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

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

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)68-72
Number of pages5
JournalBrain and Development
Volume46
Issue number1
DOIs
StatePublished - Jan 2024
Externally publishedYes

Keywords

  • Hand-arm bimanual intensive therapy (HABIT)
  • Hybrid assistive limb® (HAL®)
  • OnabotulinumtoxinA
  • Pediatric stroke

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