Physical Therapy & Rehabilitation Science
DPT (Doctor of Physical Therapy)
Session and Year of Graduation
Laura Frey Law
Background: It has been well established that the global burden of stroke is continuing to increase at an alarming rate with individuals under the age of 65 years old making up roughly one-third of the total new stroke cases each year. Residual deficits in active ankle dorsiflexion and knee control lead to impaired gait mechanics. Bioness L300+ is a form of functional electrical stimulation that can be utilized by clinicians to aide in motor recovery after stroke and aide in the normalization of gait. The purpose of this case report was to describe the use of Bioness L300+ for an individual receiving outpatient physical therapy following an ischemic stroke. Case Description: The patient was a 54-year-old male status post right middle cerebral artery sign with right internal carotid artery occlusion demonstrating left sided hemiparesis of upper and lower extremities, dysarthria, and dysphagia. He was in acute care for five days, received two-weeks of inpatient rehabilitation and was then discharged to outpatient neuro physical therapy. At the time of initial evaluation, the patient demonstrated limitations in strength, range of motion, balance, endurance, motor control/planning, and functional mobility. Intervention: Interventions included: lower extremity strengthening, functional electrical stimulation bike, Bioness L300+, static/dynamic balance, transfer, gait, and stair training. Outcomes: Several outcome assessments were evaluated, including: manual muscle testing, Postural Assessment Scale for Stroke, Berg Balance Test, Timed Up and Go, six-minute walk test, and ten-meter walk test. Discussion: Bioness L300+ is a rehabilitation intervention that is both easy to set-up and utilize in the clinical setting to improve lower extremity strength and gait mechanics. Following interventions that involved the Bioness L300+ in combination with other exercises, the patient demonstrated increased independence with mobility related activities of daily living and functional tasks.
Hemiparesis; hemiplegia; stroke; neurology; functional electrical stimulation; FES; physical therapy; rehabilitation
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