Rehabilitation of stroke and neurological disorders

Individual medical care

The exercise therapy room is a wide and bright space facing the courtyard. Sitting, standing, walking, etc., using a circle-shaped walking path of 50m per lap, 16 beds placed in a spacious space, 8 parallel bars, etc. Perform basic movements such as walking with a physiotherapist one-on-one (one-on-one) with a physiotherapist.

Group medical care

As a dynamic balance practice, we conduct group practice by multiple patients and physiotherapists.
The practice program is selected with original content that combines rehabilitation sports and compound movements according to the motor function of the group members.
We also incorporate group medical care, in which multiple patients provide common programs aimed at improving balance and walking durability. Utilize orthoses and wheelchairs according to the patient's condition to achieve independence in daily life activities.
We will provide movement practice, voluntary practice, and assistance method guidance according to your life after discharge.

Rehear courtyard

The outdoor rehabilitation courtyard, which is directly out of the rehabilitation floor, has three slopes with different slopes and outer stairs, in addition to a block-paved space of 700 m2 on the site. In an open and safe space, outdoor walking practice such as irregular walking and applied walking is possible.

Walking practice using robots

We are working on advanced walking practice using walking robots. By using a walking robot according to the patient's walking ability, we aim to improve the ability to walk faster and longer.

Voice of Users
"You put your right foot forward. I'm glad I used it."
"I think it has led to speed and endurance."
"I don't think it's easy to walk when it's heavy. It's easy to walk after removing it."
"The knees come forward. I got used to putting my feet straight."

Bracelet

We have various types of equipment as equipment, and practice using equipment according to the stability of physical function and movement.

Wheelchair

We have a large number of adjustable wheelchairs and wheelchairs with reclining functions. Select according to the patient's physique and physical function, and if you need a wheelchair to move, please use it exclusively during hospitalization. The therapist adjusts according to the posture and movement of each patient to improve function.

Sitting training

I practice moving to reach a distance using a ring and pole and sitting balance.
The patient is reaching out to the pole ahead and moving the ring of the ring toss while maintaining a sitting balance.
The occupational therapist sits on the patient's paralyzed side and supports the paralyzed arm so that the patient does not fall down.

Electrical stimulation

The patient puts a free exercise-assisted low-frequency therapy device on the forearm and holds the beanbag on the table.
By using this treatment device, you can support your muscle strength and operate, and by practicing repeatedly, you can gradually increase muscle strength.

Upper limb robot-type exercise training equipment

Using the upper limb robot-type exercise training device called Reogo-J, we practice according to the range of motion and muscle strength of the paralyzed upper limb.
Occupational therapists create and train tailored programmes from patients with severe paralysis to relatively mild patients.
Using Reogo-J, patients can now practice more independently.

Leather work

Occupational therapy uses various craftwork for treatment mainly as practice such as muscle strength of upper limbs and fingers and skillful operation.
This is one of them.
Leather work can be done while having fun as an original work, and it is also appreciated as a gift for yourself and your family.

Origami

Origami is also one of the craftworks used for treatment.
It is also used as a practice of skillfulness of fingers, and as a procedure-based three-dimensional assembly work, as an issue for visual perception and performance dysfunction in higher brain dysfunction.
You can enjoy the finished product.

Chopstick movement

I practice eating.
In the photo, I practice picking with a springed chopsticks (chopsticks shaped like tweezers) with a paralyzed hand.

Changing operation

I also practice changing clothes.
I sit on the bed and practice putting on and taking off my jacket.
I practice introducing how to wear such as passing through the sleeves and hem from limbs that are paralyzed and difficult to move.

Shoe shoes

I wear socks using a self-help tool called Sock Aid.
This is used for those whose hip joints are not bent enough and bent forward and cannot reach their toes.

Bathing operation

In the photo, I am training in the bathroom to enter and exit the bathtub. When entering and exiting the bathtub, the body is supported so that the occupational therapist does not fall in and out of the paralyzed feet while sitting on the edge of the bathtub.

