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- Rehabilitation after CVA - Case Study
Rehabilitation after CVA - Case Study
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- Acute phase CVA - Hemiplegia left
- Cognitive difficulties (memory impairment)
Currently, Sofie moves around using a wheelchair. The current goal of her therapy is to strengthen the trunk and hip muscles and improve the Range of Motion of the lower limbs. Below we show how Sofie`s conventional exercise therapy can be digitised. Research has already shown that serious games can elicit an increase in the number of motor repetitions, compared to conventional therapy alone [1]. Not only can her motor and movement skills be stimulated, but the occupational therapists can also use Matti to challenge Sofie cognitively.
- Improve hip stability of affected side.
- Strengthen upper leg muscles of affected side.
- Strengthen cognitive capabilities with a focus on memory.
Dropouts Bilateral (10 repetitions x3):
- Forward
- Backwards
- Sideways
Perform exercise on the horizontal bars or using the ambulator.
Wack-a-light
Drop passes are practised more functionally through this game. Matti randomises the targets within the space indicated by the therapist. In this case on only one side of the mat and within the range of Sofie`s ROM. Gradually this window is made larger and larger. By placing Matti under the bars of the therapy room, or by placing an ambulator on Matti`s surface, safety is guaranteed. Furthermore, Sofie can be challenged cognitively by using different types of targets (different colours). In this way, the understanding of the task can be constantly evaluated and stimulated.
Simon Says
Due to its fixed targets, this game can be used to train specific movement paths. The goals can even be positioned so that the ambulator`s legs do not hinder the exercise. Sofie`s cognitive skills can also be extra challenged with this game (where this is not always obvious in conventional therapy). By adjusting the number of keys and the length of the colour sequence, for example, Sofie`s short-term memory can be expanded step by step.