So still a failure as the survivor would call it since 100% recovery was not achieved. Survivors have final say on recovery success.
Comprehensive Rehabilitation Improves Motor Function and Independence in a
Patient with Left Hemiparesis Post-Ischemic Stroke: A Case Report
7634
Bioscientia Medicina: Journal Of Biomedicine & Translational Research
1. IntroductionStroke is devastating global health issue, recognized as a leading cause of long term disability and mortality, and it places a substantial economic burden on healthcare systems worldwide. Ischemic stroke, the predominant type, accounts for approximately 87% of all stroke cases. It occurs when the blood supply to the brain is interrupted, leading to neurological deficits that can severely impact an individual's functional abilities. The impact of stroke is far reaching, affecting not only the individuals who experience it but also their families and communities. The prevalence of stroke is a significant concern, with millions of new cases reported annually across the globe. This high incidence underscores the urgent need for effective prevention, treatment, and rehabilitation strategies to mitigate its impact on public health. In Indonesia, the prevalence of stroke reached notable levels, further emphasizing the importance of implementing robust management and rehabilitation approaches to address this health challenge. Hemiparesis, characterized by weakness on one side of the body, is a common and debilitating consequence of stroke. This condition arises from damage to the contralateral hemisphere of the brain, disrupting the neural pathways responsible for motor control. Left sided hemiparesis, specificallyresulting from damage to the right side of the brain, often affects motor control and can lead to significant difficulties with movement, balance, and coordination. The specific manifestations of hemiparesis can vary widely among individuals, depending on the location and of the brain injury. However, the overarching impact is a disruption in the ability to perform volitional movements, which can have profound implications for daily life. These motor impairments resulting from hemiparesis can significantly impact a patient's ability to perform activities of daily living(ADLs) and substantially reduce their overall independence and quality of life. ADLs encompass a wide range of self care tasks, including bathing, dressing, feeding, and toileting. The inability to perform these tasks independently can lead to reliance on caregivers, diminished self esteem, and a decreased sense of autonomy. Furthermore, the loss of mobility and independence can contribute to social isolation, psychological distress, and a higher risk of secondary health complications. Medical rehabilitation plays a pivotal role in the recovery process following a stroke. It represents a comprehensive and multidisciplinary approach aimed at minimizing the impact of disability, maximizing functional capabilities, promoting independence, and preventing secondary complications. The primary goal of strokerehabilitation is to assist individuals in regaining lost skills and learning new strategies to compensate for residual deficits, ultimately enabling them to achieve their optimal level of function and participation in life. Comprehensive rehabilitation programs are essential for addressing the multifaceted challenges presented by stroke. These programs typically involve a combination of therapeutic exercises, functional training, assistive devices, and patient education, all carefully tailored to the individual's specific needs and deficits. The multidisciplinary team involved in stroke rehabilitation include physicians, nurses, physical therapists, occupational therapists, speech language pathologists, psychologists, social workers, healthcare working collaboratively to provide holistic care Early mobilization and rehabilitation have been proven to be highly beneficial in improving physical function and facilitating brain recovery after stroke. Initiating rehabilitation interventions as early as medically stable in the acute phase of stroke can help to minimize complications, promote neuroplasticity, and optimize functional outcomes. The intensity and duration of rehabilitation should be individualized based on the patient's needs, tolerance, and progress. Rehabilitation interventions following stroke focus on a variety of critical aspects, including improving motor function, balance, gait, and upper limb dexterity. Motor function rehabilitation aims to restore strength, coordination, and control of affected limbs through targeted exercises and activities. Balance training is crucial for enhancing stability and preventing falls, which are a significant risk for individuals with hemiparesis. Gait training focuses on improving walking ability, addressing issues such as reduced speed, asymmetry, and compensatory gait patterns. Upper limb rehabilitation addresses specific deficits in hand and arm