Abstract
A 63-year-old male patient with left intracerebral hemorrhagic stroke was seen for physical therapy for 9 sessions in a 2-week period in an inpatient setting. Treatment was provided by a physical therapist student under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with manual muscle testing, the National Institutes of Health Stroke Scale, the Activity Measure for Post-Acute Care “6-Clicks”, the Postural Assessment Scale for Stroke Patients, the Modified Ashworth Scale, and patient reported participation. A plan of care was established to address the flaccid paralysis of his right upper extremity, decreased right lower extremity strength, decreased postural control, limited bed mobility, limited transfers, inability to ambulate, and restriction of independent self-care. The main goals for the patient were to increase right-sided upper and lower extremity strength, improve postural control, increase independence with bed mobility and transfers, regain ability for ambulation, and progress towards independent self-care. Main interventions used were neuromuscular re-education, task-specific training, and functional training with emphasis on high frequency of sessions and gradual increase in intensity. At discharge, the patient showed mild improvements in strength, moderate improvement in basic mobility, and moderate improvements in postural control. The patient was discharged to an inpatient rehabilitation facility for continued recovery of strength, balance, and functional mobility.