title: A case report on the use of a novel optokinetic chart stimulation intervention for the restoration of voluntary movement and mobility in a patient with an acute hemorrhagic stroke.
abstract: OBJECTIVE
  The objective of this case report is to report on the use of novel optokinetic chart stimulation to achieve recovery of affected upper limb and affected lower limb voluntary movements and full recovery of mobility in a patient with an acute hemorrhagic stroke.
  
  
  METHODS
  An optokinetic chart was moved in front of the patient: from side to side, up and down and finally forwards and backwards. Specific active-assisted exercises of affected shoulder anti-gravity muscles were also carried out. These were external rotation, abduction, flexion and a combination of these through the D2F proprioceptive neuromuscular facilitation (PNF) pattern.
  
  
  RESULTS
  Oxford score improved from 0/5 on admission to 3/5 on discharge, after 8 weeks, while Barthel Index improved from 0/20 to 20/20. STREAM scores improved from 1/70 on admission to 18/70 a month after admission and 70 /70 at follow-up 3 months after discharge.
  
  
  CONCLUSIONS
  Optokinetic chart stimulation led to restoration of voluntary movement on the affected side as well as restoration of independent mobility. Further research on the use of the optokinetic chart to enhance neural plasticity for restoration of voluntary movement and mobility is recommended.
authors.affiliation: Richard Stevens (Stroke) Ward, William Harvey Hospital, East Kent Hospitals, University NHS Trust, Ashford, Kent, England, UK. Benjamin.Chitambira@ekht.nhs.uk
authors.forename: Benjamin
authors.initials: B
authors.lastname: Chitambira
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D003118:Color Perception / Q000502:physiology; D005081:Exercise Therapy / Q000379:methods; D005121:Extremities / Q000503:physiopathology; D005260:Female; D006801:Humans; D020300:Intracranial Hemorrhages / Q000150:complications / Q000534:rehabilitation*; D009068:Movement / Q000502:physiology*; D017120:Nystagmus, Optokinetic / Q000502:physiology*; D010364:Pattern Recognition, Visual / Q000502:physiology; D010775:Photic Stimulation / Q000379:methods; D020127:Recovery of Function / Q000502:physiology*; D000071939:Stroke Rehabilitation