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Jose S. Santiago M.D.. Right Hemiparesis Hemiparesis- weakness in one side of the body Hemiplegia can become hemiparesis when a patient with stroke recovers.

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Presentation on theme: "Jose S. Santiago M.D.. Right Hemiparesis Hemiparesis- weakness in one side of the body Hemiplegia can become hemiparesis when a patient with stroke recovers."— Presentation transcript:

1 Jose S. Santiago M.D.

2 Right Hemiparesis Hemiparesis- weakness in one side of the body Hemiplegia can become hemiparesis when a patient with stroke recovers after physiotherapy

3 Right Hemiparesis A 45 year-old lady visits the physical therapy department as an out-patient for the treatment. She recovered from right hemiplegia and now she has some problems in her right shoulder.

4 P: Patient T: Therapist P: Hello sir. T: Hello madam. How ____________? P: I am ______ sir. T: Did you do the _______ which I taught you last _____? P: Yes, I am doing that ______. I ______ some improvements in my movement.

5 P: Patient T: Therapist T: That’s ____. Please ____ on the bed. Please ______ your ______ and shoes. P: Yes sir. T: Please _____ your right hand as ____ as possible in the lying position. P: Yes, but I cannot _____ my hand beyond this level.

6 P: Patient T: Therapist T: Don’t worry. I will ____ you. P: Okay sir. T: Now lie sideways and _____ your hand. P: Yes sir. T: Now, I will do some ______ on your shoulder, please ________. P: Sure.

7 P: Patient T: Therapist Sometime later: T: The exercise part is _____. Now we will __ exercises with the Swiss ball. P: What is _______? T: It is a _______ ball used for balance exercises. P: What ______ I do?

8 P: Patient T: Therapist P: What ______ I do? T: You ______ lie on the ball and try to balance without _________. P: Yes sir. I ___ do it. T: If you have any ______ please tell me. P: ________. I am comfortable.

9 P: Patient T: Therapist Gait Training: T: Now I will ______ gait training. _____ front of the mirror. Look at the mirror and _____. You should follow my ______ also when you _____. __ you understand? P: Yes, I _________.

10 P: Patient T: Therapist P: That’s good. First, _____ your ____ leg and then the ____ leg. Keep your _____ straight. T: Am I doing it _______? P: Yes, you are ________. You should walk the whole _______. I will _____ you. T: Yes sir. Thank you.


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