Effect of Brunnstrom Movement Therapy Combined with Neurodevelopmental Therapy on Balance and Mobility in a Patient with Acute Stroke: An Interesting Case Report
Saurabh Puri
Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, 442001, India.
Rakesh Krishna Kovela *
Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, 442001, India.
Mohammed Irshad Qureshi
Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, 442001, India.
Ragini Dadgal
Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, 442001, India.
Rebecca Timothy
Department of Electrotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, 442001, India.
Snehal Samal
Department of Kinesiology and Kinesiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, 442001, India.
*Author to whom correspondence should be addressed.
Abstract
Stroke is the world's second leading cause of death and the third leading cause of disability. Ischemic strokes account for 68 percent of all strokes worldwide, while hemorrhagic strokes account for 32 percent. A stroke is a medical emergency that requires immediate attention. Early intervention can help to prevent brain damage and other problems. The present case report is of a 24 year male suffered with stroke on 24th July 2021. He was private employee in a hospital. He was presented with weakness of left side of the body. He was treated by using brunnstrom movement therapy and Neurodevelopmental therapy (NDT). He was treated for a period of 4 weeks. First two weeks as inpatient and last two weeks as outpatient. He was treated one hour per day, 5 days a week for 4 weeks. Modified Ashworth scale (MAS), brunnstrom recovery stages of upper limb, lower limb and trunk were taken pre and post treatment. There was tremendous improvement in both upper and lower limbs. Patient is able to walk and perform all the activities. Thus in conclusion, brunnstrom movement therapy in combination with NDT is an effective treatment strategy for early recovery of stroke patient.
Keywords: Stroke, cerebrovascular accident, physiotherapy, brunnstrom movement therapy, Neurodevelopmental therapy, rehabilitation