I'm Aoi Hashima , an occupational therapist working in Saga Sumai and Fukuoka.
While providing rehabilitation support to people with higher levels of brain dysfunction following a stroke or traffic injury, I may provide guidance to day service staff and care managers involved in post-discharge.
Instructions tend to tell you what recovery from symptoms of high brain dysfunction can be done in the facility you use after discharge.
In this article, I would like to summarize various recreational activities that have been reported to be effective for symptoms of high brain dysfunction that are easy to do in the clinic and easy to incorporate at home.
Higher Brain Dysfunction and Recreation
When I think about higher brain dysfunction and entertainment, I think teamwork plays a role in expanding the possibilities of social interaction.
Rehabilitation for symptoms of higher brain dysfunction during hospitalization is usually carried out on a one-to-one basis in a private room.
The rehabilitation of high brain dysfunction during hospitalization often involves the rehabilitation content from the acute stage to the recovery period, which is a period of significant neurological recovery, so the most fundamental rehabilitation is often carried out.
After discharge, there may be more opportunities for group recovery than one-on-one recovery, but this may vary depending on the implementation of community-based public services.
Entertainment is included in group activities, and it is because of group activities that entertainment is carried out within certain rules, here I come.
reported so far
Here are some of the actions reported so far:
□ Social skills training
□ Exercise
□ Music therapy
□ Cooking/Weaving
□ Exercise tasks
□ Entertainment (targeting, playing cards, fishing, games, etc.)
Various effects have been reported through entertainment such as those described above.
◆ Improve social participation
◆ Reduced differences in evaluation between individuals and their families
◆ Improved attention function (selective attention, attention ability, working memory)
◆Improve problem solving skills
At the end
This time, I will summarize from the perspective of whether entertainment for advanced brain dysfunction is effective.
People with higher brain dysfunction tend to receive one-on-one support during their hospital stay, but I think after discharge there will be more group participation in day care and day services rather than increased one-on-one support.
There have also been reports that symptoms of high brain dysfunction have improved through group recreation, so I share this information with the care manager who supported them after they were discharged from the hospital.
I would appreciate it if you could reference your daily rehab content and thoughts.
Citations/references
1) Osamu Watanabe et al.: A Trial of Community Rehabilitation for Soccer Brain Dysfunction, Cognitive Neuroscience; 7
(1): 59–65, 2005.
https://www.jstage.jst.go.jp/article/ninchishinkeikagaku1999/7/1/7_1_59/_pdf/-char/ja
2) Manabu Hashimoto et al.: Trial of small group training "rehabilitation class" for the people with Higher brainfunctions, The Japanese Journal of Rehabilitation Medicine; 47(10): 728–734, 2010
https://www.jstage.jst.go.jp/article/jjrmc/47/10/47_10_728/_pdf/-char/ja
3) Teresa Liu-Ambrose, Janice J Eng. Exercise training and recreational activities promote executive function in chronic stroke: a proof-of-concept study. Journal of Stroke and Cerebrovascular Diseases. 24(1): 130–137; 2015.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4486380/pdf/nihms4837.pdf
4) Sachiko Watanabe et al.: Effects of the Higher Brain Dysfunction Group Program
https://www.pref.shiga.lg.jp/file/attachment/2024191.pdf
5) Toshiko Watamori et al.: Rehabilitation of memory damage. Rehabilitation Medicine 2005;42:313-319
https://www.jstage.jst.go.jp/article/jjrm1963/42/5/42_5_313/_pdf
☆*:.｡.Thank you for reading till the end.｡.:*☆
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This article was reprinted on September 24 , 2022 on Aoi Hashima's blog " Stroke Rehabilitation Longevity Consultation Center " .