Case | 1 | 2 | 3 | 4 |
---|---|---|---|---|
Age | 65 | 62 | 63 | 69 |
Gender | Male | Male | Female | Female |
Duration post-stroke | 18 years | 1 year | 0.75 year | 9 years |
Side of hemiparesis | Right | Left | Right | Right |
Level of assistance/function | Walks using quad cane without assistance | Uses a wheelchair propelled by caregiver; walks over short distances at home with quad cane and contact guarding | Walks with quad cane with close guarding from caregiver | Uses a wheelchair propelled by caregiver; walks over short distances at home with quad cane, ankle-foot orthosis, and contact guarding |
History of falls | Yes | No | Yes | Yes |
Co-morbid conditions | Hypertension Type II diabetes COPD Prostate enlargement | Hypertension | Hypertension Type II diabetes | Hypertension COPD Osteoarthritis |
Therapy goal | Improve endurance adversely affected by limited physical activity and COPD Prevent falls | Improve indoor ambulation Prevent falls | Improve indoor and community ambulation Prevent falls | Improve indoor ambulation Prevent falls |
Other findings | (+) spasticity, ankle muscles (+) impaired tactile sensation NS proprioception NS cognition | NS muscle tone NS sensation NS cognition | NS muscle tone NS sensation NS cognition | (+) impaired tactile sensation and proprioception (+) history of musculoskeletal injury to right foot NS muscle tone NS cognition |
COPD – chronic obstructive pulmonary disease, NS – non-significant/normal finding