Abstract

Stroke is defined as a clinical illness characterised by a sudden onset of cerebral impairment that lasts more than 24 hours or results in death with no obvious explanation other than a vascular origin.Every year, around 800,000 people have a stroke, or one every 40 seconds. Strokes are caused by difficulties with the brain's blood supply: either the blood supply is cut off or a blood artery within the brain bursts, killing brain tissue. A stroke is a medical emergency that requires immediate medical attention. Present case report is of a 39-year-old male with right side weakness. Patient’s right upper limb recovery stage was 1 going towards 2, and lower limb recovery stage was 2 going towards 3 on first day of assessment. Patient was treated with Neurodevelopmental therapy combined with conventional physiotherapy for a period of 8 weeks. Balance, Gait parameters and tone evaluated on day 1 and on last day of treatment. There was tremendous improvement in balance and gait parameters along with normalisation of tone. Thugs wee would like to conclude that early NDT along with conventional therapy can improve gross motor function in patients with subacute stroke.

Highlights

  • The clinical state of sudden onset of cerebral impairment lasting more than 24 hours or leading to death with no obvious reason other than a vascular origin is known as stroke [1]

  • Physiotherapy after stroke can be given through Motor relearning program, brunnstrom movement therapy, Proprioceptive neuromuscular facilitation, Neurodevelopmental therapy(NDT) etc [6]

  • The conventional physiotherapy focusses on recovery without involving patient and caregivers in treatment and framing of goals, in contrast NDT

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Summary

INTRODUCTION

The clinical state of sudden onset of cerebral impairment lasting more than 24 hours or leading to death with no obvious reason other than a vascular origin is known as stroke [1]. Ischemic stroke occurs when the arteries that provide blood to the brain become blocked or narrowed.Hemorrhagic strokes are caused by blood spilling or bursting through arteries in the brain [3]. Aneurysms, trauma, protein deposits in blood vessel walls,being overweight or obese, Physical inactivity, chronic alcoholic or smokers are the primary risk factors for stroke [4]. Tonal abnormalities, swallowing issues, urinary issues, contractures in extremities, transition issues, balance and gait abnormalities are the common impairments seen in stroke patients [5]. NDT is an approach which is historically rich, follows recent theories and emphasizes on goal oriented treatment [7]. The conventional physiotherapy focusses on recovery without involving patient and caregivers in treatment and framing of goals, in contrast NDT does involve them. The case report is in accordance with CARE guidelines [8]

PATIENT CHARACTERISTICS
Patient History
Treatment Given
RESULTS AND DISCUSSION
CONCLUSION
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