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
Roberta O'Shea, PT, DPT, Ph.D.
Abstract
Background and Purpose: The purpose of this case report was to delineate the differential diagnosis of vertigo symptoms in a patient after a stroke and describe interventions used in the outpatient physical therapy setting.
Case Description: The patient was a 90 year old male treated in an outpatient physical therapy clinic after a lacunar stroke 6 months prior. The patient presented with symptoms of vertigo that are common after a stroke, but also exhibited symptoms consistent with benign paroxysmal positional vertigo (BPPV).
Outcomes: Overall, the patient greatly improved his abilities for gait and balance after treatment. The patient appeared much safer walking without an assistive device and was able to increase his ability to function at home with a large decrease in the symptoms that had been preventing him from doing so prior to physical therapy.
Discussion: The patient was able to achieve a more functional status at home with a decrease in symptoms through outpatient physical therapy intervention that included BPPV treatment, vestibular ocular reflex training, and balance exercises.
Recommended Citation
Nicholson, Adam, "Physical Therapy Treatment for a 90-Year Old Male after Lacunar Stroke with BPPV: An Outpatient Case Report" (2015). All Capstone Projects. 136.
https://opus.govst.edu/capstones/136