Article

Botulinum toxin type A (BtxA) injection, constraint-induced movement therapy
(CIMT), and robotic therapy (RT) each represent promising approaches to enhance
arm motor recovery after stroke. To provide more effective treatment for a
50-year-old man with severe left spastic hemiparesis, we attempted to facilitate
CIMT with adaptive approaches to extend the wrist and fingers using RT for 10
consecutive weeks after BtxA injection. This combined treatment resulted in
substantial improvements in arm function and the amount of arm use in activities
of daily living, and may be effective for stroke patients with severe arm
paresis. However, we were unable to sufficiently prove the efficacy of combined
treatment based only on a single case. To fully elucidate the efficacy of the
combined approach for patients with severe hemiparesis after stroke, future
studies of a larger number of patients are needed.
CI - Copyright (c) 2014 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS