Date of Award
2022
Document Type
Scholarly Project
Degree Name
Doctor of Physical Therapy (DPT)
Department
Physical Therapy
First Advisor
Halcow, Steven
Abstract
Background and Purpose. A cerebrovascular accident, CVA, is one of the largest causes of disability to Americans every year. Over 800,000 people experience a CVA every year with 600,000 of those people experiencing their first CVA. The purpose of this case study is to discuss and review the role of rehabilitation services, specifically physical therapy, in the care of an acute cerebrovascular accident.
Case Description. The patient was a 55-year-old man presenting to the transitional care unit after a middle cerebral artery CVA. He was an active power lifter and was taking performance enhancing drugs recently before his stroke.
Intervention. The patient was seen twice per day, six times per week with a focus on improving overall strength, activity tolerance, and functional mobility to allow for increase performance with bed mobility, transfers, gait, and stairs. The Tinetti POMA, TUG, and 5-STS were implemented throughout his episode of care to monitor his improvement.
Outcomes. He responded well to the interventions implemented to his episode of care. Improvements were found with his functional assessment scores, functional mobility, activity tolerance, and overall strength. He was discharged from acute care physical therapy services to his home with his wife.
Discussion. The early and often approach to this patient’s episode of care proved to help increase patient’s independence with performance of activities of daily living. He was satisfied with the progress he made while at the transitional care unit and would undergo outpatient physical therapy after discharged.
Recommended Citation
Douvier, Devin, "Case Report: Physical Therapy Management of Cerbrovascular Accident of the Middle Cerebral Artery" (2022). Physical Therapy Scholarly Projects. 787.
https://commons.und.edu/pt-grad/787