Cooking training

In the kitchen, a patient is cutting carrots with a kitchen knife with his left hand.
Occupational therapists are watching behind the patient.

Dry laundry

I dry my laundry such as a towel on a pinch hanger.
Occupational therapists are watching with some help.

Cleaning

I clean the floor with a simple mop.
The paralyzed hand also has a mop handle.
Occupational therapists are watching and talking about how to use paralyzed hands.

Voluntary exercise assistance type electric stimulation device

SPIR-IT incorporates HANDS therapy (HANDS: Hybrid Assistive Neuromuscular Dynamic Stimulation), a therapy that promotes paralyzed hands by applying electrical stimulation using a device called "voluntary exercise assistance type electric stimulation".

Inspection

We carry out various tests to check where and how much paralyzed fingers and arms can be moved.

Use hands in daily life

When you have a stroke, you often have to do something with one hand, which used to be done with both hands as usual.
In accordance with the function of the patient's hands, we will set specific goals as hands that can be used in daily life, and practice actually using them in daily life.
The photo shows a toothbrush with a paralyzed hand and a toothpaste.

Voluntary training

Occupational therapists create voluntary training tailored to the patient's hand functions and goals.
If necessary, use low-frequency therapy equipment and robot training.
In the photo, I wear an assisted low-frequency therapy device on my paralyzed arm and practice pinching and moving objects.

Individual training

In individual training, we check daily progress of voluntary practice and how much paralyzed hands can be used outside of the training room.
In this context, we will set new goals according to the achievement status of the goals, add voluntary training, and adjust the difficulty.

Training in speech and hearing therapy

Speech therapists and patients often sit across desks, and train while watching them so that they can concentrate and relax according to the situation.

Aphasia test

This is a scene where a patient with aphasia chooses pictures.
Aphasia can cause "hearing understanding" disorders, which are difficult to accurately understand what the other person has said.
In order to find out how much hearing is possible, a speech therapist communicates words and sentences by voice, and implements a problem in which patients select pictures that match the words from several. Where you are.

Aphasia family course

The booklet in this photo summarizes the questions and answers received at the "Aphasia Family Course" held once a month at our hospital.
Handed to applicants, such as families who participated in the aphasia family course.
In addition to explanations to deepen your understanding of aphasia, there are questions and answers from your family through the course, such as "What should I do in such a case?"
※Family courses are suspended in 2024, and are undecided in 2025.

Check for dysphagia

In this photo, I'm checking the movement of swallowing with my fingertips on my throat.
When swallowing food, exercise occurs from the bottom of the chin to any lower side.
We check whether the exercise is being carried out at the appropriate timing and size by lightly applying the fingertips to the throat.

Tools used in evaluation of swallowing disorders

These are tools used in tests and training for dysphagia.
There are four disposable tools on the paper cup, which are lined up from the left side with "cotton swabs", "tongue pressure", "syringe", and "spongage brush". "Syringe" is a so-called syringe container that is used to weigh and put it in the mouth when drinking a small amount of water.
Other things are used to clean the mouth and to make it easier to observe the inner side of the mouth.
The one in front of the photo is a commercially available jelly. It is made to make it easy to swallow and hard to get stuffy.
When you haven't eaten it for a while, you will first eat such commercially available jelly or jelly made at our hospital, and evaluate how much you can eat it.

Psychological Room

You can talk in an environment where the privacy of patients and their families is protected.

Practice standing from the floor

Assuming a Japanese-style life after discharge, we practice sitting on the floor and standing from the floor, which is the most difficult operation for patients with paralysis, in a real tatami room.
In order to avoid falls, we also teach family members how to assist.

Step up and down

For patients who go out in a wheelchair after discharge, we practice wheelchair operation and step up and down with their families, and provide guidance to ensure that they go out safely.