Stroke is a leading cause of functional disorder and severe disability in the world. Stroke prevalence in Indonesia according to national health research (RISKESDAS) in 2007 were 0,8%, meanwhile in United State of America were 1,8-2,2%. Rehabilitation program had an important role in functional recovery of stroke patient. The purpose of rehabilitation program is to achieve functional independency, minimize disability, re-integration to home, family, and community lifes. The case is a 48 years old male with Left hemiparese due to Cerebrovascular accident intracranial hemorrhage. Initial assesments were Glasgow Coma Scale (GCS) 346, Manual Muscle Testing (MMT) 3 for left upper and lower extremity, Count Breathlessness Test (CBT) 10, Mini-Mental State Examination (MMSE) 22, Barthel Index (BI) 10. The outpatient rehabilitation program was neuromuscular electrical stimulation for left upper and lower extremity with in frequency 70-85 pps, on-time 10-15 seconds, off-time 50 seconds – 2 minutes, duration minimum 10 contraction, 3 times per week, active range of motion and isotonic strengthening exercise for upper and lower extremity, breathing exercise, sitting and standing balance exercise, gait training, occupational therapy and cognitive therapy. After 2 months of treatment the assessment was GCS 456, MMT 4 for left upper and lower extremity, CBT 21, MMSE 30, BI 95. The rehabilitation program was proved to be beneficial in improving functional recovery of stroke patient.
Impact of Somatosensory Training on Neural and Functional Recovery of Lower Extremity in Patients with Chronic Stroke: A Single Blind Controlled Randomized Trial
