Chinese calligraphy handwriting (CCH): a case of rehabilitative awakening of a coma patient after stroke

Henry SR Kao,1 Stewart PW Lam,2 Tin Tin Kao3,4 1Calligraphy Therapy Laboratory, Shenzhen Institute of Neuroscience, Shenzhen, China; 2Research and Development Division, Calli-Health Society, 3Department of Geography, 4Department of Psychology, University of Hong Kong, Hong Kong Introduction: This...

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Autores principales:	Kao HSR, Lam SPW, Kao TT
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Calligraphy Therapy Coma Vegetative State Awakening Functional Plasticity Finger Writing Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/617fbb34494245e0b5607c1f7d37b076
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spelling	oai:doaj.org-article:617fbb34494245e0b5607c1f7d37b0762021-12-02T02:49:04ZChinese calligraphy handwriting (CCH): a case of rehabilitative awakening of a coma patient after stroke1178-2021https://doaj.org/article/617fbb34494245e0b5607c1f7d37b0762018-01-01T00:00:00Zhttps://www.dovepress.com/chinese-calligraphy-handwriting-cch-a-case-of-rehabilitative-awakening-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Henry SR Kao,1 Stewart PW Lam,2 Tin Tin Kao3,4 1Calligraphy Therapy Laboratory, Shenzhen Institute of Neuroscience, Shenzhen, China; 2Research and Development Division, Calli-Health Society, 3Department of Geography, 4Department of Psychology, University of Hong Kong, Hong Kong Introduction: This study investigated the efficacy of Chinese calligraphy handwriting (CCH) for the awakening of patients under a vegetative state after stroke. The theories, the instrument, and the treatment protocols were reported. A single case of a severe stroke patient who was in a coma state for 2 years is presented in this study. The objectives were to apply finger writing as a new method to awaken a stroke patient in a coma state and to test the effect of this method in improving the patient’s vegetative states over time. Case presentation: A 55-year-old man suffered a severe stroke in 2004 which left him in a coma for 2 years without any systematic rehabilitation. A culture-based finger-writing method of visual-spatial intervention was then applied to improve his condition. The writing tasks involved aided viewing and finger tracing of sets of innovative characters with enriched visual-spatial and movement characteristics. Following regular treatment protocols involving diverse movement and sensory feedback, the patient was awakened after 12 months. As a consequence, the patient showed significant behavioral changes favoring enhanced focusing, alertness, visual scan, visual span, and quickened visual and motor responses. The treatment continued for another 12 months. As the treatment progressed, we gradually observed improvements in his attention span and mental concentration. His eye ball movements – the left eye in particular – were quickened and showed wider visual angularity in his focal vision. Currently, the patient can now watch television, engage in improved visual sighting, and focus on visual-spatial and cognitive-linguistic materials. Conclusion: This CCH method of training by finger tracking has shown its effectiveness in awakening the patient from his coma state and in producing long-term, clinical outcomes that were similar from those that took place 10 years ago. This finding supports the efficacy of the system for clinical improvement of the patient’s conditions. Keywords: calligraphy therapy, coma, vegetative state, awakening, functional plasticity, finger writingKao HSRLam SPWKao TTDove Medical PressarticleCalligraphy TherapyComaVegetative StateAwakeningFunctional PlasticityFinger WritingNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 407-417 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Calligraphy Therapy Coma Vegetative State Awakening Functional Plasticity Finger Writing Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Calligraphy Therapy Coma Vegetative State Awakening Functional Plasticity Finger Writing Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Kao HSR Lam SPW Kao TT Chinese calligraphy handwriting (CCH): a case of rehabilitative awakening of a coma patient after stroke
description	Henry SR Kao,1 Stewart PW Lam,2 Tin Tin Kao3,4 1Calligraphy Therapy Laboratory, Shenzhen Institute of Neuroscience, Shenzhen, China; 2Research and Development Division, Calli-Health Society, 3Department of Geography, 4Department of Psychology, University of Hong Kong, Hong Kong Introduction: This study investigated the efficacy of Chinese calligraphy handwriting (CCH) for the awakening of patients under a vegetative state after stroke. The theories, the instrument, and the treatment protocols were reported. A single case of a severe stroke patient who was in a coma state for 2 years is presented in this study. The objectives were to apply finger writing as a new method to awaken a stroke patient in a coma state and to test the effect of this method in improving the patient’s vegetative states over time. Case presentation: A 55-year-old man suffered a severe stroke in 2004 which left him in a coma for 2 years without any systematic rehabilitation. A culture-based finger-writing method of visual-spatial intervention was then applied to improve his condition. The writing tasks involved aided viewing and finger tracing of sets of innovative characters with enriched visual-spatial and movement characteristics. Following regular treatment protocols involving diverse movement and sensory feedback, the patient was awakened after 12 months. As a consequence, the patient showed significant behavioral changes favoring enhanced focusing, alertness, visual scan, visual span, and quickened visual and motor responses. The treatment continued for another 12 months. As the treatment progressed, we gradually observed improvements in his attention span and mental concentration. His eye ball movements – the left eye in particular – were quickened and showed wider visual angularity in his focal vision. Currently, the patient can now watch television, engage in improved visual sighting, and focus on visual-spatial and cognitive-linguistic materials. Conclusion: This CCH method of training by finger tracking has shown its effectiveness in awakening the patient from his coma state and in producing long-term, clinical outcomes that were similar from those that took place 10 years ago. This finding supports the efficacy of the system for clinical improvement of the patient’s conditions. Keywords: calligraphy therapy, coma, vegetative state, awakening, functional plasticity, finger writing
format	article
author	Kao HSR Lam SPW Kao TT
author_facet	Kao HSR Lam SPW Kao TT
author_sort	Kao HSR
title	Chinese calligraphy handwriting (CCH): a case of rehabilitative awakening of a coma patient after stroke
title_short	Chinese calligraphy handwriting (CCH): a case of rehabilitative awakening of a coma patient after stroke
title_full	Chinese calligraphy handwriting (CCH): a case of rehabilitative awakening of a coma patient after stroke
title_fullStr	Chinese calligraphy handwriting (CCH): a case of rehabilitative awakening of a coma patient after stroke
title_full_unstemmed	Chinese calligraphy handwriting (CCH): a case of rehabilitative awakening of a coma patient after stroke
title_sort	chinese calligraphy handwriting (cch): a case of rehabilitative awakening of a coma patient after stroke
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/617fbb34494245e0b5607c1f7d37b076
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Chinese calligraphy handwriting (CCH): a case of rehabilitative awakening of a coma patient after stroke

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