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Case Study

IS | Stroke | INC

63 year old man who had a stroke in 2019 resulting in left sided weakness and impairment of speech. He was previously fit and well and enjoyed playing tennis and singing. Prior to his stroke he was managing his own company. He came to the Bristol centre to receive intensive therapy input to support his daily activities, gain confidence with his mobility following recent episodes of falls, and to improve clarity and volume of speech.

Main Areas Affected

• Left upper limb weakness
• Left lower limb weakness
• Spasticity in the upper and lower limb
• Reduced speed and confidence with gait
• Reduced balance resulting in falls
• Dysarthria and mild ataxia of speech

Functional Ability on Admission

• Mobilising short distances using a hiking pole but reliant on handheld assistance from his wife
• Reduced motivation in the kitchen for hot drink and meal preparation
• Engaging in modified tennis rallies, sitting at a perching stool
• Slow speech rate and low volume

Hobbs Rehabilitation Input

• Physiotherapy, Occupational Therapy and Speech and Language Therapy input
• 40 hours, 4 hours a day for 2 weeks
• Functional task practice, neurotechnology and exercise based rehabilitation for the upper and lower limb
• Speech input to work on clarity of speech, volume and breathing – ongoing monthly review
• Provided with an exercise programme, functional tasks to practice at home and speech regime for ongoing self management

Functional Ability on Discharge

• Empowered to engage in kitchen tasks, such as preparing light lunches and hot drinks
• Increased confidence with mobility using his hiking pole
• Gained confidence with balance and standing unaided
• Started to practice tennis technique in standing


OMEGO Force (bilateral lower limb leg press)
42% Improvement
11% Improvement
Timed Up and Go
17.5% Improvement


To be able to walk indoors and outdoors with a stick, without additional assistance
To be able to make a hot drink in standing every day for Helen and myself, using a perching stool for resting and supervision only
To safely engage in a short tennis rally, in standing, using both hands for forehands/backhands
In Progress


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