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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Stroke Of Left Hemisphere. Having Deep Vein Thrombosis. Unable To Walk. How To Improve Quality Of Life?

My mother suffered a massive stroke of left hemisphere 20 years ago. Until today she did not recover fully. In fact she is becoming less mobile. She is moving around the house on the wheelchair. Her right leg and hand are dysfunctional. She used to exercise more (walking with the crutches) before, but now in age 60, she hardly ever walks. She is speaking with slight aphasia but we can understand her. She seems to be thinking properly, but sometimes it takes time for her to express herself. What are the chances for improvement and what can we do on the daily base to improve her life. The reason she stopped walking is deep vein thrombosis . I add to that, that medical care in our country is not the best and physioteraphy scarce.Thank you for any advice.
Fri, 5 Apr 2013
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Physical Therapist or Physiotherapist,  's  Response
hello
i appreciate your concern ,with proper guidance certainly we can improve your mother quality of life.
you need to go for quality of life assessment ,its nothing but set of question ,and based on patient response can decide her present status and set goal for short term and long term rehabilitation programme.
if you will provide your mother present dependency level and what all area you want her to improve ,i can very well provide set of exercise ,do's n dont .
at persent you start with simple exercise like just sit to stand (with support of care taker or any wall mounted hand rail ,walker ) 10 to 20 times
moving hand up and down with help of over head pully or just give any long stick ask her to hold that can give minimal assistants for right side then move up and down.
catch and throw a ball
moving ankle joint up ,down and rotation
moving leg up and down
bridging exercise
etc
their are steps of doing exercise and difficult to provide without actually seeing patient.
kindly provide area in which you want to improve (ADL)
i will be happy to help you out.




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Had Stroke Of Left Hemisphere. Having Deep Vein Thrombosis. Unable To Walk. How To Improve Quality Of Life?

hello i appreciate your concern ,with proper guidance certainly we can improve your mother quality of life. you need to go for quality of life assessment ,its nothing but set of question ,and based on patient response can decide her present status and set goal for short term and long term rehabilitation programme. if you will provide your mother present dependency level and what all area you want her to improve ,i can very well provide set of exercise ,do s n dont . at persent you start with simple exercise like just sit to stand (with support of care taker or any wall mounted hand rail ,walker ) 10 to 20 times moving hand up and down with help of over head pully or just give any long stick ask her to hold that can give minimal assistants for right side then move up and down. catch and throw a ball moving ankle joint up ,down and rotation moving leg up and down bridging exercise etc their are steps of doing exercise and difficult to provide without actually seeing patient. kindly provide area in which you want to improve (ADL) i will be happy to help you out.