Volume 24, Issue 105, September - October, 2020

Comprehensive physical therapy improves functional recovery in a rare case of stroke associated with asthma: A case report

Ruchika Zade¹, Priyanka Sahu¹, Gunjan Shende¹, Pratik Phansopkar^1♦, Ragini Dadgal²

¹Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India
²Assistant Professor, Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

^♦Corresponding author
Assistant Professor, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India; Email: drpratik77@gmail.com

ABSTRACT

Background: Globally, according to the WHO, cerebrovascular (stroke) injuries are the second largest cause of death and the third largest cause of disability. Sudden loss of any neurological feature due to disruption to the blood flow is called stroke. Most of the stroke patients develop permanent disability. Chronic inflammation in asthma patients due to their growing pathophysiology of inflammation and immune dysfunction may influence the pathogenesis of cardiovascular disorders. In line with this, some studies have indicated a high risk of cardiovascular disorders in asthma, including myocardial infarction, angina, heart failure, and stroke. During vigorous activity, if there is no enough supply of oxygen to the brain it can lead to acute stroke with features of hemiparesis, aphasia, loss of balance and coordination, spasticity, etc. There is increased risk of stroke when associated with asthma. Clinical findings: The patient was unable to maintain balance, weakness in the right upper and lower limb, pain in shoulder joint, and restrictions in daily activities. Diagnosis: The features involved are according to the area of involvement in the brain. In this case, there is infarction of left corona radiata and lentiform nucleus. After medical interventions, a well-structured 9 weeks physical therapy treatment was initiated. Conclusion: This case report offers a crucial function for physical therapy in a patient’s extensive rehabilitation that helped her with through strength and range of motion, coordination and improvements in routine everyday living activities, in pain relief over the shoulder joint.

Keywords: Asthma, Stroke, Spasticity, Chest Physiotherapy, Hemiplegic gait, Rehabilitation

Medical Science, 2020, 24(105), 2893-2899

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