Article

This case report shows the application of the Upright Motor Control Test in the
physical therapy management of an individual following a stroke. The individual
is a 43-year-old male who sustained an infarct of the right thalamus 2 days prior
to inpatient rehabilitation admission. Observational gait analysis and the
Upright Motor Control Test isolated the primary gait deficit as left hip and
ankle extension in the stance phase of gait. Physical therapy interventions
focused on specific functional tasks that challenged hip extension so that he
could resume the activities in which he engaged prior to the stroke. After a 3
week length of stay in inpatient rehabilitation, the individual demonstrated an
improvement in the outcome measures, functional progression with ambulation
(level and stairs), and transfers sufficient to be discharged home. This case
illustrates how standardized outcome measures assisted the clinician in isolating
the gait impairments that limited his ability to ambulate within his home
environment. Subsequently, the plan of care and physical therapy interventions
focused on these deficits to maximize the functional outcomes.

Langue : ANGLAIS