Sample Case: Cerebro Vascular Accident

A 58 yr old male patient with (L) MCA stroke 2 months status post has been admitted to your facility. Upon assessment, you noticed that the patient is already in GRADE 3 of Brunstromm Stage with the following manifestations:

1. Weak Ankle Dorsiflexor (R)

2. Trunk Control

3. Fair Standing Balance Tolerance

4. Can ambulate with the use of walker with moderate assist on the pelvis and shoulder

5. Grade 2 Spasticity on (R) UE and LE

6. Hyperreflexia on all tested parts

7. Slouched posture

With these manifestation, give the following:

1. Cranial Nerve Testing “direct and consensual reflex” (write on your paper the procedure and the response)

2. Sensory Testing “deep sensation”(write on your paper the procedure and the response)

Give (1) management in the following manifestations:

1. Exercise for posture (given the posture of the patient, PNF)

2. Exercise for ambulation(while the patient is ambulating)

Electromodality for grade 2 spasticity of (R) elbow flexor