Authors:
Astrina Nur Bahrun
and
Dewi Poerwandari
Affiliation:
Universitas Airlangga, Indonesia
Keyword(s):
Intracerebral hemorrhage, hypertensive, dysphagia, motoric aphasia, rehabilitation
Abstract:
Background: Intracerebral hemorrhage accounts for 10% to 23% of strokes, with hypertension being the single most important risk factor in middle-aged and elderly persons. ICH is defined as a sudden, focal, neurological deficit with intraparenchymal hemorrhage seen on computed tomography scans of the head. Hypertensive status is defined as a patient’s history of hypertension, with or without treatment. Objective: To report the rehabilitation management of a hypertensive intracerebral hemorrhage with dysphagia and aphasia. Case presentation: A 59-year-old woman was diagnosed with intracerebral hemorrhage stroke at the subcortical left temporal region. The risk factor was a long standing uncontrolled hypertension (10 years) history caused by left ventricle hypertrophy. She suffered severe neurological deficits including right hemiparese manual muscle testing 0/1, dysphagia, and motoric aphasia with lesions at the dominant side. Discussion: The physical medicine and rehabilitation progr
am given included therapeutic exercises, proprioceptive neurofacilitation, breathing exercises with deep breathing and pursed lip breathing and articulation exercises especially vowel, feeding therapy, and passive sitting mobilization. Conclusion: The physical medicine and rehabilitation program increased improvement in intracerebral hemorrhage. Comprehensive long-term multidisciplinary management is needed to ensure optimal improvements and to prevent further attack
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