32 year old gentleman presenting with reduced mobility, balance and upper limb function after sustaining a Traumatic Brain Injury in 2012. Prior to injury, fit, sporty, studying at college. Initial period of rehabilitation at Hobbs Rehabilitation South East in 2014-2018. Re-referred in 2022 for ongoing outpatient Physiotherapy input.
• Right sided weakness and spasticity
• Reduced balance and gait deficits
• Fatigue and reduced endurance
• Right sided visual neglect
• Cognitive communication difficulties
• Walking with 4 wheeled-walker with supervision
• Minimal higher level functional sole use of right upper limb
• Assistance required with personal activities of daily living
• Limitations to sporting interests/hobbies (quality and endurance)
• Physiotherapy – weekly outpatient sessions 2022-present
• Occupational therapy
• Rehabilitation Consultant review
• Spasticity MDT management (including Botulinum Toxin treatment)
• Liaison with Personal Trainer and Clinical Massage Therapist
• Referral and joint review with Orthotist at Hobbs Rehabilitation Winchester (John Florence Orthotics)
• Able to write legibly with right hand – able to write own Christmas cards
• Can walk short distances unaided indoors with close supervision
• Independent with new aspects of personal care e.g. – applying own deodorant, dressing and household activities eg making hot drinks
• Integration of upper limb in non-verbal communication e.g. can now perform a handshake, gestures freely
• Increasing quality, performance and enjoyment in hobbies of Archery and Golf
• Can stroke his cat with right hand
• Can put shoes on and off and tie own laces
Don’t just take our word for it – take theirs.
