OUTPATIENT PHYSICAL THERAPY FOR A PATIENT WITH CHRONIC ATAXIA SECONDARY TO CEREBELLAR STROKE
An elderly patient with chronic cerebellar stroke was seen for treatment for physical therapy for 12 sessions from October, 2013 until May, 2014 at an outpatient clinic for patients with neurological pathologies under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter and a plan of care was established. Main goals for the patient were improved static and dynamic postural control, speed and endurance with ambulation, and improved level of dependence with functional activities. Main interventions used were task specific training in the form of body weight-supported treadmill training and over-ground ambulation with assistive device, static and dynamic balance training, and the utilization of an individualized home exercise program. The patient achieved the following goals: improved range of motion, balance, functional mobility, aerobic capacity, gait, and postural control during ambulation. The patient was discharged to prior living arrangement (home with spouse) with home exercise program.