Releasing forced grasp reflex by use of concomitant imitation behaviour during rehabilitation of a stroke patient

An 80-year-old woman had a stroke during treatment for diffuse large B cell lymphoma. She exhibited left hemispatial inattention, forced grasping with her left hand and moderate left hemiplegia. She always grasped the guard rail of the bed with her left hand, which prevented her from standing up and...

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Autores principales: Watanabe, Daisuke, Matsunobe, Ikue, Okuma, Yasuyuki, Nagaoka, Masanori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6557407/
https://www.ncbi.nlm.nih.gov/pubmed/31147408
http://dx.doi.org/10.1136/bcr-2018-228304
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author Watanabe, Daisuke
Matsunobe, Ikue
Okuma, Yasuyuki
Nagaoka, Masanori
author_facet Watanabe, Daisuke
Matsunobe, Ikue
Okuma, Yasuyuki
Nagaoka, Masanori
author_sort Watanabe, Daisuke
collection PubMed
description An 80-year-old woman had a stroke during treatment for diffuse large B cell lymphoma. She exhibited left hemispatial inattention, forced grasping with her left hand and moderate left hemiplegia. She always grasped the guard rail of the bed with her left hand, which prevented her from standing up and performing activities of daily living (ADL) centred on move and transfer operations. During a medical examination, she showed an imitation behaviour (IB), mimicking gestures visually presented by the examiner, such as holding up. By using her IB in rehabilitation training, flexor-dominated posture of the upper arm was gradually reduced and performance of ADL improved. Her brain lesion was localised in the right middle frontal gyrus. Based on our experience of concomitant appearance of forced grasping and IB in this case, the pathophysiological involvement of the lesion was discussed.
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spelling pubmed-65574072019-06-26 Releasing forced grasp reflex by use of concomitant imitation behaviour during rehabilitation of a stroke patient Watanabe, Daisuke Matsunobe, Ikue Okuma, Yasuyuki Nagaoka, Masanori BMJ Case Rep Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect An 80-year-old woman had a stroke during treatment for diffuse large B cell lymphoma. She exhibited left hemispatial inattention, forced grasping with her left hand and moderate left hemiplegia. She always grasped the guard rail of the bed with her left hand, which prevented her from standing up and performing activities of daily living (ADL) centred on move and transfer operations. During a medical examination, she showed an imitation behaviour (IB), mimicking gestures visually presented by the examiner, such as holding up. By using her IB in rehabilitation training, flexor-dominated posture of the upper arm was gradually reduced and performance of ADL improved. Her brain lesion was localised in the right middle frontal gyrus. Based on our experience of concomitant appearance of forced grasping and IB in this case, the pathophysiological involvement of the lesion was discussed. BMJ Publishing Group 2019-05-29 /pmc/articles/PMC6557407/ /pubmed/31147408 http://dx.doi.org/10.1136/bcr-2018-228304 Text en © BMJ Publishing Group Limited 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect
Watanabe, Daisuke
Matsunobe, Ikue
Okuma, Yasuyuki
Nagaoka, Masanori
Releasing forced grasp reflex by use of concomitant imitation behaviour during rehabilitation of a stroke patient
title Releasing forced grasp reflex by use of concomitant imitation behaviour during rehabilitation of a stroke patient
title_full Releasing forced grasp reflex by use of concomitant imitation behaviour during rehabilitation of a stroke patient
title_fullStr Releasing forced grasp reflex by use of concomitant imitation behaviour during rehabilitation of a stroke patient
title_full_unstemmed Releasing forced grasp reflex by use of concomitant imitation behaviour during rehabilitation of a stroke patient
title_short Releasing forced grasp reflex by use of concomitant imitation behaviour during rehabilitation of a stroke patient
title_sort releasing forced grasp reflex by use of concomitant imitation behaviour during rehabilitation of a stroke patient
topic Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6557407/
https://www.ncbi.nlm.nih.gov/pubmed/31147408
http://dx.doi.org/10.1136/bcr-2018-228304
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