Angus is an 84 year old patient who had a stroke in June 2012. Initially following his stroke Angus had no movement in his left upper and lower limb. He was also unable to sit unsupported. Angus had 7 weeks inpatient rehabilitation and it was felt he had reached his potential and was discharged. Due to Angus’ social support system he was unable to return home and was discharged to an Aged Care Facility in August 2012.
Since September 2012 I have been treating Angus for 30 minutes four times a week – three times a week at home and once at the centre. He had two weeks off over Christmas but apart from that has had physiotherapy the entire time.
On his initial assessment Angus required moderate assistance of two people to stand and transfer and could walk a few steps holding onto a rail and maximum assistance of one person. He mobilised independently in a one-arm drive wheelchair. At this stage Angus still had no movement in his left upper limb. Angus’ goals were to return home and be as independent as possible ideally walking with a stick.
During our time together, Angus and I have explored a number of different treatment modalities including but not limited to;
- Lower limb strengthening exercises
- Bed mobility practice
- Gait re-education
- Set-up of his home environment
- Body weight support on the treadmill
- Balance exercises
- Stairs practice
- Upper limb strengthening exercises
- Pablo upper limb training software
Angus is currently walking independently with a quad stick and is progressing towards independent mobility with a single point stick. Angus is now living at home and is independent with all his transfers. Angus now has movement in his left upper arm and is able to get his hand to his mouth.
Angus is extremely motivated and works exceptionally hard both within the therapy sessions and with his own independent practice at home. Angus practices all his exercises more than once a day and strives to reach his goals.
Angus is now working towards independent mobility unaided and to increase functional use of his left arm. He is in the process of attending a spasticity clinic for Botulinum toxin to assist with his upper limb function. I look forward to continuing to work together and striving to reach his goals. Well done Angus