Occupational therapy focusing on decision-making and motivation management of a child with post-stroke hemiplegia who successfully implemented a transfer package with family participation in addition to a multifaceted approach: A case study

Abstract

[Introduction] We report the results of interventions in which a family-participatory Transfer package (TP) and voluntary practice were used in addition to CI therapy for stroke patients with left hemiplegia. [Intervention] CI therapy with orthoses and electrical stimulators was performed for 1 hour a day with the family present. A 30-minute day was carried out for 11 weeks. [Results] Psychological changes were observed, such as improvement in upper limb function evaluation and positive remarks regarding returning to school. [Discussion] For child who were mentally unstable, family-participatory TP and voluntary practice lead to maintenance of motivation and improvement of monitoring, and not only paralyzed hands but also psychological changes. The possibility of exerting it was considered.