Objective: To investigate the long-term effects of ‘transfer package’ in constraint-induced movement therapy, which is an optional protocol to facilitate actual use trained affected arm activities daily living. Design: A pilot quasi-randomized controlled trial with a blinded single assessor six-month follow-up. Setting: Hospitalized care at university hospital. Subjects: Twenty-one post-stroke patients were either group transfer package during therapy or control (without package)....

Background:Despite the confirmed short-term effects of constraint-induced movement therapy, long-term have not been sufficiently verified in terms functional improvement affected arm.Objective:To evaluate and relationship between arm use activities daily living with modified therapy chronic stroke patients.Methods:At 1 year after completing function (Fugl-Meyer Assessment) amount (motor activity log) were assessed.Results:Fourteen post-stroke patients mild to moderate impairment analyzed....

Purpose: To test whether diffusion tensor imaging could evaluate potential motor capability of patients with chronic cerebral infarction. Methods: We used constraint-induced movement therapy (CIMT) as a rehabilitation, which reveals capability. also investigated the relationship between outcome CIMT and ratio fractional anisotropy values (rFA) in affected unaffected sites corticospinal tract before CIMT. Imaging was performed infarction (n = 14) rFA posterior limb internal capsule (PLIC)...

Existing cognitive measures for moderate-to-severe dementia have shown floor effects and an inability to assess the remaining function, especially profound dementia.We constructed Cognitive Test Severe Dementia (CTSD), which consists of 13 items covering 7 domains, examined its reliability validity.Cronbach's α in severe participants was 0.896. Interrater test-retest were 0.961 0.969, respectively. The CTSD showed a significant correlation with 3 other function (Mini-Mental State...

Botulinum toxin type A (BtxA) injection, constraint‐induced movement therapy (CIMT), and robotic (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 facilitate CIMT adaptive extend the wrist fingers using RT 10 consecutive weeks BtxA injection. This combined resulted in substantial improvements function amount of use activities daily living, may be...

The Fugl-Meyer Assessment (FMA) has been used as a functional assessment of upper-limb function in stroke patients. This study aimed to create more objective and standardized evaluation based on an FMA the items. A total 30 first-ever patients (65.3 ± 10.3 years old) 15 healthy participants (35.4 13.4 admitted Itami Kousei Neurosurgical Hospital were included. nine-axis motion sensor was attached participants, joint angles 17 items (excluding fingers) 23 reflexes measured. From measurement...

Abstract Objective To better elucidate the symptomatology and pathophysiological mechanisms underlying delusional misidentification syndrome (DMS), we investigated incidence rate symptomatic features of DMS following stroke relationships among DMS, other neuropsychological symptoms, lesion locations. Methods The present study included 874 consecutive patients (371 women; mean age ± standard deviation = 72.2 11.7 years) who were admitted to rehabilitation wards at two hospitals within 2...

Background and Purpose Spasticity, an aspect of upper motor neuron syndrome, is a widespread problem in patients with stroke. To date, no study has reported the long-term (up to 1 year) outcomes botulinum toxin (BTX) injection combination constraint-induced movement therapy chronic In this case report, (1 effects BTX type A on spasticity arm function patient stroke paresis are described. Case Description The was 66-year-old man who had infarction right posterior limb internal capsule 4 years...

Objective: In stroke patients with visual impairment, it is unclear which activities of daily living (ADL) are affected or how they affected. This study aimed to determine the effect type and prevalence impairments on ADL in acute patients.

Abstract Background A small lateral medullary lesion could produce isolated impairment of temperature sensation without concomitant impaired pain sensation. However, only one such case has ever been reported, and there are no reports on subjective symptoms detailed somatosensory testing. Case presentation Herein, we report the a 53-year-old female patient presenting with left half her body, from neck down, following infarction right midlateral medulla. The chronological changes in patient's...

Robotic assisted therapy and modified constraint-induced movement are used evidence-based approach in stroke rehabilitation. However, there is no study showing a combination of robotic (combined therapy) the subacute phase. This investigated effectiveness combined patients with moderate to severe upper limb paresis compared conventional occupational at setting. research case-control study. The intervention group (n = 15) consisting (Brunnstrom recovery stage extremity III or IV above hand...

Numbsense is a phenomenon, wherein patients can correctly respond to somatosensory stimuli at higher rate than expected by chance, but cannot perceive the same consciously. Previously, numbsense has been reported in tactile localization of on patient’s own body. Here, we describe patient with that involved touched objects. The could not recognize majority after left parietal infarction, select shape, texture, and object more frequently chance.

Focal dystonia (FD) can develop after thalamic lesions. Abnormal somatic sensations were argued to be responsible for FD. Our patient experienced FD-like movement disorders, agraphesthesia, and a reduced sense of shear force on the skin pressure deep tissues right upper limb following small infarction in left posterolateral thalamus. symptoms improved while was being pulled or tissue pushed manner proportional strength muscle contractions. Therefore, lack these suggested related symptoms.

No study has reported a unilateral localized cerebral lesion of the posterior insula bilaterally reducing noxious stimuli perception. A 57-year-old man with an infarct involving right presented reduced somatosensory response in upper and lower left extremities. Furthermore, there was to stimulation limbs. We noted reductions pain, heat cold perceptions, sensitivity increasing temperature. Other somatic sensations, including non-noxious temperatures, remained intact These findings our patient...

An 80-year-old right-handed man presented with reaching disability.When fixing his gaze centrally, reach to a target in the left visual field leg and arm deviated from it, although was intact.The deviation increased according eccentricity of (Pic-ture 1).However, there no when he able move freely (Picture 2).These findings were consistent unilateral optic ataxia (UOA) (1).Magnetic resonance imaging revealed hemorrhagic lesion right superior parietal lobule intraparietal sulcus (Pic-

ナムセンスとは, 患者が体性感覚刺激に対して偶然を超えた高い確率で正しく反応することができるにもかかわらず, 同じ刺激を意識的に知覚することができない現象である。従来のナムセンスは, 触覚と触点定位との乖離という視点で議論されてきた。近年我々は, 触れた物体にナムセンスが生じる症例を報告した。患者は左頭頂葉梗塞後, 体性感覚刺激の大部分を認識することができなかったが, 形, 肌理, 物品に関する刺激を偶然を超えた高い確率で正しく選択することができた。失行報告と本例のナムセンスについて, 特徴と考えられる病態機序を解説した。

頭頂弁蓋部を含む病巣に伴い体性感覚障害を呈した, 2 症例を報告した。2 例とも基本的体性感覚が重度に障害されていたが, 皮質性体性感覚のうち立体幾何図形, 手触り素材, 日用物品の同定についてチャンスレベル以上に正しく反応し, 体性感覚の階層的なモデルに合致しなかった。また, 日常生活で不便を感じないほどに巧緻動作が行え, 体性感覚障害が運動制御を障害するという考え方に反していた。うち 1 例では, 皮質性の体性感覚の実感が全くないのにもかかわらず, これらの課題に正しく反応していることがうかがわれた。これらの現象の機序を, 触覚情報処理の つの流れや第二体性感覚皮質の機能に関する理論に基づいて考察した。