Neurological Physiotherapy A

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Background information for video vignette .
Diagnosis:
R MCA infarct with L Hemiplegia
Context of assessment:
The student has been requested to perform a ward based, functional assessment for a patient admitted to the ward today. It is expected that the patient will undergo a full neurological assessment the following day, therefore, the student has been instructed to adequately assess the patient to provide clear instruction for ward staff on the patients functional capability.
TABLE 1: Background information for neurological vignette
DEMOGRAPHIC INFORMATION
Setting:
Rehabilitation ward in hospital setting
Gender:
Female
Patient age:
60 ‐ 70
Cultural background:
Non English Speaking Background - limited English
Occupation:
Retired
Main Presentation:
R MCA with L Hemiplegia
Student Name:
Kate
Educator Name:
Peter
Patient Name:
Mrs Novak
CLINICAL HISTORY
Reason for attending physiotherapy:
Admitted to rehabilitation ward today after presenting to ED last night with L sided weakness and slurred speech.
History of presenting condition:
Patient collapsed while at home and transferred to local hospital ED. Diagnosed with thrombolytic R MCA infarct and managed with TPA therapy within 3 hours of symptom onset. Patient transferred to acute stroke unit for rehabilitation and is 1 day post infarct. Investigations CT - Infarct R MCA
Past Medical History:
Osteoporosis, OA bilateral knees
Past Surgical History:
Thyroidectomy 15 years ago, vein ligation and stripping 4 years ago, hysterectomy 10 years ago,
Medications:
Thyroxin, osteoeze, glucosamine
Alcohol and Drug:
Nil illicit drug and nil alcohol
Dominance:
R Hand Social
History:
Lives with supportive husband who is physically well. House has 13 internal stairs with rails on both sides. Living area downstairs bedroom upstairs but bedroom and bathroom also available downstairs.
Functional History:
Previously independently mobile with no aids and independent with all ADL’s. Exercise tolerance able to walk greater than 45 minutes on flat without concern Patient Goals To return home to live with husband; independent mobility

[@SivaKumar-yk5su]

very good approach. very professional in her assessment, treatment and her commands. A must to watch the video to learn how to interact with patients

[@masudsaeediphysiotherapy8689]

I agree

[@physiotherapymotivation4945]

Learning and gaining knowledge is useless if its not applied in real patients. A student or a Physiotherapy doc who can apply max theoritcal knowledge in real clinical scenario would be the best Doctor

[@blaschito1]

wow you discovered "l' acqua call"!!

[@vinaypatel2689]

It may be miss judge for people for watching this video.. Initial assessment show that lady has no muscular control on her arm and leg.. So after gaining control only you able to do this sitting assessment. So do assessment stage wise with recovery.. Even she confirmed that there is no sence in her arm and leg so dont go blindly.. Although her command is very good..

[@shraddhakanade951]

Beautifully explained!!

[@jimmcintosh9412]

Came because it showed up on my asmr recommendations but stayed awake because I just had to see how this poor lady did. The doctors were so good with her too I hope she made a full recovery bless her heart

[@nafisaabdullahi7956]

Thank you so much, smart asssesment and treatment

[@superfantv3264]

This is amazing she’s very smart and professional and this will help me

[@johnunuigbe4848]

love d way you attend to patient

[@ajayaawasthy7806]

john unuigbe 9

[@masudsaeediphysiotherapy8689]

Me too

[@GuruPrasad-mq9ol]

I have borderline . Dr.said me it couldn't be increase .what the solution ..?

[@user-fb8pv5nl9h]

A lot of useful information!👍

[@tabithamwangi4413]

The best thing I've watched so far

[@aibaek8846]

omg that was such an amazing video it helped me a lot and she was a great PT student thanks a lot

[@masudsaeediphysiotherapy8689]

Good luck mate

[@ibrahimfodaydumbuya463]

Great job

[@anomaly3152]

Was it me or did the patient gain mobility in her left leg from zero movement or feeling while laying down to lifting her entire hip and lower leg while sitting. Was that mistake from the patient actor or is that actually a possibility?

[@HermannTheGreat]

Yeah I think she forget. If she can't lift her leg up while in bed I don't believe she'd be able to sit bedside and move it against gravity.

[@Miki-no4xl]

I think it is actually possible

[@kristenwhite2701]

With distraction movements are possible. Have you heard of functional movement disorder? Don't think it was acting

[@masudsaeediphysiotherapy8689]

Look at you, sherlock!!

[@pardonwilliam20]

I like the way she treats

[@masudsaeediphysiotherapy8689]

Same

[@pawanphysio344]

Great work 👍

[@shraddhakanade951]

She is so good ❤️

[@beplus7066]

Excellent work

[@pawanphysio344]

Your vedios are informative 👍

[@junhipolito8583]

What if the patient is blind? Can you give us some tips on how to motivate her during treatment.

