Exceptional improvement in chronic stroke through Guided Self-rehabilitation Contract: a case report study.

ABSTRACT: A 44-year-old woman suffered a carotid dissection causing a deep and superficial right middle cerebral artery stroke in October 2013, despite undergoing thrombolysis and thrombectomy. Sixteen months later, massive left upper extremity impairment persisted. She then agreed to embark upon a guided self-rehabilitation contract (GSC). This GSC is a moral contract where the physician or therapist identifies specific muscles, particularly hypo-extensible and disabling that act as antagonists to functional activities. The physician or therapist then teaches and prescribes quantified daily high-load self-stretch postures for these muscles, alternating with repeated maximal amplitude movement exercises against their resistance. In turn, the patient commits to practicing the prescribed program and t

SUBMITTER: Gault-Colas C 

PROVIDER: S-EPMC11447270 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature