Background: Hemorrhagic strokes affect 16-33 per 100,000 individuals per year, with 25% of individuals with right-sided strokes developing symptoms of left neglect. Despite the high prevalence and potential for low functional outcomes in these populations, research to figure out the most effective physical therapy interventions for this group is severely lacking. The purpose of this case report is to demonstrate the potential for use of the neurodevelopmental treatment (NDT) in individuals with stroke and hemispatial neglect, and to encourage further research on the topic. Case Description: The patient was a 49-year old female who suffered from an acute right temporal and basal ganglia parenchymal hemorrhage that caused left-sided hemiplegia, left hemispatial neglect, and cognitive deficits. She presented with gait abnormalities, inattentiveness to left-sided movements, and difficulty with functional movements. Interventions: The primary intervention was the use of NDT techniques, progressing through movements that follow the neurodevelopmental sequence and use somatosensation and proprioception to improve functional movement. In this case, the patient performed exercises in sitting, quadruped, half-kneeling, and tall-kneeling while progressing difficulty to challenge balance and increase activation of left-sided muscles. Outcome Measures: The primary outcome measures used in this case were the Berg Balance Scale and the Functional Independence Measure. Through evaluation with these measures, the patient demonstrated minimal clinically important differences in both outcomes. Discussion: The patient’s dramatic improvements in all functional movements suggests that use of NDT techniques may be beneficial in treatment of individuals post-stroke who demonstrate symptoms of hemispatial neglect. However, additional research is needed to evaluate how effective these methods are in comparison to conventional treatment in a larger population.
Dissertation
Use of Neurodevelopmental Principles in the Rehabilitation of Hemorrhagic Stroke with Left Neglect: A Case Report
University of Iowa
Doctor of Physical Therapy (DPT) , University of Iowa
Autumn 2017
Free to read and download, Open Access
Abstract
Details
- Title: Subtitle
- Use of Neurodevelopmental Principles in the Rehabilitation of Hemorrhagic Stroke with Left Neglect: A Case Report
- Creators
- Emily Yanny - University of Iowa
- Contributors
- Laura Frey Law (Advisor)
- Resource Type
- Dissertation
- Project Type
- Case Report
- Degree Awarded
- Doctor of Physical Therapy (DPT) , University of Iowa
- Degree in
- Physical Therapy & Rehabilitation Science
- Date degree season
- Autumn 2017
- Publisher
- University of Iowa
- Number of pages
- 9 pages
- Copyright
- Copyright © 2017 Emily Yanny
- Language
- English
- Academic Unit
- Doctor of Physical Therapy Case Reports
- Record Identifier
- 9984109984802771
Metrics
3059 File views/ downloads
437 Record Views