[@masudsaeediphysiotherapy8689]

Play her her favourite music

[@mallorymallory1518]

give as much as possible tactile and verbal feedback. Use our voice (loud when you want strenght, like PUSH PUSH PUSHHH MY HAND! COME ON COME ON! and guide the movements with your voice and hands. when you want trunk control..guide the patient..d o you feel you are falling to the right? correct yourself. do you feel your side muscle in your belly? do you feel my hand? contract that muscle. You have to do this with every patient but esp blind patients, because they cant see and their visual feedback from you and theirselves is absent. Your verbal feedback and what they have to feel must be more than with normal patients

[@poochyboi]

Put on a blindfold so she'll feel better that you have something in common.

[@adambenjema1925]

Thank you!!!

[@ericakapotesha4599]

Wow! this is very clear and so accurate...

[@harrietl-b9172]

There was a muscle flicker on the affected arm (left side) so the muscles grade there would be 1 not zero

[@lorisutton6200]

said she could not feel flicker from left arm so that would be ZERO

[@asharedo]

The flicker appeared to be in the left shoulder flexors, not the elbow flexors which she was assessing when she graded as zero. (Although it appears each segment of the video is it's own entity, as deficits in earlier parts don't seem to necessarily carry over to later parts)

[@babubhai1966]

how can i do this excercise in a day and plz tell me limit the time

[@anwitaacharyya2720]

Babu Bhai A

[@masudsaeediphysiotherapy8689]

No limit

[@RashadSims-bh3zz]

I hope this works for my mom

[@anilgoud4349]

You are excellent madam

[@geetanjali1476]

MY FATHER WAS ALSO STROKE PATIENT . HE WAS ONE SIDE PARALYSES, HE WAS NOT FULLY CONSCIOUS . NOW A DAYS HE IS NOT CONSCIOUS.WHAT SHOULD WE DO FOR HIM? I AM VERY TENSED FOR HIM. PLEASE ADVISE ME. ANY CHANCES TO COME SENSE?

[@masudsaeediphysiotherapy8689]

🙏

[@potnuruanu9256]

Your father recovered

[@user-jg4pf9kq5z]

very good student

[@masudsaeediphysiotherapy8689]

👌🏼👌🏼👌🏼

[@ubelmensch]

When are you going to treat Casca? She didn't enjoyed pretty much what you did to her

[@masudsaeediphysiotherapy8689]

😂

[@salmaakter9332]

O my god thank you very much🥰🥰🥰

[@siddhaharsha2170]

Hi sir I am neuro surgery patient I can't spread my hand fingers and I can't walk without any supp or please give me some suggestion for cure my self AI am very disappointed with my condition 😭😭😭

[@franciscolaxa7881]

Ang ganda. Pag ako, makakatayo agad.

[@ibrahimfodaydumbuya463]

I am a Physician Assistance intrested in physiotherapy

[@armandocabanit2260]

nice to demo madam that vidios i love that im approach to how introducing yuore patients or clients madam we love that thats way you to how improve the patients madam how to applied us physiotherapist assistant we love that how to help the others peoples madam

[@izharahmed4108]

great!!

[@masudsaeediphysiotherapy8689]

Woo 👌🏼👌🏼

[@karoln4330]

Look for Neurological Physioteraphy I

[@er.skmaheshwari]

i like this video

[@masudsaeediphysiotherapy8689]

Very good

[@marchooper8675]

I have been following Dt Tara Tobias she is very good

[@jbdlr13]

👌🏽

[@masudsaeediphysiotherapy8689]

💪🏼👌🏼

[@vikasgupta-th3pt]

मेरी माँ का हैडिंजुरी हुई है इस लिए वो 4 महीने से बोल नही पा रही है कृपया कोई व्यायाम बातये

[@masudsaeediphysiotherapy8689]

👍🏼

[@pawanphysio344]

I'm new 😀

[@most.salmaakter1564]

খুব ভাল‌ো প্রস‌সে।

[@igorgustav]

Ok

[@zakkk190]

Doesn’t seem very practical

[@gulbanusiddique482]

Physio therapy for back

[@SubodhKumar-yf6xd]

In hindi

[@moloysarkar4173]

good

[@masudsaeediphysiotherapy8689]

Awesome

[@dhaniramkumar3114]

Gy

[@esbe4974]

Why so cringeworthy

[@masudsaeediphysiotherapy8689]

I know haha

[@marcobeltran300]

This student is very rude!

[@datfall]

How so? She seems to stay very professional and supportive with her patient throughout the whole video.

[@magsuny87]

If you get someone that nice at the hospital and someone that patient - you will be lucky :)

[@masudsaeediphysiotherapy8689]

Shes tryinf her best i think

[@RashadSims-bh3zz]

U are a fucking idiot how was she being rude dumb ass she just has a stroke what do u expect

[@MohitYadav-kr9yg]

Gy