학술논문
Improvement in a post-stroke pediatric patient with hemiplegia: Use of a hand-arm bimanual intensive therapy with hybrid assistive limb.
Document Type
Report
Author
Matsumoto Y; NikoNiko House Medical and Welfare Center, Kobe, Japan; Department of Public Health and Health Science, Kobe University Graduate School of Health Sciences, Kobe, Japan; Tokyo Metropolitan Fuchu Rehabilitation Center, Tokyo, Japan. Electronic address: Yoko_Matsumoto@member.metro.tokyo.jp.; Yoshii Y; PorePore-no-Ki, Children Development Support Center, Himeji, Japan.; Ikutomo A; NikoNiko House Medical and Welfare Center, Kobe, Japan.; Yagi M; NikoNiko House Medical and Welfare Center, Kobe, Japan; Department of Childhood Development and Education, Faculty of Human Science, Konan Women's University, Kobe, Japan.; Nishimura M; NikoNiko House Medical and Welfare Center, Kobe, Japan.; Kawasaki Y; NikoNiko House Medical and Welfare Center, Kobe, Japan.; Sarafian A; Nathan Weiss Graduate College Kean University, NJ, USA.; Kim H; Physical Medicine & Rehabilitation, The University of Texas Southwestern Medical Center, TX, USA.; Roye DP Jr; Department of Orthopaedic Surgery, Columbia University Irving Medical Center, MA, USA.; Matsumoto H; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, MA, USA; Department of Orthopaedic Surgery, Harvard Medical School, MA, USA.
Source
Publisher: Elsevier Country of Publication: Netherlands NLM ID: 7909235 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-7131 (Electronic) Linking ISSN: 03877604 NLM ISO Abbreviation: Brain Dev Subsets: MEDLINE
Subject
Language
English
Abstract
Background: Pediatric stroke is a rare medical condition that often leads to long-lasting motor and cognitive impairments. Although therapies for adults after a stroke are well described, treatments for motor deficits following a pediatric stroke are yet to be investigated. We report a case of pediatric stroke in the chronic phase, in which a combination of novel treatments resulted in a significant improvement in physical function.
Case Report: A seven-year-old girl with a left hemispheric cerebral infarction lost almost all right upper extremity motor function. Following onabotulinumtoxinA treatment, she underwent hand-arm bimanual intensive therapy augmented with a hybrid assistive limb for 90 h over 15 days. Evaluation after the training revealed significant improvements in physical function, daily activities, and occupational performance.
Conclusions: This report highlights the importance of innovative combinations of techniques in the treatment of pediatric stroke.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.)
Case Report: A seven-year-old girl with a left hemispheric cerebral infarction lost almost all right upper extremity motor function. Following onabotulinumtoxinA treatment, she underwent hand-arm bimanual intensive therapy augmented with a hybrid assistive limb for 90 h over 15 days. Evaluation after the training revealed significant improvements in physical function, daily activities, and occupational performance.
Conclusions: This report highlights the importance of innovative combinations of techniques in the treatment of pediatric stroke.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.)