AbstractsMedical & Health Science

Outpatient rehabilitation for a patient with a chronic left ischemic stroke

by David Gonzales

Institution: California State University – Sacramento
Year: 2016
Keywords: Cerebral artery stroke patients; Outpatient stroke rehabilitation
Posted: 02/05/2017
Record ID: 2134888
Full text PDF: http://hdl.handle.net/10211.3/172715


A patient with a left middle cerebral artery stroke was seen for physical therapy treatment for 8 sessions from 4/17/15 to 5/15/15 at the Department of Physical Therapy at California State University, Sacramento. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Five Times Sit to Stand to assess lower extremity muscular strength, the Six Minute Walk Test to assess cardiovascular endurance, the 10 Meter Walk Test to measure ambulatory status and gait speed, the Timed Up and Go test to measure fall risk, and the Falls Efficacy Scale-International to measure fall risk, and a plan of care was established. Main goals for the patient were to improve lower extremity strength, neuromuscular control, cardiovascular endurance, gait speed, and decrease risk for falls. Main interventions used were repetition, task-specific training, over-ground gait training, and neuromuscular control training. The patient improved lower extremity strength, cardiovascular endurance, gait speed, and reduced her risk for falls. The patient was discharged to remain living at home with a home exercise program. Advisors/Committee Members: Barakatt, Edward.