function, which are essential for many ADLs. Psychological support and education are alsointegral components of comprehensive stroke rehabilitation, playing vital rolen in addressing emotional distress and enhancing therapy adherence. Stroke can have significant psychological consequences, including depression, anxiety, and frustration. Providing psychological support, counseling, and education can help patients and their families cope with these challenges, improve their emotional well being, and promote active participation in the rehabilitation process. Patient education is essential for empowering individuals to understand their condition, manage their symptoms, and make informed decisions about their care. 10 This case report aims to describe in detail the comprehensive rehabilitation program and its outcomes in a 72 year old female patient who experienced left hemiparesis secondary to an ischemic stroke.eISSN (Online): 25980580 Bioscientia Medicina: Journal of Biomedicine &
Bioscientia Medicina: Journal Of Biomedicine & Translational Research
1. IntroductionStroke is devastating global health issue, recognized as a leading cause of long term disability and mortality, and it places a substantial economic burden on healthcare systems worldwide. Ischemic stroke, the predominant type, accounts for approximately 87% of all stroke cases. It occurs when the blood supply to the brain is interrupted, leading to neurological deficits that can severely impact an individual's functional abilities. The impact of stroke is far reaching, affecting not only the individuals who experience it but also their families and communities. The prevalence of stroke is a significant concern, with millions of new cases reported annually across the globe. This high incidence underscores the urgent need for effective prevention, treatment, and rehabilitation strategies to mitigate its impact on public health. In Indonesia, the prevalence of stroke reached notable levels, further emphasizing the importance of implementing robust management and rehabilitation approaches to address this health challenge. Hemiparesis, characterized by weakness on one side of the body, is a common and debilitating consequence of stroke. This condition arises from damage to the contralateral hemisphere of the brain, disrupting the neural pathways responsible for motor control. Left sided hemiparesis, specificallyresulting from damage to the right side of the brain, often affects motor control and can lead to significant difficulties with movement, balance, and coordination. The specific manifestations of hemiparesis can vary widely among individuals, depending on the location and of the brain injury. However, the overarching impact is a disruption in the ability to perform volitional movements, which can have profound implications for daily life. These motor impairments resulting from hemiparesis can significantly impact a patient's ability to perform activities of daily living(ADLs) and substantially reduce their overall independence and quality of life. ADLs encompass a wide range of self care tasks, including bathing, dressing, feeding, and toileting. The inability to perform these tasks independently can lead to reliance on caregivers, diminished self esteem, and a decreased sense of autonomy. Furthermore, the loss of mobility and independence can contribute to social isolation, psychological distress, and a higher risk of secondary health complications. Medical rehabilitation plays a pivotal role in the recovery process following a stroke. It represents a comprehensive and multidisciplinary approach aimed at minimizing the impact of disability, maximizing functional capabilities, promoting independence, and preventing secondary complications. The primary goal of strokerehabilitation is to assist individuals in regaining lost skills and learning new strategies to compensate for residual deficits, ultimately enabling them to achieve their optimal level of function and participation in life. Comprehensive rehabilitation programs are essential for addressing the multifaceted challenges presented by stroke. These programs typically involve a combination of therapeutic exercises, functional training, assistive devices, and patient education, all carefully tailored to the individual's specific needs and deficits. The multidisciplinary team involved in stroke rehabilitation include physicians, nurses, physical therapists, occupational therapists, speech language pathologists, psychologists, social workers, healthcare working collaboratively to provide holistic care Early mobilization and rehabilitation have been proven to be highly beneficial in improving physical function and facilitating brain recovery after stroke. Initiating rehabilitation interventions as early as medically stable in the acute phase of stroke can help to minimize complications, promote neuroplasticity, and optimize functional outcomes. The intensity and duration of rehabilitation should be individualized