BACKGROUND- A 70 year old unknown male patient was found unconscious on road and was brought
to tertiary care hospital. On investigations and clinical correlation, patient was diagnosed as a case of
left hemiparesis secondary to acute middle cerebral artery infarct. Patient regained consciousness on next day and was in
state of complete dependence for bed mobility and daily living activities. He was managed conservatively and was referred to
occupational therapy department for further management.
METHOD- Patient was evaluated by using uniform terminology. Modied Barthel index, Modied Rankin Scale, Basic MOCA
scale and Stroke Specic QOL scales were administered. Patient was given intervention for 5 weeks.
Enabling activities with self-care functional activities were practised. Accident prevention, activity promotion, Compensatory
strategies and environmental modications were done. Scales were administered post intervention and comparative data was
obtained.
RESULT- Change of pre-intervention and post- intervention score indicates improvements in performing activities of daily
living, reduced disability, improved cognition and quality of living. There were signicant improvement in activities like eating,
drinking milk, in bed mobility dressing and coming to sit. Minimum to moderate improvement was seen in activities like
toileting, walking, stair climbing and use of wheelchair. Despite his age and lack of family support, signicant functional
improvements were documented in this elderly stroke patient, and he was discharged to old age home.
CONCLUSION- Supplementing enabling activities with task oriented functional training is feasible and effective in improving
independence for activity of daily living in elderly stroke
