Dear Sreelatha
more details needed please - what functional activites? what is stopping
him? weakness? spasticity? poor balance? poor coordination? cocontraction of
opposing muscle groups?
Every patient is different but a current brain stem stroke patient I am now
seeing has previously tried every gadget & gizmo going to no avail ( elbow
crutches, AFOs, quad sticks etc. ) but the basic difficulty is lack of trunk
stability. Working on this is paying dividends...... slowly.
As for the prognosis of the pons stroke, I'm not aware of any studies
confined to that population so I guess the rule of thumb is one third die,
one third make a good recovery and the remaining third have some residual
disability.
In my experience, don't write anyone off and keep pushing back the
boundaries, patients continue to improve long after the research says they
'should do', givne the chance and some timely therapy input.
All the best
Debbie
UK Physio
> From: sreelatha gopakumar <[log in to unmask]>
> Reply-To: [log in to unmask]
> Date: Tue, 22 Aug 2000 22:04:11 -0700 (PDT)
> To: [log in to unmask]
> Subject: opinion on treatment method
>
> hello fellow members,
>
>
> hope that this way i could get some help from members
> of this listbot,to help in treating a couple of
> patients with following symptoms.
>
> 1. Is there any external appliances to help a patient
> with brain stem stroke Quadriplegic with mild
> spasticity to help the patient in their daily
> functional activity? if so please advice.
>
> and secondly,
>
> What is the prognosis expected in a patient with
> ischaemic lesion of pons due to occlusion of proximal
> baseliar artery?
>
> Any help on these two type of case study would be of
> very much help to me in treating my patients asap
> thankyou.
>
>
>
>
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