Effect of Neurodevelopmental Therapy on Functional Recovery in a Patient with Subacute Stroke: An Interesting Case Report
Maitri Thamke
Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, 442001, India.
Rakesh Krishna Kovela *
Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, 442001, India.
Mohammed Irshad Qureshi
Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, 442001, India.
Ragini Dadgal
Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, 442001, India.
Rebecca Timothy
Department of Electrotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, 442001, India.
Snehal Samal
Department of Kinesiology and Kinesiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, 442001, India.
*Author to whom correspondence should be addressed.
Abstract
Stroke is defined as a clinical illness characterised by a sudden onset of cerebral impairment that lasts more than 24 hours or results in death with no obvious explanation other than a vascular origin.Every year, around 800,000 people have a stroke, or one every 40 seconds. Strokes are caused by difficulties with the brain's blood supply: either the blood supply is cut off or a blood artery within the brain bursts, killing brain tissue. A stroke is a medical emergency that requires immediate medical attention. Present case report is of a 39-year-old male with right side weakness. Patient’s right upper limb recovery stage was 1 going towards 2, and lower limb recovery stage was 2 going towards 3 on first day of assessment. Patient was treated with Neurodevelopmental therapy combined with conventional physiotherapy for a period of 8 weeks. Balance, Gait parameters and tone evaluated on day 1 and on last day of treatment. There was tremendous improvement in balance and gait parameters along with normalisation of tone. Thugs wee would like to conclude that early NDT along with conventional therapy can improve gross motor function in patients with subacute stroke.
Keywords: Stroke, subacute stroke, physiotherapy, rehabilitation, NDT, conventional physiotherapy