Background: Brain plasticity is a crucial component in post-stroke rehabilitation, which can be evoked overtime with the appropriate stimulus. To promote cortical plasticity and functional recovery following a stroke, it is important to implement adequate medical and therapeutic treatment. Thus, the purpose of this case report is to highlight the addition of a complex visuomotor task in the rehabilitation of a patient following a stroke. Case Description: Patient is a 59-year-old male admitted to an inpatient hospital due to right-sided weakness, right facial droop, and slurred speech. He was found to have a large, near-complete, occlusive left middle cerebral artery (MCA) ischemic stroke. Following a mechanical thrombectomy procedure, the patient continued to have residual deficits involving gross and fine motor control of the right extremities, overall functional mobility, and communication. Intervention: In addition to traditional post-stroke interventions, Dynavision was integrated in the treatment plan to facilitate cortical plasticity. The patient performed the complex visuomotor task in increments of 30 seconds with a minute rest in between the 6 to 8 rounds completed. Outcome Measures: The patient completed the Dynavision twice before he was transferred to another care facility. The primary outcomes considered for this patient were the motor assessment scale, stroke rehabilitation assessment of movement (STREAM), range of motion measurements, and postural assessment scale for stroke. Discussion: This report does not give enough substantial evidence that the use of the Dynavision was beneficial or harmful to the patient. It has been demonstrated through various research studies that complex visuomotor activities challenges motor learning and control. However, there is no consensus of the overall effectiveness from implementing technology, like the Dynavision, due to the range of outcomes. Integration of complex visuomotor tasks should be considered as an adjunct to traditional physical therapy interventions.
Dissertation
Using Dynavision as an Adjunct to Treatment for a Patient with Right Hemiparesis Following a Left Middle Cerebral Artery Stroke: A Case Report
University of Iowa
Doctor of Physical Therapy (DPT) , University of Iowa
Summer 2020
Free to read and download, Open Access
Abstract
Details
- Title: Subtitle
- Using Dynavision as an Adjunct to Treatment for a Patient with Right Hemiparesis Following a Left Middle Cerebral Artery Stroke: A Case Report
- Creators
- Gabrielle Stecker - University of Iowa
- Contributors
- Laura Frey Law (Advisor)Michael Petrie (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
- Summer 2020
- Publisher
- University of Iowa
- Number of pages
- 10 pages
- Copyright
- Copyright © 2020 Gabrielle Stecker
- Language
- English
- Academic Unit
- Doctor of Physical Therapy Case Reports
- Record Identifier
- 9984201516202771
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