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Neurological Rehabilitation

A Highly Motivated Chronic Stroke Case Receiving Multiple Robotic Rehabilitation and Regaining Full Life Participation: A Case Report

Thursday, October 23, 2025
5:00 PM - 6:30 PM MT
Location: Open Kiosks
Has Audio

    Primary Author(s)

  • CHIAO HSIN LAO, NP

    Certified nurse practitioner in private tertiary hospital of Physical Medicine and Rehabilitation
    MacKay Memorial Hosp Med in Physical Medicine and Rehabilitation, Taipei, Taiwan
    New Taipei City, Taiwan (Republic of China)

    • Co-Author(s)

  • SH

    Shiaufu Hsieh, Dr, MD

    NA
    NA
    Taipei

Disclosure(s):
CHIAO HSIN LAO, NP: No financial relationships to disclose
Case Diagnosis: A 52-year-old man with chronic hemiplegic stroke

Case Description or Program Description: A 52-year-old man with ischemic stroke with left hemiparesis was treated acutely at a medical center stroke unit for four weeks followed by Post-Acute Care, a public funded inpatient rehabilitation, for 2 months despite having a minor recurrent stroke. Outpatient rehabilitation started after the COVID-19 pandemic and lasted nearly two years. He underwent five recovery treatments including traditional rehabilitation, upper limb robotic rehabilitation, robotic mirror therapy, lower limb robotic rehabilitation and fitness training.

Setting: A private tertiary hospital

Assessment/Results: The patient achieved full independence, returned to original job, drove independently and resumed family participation with adjustments. Between the first month and the twenty-third month post-stroke, affected proximal limb strength improved from 2 to 3 while affected distal limbs remained weak. The National Institute of Health Stroke Scale score improved from 6 to 4. The Barthel Index score improved from 25 to 100. The modified Rankin Scale changed from grade 4 to 3. The 23th month Functional Independence Measure score was 124 out of 126. The Instrumental Activities of Daily Living score was 7 out of 8. These indicated significant functional improvements. A Gordon's functional health patterns interview revealed the patient adapted proactively, particularly in disease psychological coping and value-belief patterns. He actively coped with changes, resorted to his confidence and remained hopeful of progress.

Discussion (relevance): This describes in-depth a stroke patient receiving recovery treatments including multiple robotic rehabilitations and provides reference for therapeutic combination. It’s speculated that the patient's intrinsic skills and functional health patterns relate to coping and motivated participation despite sequelae.

Conclusions: Nurse practitioners of stroke teams can conduct functional assessments and health interviews with patients with chronic stroke. Tailored rehabilitation and life after stroke suggestions can be provided by incorporating patients’ experiences and health patterns.