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Outpatient rehabilitation for a patient following a right hemispheric ischemic stroke
A patient with an ischemic stroke occluding the right middle cerebral artery was seen for physical therapy treatment for 12 sessions from 4/7/15 to 5/15/15 at an outpatient physical therapy facility. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with Modified Clinical Tests of Sensory Interaction on Balance, Manual Muscle Tests, 10 Meter Walk Test, Dynamic Gait Index, 6-Minute Walk Test, and the social participation section of the Stroke Impact Scale, and a plan of care was established. Main goals during intervention were to improve lower extremity strength, static balance, dynamic balance, fall risk, mobility, gait speed, aerobic capacity, and social participation. Main interventions used were over-ground gait training, static and dynamic balance training, task-specific training, and functional training. The patient improved in lower extremity strength, static balance, dynamic balance, fall risk, mobility, gait speed, aerobic capacity, and social participation. The patient was discharged to home with a home exercise program.