In occupational therapy (OT) during the convalescent phase, patients continue facilitation train ing of the paralyzed arm while also receiving ADL training tailored to daytoday situations. Training is provided in sequence, beginning with selfcare behaviors such as eating, dressing and going to the bathroom. Selfhelp devices are used as necessary. It is desirable to carry out this train ing in the hospital room and ward in which the patient is residing, not just in the OT training room. Patients whose dominant hand have been paralyzed to a significant extent and are expected to have difficulty performing ADL with their paralyzed hand are given training to change their hand dominance. Patients with minor upper limb paralysis and patients that must return to work relatively quickly after leaving the hospital receive training known as instrumental ADL (IADL), which specifically deals with daily life activities such as using the telephone, shopping, cooking, washing clothes and using public transportation. In some cases, OT includes assessment of higher brain function impairment such as memory impair ment, impaired attention, and executive impair ment, as well as cognitive rehabilitation to address these impairments. If shoulderhand syndrome and shoulder subluxation develop in the paralyzed arm as a complication after the acute phase, inter vention is also provided (use of a triangle bandage or sling, thermotherapy, etc.).