Abstract
An 82 year-old male who was 8-days post right middle cerebral artery stroke received physical therapy for 16 sessions over 2 weeks at an inpatient rehabilitation center. Treatment was performed by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with Manual Muscle Tests, Scale for Contraversive Pushing, 10 Meter Walk Test, Tinetti Performance Oriented Mobility Assessment, and the Functional Independence Measure. A plan of care was established to address left-sided weakness, balance impairments, impaired vertical orientation, poor gait mechanics, decreased gait speed, and decreased functional independence. Main goals for the patient were to improve contraversive pushing symptoms, strength, gait speed, functional mobility, and functional independence with activities of daily living. Main interventions used were over-ground gait training, repetitive task-specific training, and postural retraining. The patient made improvements in contraversive pushing, strength, gait speed, functional mobility, and functional independence. The patient was discharged home with supervision and was recommended to follow up with home health physical therapy.