Cerebrovascular Accident: A Case Study

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Hi Sharry, Thank you for sharing such insightful paper on cerebrovascular accident (CVA). According to Goodman and Fuller, 16million who suffer from stroke every years, more than 10 million people survived and this figure will achieve to 77 million by the year of 2030 (2015). I concord your statements that physical therapist plays important role in the stroke rehabilitation and improve level of function. Physical therapy intervention to improve motor function by mobilization, range of motion, weight shifting techniques or strengthening exercise by using ankle weight, elastic tubing, isokinetic machine and to improve sensory function by stroking, stretching, neuromuscular facilitation, pressure and approximation, also functional training includes transfer, gait and balance training to improve level of independence (O’Sullivan & Schmitz, 2007).

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In some cases, patient shown remarkable progress in the functional outcomes after stroke but within 1 to 3 year have another episodes of stroke on same body functional involvement. For instance, I used to provide treatment to 76 year old male patient with stroke, patient's medical history shown, first episode of stroke at age of 74 and recovered, modified independent in all functional activates but within 2 year have 2 another episodes of CVA (total 3 episodes), and patient's have required moderate assist in basic functional activities such as transfer and ambulation after last episode. Here, patient also stated he refused for any treatment after first recovery because he has very good recovery first time. Fuller, (2015), point out that history of stroke increase 5% risk of reoccurrence within 3 years. Thus, timely manner imaging techniques such as MRI or functional MRI, is helpful to detect soft tissue changes after first episodes to current

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