Event Title

The effect of non-electromechanical interventions for a 76 year old female following an ischemic stroke: a retrospective case report

Location

Hall of Governors

Start Date

7-4-2017 4:00 PM

End Date

7-4-2017 6:00 PM

Description

Background/purpose: Ischemic strokes are considered one of the leading causes of morbidity and mortality worldwide. Stroke survivors often experience a decreased ability to perform functional activities independently. There have been electromechanical advances in stroke rehabilitation with evidence showing superiority than over ground gait training; however, cost feasibility for facilities has not been determined. Effective conventional therapy can be accomplished in facilities lacking advanced technological resources.

Case Description: Patient is a 76 year old female status post a right cerebrovascular accident leading to a lacunar infarct located in the posterior right frontal corona radiata resulting in left hemiparesis. The patient was unable to ambulate and required maximum to moderate assistance for all transfers upon admission to the inpatient rehabilitation unit (IRU). tcomes: The patient completed 29 visits of physical therapy in an IRU gym. Upon discharge the patient required supervision for ambulation with a rolling walker, bed mobility, and transfers. The patient made a clinically significant improvement in postural control as evidenced by an increase in the Postural Assessment Scale for Stroke Patients score. The patient was discharged home with supervision from family and friends with home physical therapy.

Discussion: The patient's improved ability to perform functional activities and ambulation illustrates the impact of conventional physical therapy (CPT) treatment in improving self-efficacy after stroke. This case report describes the interventions used to progress a patient towards prior level of function in an IRU gym without the use of electromechanical devices following an ischemic stroke.

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Apr 7th, 4:00 PM Apr 7th, 6:00 PM

The effect of non-electromechanical interventions for a 76 year old female following an ischemic stroke: a retrospective case report

Hall of Governors

Background/purpose: Ischemic strokes are considered one of the leading causes of morbidity and mortality worldwide. Stroke survivors often experience a decreased ability to perform functional activities independently. There have been electromechanical advances in stroke rehabilitation with evidence showing superiority than over ground gait training; however, cost feasibility for facilities has not been determined. Effective conventional therapy can be accomplished in facilities lacking advanced technological resources.

Case Description: Patient is a 76 year old female status post a right cerebrovascular accident leading to a lacunar infarct located in the posterior right frontal corona radiata resulting in left hemiparesis. The patient was unable to ambulate and required maximum to moderate assistance for all transfers upon admission to the inpatient rehabilitation unit (IRU). tcomes: The patient completed 29 visits of physical therapy in an IRU gym. Upon discharge the patient required supervision for ambulation with a rolling walker, bed mobility, and transfers. The patient made a clinically significant improvement in postural control as evidenced by an increase in the Postural Assessment Scale for Stroke Patients score. The patient was discharged home with supervision from family and friends with home physical therapy.

Discussion: The patient's improved ability to perform functional activities and ambulation illustrates the impact of conventional physical therapy (CPT) treatment in improving self-efficacy after stroke. This case report describes the interventions used to progress a patient towards prior level of function in an IRU gym without the use of electromechanical devices following an ischemic stroke.