based on the patient's needs, tolerance, and progress. Rehabilitation interventions following stroke focus on a variety of critical aspects, including improving motor function, balance, gait, and upper limb dexterity. Motor function rehabilitation aims to restore strength, coordination, and control of affected limbs through targeted exercises and activities. Balance training is crucial for enhancing stability and preventing falls, which are a significant risk for individuals with hemiparesis. Gait training focuses on improving walking ability, addressing issues such as reduced speed, asymmetry, and compensatory gait patterns. Upper limb rehabilitation addresses specific deficits in hand and arm function, which are essential for many ADLs. Psychological support and education are alsointegral components of comprehensive stroke rehabilitation, playing vital rolen in addressing emotional distress and enhancing therapy adherence. Stroke can have significant psychological consequences, including depression, anxiety, and frustration. Providing psychological support, counseling, and education can help patients and their families cope with these challenges, improve their emotional well being, and promote active participation in the rehabilitation process. Patient education is essential for empowering individuals to understand their condition, manage their symptoms, and make informed decisions about their care. 10 This case report aims to describe in detail the comprehensive rehabilitation program and its outcomes in a 72 year old female patient who experienced left hemiparesis secondary to an ischemic stroke.eISSN (Online): 25980580 Bioscientia Medicina: Journal of Biomedicine &
Translational Research
Comprehensive Rehabilitation Improves Motor Function and Independence in a
Patient with Left Hemiparesis Post-Ischemic Stroke: A Case Report
Tasia Irma Endriani1*, Elien Wihestin2
1Faculty of Medicine, Universitas Udayana, Denpasar, Indonesia
2Department of Medical Rehabilitation, Hj. Anna Lasmanah Regional General Hospital, Banjarnegara, Indonesia
ARTICLE INFO
Keywords:
Hemiparesis
Ischemic stroke
Motion exercise
Motor function
Rehabilitation
*Corresponding author:
Tasia Irma Endriani
E-mail address:
tasiairma.endriyani@gmail.com
All authors have reviewed and approved the
final version of the manuscript.
https://doi.org/10.37275/bsm.v9i6.1301
A B S T R A C T
Background:Stroke remains a leading cause of disability worldwide, with
ischemic stroke being the predominant type. Left-sided hemiparesis
resulting from ischemic stroke significantly impairs motor function and
activities of daily living, necessitating comprehensive rehabilitation
interventions. This case report details the journey of a 72-year-old female
patient who experienced left hemiparesis due to an ischemic stroke and
underwent a comprehensive rehabilitation program.
ischemic stroke being the predominant type. Left-sided hemiparesis
resulting from ischemic stroke significantly impairs motor function and
activities of daily living, necessitating comprehensive rehabilitation
interventions. This case report details the journey of a 72-year-old female
patient who experienced left hemiparesis due to an ischemic stroke and
underwent a comprehensive rehabilitation program.
Case presentation:
A 72-year-old female patient presented with sudden onset weakness in her
upper and lower left limbs following an ischemic stroke. Initial assessments
revealed significant impairments in motor function, balance, and self-care
abilities, classifying her as having a moderate disability according to the
Barthel Index. The rehabilitation program included passive and active range
of motion exercises, functional mobilization techniques, resistance and
balance training, infrared therapy, psychological support, and patient
education.
upper and lower left limbs following an ischemic stroke. Initial assessments
revealed significant impairments in motor function, balance, and self-care
abilities, classifying her as having a moderate disability according to the
Barthel Index. The rehabilitation program included passive and active range
of motion exercises, functional mobilization techniques, resistance and
balance training, infrared therapy, psychological support, and patient
education.
Conclusion:
The comprehensive rehabilitation strategy implemented in this case resulted in significant improvements(NOT RECOVERY! So failure was achieved!) in the patient's motor function, balance, confidence, and independence in
performing daily activities. This case underscores the crucial role of tailored
and comprehensive rehabilitation programs in enhancing recovery and
improving the quality of life for individuals following an ischemic stroke.
performing daily activities. This case underscores the crucial role of tailored
and comprehensive rehabilitation programs in enhancing recovery and
improving the quality of life for individuals following an ischemic stroke.
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