Effect of Early Proprioceptive Neuromuscular Facilitation on a Hemiplegic Patient Post-Hemorrhagic Stroke: A Case Report

Abstract

Background: Stroke is the sudden loss of neurological function caused by an interruption of blood flow to the brain. Hemorrhagic stroke occurs when a blood artery ruptures in the brain, causing bleeding into the brain leading to hemiplegia. Hemiplegia is a paralysis of the face, arm, and leg on one side. 
 Aim: To study the effect of early Proprioceptive Neuromuscular Facilitation on a post-Hemorrhagic stroke hemiplegic patient
 Presentation of case: In the present case report, a 75-year-old male was admitted into the hospital with a history of dizziness and weakness of the right upper limb and lower limb along with slurring of speech. After doing CT scan, left Intraparenchymal bleed in the Corona Radiata were present and based on his symptoms and investigatory findings he was diagnosed as a case of right hemiparesis. He was under medical and physiotherapy management. Goal seeking limb was provided to the patient in the ICU and was continued in the ward. The early physiotherapeutic intervention proved to be effective for the positive outcome of the patient. After 20 days of treatment, there was a enormous improvement in the bed mobility of the patient. Speech therapy was also provided to the patient.
 Discussion: Early physiotherapy rehabilitation will increase the decreased ranges of movement of all joints, help in improving the daily living activity of the patient, thus enhancing the confidence of the patient.
 Conclusion: Thus, we conclude by this case report that early rehabilitation enhances the condition and later on the quality of life of the patient.