Multi-modal post-stroke rehabilitation improves spasticity during gait.
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1
European Brain Centers, Sweden
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2
Private Practice, United States
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3
NeuroWorks Healthcare LLC, United States
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4
Carrick Institute for Graduate Studies, United States
Background:
Retired female presented for post-stroke rehabilitation in efforts to increase stability during gait. Over past two years she has had 4 episodes of syncope, where one episode resulted in the need for surgical intervention to mend ankle fracture in three locations. She states her left side of body has improved since the stroke, however she still has problems with stability and ambulation.
Methods:
Thorough neurological exam performed along with diagnostic testing which included computerized dynamic posturography (CDP), Videonystagmography (VNG), Saccadometry (SAC). The patient underwent three therapy sessions in four days which included combinations of therapies such as vestibular canal re-positioning maneuvers, vestibular ocular reflex (VOR) exercises, multi-axial joint movements, non-invasive vagus nerve stimulation, low level laser, repetitive somatosensory evoked potential.
Results:
Post therapy examination revealed improved spasticity and stability during gait. Rapid alternating movements improved, as did neck and back pain/stiffness.
Conclusion:
Employing a multimodal brain-based therapy plan improved this patient’s ability to ambulate and improved every day function. The authors suggest further investigation into multi-modal rehabilitation in post-stroke rehabilitation.
Keywords:
stroke rehabilitation,
Spasticity,
Gait rehabilitation,
Multimodal Brain-Based Rehabilitation,
Vestibular Rehabilitation,
Vestibular ocular rehabilitation
Conference:
International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function, Orlando, United States, 7 Oct - 9 Oct, 2016.
Presentation Type:
Poster Presentation
Topic:
Abstracts ISCN 2016
Citation:
Sockander
LH,
Traster
DJ,
Behrendt
BR and
Brenner
KJ
(2016). Multi-modal post-stroke rehabilitation improves spasticity during gait.
.
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function.
doi: 10.3389/conf.fneur.2016.59.00102
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Received:
16 Jul 2016;
Published Online:
07 Sep 2016.
*
Correspondence:
Dr. Leif H Sockander, European Brain Centers, Kungälv, S-442 31, Sweden, lhsockander@me.com