The purpose of the rehabilitation program is to improve motor skills, coordination, mobilization and other existing disorders to achieve independence in daily living (ADL). Physical therapy as part of the rehabilitation program can provide core stability exercises, facilitation and stimulation of motion of the upper and lower extremities, balance exercises and mobilization exercises, as well as strengthening exercises with facilitation and active stimulation techniques and using the patient's body weight as a training burden. Strengthening exercise can reduce spasticity by strengthening the antagonist muscles. After six months of the rehabilitation program, manual muscle testing (MMT) was evaluated for the right upper extremity 3/5, left upper extremity 5/5, right lower extremity 1/5, left lower extremity 2/5. Ashworth scale right upper extremity 1/4, right lower extremity 2/4, and left lower extremity 1/4. Clonus is reduced, the patient can stand with maximum support without clonus for 10 minutes. Trunk impairment scale 12/23 and Barthel index 65/100. Mobilization of the patient is being able to sit with minimal assistance, namely stabilization in the pelvis, sitting to standing with moderate support, which is supported at the knee bilaterally, and standing with support at the knee and pelvic for 10 minutes. This case report concludes that although physiotherapy is done late with strengthening exercise and core stability strengthening techniques, it can improve motor skills, which in turn will increase the patient's independence in carrying out functional activities and ADLs.
Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2. Older people and those with underlying medical conditions like cardiovascular disease, diabetes, chronic respiratory disease or cancer is more likely to develop serious illness. Acute post COVID-19 patients will get a variety of problems with normal functioning. Rehabilitation could be an effective method for decreasing COVID-19's effects on patient health and function. A 20 years old, female was diagnosed with COVID-19 5 weeks ago, it had been reported shortness of breath, difficult clearing phlegm, headache, nausea and vomiting. The patient had a history of intracranial space occupying lesion (SOL), cerebello pontine angle (CPA) tumor 3 years ago, craniotomy resection of 4th ventricular tumour one year ago and a second craniotomy scheduled for 2021. Several exercises were scheduled for patients including prone position, respiratory muscle training, controlled breathing techniques, bronchial hygiene-airway clearance techniques, aerobic exercise, three times a week, exercises were scheduled. After having completed the exercise program for four weeks, exercise improved shortness of breath, phlegm expenditure, muscle strength, improve lung recoil, vital capacity, range of motion, patient balance and the patient's ability to maximize activity.
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