Hannah DeKrey

Date of Award


Document Type


First Advisor

David Relling


Cerebrovascular accidents (CVAs), left-sided flaccidity of upper and lower extremities, fatigue scale, virtual reality-based therapy


Background and Purpose: Cerebrovascular accidents (CVAs) are a common medical issue addressed by physical therapists. This case study examines the effectiveness of one rehabilitation plan in an inpatient rehabilitation setting, and explores potential improvements in the method of intervention for patients following a CVA.

Case Description: This patient was a 70-year-old male admitted to an inpatient rehabilitation facility following a right CVA resulting in left-sided flaccidity of upper and lower extremities. He underwent therapy in this facility for five weeks.

Interventions: Conventional therapy interventions were used with this patient. The interventions consisted of a combination of strengthening, gait training, balance activities, wheelchair mobility, and patient education. The goal of physical therapy was to improve the patient’s function and independence by the time of discharge.

Outcomes: The patient achieved significant gains in his mobility and transfer abilities, as well as his activity tolerance.

Discussion: While the patient and his family were satisfied with the improvements gained in therapy, additional intervention and examination options may have been beneficial. The use of a fatigue scale and virtual reality-based therapy are discussed as potential beneficial additions to the original rehabilitation process. These additions may have the potential to improve outcomes and overall therapy experience for clients in the future.