A 66 years old male had suffered a stroke resulting in right-sided hemiplegia on February 8, 2022. He was presented at the Centre on June 19, 2023, with complaint of weakness on the right side of his body, limited movement in the right lower limb, difficulty in walking and climbing stairs due to spasticity, core weakness, and a medical diagnosis of Prostate Gland Prostatitis.
On examination: – There was Poor balance, Sway Back Posture, Exaggerated DTRs, MMT reduced to 3/5 for max. Muscles of lower limb (left).
Outcome majors– DASH-44/120, VAS -7/10. ASIA Scale (motor score =89), sensory (112) B GRADE, FIM-192, BBS –45/56
Post Rehab Outcome Majors– DASH-42/120, VAS -0/10. ASIA Scale (motor score =107), sensory (112) B GRADE, FIM-205, BBS –56/56
The rehabilitation program incorporated various therapeutic protocols, including balance training, functional activities, gait training, bilateral lower limb stretching, range of motion exercises, core strengthening, static cycle, treadmill walking, balancing exercises, and Kegel exercises. The main goal was to achieve mobility and independence for the patient. Significant improvements were observed in reducing spasticity, increasing range of motion, enabling independent stair climbing, improved balance, functional abilities, and bladder control. After regular Occupational therapy, there is improvement his ADL status. Now he can hold objects, shoulder joint movement is improving. During his therapy sessions, he perform balance and coordination activities like- finger ladder, pegboards, multipurpose activities, semicircular sanding. For Hand muscles strengthening, he was made to do Hand Grip Exerciser, Theraputty exercises.
RESULTS:
Over the course of several sessions, his spasticity reduced, and he gained increased range of motion in his lower limbs. As a result, the patient was able to climb stairs independently, balance without support, perform functional activities, and regain mild control over bladder movements. Able to perform some of the Activities of Daily Living but facing difficulty in wrist and fingers extension. He is still undergoing therapy sessions at the Centre.
