Article

Modified CIT (mCIT) was performed in a stroke patient with a lesion
in the left medial frontal region including the supplementary motor area (SMA),
which is part of the higher-motor area, and whose primary symptom was motor
ignition difficulty observed at the start of voluntary movement of the right leg.
CASE STUDY: mCIT was performed from awakening to bedtime (not including bath
time) with his non-affected limb fixed with a knee splint while he was in the
hospital ward. Two days (the total time he wore the appliance was 19.5 hours)
after the intervention was introduced, voluntary movement of the right leg
occurred, and functional improvement was observed. CONCLUSIONS: These findings
are speculated to be related to the facts that the unilateral SMA strongly
contributes to movement of the ipsilateral limb and that the plasticity of the
SMA, which is a higher-motor area, is greater than that of primary areas. It is
probable that different regions of the brain have different plasticity, resulting
in differences in the process of functional recovery and the level of recovery.

Langue : ANGLAIS