Improvement in a post-stroke pediatric patient with hemiplegia: Use of a hand-arm bimanual intensive therapy with hybrid assistive limb
Document Type
Article
Publication Date
1-1-2023
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.
Publication Title
Brain and Development
DOI
10.1016/j.braindev.2023.08.002
Recommended Citation
Matsumoto, Yoko; Yoshii, Yuji; Ikutomo, Akiyo; Yagi, Mariko; Nishimura, Mio; Kawasaki, Yoko; Sarafian, Amanda; Kim, Heakyung; Roye, David P.; and Matsumoto, Hiroko, "Improvement in a post-stroke pediatric patient with hemiplegia: Use of a hand-arm bimanual intensive therapy with hybrid assistive limb" (2023). Kean Publications. 290.
https://digitalcommons.kean.edu/keanpublications/290