Authors:
Wahyu Sita Wardani
and
Subagyo
Affiliation:
Universitas Airlangga, Indonesia
Keyword(s):
Stroke, Aphasia, Hemorrhage, Transcortical, Rehabilitation
Abstract:
Stroke is one of the main causes of chronic disability and the second worldwide leading cause of death. Intracerebral Hemorrhage occurs whenever there is a rupture of blood vessels within the brain parenchyma. Mixed Transcortical Aphasia as a language disorder following stroke is characterized by reduced or absent spontaneous speech, severely impaired language comprehension, and preserved repetition. Hand function disorder is also one of the main problems in their daily life. We present a case of a 46-year-old right-handed housewife, admitted for the sudden onset of right-sided weakness and the inability to speak. During inpatient care, spontaneous speech was absent, she was unable to follow any commands and could not name but could repeat some words. Mild right facial weakness and right hand function disturbance were present. At first the management of stroke in acute phase is focused on medical care and early evaluation of disability. Our rehabilitation programs begin in the subac
ute phase including gradual mobilization, motoric and sensory reeducation, hand function exercises, speech therapy, breathing exercises, and endurance exercises. Using the comprehensive rehabilitation program, the patient showed improvements in spontaneous, repetition and comprehension of speech, muscle strength and hand function. Comprehensive rehabilitation intervention can help patients with intracerebral hemmorhage to avoid further disabilities and achieve the highest level of function, independence and quality of life.
(More)