Abstract
A 62-year-old patient who was 24 hours post bilateral infarct of the pons and infarct of the right cerebellum was seen for student physical therapy treatment for 40 sessions over a 10-week period in the hospital for acute physical therapy under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with Manual Muscle Testing, the Modified Ashworth Scale, the Activity Measure for Post-Acute Care basic mobility inpatient short form, the Function in Sitting Test, the Postural Assessment Scale for Stroke, and the Orpington Prognostic Scale. A plan of care was established to address right sided hemiplegia, flaccid paralysis of the right upper and lower extremities, and severely impaired functional mobility. Main goals for the patient were to increase strength on the right side, improve overall balance, and increase functional independence so that he could discharge home. Main interventions used were task specific, high repetition functional training, balance training, and overground gait training. The patient improved balance, functional independence, and was at therapeutic walking level at the end of the episode of care. The patient did not have insurance and was in the process of skilled nursing facility placement at the end of 10 weeks but was unable to discharge until the following week after treatment had concluded.