Acute inpatient rehabilitation for a patient following an infarction of the left middle cerebral artery

A patient with an acute left middle cerebral artery infarction was seen for physical therapy treatment for 4 sessions over a three-day period for acute inpatient physical therapy at a county hospital. 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 the Boston University Activity Measure for Post-Acute Care (AM-PAC), and a plan of care was established. Goals for the patient were to improve strength, muscle performance and motor control during functional activities in order to improve gait, static and dynamic standing balance, and promote modified functional independence. Main interventions used were bed strengthening exercises, over-ground gait training, balance training and task-specific training. The patient improved in strength, muscle performance, motor control, gait, static and dynamic balance, and progressed towards modified functional independence. The patient was discharged to a skilled nursing facility (SNF) for further rehabilitation.