FUNCTIONAL REHABILITATION AFTER ISCHEMIC STROKE IN AN ELDERLY WOMAN WITH APHASIA AND RIGHT HEMIPARESIS: A CASE STUDY

Abstract

Cerebrovascular Disease (CVD) is a medical condition that occurs when blood flow to a specific region of the brain is interrupted. The most common form is ischemic CVD, which results from the obstruction of a blood vessel. In Brazil, the mortality rate from ischemic cerebrovascular disease (ICVD) shows a significant increase with advancing age. Among individuals aged 5 to 44, deaths account for less than 1%, while most cases occur in people over 50, especially those over 80 years old. The general objective is to report the functional rehabilitation process of an elderly female patient with hemiparesis and aphasia following an ischemic stroke, who was monitored during Supervised Internship II. The report highlights the physiotherapeutic methods used and the outcomes obtained at the Teaching and Research Clinic in Physical Therapy at Iguaçu University. This work is characterized as a case study of the patient M.F.O.S.B., diagnosed with ischemic stroke. The initial evaluation took place on February 19, 2025, and included anamnesis, physical examination, vital signs, muscle strength testing, tone, trophism, deep reflexes, and sensitivity. The evaluation methods included the Visual Analog Scale (VAS) for pain, gait analysis, proprioception assessment, and clinical observation to identify musculoskeletal, neurological, and functional changes. The results showed that the treatment plan played a fundamental role in the development of the patient’s functional abilities, particularly in pain control, balance, gait pattern, and autonomy in daily activities.