In the course of the clinical rotation, I assessed Mrs Y. who had left hemiparesis secondary to right hemispheric Cerebrovascular Vascular Accident.

At the time of assessment it was 1 week post admission and she had only received 1 session of physiotherapy while on admission. I used the knowledge of movement analysis in the assessment of this patient

• In supine,
  • her head was aligned with the rest of the body
  • she bore more weight on the right shoulder
  • weight on the ischium was unevenly distributed with more weight bearing on the right
  • heel were flat on the bed
• In sitting
  • feet were flat on the floor, however more weight was on the right foot
  • Uneven weight distribution: weight was more on the right ischium than on the left
• In standing
  • she was bearing more weight on the right lower limb
  • she didn't have a firm grip on the floor
• In addition to these,her balance and coordination were impaired
• She had weakness of the left upper and lower limb
• She had reduced functional tasks that involved the use of the right upper limb e.g. making amala, buttoning her shirt, washing her back while bathing
• Although she was ambulant, she dragged the left lower limb while walking
• The patient's main goal was to be able to bathe independently also, to make amala for her husband
• The Stroke Specific Quality of life scale was administered

DIAGNOSIS: poor postural control, reduced functional ability secondary to right hemispheric CVA