title: A case report: application of the upright motor control test on physical therapy intervention of an individual following a stroke.
abstract: This case report shows the application of the upright motor control test in the physical therapy management of an individual following a stroke. The individual is a 43-year-old male who sustained an infarct of the right thalamus 2 days prior to inpatient rehabilitation admission. Observational gait analysis and the upright motor control test isolated the primary gait deficit as left hip and ankle extension in the stance phase of gait. Physical therapy interventions focused on specific functional tasks that challenged hip extension so that he could resume the activities in which he engaged prior to the stroke. After a 3 week length of stay in inpatient rehabilitation, the individual demonstrated an improvement in the outcome measures, functional progression with ambulation (level and stairs), and transfers sufficient to be discharged home. This case illustrates how standardized outcome measures assisted the clinician in isolating the gait impairments that limited his ability to ambulate within his home environment. Subsequently, the plan of care and physical therapy interventions focused on these deficits to maximize the functional outcomes.
authors: Physical Therapist Assistant Program, Keiser University, 6430 Southpoint Parkway, Suite 100, Jacksonville, FL 32216, USA. bade@keiseruniversity.edu
authors: Elizabeth
authors: E
authors: Ade
authors: A Russell
authors: AR
authors: Smith
authors: Pamela M
authors: PM
authors: Spigel
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D020520:Brain Infarction / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D004185:Disability Evaluation; D005684:Gait; D006801:Humans; D035002:Lower Extremity / Q000503:physiopathology*; D008297:Male; D051346:Mobility Limitation; D009043:Motor Activity; D026741:Physical Therapy Modalities; D020127:Recovery of Function; D013788:Thalamus / Q000473:pathology / Q000503:physiopathology*; D013997:Time Factors; D016896:Treatment Outcome