Stewart is an 84 year old male who was admitted to hospital after deteriorating over 3 weeks. He was treated with anti-viral medication, then experienced new numbness in both legs but improved recovery on the left side. On 16/02/25 there was a sudden onset of reduced mobility and decreased strength in the right lower limb. MRI concluded L4 spinal canal stenosis and Duloxetine started. There followed an onset of confusion and cognitive deterioration which improved on stopping the Duloxetine. Stewart then stayed in hospital being transferred from Salisbury District Hospital to Portsmouth until admission to Hobbs on the 28/05/25
• Reduced mobility
• Reduced range of movement in bilateral lower limb
• Reduced balance
• Long standing kyphotic posture
• High risk of falls
• Mild – moderate cognitive impairment
• Reduced function in activities of daily living
• Assistance of one to complete washing and dressing
• Mobile short distances with wheeled zimmer frame and
assistance of one person
• Transferring with assistance of one person and a wheeled
zimmer frame
• Unable to manage the stairs
• High risk of falls due to reduced balance, incurring 3 falls in
hospital
• Long standing back pain and kyphotic posture impacting
function
• No access to leisure activities, community, garden
Inpatient 4 week intensive rehabilitation package with Occupational Therapy,
Physiotherapy, neuro-psychology and neurotechnology.
• Functional activities practice in self care, kitchen, shopping
• Community visits – shops and cafe
• Lower limb strength training – Omego neurotechnology device, exercises daily,
stretches
• Posture re-education – exoskeleton, extension exercises
and stretches
• Gait re-education – exoskeleton, 1:1 therapy, walking poles
• Transfer and mobility practice indoors and outdoors
• Stairs practice
• Independent standing in the shower and independent
dressing
• Independently mobile with wheeled zimmer frame indoors
• Outdoor mobility with supervision of one
• Significantly improved extension in posture
• Improved gait efficiency
• Independent with hot drinks and snacks in standing
• Memory strategy plan
• Independent transfers
• Independent on the stairs
• Referral to local community services for equipment review
and on going therapy to further progress mobility
