Case Report
Year: 2020 | Month: December | Volume: 10 | Issue: 12 | Pages: 130-133
Stroke Rehabilitation - Facilitation of Dorsiflexion in Gait using Theraband and Functional Electrical Stimulation (F.E.S): A Case Study
Gummadi Ashish1, Mathew Paul2
1Senior Physical Therapist, Department of Neurorehabilitation, Institute of Neurosciences, Kolkata.
2Senior Physical Therapist, Department of Neurorehabilitation, Institute of Neurosciences, Kolkata.
Corresponding Author: Gummadi Ashish
ABSTRACT
Stroke is most common cause of disability impermanence in developing Countries; as stated by W.H.O. Every year approximately 1.8 million people suffering from stroke, which is the second most common cause of death after Coronary Artery Disease (C.A.D). Stroke is a dominant cause of deep-rooted disability which includes impairment of motor, Sensory or Cognitive function deficits. Partial loss of muscle function can be functioned in a controlled manner by functional electrical stimulation restore or abet the fictional movement disorientation after stroke. Hence, in this case study we have included gait training with TheraBand and functional electrical stimulation (F.E.S) to improve dorsiflexion in stance phase and correct Hyperextension of the knee in functional gait pattern. Case presentation: The subject of this study was a 52-year-old male with no previous history of cerebrovascular disease, he was far from the medical emergency hospital took 4hr to reach nearby center. Medical evaluation indicated Cerebrovascular accident in 2013 left hemiplegia, MRI brain shows chronic lacunar infarct right thalamic and corona radiata. Spasticity: M.A.S scale grade: 2 in upper limb spastic thumb in palm deformity spastic muscles: FPL, adductor pollicis, thenar muscles. Lower limb hammer toe, equinus (foot), Genu recurvatum (knee joint). The therapy was conducted for 4-6 weeks 4 sessions in a week each session included 10 min of treadmill walking with TheraBand along with F.E.S, 10 min of waking on the cushion TheraBand along with F.E.S, 10 min of stretching of tendinoachills, hipflexor and 10 min wobble board balance training 10 min strengthening quadriceps muscles and dorsiflexor strengthening. Therapy was conducted at Institute of Neurosciences, Kolkata. In Department of Neurorehabilitation and it result in significant reduction in hyperextension and complete recovery in dorsiflexion in stance phase. Improved Candance as well. Conclusion: Thera- band with Functional Electrical Stimulation improved gait pattern in stroke patient can be used for speed recovery.
Key words: Thera-band, Functional Electrical Stimulation (F.E.S), Stroke.