Improvement in a post-stroke pediatric patient with hemiplegia: Use of a hand-arm bimanual intensive therapy with hybrid assistive limb

IF 1.4 4区医学 Q4 CLINICAL NEUROLOGY Brain & Development Pub Date : 2023-08-30 DOI:10.1016/j.braindev.2023.08.002

Yoko Matsumoto , Yuji Yoshii , Akiyo Ikutomo , Mariko Yagi , Mio Nishimura , Yoko Kawasaki , Amanda Sarafian , Heakyung Kim , David P. Roye Jr. , Hiroko Matsumoto

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Abstract

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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中风后偏瘫儿科患者的病情得到改善：使用混合辅助肢体的手臂双臂强化疗法

背景儿童中风是一种罕见的疾病，通常会导致长期的运动和认知障碍。尽管针对成人中风后的治疗方法已经有了很好的描述，但针对小儿中风后运动障碍的治疗方法仍有待研究。我们报告了一例处于慢性期的小儿脑卒中病例，在该病例中，多种新疗法的联合应用使患者的身体功能得到了显著改善。在接受奥博毒素治疗后，她在 15 天内接受了 90 小时的手臂双臂强化治疗，并使用了混合辅助肢体。训练后的评估显示，她在身体功能、日常活动和职业表现方面均有明显改善。

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来源期刊

Brain & Development 医学-临床神经学

CiteScore

3.60

自引率

0.00%

发文量

153

审稿时长

50 days

期刊介绍： Brain and Development (ISSN 0387-7604) is the Official Journal of the Japanese Society of Child Neurology, and is aimed to promote clinical child neurology and developmental neuroscience. The journal is devoted to publishing Review Articles, Full Length Original Papers, Case Reports and Letters to the Editor in the field of Child Neurology and related sciences. Proceedings of meetings, and professional announcements will be published at the Editor''s discretion. Letters concerning articles published in Brain and Development and other relevant issues are also welcome.

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