Volume 24, Issue 103, May - June, 2020

Regaining activities of daily living in patient with middle cerebral artery stroke- A case report

Simran Mishra, Palak Darda, Waqar M. Naqvi^♦, Arti Sahu

Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

^♦Corresponding author
Professor and Head of Department, Community Health Physiotherapy, Ravi Nair Physiotherapy College, Wardha, Maharashtra, India; Email: waqar.naqvi@dmimsu.edu.in

ABSTRACT

Introduction: The World Health Organization (WHO) described stroke as: 'Rapidly developing clinical signs of focal (or global) cerebral disruption, with symptoms lasting 24 hours or longer or leading to death, with no obvious cause other than vascular origin. Physiotherapy has been found to be effective and rehabilitation is started as early as possible to minimize the patient potential to functional recovery. Patient main concerns were inability to perform any activities including activities of daily living and inability use right upper and lower extremity for any task also major complaint was communication. Main clinical findings were decreased range of motion, minimal spasticity, and dependency of patient on others. Diagnosis Middle Cerebral Artery stroke was confirmed in MRI brain. Shoulder subluxation was confirmed on x-ray. Therapeutic interventions are found to be effective to minimise the complications and improve outcomes of patient. Physiotherapy intervention included Range of motion exercises (ROM), strengthening exercise, Functional mobility exercises, trunk control exercises, weight shift exercise, weight bearing exercises and use of electrical modalities. Motor assessment scales, Stroke Rehabilitation Assessment of Movement, Functional independent measure scale were major outcome measure for the patient. Conclusion: The patient was able to achieve certain goals like able to communicate through gestures, complete decline of spasticity, able to perform exercises and able to stand unsupported and improve functional capacity after continuous 12 week intensive physiotherapy rehabilitation program.

Keywords: Middle Cerebral Artery, Stroke, Rehabilitation

Medical Science, 2020, 24(103), 1731-1737

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