Publication Date

Spring 2015

Document Type

Project Summary

Degree Name

Doctor of Physical Therapy

Department

Physical Therapy

First Advisor

Russell E. Carter, PT, Ed.D.

Second Advisor

Renee Theiss, Ph.D.

Third Advisor

Rebecca K. Wojcik, PT, Ed.D., GCS

Abstract

Background/Purpose: A stroke occurs as a result of decreased blood flow to the brain and can cause serious limitations in mobility, balance, coordination, and strength resulting in functional limitations. The purpose of this case study is to examine the effects of a comprehensive acute inpatient rehabilitation program focusing on gait, balance, lower extremity strengthening, neuromuscular control, bed mobility, coordination, and stair training on a 67-year-old male after a right pontine stroke with a medical history that includes a right stroke eight years ago.

Case Description: The subject was a 67-year-old male with a diagnosis of right pontine stroke. The subject presented with left lower extremity hemiparesis, left facial droop, weakness in bilateral gluteus medius muscles, left-side neglect, impaired sensation in the left lower extremity and a speech disorder. The subject’s weakness lead to functional limitations including: limitations in balance, mobility, gait, LE strength, and coordination.

Outcomes: Upon completion of fifteen physical therapy sessions on the acute rehabilitation unit, the subject was able to return home without a caregiver at a modified independent level for all transfers, gait, and ascending and descending stairs.

Discussion: The subjects improved function is indicative of improved balance, coordination, strength and gait. Future research should focus on determining best practices for subjects with multiple strokes.

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