Nagai Kuniaki, Yamaguchi Fumiaki
Department of Rehabilitation, Heiseimahoroba Hospital, Japan.
J Phys Ther Sci. 2017 May;29(5):954-958. doi: 10.1589/jpts.29.954. Epub 2017 May 16.
[Purpose] We report a case in which rehabilitation that targeted the paralyzed side's upper limb in a hemiplegic stroke patient remarkably accelerated the patient's ability to perform activities of daily living, improved her Functional Independence Measure score, and facilitated the patient's return to home. [Subject and Methods] We provided rehabilitation training to a female patient who experienced a cerebral infarction at a nursing home for the elderly and was admitted to the Kaifukuki recovery phase rehabilitation ward in order to improve her activities of daily living and return home. An intensive rehabilitation program incorporating occupational therapy and physical training for upper-limb function on the affected side was instituted over 170 days. [Results] At presentation, the patient had functional disorders and load-induced pain in both lower limbs requiring her to walk with a fixed-type walker. After the intensive rehabilitation program, her activities of daily living improved and she was able to return home. [Conclusion] This case suggests that activities of daily living training and simultaneous active training of upper-limb function on the affected side in patients with functional disorders or lower-limb pain could effectively improve their Functional Independence Measure scores, promote functional recovery, and facilitate their return to home.
[目的] 我们报告了一例偏瘫性脑卒中患者，针对其瘫痪侧上肢进行康复训练，显著加快了患者日常生活活动能力的恢复，提高了其功能独立性测量得分，并促使患者回家。[对象与方法] 我们对一名在养老院发生脑梗死的女性患者进行康复训练，该患者被收治到开福区康复期康复病房，以改善其日常生活活动能力并回家。在170天的时间里，实施了一项强化康复计划，包括针对患侧上肢功能的职业治疗和体能训练。[结果] 初诊时，患者双下肢存在功能障碍和负荷性疼痛，需要使用固定型助行器行走。经过强化康复计划后，她的日常生活活动能力得到改善，并能够回家。[结论] 该病例表明，对于存在功能障碍或下肢疼痛的患者，进行日常生活活动训练并同时对患侧上肢功能进行主动训练，可有效提高其功能独立性测量得分，促进功能恢复，并促使其回家。
