@misc{oai:kawasakigakuen.repo.nii.ac.jp:00000314,
 author = {Seigo NIMANI and Ryuji KOBAYASHI and Yoshihiro FUKUMOTO and Hideaki AOKI and Tomoki AOYAMA and Masatoshi TAKEDA},
 month = {Dec},
 note = {Objective: We studied the effect of the purposeful activities and the electrical stimulation therapy program (PA-EST), based on the patient's interests and preferences as a purposeful electrical stimulation therapy in patients with chronic severe hemiparesis in the upper extremity. The aim of the therapy was to prevent the disuse of upper extremity switching to supportive upper extremity. The therapy is designed to conform to the intent, practice, subjective experience and self-efficacy of the theory of occupational therapy. Methods: The purposeful movements of disused upper extremity of two severe chronic hemiplegia patients were studied for the effect of PA-EST, aiming for the lifestyle improvement management. In the first phase, muscle contraction force and blood flow to the muscles were promoted based on purposeful movements using supportive-type electrical stimulators. In the second phase, after voluntary contraction was confirmed, purposeful activities were conducted using volition control electrical stimulators. This regimen was performed as one cycle every seven months, with a rest period of one month between each cycle to confirm voluntary activities. Results: After clarifying the purposeful activities within activities of daily living (ADL), electrical stimulation therapy was administrated. The amount of the use of the upper extremity on the severely paralysed side was significantly increased in these ADL. Discussions: The study demonstrated the totally disused upper extremity of the patients with chronic severe hemiparesis can be transformed to functional restoration of purposeful activities, allowing improvements in ADL of the patient. We hypothesise the transition of the paralysed limb to a useful hand can be attained through the application of PA-EST to promote ADL of the patients with chronic severe hemiparesis., Original Article},
 title = {Program for rehabilitation of the chronic severe hemiparesis upper extremity of cerebral stroke survivors: application of purposeful activities and an electrical stimulation therapy program},
 year = {2020}
}