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Improvement in a post-stroke pediatric patient with hemiplegia: Use of a hand-arm bimanual intensive therapy with hybrid assistive limb.
Matsumoto, Yoko; Yoshii, Yuji; Ikutomo, Akiyo; Yagi, Mariko; Nishimura, Mio; Kawasaki, Yoko; Sarafian, Amanda; Kim, Heakyung; Roye, David P; Matsumoto, Hiroko.
Afiliación
  • Matsumoto Y; NikoNiko House Medical and Welfare Center, Kobe, Japan; Department of Public Health and Health Science, Kobe University Graduate School of Health Sciences, Kobe, Japan; Tokyo Metropolitan Fuchu Rehabilitation Center, Tokyo, Japan. Electronic address: Yoko_Matsumoto@member.metro.tokyo.jp.
  • Yoshii Y; PorePore-no-Ki, Children Development Support Center, Himeji, Japan.
  • Ikutomo A; NikoNiko House Medical and Welfare Center, Kobe, Japan.
  • Yagi M; NikoNiko House Medical and Welfare Center, Kobe, Japan; Department of Childhood Development and Education, Faculty of Human Science, Konan Women's University, Kobe, Japan.
  • Nishimura M; NikoNiko House Medical and Welfare Center, Kobe, Japan.
  • Kawasaki Y; NikoNiko House Medical and Welfare Center, Kobe, Japan.
  • Sarafian A; Nathan Weiss Graduate College Kean University, NJ, USA.
  • Kim H; Physical Medicine & Rehabilitation, The University of Texas Southwestern Medical Center, TX, USA.
  • Roye DP; Department of Orthopaedic Surgery, Columbia University Irving Medical Center, MA, USA.
  • Matsumoto H; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, MA, USA; Department of Orthopaedic Surgery, Harvard Medical School, MA, USA.
Brain Dev ; 46(1): 68-72, 2024 Jan.
Article en En | MEDLINE | ID: mdl-37652813
BACKGROUND: Pediatric stroke is a rare medical condition that often leads to long-lasting motor and cognitive impairments. Although therapies for adults after a stroke are well described, treatments for motor deficits following a pediatric stroke are yet to be investigated. We report a case of pediatric stroke in the chronic phase, in which a combination of novel treatments resulted in a significant improvement in physical function. CASE REPORT: A seven-year-old girl with a left hemispheric cerebral infarction lost almost all right upper extremity motor function. Following onabotulinumtoxinA treatment, she underwent hand-arm bimanual intensive therapy augmented with a hybrid assistive limb for 90 h over 15 days. Evaluation after the training revealed significant improvements in physical function, daily activities, and occupational performance. CONCLUSIONS: This report highlights the importance of innovative combinations of techniques in the treatment of pediatric stroke.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parálisis Cerebral / Toxinas Botulínicas Tipo A / Accidente Cerebrovascular Límite: Adult / Child / Female / Humans Idioma: En Revista: Brain Dev Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parálisis Cerebral / Toxinas Botulínicas Tipo A / Accidente Cerebrovascular Límite: Adult / Child / Female / Humans Idioma: En Revista: Brain Dev Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos