Effect of Early Mobilization and Proprioceptive Neuromuscular Facilitation in Acute Intracerebral Hemorrhage: A Case Study

Muhammad Daniel Mustofa; Wahyu Tri Sudaryanto; Yunita Nur Rochmah

doi:10.24843/mifi.000001780

Authors

Muhammad Daniel Mustofa Physiotherapy Professional Program, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Indonesia Author
Wahyu Tri Sudaryanto Physiotherapy Professional Program, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Indonesia Author
Yunita Nur Rochmah Department of Medical Rehabilitation, Physiotherapy Unit, Rumah Sakit UNS, Indonesia Author

DOI:

https://doi.org/10.24843/mifi.000001780

Keywords:

Intracerebral Hemorrhage, Stroke, Early Ambulation, Proprioceptive Neuromuscular Facilitation, Activities of Daily Living, Case Reports

Abstract

Background: Intracerebral hemorrhage (ICH) is a severe subtype of stroke associated with high mortality and disability. Early physiotherapy intervention in the acute phase is essential to minimize secondary complications and support neurological recovery.

Objective: To evaluate the clinical outcomes of early mobilization combined with Proprioceptive Neuromuscular Facilitation (PNF) in a patient with acute ICH.

Methods: A case study was conducted on a 40-year-old male patient diagnosed with ICH and treated in the High Care Unit. The intervention was administered over three consecutive sessions and included passive range of motion exercises, early mobilization (bed mobility and sitting preparation), and PNF diagonal movement patterns. Outcome measures included Glasgow Coma Scale (GCS), Manual Muscle Testing (MMT), and Barthel Index.

Results: The GCS score improved from 13 to 15. Muscle strength increased from grade 0 to grade 3 in elbow flexors and up to grade 2 in distal joints. The Barthel Index improved from 20 (total dependence) to 55 (severe dependence), indicating progressive functional recovery.

Conclusion: The combination of early mobilization and PNF may contribute to early motor recovery and functional improvement in acute ICH patients. However, findings from this single case should be interpreted cautiously and cannot be generalized.