Physiotherapy Management of Right Hemiparesis Following Nonhemorrhagic Stroke: A Case Report

Abstract

Background: Stroke may cause hemiparesis, impaired balance, restricted movement, and dependence in activities of daily living. Early physiotherapy requires multidomain assessment and careful documentation of treatment and outcomes.
Objective: To describe the clinical assessment, documented physiotherapy management, and immediate post-session findings in a patient with right hemiparesis following nonhemorrhagic stroke.
Methods: This case report involved a 59-year-old woman receiving inpatient physiotherapy. Baseline assessment included vital signs, range of motion, Manual Muscle Testing, Modified Ashworth Scale, Berg Balance Scale, Barthel Index, coordination, sensory examination, and Hamilton Rating Scale for Anxiety. The documented physiotherapy episode included therapeutic communication, infrared, deep breathing, Manual Muscle Belly Tonus Stimulation, active-assisted and active movement, ball squeezing, straight leg raising, bridging, passive range of motion, stretching, Proprioceptive Neuromuscular Facilitation, and transfer training.
Results: Baseline muscle strength was grade 4 in the right shoulder, elbow, and knee and grade 3 in the right wrist and ankle. The Modified Ashworth Scale score was 0, Berg Balance Scale score was 19, Barthel Index score was 10, and Hamilton Rating Scale for Anxiety score was 18. Immediate post-session Manual Muscle Testing showed no documented change. Post-session measurements of balance, independence, anxiety, and range of motion were unavailable.
Conclusion: This case describes multidomain physiotherapy assessment and a documented multimodal treatment episode. The available findings do not support conclusions regarding treatment effectiveness or clinical recovery because functional outcomes were not reassessed and serial follow-up was unavailable.