Active sensory training for severe hand anesthesia with left hemiplegia after chronic stroke:

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  • Hanada Keisuke
    Department of Rehabilitation, Kinshukai Hanwa Memorial Hospital (Former affiliation;Department of Rehabilitation, Suisyoukai Murata Hospital) Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University
  • Katsuyama Minami
    Department of Rehabilitation, Suisyoukai Murata Hospital
  • Kohno Masashi
    Department of Rehabilitation, Suisyoukai Murata Hospital
  • Takebayashi Takashi
    Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University
  • Hirayama Kazumi
    Graduate School of Health Sciences, Yamagata Prefectural University of Health Sciences

Bibliographic Information

Other Title
  • 左手に強い体性感覚障害のある慢性期脳卒中患者に対する能動的感覚再学習の試み
  • 左手に強い体性感覚障害のある慢性期脳卒中患者に対する能動的感覚再学習の試み : 事例報告
  • ヒダリテ ニ ツヨイ タイセイ カンカク ショウガイ ノ アル マンセイキ ノウソッチュウ カンジャ ニ タイスル ノウドウテキ カンカク サイガクシュウ ノ ココロミ : ジレイ ホウコク
  • A case study
  • ─事例報告─

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Abstract

We observed a male who suffered from severe somatosensory anesthesia that continued for six months after a stroke. He received an active sensory relearning program for 1 hour, twice a week, for 8 weeks. He repeatedly performed various tactile discrimination and identification tasks (Carey, 1993, 2012), in which the clinician asked him to visually confirm the correctness of the task and to compare it with the sensation of the affected hand by touching the non-affected hand. The difficulty of each task was adjusted for differences in the number of choices and stimuli. As a result, the affected arm use in daily life and somatosensory functions were improved, and accompanying changes in daily life were also reported. The active, sensory re-learning may have facilitated conscious compensation that uses residual function. Such compensation may have contributed to the improvement of the patient’s somatosensory function and activities of daily living.

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