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DIAGNOSIS AND INITIAL FUNCTIONAL ABILITIES
Linda is a 51-year old female who had a stroke that resulted in paralyzing the left side of her body. Upon
admission to the Neuro Therapeutics Program (4 ½ years post injury) Linda's gait and balance were impaired
and experienced decreased ability to shift weight to her left foot.
Due to muscle weakness, her knee hyper-extended backwards when she stopped. Her unstable ankle rolled
uncontrollably side-to-side. While walking, her head leaned
down to the left side and her trunk twisted from the left-side forward. She could not stand and maintain balance
when faced with minimal challenges, such as crowded groups. Additionally, she was unable to raise her arm to
shoulder level or past 90-degree flexion.
GOALS
Linda was referred to a CORA Rehabilitation Clinic for EMG biofeedback and physical therapy for the purpose of
establishing alternate neuro pathways to improve her gait and upper extremity function. Linda wanted to make
these physical improvements so she would feel more independent and comfortable in public settings.
PROGRAM
After completing a thorough evaluation Linda was determined to be a good candidate for the Neuro Therapeutics
program and began an individualized treatment plan consisting of:
- EMG Biofeedback, to establish alternate neuro-pathways to her left knee, hip, ankle and upper back/scapular area.
- Physical therapy including electrical stimulation to learn to use the newly established neuro pathways and gain control
in gait, balance, and upper extremity functioning.
OUTCOMES
After completion of an integrated treatment approach consisting of 15 treatment sessions of EMG biofeedback and physical therapy,
Linda has begun to walk with a functionally straight trunk and neck. Her ankle is more stable and balance has
significantly improved. Linda walks faster and safer in crowds without fear of falling. She now is able to walk
up and down stairs without the use of a railing or holding onto her husband's hand. Walking endurance has
increased as it now takes less effort and energy. She is able to climb up onto a high stool and sit and eat a
meal without falling off.
Regarding her upper extremity function, Linda has progressed to having the ability to open and close her fist
and grasp and release a three-inch ball. She also can actively elevate her upper extremity to approximately 110°
and utilize a functional grasp at this level
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