The Role of Rehabilitation Program in Functional Recovery of Stroke: A Case Report
Indriani Dwi1, Barlian M.2, Pudji Rosalyna3, Lisnaini4, Tanian Agung5
1Indriani Dwi, Department of Physical Medicine and Rehabilitation, Medical Faculty Brawijaya University, dr. Saiful Anwar Hospital, Malang, Indonesia.
2Barlian M., Department of Physical Medicine and Rehabilitation, Medical Faculty Brawijaya University, dr. Saiful Anwar Hospital, Malang, Indonesia.
3Pudji Rosalyna, Department of Physical Medicine and Rehabilitation, Faculty of Medical Faculty Brawijaya University, dr. Saiful Anwar Hospital, Malang, Indonesia.
4Lisnaini, MD Doctor, Brawijaya University Malang, Brawijaya University Malang, dr. Saiful Anwar Hospital Malang Physiatrist.
5Agung Tanian, MD, SpKFR Doctor, Wijaya Kusuma University Surabaya Brawijaya University Malang, dr. Saiful Anwar Hospital Malang Physiatrist.
Manuscript received on 10 January 2020 | Revised Manuscript received on 06 February 2020 | Manuscript Published on 20 February 2020 | PP: 262-265 | Volume-9 Issue-3S January 2020 | Retrieval Number: C10590193S20/2020©BEIESP | DOI: 10.35940/ijitee.C1059.0193S20
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© The Authors. Blue Eyes Intelligence Engineering and Sciences Publication (BEIESP). This is an open-access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Abstract: Stroke is a leading cause of functional disorder and severe disability in the world. Stroke prevalence in Indonesia according to national health research (RISKESDAS) in 2007 were 0,8%, meanwhile in United State of America were 1,8-2,2%. Rehabilitation program had an important role in functional recovery of stroke patient. The purpose of rehabilitation program is to achieve functional independency, minimize disability, re-integration to home, family, and community lifes. The case is a 48 years old male with Left hemiparese due to Cerebrovascular accident intracranial hemorrhage. Initial assesments were Glasgow Coma Scale (GCS) 346, Manual Muscle Testing (MMT) 3 for left upper and lower extremity, Count Breathlessness Test (CBT) 10, Mini-Mental State Examination (MMSE) 22, Barthel Index (BI) 10. The outpatient rehabilitation program was neuromuscular electrical stimulation for left upper and lower extremity with in frequency 70-85 pps, on-time 10-15 seconds, off-time 50 seconds – 2 minutes, duration minimum 10 contraction, 3 times per week, active range of motion and isotonic strengthening exercise for upper and lower extremity, breathing exercise, sitting and standing balance exercise, gait training, occupational therapy and cognitive therapy. After 2 months of treatment the assessment was GCS 456, MMT 4 for left upper and lower extremity, CBT 21, MMSE 30, BI 95. The rehabilitation program was proved to be beneficial in improving functional recovery of stroke patient.
Keywords: Stroke, Rehabilitation, Electrical Stimulation, Exercise, Functional Recovery.
Scope of the Article: Bio-Science and Bio-Technology