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.
• 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
• 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
• 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
• 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
