Speech therapy and physiotherapy intervention in a woman after ischemic stroke

Tábada Samantha Marques Rosa, Carla Franco Hoffmann, Gabriele Rodrigues Bastilha, Carla Aparecida Cielo

Abstract


Aims: To report a case of joint intervention between speech therapist and physiotherapist in the rehabilitation of a patient with ischemic stroke.

Case report: A 48-year-old female was affected by stroke of ischemic type seven months ago. The patient presented with dysarthrophonia and alterations of the stomatognathic system and its functionality, sensory impairment, right hand numbness, decreased gross and fine motor coordination of both upper limbs, difficulty in grip and weakness of the intrinsic muscles of the right hand, decreased proprioception and body awareness. She underwent 12 sessions of speech therapy and physical therapy with once a week frequency. After the sessions the patient showed increase of the maximum phonation time, improved pneumophonoarticulatory coordination, as well as improving in vocal quality and focus of vertical resonance; adequacy and modulation of loudness; pitch modulation; improved gross and fine motor coordination, tactile and pain sensitivity, opposition of the fingers, hand grip, body awareness, proprioception and overall body posture; and increased muscle strength of the upper limbs.

Conclusions: The interdisciplinary intervention with speech therapy and physical therapy provided benefits to this patient affected by stroke, allowing her to return to her full professional and daily activities, and improving communication with her family.


Keywords


voice; speech, language and hearing sciences; physical therapy specialty; rehabilitation; stroke.

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DOI: http://dx.doi.org/10.15448/1980-6108.2015.2.20240

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