2024 Volume 43 Issue 2 Pages 288-294
[Introduction] We report a case of flaccid hemiplegia in which the patient had difficulty using his dominant hand for Activities of Daily Living (ADLs). [Subject] A man in his 50s who had two cerebral infarctions (left cerebellum and left corona radiata) in a short period of time. Initially, he had difficulty using his dominant hand for ADL due to flaccid hemiplegia. [Methods] Mental practice, video observation task, task-oriented training, and praise from others were performed for 3 months. [Result] The affected hand can be used as the dominant hand in ADL due to functional improvement of the affected hand. [Discussion] The patient had difficulty using his affected hand due to damage to the pyramidal tract and cerebellum. Although interhemispheric inhibition and learned non-use of the affected hand were also assumed to have affected the patient's recovery, it is possible that combined interventions contributed to the patient's recovery.
