Speech therapy and physiotherapy intervention in a woman after ischemic stroke

  • Tábada Samantha Marques Rosa Universidade Federal de Santa Maria, UFSM
  • Carla Franco Hoffmann Universidade Federal de Santa Maria, UFSM
  • Gabriele Rodrigues Bastilha Universidade Federal de Santa Maria, UFSM
  • Carla Aparecida Cielo Universidade Federal de Santa Maria, UFSM
Keywords: voice, speech, language and hearing sciences, physical therapy specialty, rehabilitation, stroke.

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.

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Author Biographies

Tábada Samantha Marques Rosa, Universidade Federal de Santa Maria, UFSM
Fisioterapeuta; Mestre em Distúrbios da Comunicação Humana, Universidade Federal de Santa Maria, UFSM, Santa Maria, RS, Brasil
Carla Franco Hoffmann, Universidade Federal de Santa Maria, UFSM
Fonoaudióloga; Mestre em Distúrbios da Comunicação Humana, Universidade Federal de Santa Maria, UFSM, Santa Maria, RS, Brasil.
Gabriele Rodrigues Bastilha, Universidade Federal de Santa Maria, UFSM
Fonoaudióloga; Mestranda do Programa de Pós Graduação em Distúrbios da Comunicação Humana da Universidade Federal de Santa Maria - UFSM, Santa Maria, Rio Grande do Sul, Brasil
Carla Aparecida Cielo, Universidade Federal de Santa Maria, UFSM
Fonoaudióloga; Professor Associado do Departamento de Fonoaudiologia e do Programa de Pós-Graduação em Distúrbios da Comunicação Humana, Universidade Federal de Santa Maria/UFSM, Santa Maria, RS, Brasil

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Published
2015-08-12
How to Cite
Rosa, T. S. M., Hoffmann, C. F., Bastilha, G. R., & Cielo, C. A. (2015). Speech therapy and physiotherapy intervention in a woman after ischemic stroke. Scientia Medica, 25(2), ID20240. https://doi.org/10.15448/1980-6108.2015.2.20240
Section
Case Reports