教員業績データベース |
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論文種別 | 原著 |
言語種別 | 英語 |
査読の有無 | 査読なし |
表題 | Therapeutic synergism in the treatment of post-stroke arm paresis utilizing botulinum toxin, robotic therapy, and constraint-induced movement therapy. |
掲載誌名 | 正式名:PM&R : the journal of injury, function, and rehabilitation 略 称:PM R ISSNコード:1934-1563(Electronic)1934-1482(Linking) |
巻・号・頁 | 6(11),pp.1054-8 |
著者・共著者 | Takebayashi Takashi, Amano Satoru, Hanada Keisuke, Umeji Atsushi, Takahashi Kayoko, Koyama Tetsuo, Domen Kazuhisa |
発行年月 | 2014/11 |
概要 | Botulinum toxin type A (BtxA) injection, constraint-induced movement therapy (CIMT), and robotic therapy (RT) each represent promising approaches to enhance arm motor recovery after stroke. To provide more effective treatment for a 50-year-old man with severe left spastic hemiparesis, we attempted to facilitate CIMT with adaptive approaches to extend the wrist and fingers using RT for 10 consecutive weeks after BtxA injection. This combined treatment resulted in substantial improvements in arm function and the amount of arm use in activities of daily living, and may be effective for stroke patients with severe arm paresis. However, we were unable to sufficiently prove the efficacy of combined treatment based only on a single case. To fully elucidate the efficacy of the combined approach for patients with severe hemiparesis after stroke, future studies of a larger number of patients are needed. |
DOI | 10.1016/j.pmrj.2014.04.014 |
PMID | 24880058 |