Physiotherapy Interventions In A Post Hemorrhagic Stroke Hemiplegic Patient-A Case Report

Abstract


Background : Stroke is one of the leading causes of death and disability in India. Stroke is classically characterized by a neurological deficit attributed to an acute focal injury of the central nervous system (CNS) by a vascular cause including cerebral infarction, Intra-Cranial Hemorrhage (ICH) and Sub-Arachnoid Hemorrhage (SAH), which may also present as Transient Ischemic Attack (TIA). Hemiplegia refers to paralysis of one side of the body, usually as a result of injury to the brain, as in this case; Cerebrovascular Accident (CVA). The Physiotherapy interventions that include specific Evidence based treatment techniques, are aimed at improving the quality of living and restoring back the functional capacity of the patients. This may vary from the treatment commencing early in the Intensive care unit to the functional improvements that allows patient’s ability to participate in one’s role in the society.

Materials & Methods : A 62 years old gentleman with resultant right sided hemiplegic post hemorrhagic stroke was treated with physiotherapy interventions comprising therapeutic exercises and specific treatment techniques such as Proprioceptive Neuromuscular Facilitation(PNF), Functional Rehabilitation Sequence, Motor Re-learning Program and training sessions for Activities of Daily Living (ADL), Bladder and Bowel Control, Balance, Co-ordination and Gait. The evaluations of Pre and Post rehabilitation were made at certain intervals, using “Barthel Index Score” a therapeutic scale used to assess Activities of Daily Living (ADL)

Results : Patient was treated with regular sessions of exercise protocols that were designed and re-designed appropriately in accordance to the prognosis of the individual. Short-term and Long-term goals were set; and focused on the target achievement.

Conclusion : The Physiotherapy interventions aimed at Rehabilitation and Restoration of a healthy lifestyle had a good result as anticipated

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