Rehabilitating a patient with ischemic stroke &amp;amp; epileptic disorder: A case report

Jaiswal, Pratik R; Dadgal, Ragini; Qureshi, Moh’d Irshad; Harjpal, Pallavi

doi:10.54905/disssi/v26i123/ms175e2231

Cited by 3 publications

(4 citation statements)

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“…Out of 50% of patients, 56% had left hemiplegia, 42% had right hemiplegia, and 2% had bilateral hemiplegia. In most cases, left-sided infarcts in MRIs are easier to identify than right-sided ones [ 6 ]. The outcome measure score has been improved.…”

Section: Discussionmentioning

confidence: 99%

“…For many stroke patients, regaining walking ability is a main goal and a priority of rehabilitation [ 5 ]. The primary goal of stroke rehabilitation is to regain autonomy [ 6 ]. For stroke patients, there are various physiotherapy approaches, including constraint-induced movement therapy (CIMT), modified constraint-induced movement therapy (mCIMT), motor relearning program, virtual reality therapy, robot-assisted training, and proprioceptive neuromuscular facilitation.…”

Section: Introductionmentioning

confidence: 99%

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Modified Constraint-Induced Movement Therapy for Improving Balance and Gait in a Case of Ganglio-Capsular Infarct: A Single-Case Study

Chavan,

Raghuveer

2024

Cureus

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The ganglio-capsular region consists of the basal ganglia nuclei (caudate nucleus and lentiform nucleus), thalamus, and internal capsule. A disorder of the ganglio-capsular region typically presents with movement disturbance and cognitive impairment. This report presents the case of a 52-year-old male who was diagnosed with acute non-hemorrhagic infarct in the right parietal-occipital-temporal region predominantly involving the cortex and in the right ganglio-capsular region. The patient exhibited typical symptoms, which include impaired reflexes, decreased strength, reduced range of motion, and tone abnormalities. Targeted early physiotherapy intervention (TERI) was initiated from the bedside in the intensive care unit (ICU). Modified constraint-induced movement therapy (mCIMT) along with conventional therapy was selected as the rehabilitation approach for the case as it deals with "forced use" of the affected extremities, which addresses "learned non-use." The case was managed for a duration of six weeks, in which clinical outcomes, including the Berg Balance Scale (BBS), 10-meter walk test (10MWT), functional reach test (FRT), dynamic gait index (DGI), trunk impairment scale (TIS), and fall efficacy test (FET), reported crucial changes in balance, strength, coordination, and tone, which improved the quality of life of the patient.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Modified Constraint-Induced Movement Therapy for Improving Balance and Gait in a Case of Ganglio-Capsular Infarct: A Single-Case Study

Chavan,

Raghuveer

2024

Cureus

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“…The disability brought on by a stroke can affect a person's ability to carry out their daily activities as well as how their body functions. Restoring and maybe increasing independence with ADLs is the main goal of stroke treatment (Jaiswal et al, 2022).…”

Section: Medical Sciencementioning

confidence: 99%

Convalescence after physiotherapy intervention in a classic rare case of cerebellar bleed: A case report

Nawkhare,

Shamal,

Udhoji

et al. 2023

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The cerebellum regulates posture, eye-hand coordination and limb movement. It may also have a role in non-motor functions including attention and cognition. The feedforward component of movement is impacted by inadequate predictive control, which is linked to the motor symptoms of cerebellar impairment. Cerebellar haemorrhage or hematoma is a type of intracranial haemorrhage (ICH). In the cerebellum or posterior fossa, bleeding accounts for 9% to 10% of all ICH cases. Nontraumatic cerebral haemorrhage can cause 9% to 27% of strokes globally, with an annual incidence of 12 to 31 per 100,000 people. The prevalence varies by race and age. In this case, we reported a 74-year-old male with a known history of hypertension came with a complaint of sudden onset 3 to 4 episodes of vomiting, dizziness, headache, slurred speech and weakness in all four limbs. On investigation, the patient was diagnosed with cerebellar haemorrhage. Managed operatively that is an evacuation of the brainstem haematoma. The patient was referred to the neuro physiotherapy department for further management. The Physiotherapy protocol was 6 weeks with increased muscle strength, range of motion (ROM) and normalized tone, to achieve normal reflexes and to develop balance & postural stability.

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“…The main goal of stroke treatment is to promote activity in daily life (ADL) independence while restoring function. 8 There are numerous physiotherapy approach treatments for stroke, including body weight supported treadmill training, electromechanical-assisted training, virtual reality therapy, constraint-induced movement therapy, motor relearning program, robot-assisted training, mirror therapy and proprioceptive neuromuscular facilitation. All methods for restoring voluntary control and mobility after a stroke operates according to its own principles.…”

Section: Introductionmentioning

confidence: 99%

Lower limb rehabilitation using modified constraint-induced movement therapy and motor relearning program on balance and gait in sub-acute hemiplegic stroke: a comparative study

Chavan,

Raghuveer

2024

F1000Res

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Background A stroke is described by the World Health Organization as “a clinical syndrome with rapidly developing symptoms that consist of a focal (or global, in a situation of coma) disruption of cerebral function that lasts more than 24 hours or leads to mortality without a known cause other than a vascular origin”. Stroke is the most prevalent cause of impairment and mortality on a global scale. Modified constraint-induced movement therapy (mCIMT) is an approach to therapy for motor disabilities that involves constraining the movements of the nonparetic limb, diligent practice and behaviour modification to extend the time the paretic limb is utilized for daily tasks. The motor relearning program (MRP) method involves many aspects of motor learning theory and is helpful in providing instructions for retraining practical skills (including walking, standing and sitting in balance and transferring abilities). So, the objective of this study is to assess the impact of the MRP and mCIMT on balance and gait in sub-acute hemiplegic stroke patients. Methods In this study, each group will consist of 17 people in total. The randomization procedure will be conducted using a computer-generated random number system. For sample distribution, we will use the sequentially numbered opaque sealed envelope technique. Outcome measures will be as follows: Berg balance scale, Dynamic gait index, Trunk impairment scale, Functional reach test, 10 Meter walk test and Fall efficacy test. Each patient will be evaluated prior to and during treatment at baseline and six weeks later. Conclusions There is sufficient evidence to derive the conclusion that the functional mobility and balance of stroke victims can be improved with physiotherapy. Therefore, this study will try to seek the comparison of mCIMT (group A) and MRP (group B) in sub-acute stroke subjects and compare the two regimes to determine which one will be superior. Registration CTRI (CTRI/2023/05/052674; 16/05/2023).

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Rehabilitating a patient with ischemic stroke & epileptic disorder: A case report

Cited by 3 publications

References 0 publications

Modified Constraint-Induced Movement Therapy for Improving Balance and Gait in a Case of Ganglio-Capsular Infarct: A Single-Case Study

Modified Constraint-Induced Movement Therapy for Improving Balance and Gait in a Case of Ganglio-Capsular Infarct: A Single-Case Study

Convalescence after physiotherapy intervention in a classic rare case of cerebellar bleed: A case report

Lower limb rehabilitation using modified constraint-induced movement therapy and motor relearning program on balance and gait in sub-acute hemiplegic stroke: a comparative study

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