Abstract
A 70-year-old female patient who was 3-days post left intracerebral hemorrhage received physical therapy for 21 sessions over an 18-day course of therapy 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 Test, Functional Independence Measure, Tinetti Performance Oriented Mobility Assessment, and 10 Meter Walk Test, and a plan of care was established to address right-sided weakness, impaired dynamic sitting and static/dynamic standing balance, decreased independence with functional activities and walked at a pace consistent with a limited household ambulator. Main goals for the patient were to improve overall functional independence with daily activities, strength, gait speed, static and dynamic balance, and demonstrate safe transfers and gait, Primary interventions used were overground gait training, strength training, task-specific training, and balance training. The patient improved balance, gait speed, functional independence, and demonstrated safety with functional activities. The patient was discharged to home with supervision and a home exercise program and was recommended to follow up with home health physical therapy.