Combining Robotic Therapy with Electrical Stimulation Therapy and Transfer Packages for Upper Limb Paresis in Cervical Spinal Cord Infarction：A Case Report
- VernacularTitle:ロボット療法と電気刺激療法，Transfer Packageを併用した上肢訓練により上肢機能の改善を認めた頚髄梗塞の1例
- Author:
Ryota SATO
1
;
Daisuke ITO
2
;
Masayuki DOGAN
1
;
Shota WATANABE
1
;
Michiyuki KAWAKAMI
2
;
Kunitsugu KONDO
1
Author Information
- Keywords: spinal cord infarction; cervical cord infarction; electrical stimulation therapy; robotic therapy; upper extremity functional intervention
- From:The Japanese Journal of Rehabilitation Medicine 2024;():23039-
- CountryJapan
- Language:Japanese
- Abstract: Objective：Studies on upper extremity functional interventions for patients with spinal cord infarction are limited, and the effectiveness of the interventions for upper limb paresis in such patients have not been elucidated. This case report describes evidence-based spinal cord injury interventions that improved upper extremity function in a patient with spinal cord infarction.Methods：A man in his 60s presented with mild right hemiplegia because of right anterior spinal artery infarction in the C5 medullary segment. Upon admission, the patient had an American Spinal Injury Association Impairment Scale of D, lacked cognitive impairment, and demonstrated independence indoors with ambulation. The intervention included a combination of robotic therapy and electrical stimulation, adherence-enhancing behavioral strategies (Transfer Package), and typical occupational therapy. We recorded the following upper extremity functional scores：①Active Range of Motion of the shoulder, ②Passive Range of Motion of the shoulder, ③Manual Muscle Test, ④Grip strength, ⑤Pinch strength, ⑥Action Research Arm Test, ⑦Simple Test for Evaluating Hand Function, and ⑧Motor Activity Log.Results：After intervention therapy for 39 days, upper extremity function and the degree and quality of arm use in daily activities improved.Conclusion：These results suggest that evidence-based interventions for spinal cord injury could improve upper extremity function and the degree and quality of arm use in daily activities in patients with cervical spinal cord infarcti.
