain dysfunctions in addition to severe upper limb paralysis. As a result, improvement exceeding the prognosis of the admission process was observed. This suggests that intensive upper limb training, voluntary training, and behavior change procedures tailored to the characteristics of the patient's higher brain function may be one way to improve upper limb function when supporting the discharge of patients with severe upper limb paralysis and higher brain dysfunction who are admitted to the Rehabilitation Unit.