Effects of Bal Ex Stroke: Home Based Training Stroke Rehabilitation on Motor Performance with Depression and Anxiety: A Case Study

摘要

Objective: One two one therapy is a common practices among post cerebrovascular accident (CVA) patient. Home based therapy and module is one of an alternative and rarely practices rehabilitation among them. Evaluation of the effectiveness of this home based therapy module is essential in order to serve another alternative form of rehabilitation for CVA patients.Design: This is a case report.Material and Methods: A case of 57-year old female patient underwent intensive home based training for stroke rehabilitation immediately 2 weeks post right ischemic CVA. The patients experienced weakness of the limb, difficulties in speech, unsteadiness, depression and anxiety. The patient then received home based rehabilitation module that was called Bal Ex Stroke: Home based training for stroke rehabilitation. He underwent for Bal-Ex training for 5 sessions in that three weeks duration. Motor assessment Skill (MAS), Beck Anxiety Inventory-Malay and Beck depression Inventory- Malay were done before and after rehabilitation.Results: Surprisingly, patient complained of improvement in motor performance and significant reduction of the anxiety and depression score.Conclusion: This nevertheless demonstrates that in acute stroke patients with impaired the quality of life, early and intensive home based physical exercises will show a good motor recovery and psychological control in less than 3 weeks duration. Further research need to be done among different type and duration of CVA in order to have a better understanding on this home based rehabilitation module.