Abstract
A 52-year-old female patient who was 3 days post right fronto-parieto-occipital acute infarct was seen for student physical therapy treatment for 4 sessions over 4 days as an inpatient at an acute care hospital under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with Manual Muscle Testing, line bisection test, Orpington Prognostic Score, Postural Assessment Scale for Stroke, and the Activity Measure for Post-Acute Care mobility score. A plan of care was established to address moderate left-sided weakness, visuo-spatial hemi-inattention, impaired static and dynamic imbalance, and inability to ambulate independently. The main goals for the patient were to maintain range of motion, improve strength and motor control, address hemi-inattention, and improve functional mobility and independence so she could return to work as a retail assistant. The main interventions used were repetitive and task-specific functional training using over-ground gait training as well as static and dynamic balance training. The patient achieved goals related to strength and balance. The patient was discharged to continue living at home with her spouse with a referral for outpatient physical therapy.