Intensive Physiotherapy Interventions in Speedy Recovery of Sub-acute Stroke: A Case Series

Authors

  • Shambhu P. Adhikari School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal https://orcid.org/0000-0002-2635-6844
  • Riju Maharjan School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal
  • Redisha Jakibanjar School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal
  • Anushree Balla School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal
  • Manisha Shrestha School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal
  • Narendra Shalike School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal
  • Govinda M. Nepal School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal

Keywords:

Enriched environment, Intensive physiotherapy intervention, Stroke, Sub-acute

Abstract

Introduction: Intensive physiotherapy interventions have shown good recovery in stroke if applied to stable patients who can tolerate it. Influence of enriched environment on intensive physiotherapy interventions after acute care has not been studied in low-resource contexts, and therefore, we reported outcome of the interventions in multiple cases with stroke in Nepalese context and cultural background.

Case reports: Three patients in sub-acute stage of stroke were admitted in intensive physiotherapy treatment unit where the environment was therapeutically enriched. The therapist-administered interventions were intensive for each domain of impairment and activity limitations, every day for six days a week. Patients were trained to carry out caregiver-assisted practice or self-practice in enriched environment. Training demonstrated visible and measurable outcome in all cases.

Conclusion: Intensive physiotherapy interventions in an enriched environment promoted good recovery in short period in stroke. The interventions applied, and the principles adopted were based on the established evidence, and therefore findings of this study may support for its feasibility and applicability.

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Author Biographies

Shambhu P. Adhikari, School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal

Assistant Professor, Department of Physiotherapy

Riju Maharjan, School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal

Physiotherapist, Department of Physiotherapy

Redisha Jakibanjar, School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal

Physiotherapist, Department of Physiotherapy

Anushree Balla, School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal

Physiotherapist, Department of Physiotherapy

Manisha Shrestha, School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal

Physiotherapist, Department of Physiotherapy

Narendra Shalike, School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal

Lecturer, Department of Neurosurgery,

Govinda M. Nepal, School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal

Assistant Professor, Department of Physiotherapy

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Published

2020-12-25

How to Cite

Adhikari, S. P., Maharjan, R., Jakibanjar, R., Balla, A., Shrestha, M., Shalike, N., & Nepal, G. M. (2020). Intensive Physiotherapy Interventions in Speedy Recovery of Sub-acute Stroke: A Case Series. Journal of Lumbini Medical College, 8(2), 275–280. Retrieved from https://nepjol.info./index.php/JLMC/article/view/40846

Issue

Section

Case Reports