Abstract
A 39-year-old female patient who was 2-days post right frontoparietal ischemic stroke secondary to Moyamoya disease was seen for acute care physical therapy treatment. The patient was seen 4 times during her 6-day hospital stay in the neurological monitoring care unit. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated during the initial encounter with the Manual Muscle Test, the Orpington Prognostic Scale, the Timed Up and Go Test, the 10 Meter Walk Test, the Functional Independence Measure, and a plan of care was established with short- and long-term goals addressing physical therapy needs. Main goals for the patient were to improve muscle strength, endurance, balance in sitting and standing, and functional mobility, as well as adherence to a hospital exercise program. Main interventions used were early mobility, progressive strengthening exercises, task-specific training, and functional mobility training. The patient showed improvements in strength, balance in sitting and standing, motor control, gait speed, walking balance, and functional mobility. The patient was discharged to inpatient rehabilitation to maximize her recovery of safe functional mobility and independence.