Comparison of task- and impairment-oriented approaches for upper limb function and usage behavior among patients with upper extremity paralysis after cerebral infarction in the recovery phase

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 Comparison of task- and impairment-oriented approaches for upper limb function and usage behavior among patients with upper extremity paralysis after cerebral infarction in the recovery phase

回復期において脳梗塞後の上肢麻痺に対する 課題指向型アプローチと機能指向型アプローチの 上肢機能および使用行動に関する比較検討.  Japanese Occupational Therapy Research , Volume 39(2) , Pgs. 162-169.

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Author(s): Takashi TAKEBAYASHI; Hiroki Karato; Isao Sasaki; Kazuhiro Tokuda.
Publication Year: 2020.

Abstract: 

The objective of this study was to compare the protocols of the Task-oriented approach (TOA) and Transfer Package (TP) to the Impairment-oriented approach (IOA) and TP for paralyzed hands after stroke. Study participants were 13 patients: 7 in the TOA/TP group and 6 in the IOA/TP group. Upper extremity function (Fugl-Meyer Assessment - FMA) and usage behavior of the paralyzed hand (Motor Activity Log - , MAL/AOU, QOM) were compared, and results indicated no significant change in FMA (p=0.18), but MAL changed significantly in the TOA group compared to the IOA group (MAL AOU: p=0.04, MAL QOM: p<0.01). These results suggest that TOA could transfer the functions acquired in real-life practice more efficiently even if the same TP is performed.
Descriptor Terms: Attitudes toward disabled, Operations research, Professional occupations, Treatment, Brain.
Language: Japanese
Geographic Location(s): Japan, East & Southeast Asia.

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Get this Document: https://www.jstage.jst.go.jp/article/jotr/39/2/39_162/_pdf/-char/en.

Citation: Takashi TAKEBAYASHI, Hiroki Karato, Isao Sasaki, Kazuhiro Tokuda. (2020). Comparison of task- and impairment-oriented approaches for upper limb function and usage behavior among patients with upper extremity paralysis after cerebral infarction in the recovery phase.  回復期において脳梗塞後の上肢麻痺に対する 課題指向型アプローチと機能指向型アプローチの 上肢機能および使用行動に関する比較検討.  Japanese Occupational Therapy Research , 39(2), Pgs. 162-169. Retrieved 6/23/2022, from REHABDATA database.