A case of unilateral neglect after acute stroke in which the frequency of upper limb use and ADL on the paralyzed side improved after intervention using a sensory stimulation device

Abstract

In the present study, patients in the acute phase of stroke with unilateral neglect were given a wearable device that provides sensory stimulation to the paralyzed hand, and practiced repetitive task-oriented exercises of the upper limb and paralyzed hand use in ADL, one of the Transfer Package. The wearable device stimulated self-monitoring of the paralyzed upper limb, and the repetitive upper limb use practice improved upper limb function, frequency of paralyzed hand use in ADL, awareness of neglect behaviors and paralyzed hand use situations, and improvement of hemiparesis symptoms. These findings suggest the usefulness of combining these exercises as an intervention for patients with hemiparesis neglect.