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Post-stroke Rehabilitation of an African Woman

Viki van Rensburg, PhD, MPhil,
Anthea Rhoda, MSc,
Quinette Louw, PhD, MASP,
David Fisher, PhD,
Cecil Leonard, PhD, BA, SPT

Introduction

The purpose of this case is to demonstrate a team approach to community reintegration of physical and occupational therapy for a young woman 18 months after a CVA. The young woman lives in an area where poverty and unemployment are rife. This case considers CVA management, teamwork and community-based rehabilitation.

Objectives

• To demonstrate understanding of a cerebrovascular accident: definition and clinical signs and symptoms.
• To understand the neuro-anatomy and neuro-physiology of a cerebro-vascular accident in the basal ganglia and how this will impact function and prognosis.
• To understand the roles of the physical and occupational therapist with emphasis on teamwork, the client-centered approach, assessment and rehabilitation interventions in the community.
• To assist with the understanding of the concepts of impairment, activity limitations (disability), and participation restrictions (handicaps) as defined by WHO.