Bilateral Task-oriented Training and Strengthening Leads to Improvement in Gross Motor Functioning in Patients Post-ischemic Stroke: An Interesting Case Study
Arasha Khan
Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
Rebecca Timothy *
Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
Pallavi Harjpal
Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
Rakesh Krishna Kovela
Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
Mohammad Irshad Qureshi
Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
Ragini Dadgal
Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
Snehal Samal
Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Background: A stroke is a medical emergency that requires immediate attention. Early intervention can prevent brain damage and other adverse outcomes. An ischemic stroke occurs when a blood clot stops or narrows in a blood vessel that leads to the brain.
Presentation of Case: In the present case, a 63-year-old retired Zila Parishad worker came to our hospital with complaints of fever and weakness; after six days of medication and hospital stay, his fever subsided, but he developed weakness of the right upper extremity and slurring of speech. Regular investigations were done. MRI revealed Acute Infarct in the Left Frontal Region.
Discussion: Bilateral training is proved to be effective in improving hand functioning in patients post-stroke. This is the application of the movement to both the extremity to gain progress.
Conclusion: The patient was provided with medical, regular physiotherapy management, and speech therapy leading to improvement in his condition. He is still under regular physiotherapy for improvement in his fine motor function.
Keywords: Acute ischemic stroke, cerebrovascular disease, rehabilitation, case report