EFFECTIVENESS OF PHYSICAL THERAPY IN PATIENTS RECOVERING

WITH CEREBROVASCULAR ACCIDENT: A CASE STUDY

Presented to the Faculty of the

College of Nursing
Tacurong City

In Partial Fulfillment of the Requirements

For Nursing Research I

By:
Quezalyn Eloso
Truman Esmail Jr.
Farisha Kadalum

March 2011

TABLE OF CONTENTS

Page
number

TITLE PAGE
i
Chapter I
INTRODUCTION
1
Background of the Study
1
Statement of the Problem
2
Hypothesis of the Study
3
Scope and Delimitations of the Study
3
Significance of the Study
4

Definition of Terms
5
Chapter II
REVIEW OF RELATED LITERATURE AND STUDIES
7
Theoretical Framework
22
Conceptual Framework
26
Chapter III
METHODOLOGY
27
Research Design
27
Locale
27
Respondent of the study
28
Sampling Technique
28
Instrumentation and Data Gathering Procedure
28

Statistical Treatment
29

SURVEY QUESTIONNAIRE
Name (Optional): _____
Age: _____
Gender: Male
Female
Occupation: _____
Length of time of Therapy: _____

General Instruction:
Read the following question carefully and please put a check mark ( / ) on
the box which you think appropriate answer for the question. These questions
serve as an evaluation on to the capacity of every respondent. Please do not leave
items unanswered.

Categories:
Full assistance refers to full support given by caregivers (fully dependent).
Moderate assistance refers to patient able to do activities with the used of
walking devices and by the supervision of the caregivers.
Minimal assistance refers to patient able to do activities with the used of
walking devices.
Without Assistance refers to without support by the caregivers (fully
independent).

Questions

Full
Moderate
Minimal
Without
Assistance Assistance Assistance Assistance

A. General mobility
1. I am able to roll in bed
and transfer from supine
lying.
2. I am able to sit on
edge of bed.
3. I am able to hold
sitting and standing.
4. I am able to reach in
all directions and to the
floor while in sitting and in
standing.
5. I am able to transfer
from bed to chair and back.
B. Limbs motor function
1. I am able to perform
voluntary activities with
the affected upper limb
such as:
a. sitting with arms
supported on a table,
b. reaching forward,
c. weight bearing on
the affected hand,
d. bring a glass to my
mouth,
e. pick and release
object on a table,
2. I am able to perform
voluntary activities with
the affected lower limb
such as:
a. using a bed or table
for support in standing,
b. step up and down
forward on
a stool,
c. step up and down
sideways on a stool.
C. Activity of Daily Living
1. I am able to extend
and flex my four
extremities.
2. I am able to move out
of my bed.

3. I am able to take a
bath.
4. I am able to comb my
hair.
5. I am able to dressed
up.
6. I am able to eat
without difficulty of
swallowing.
7. I am eat with the use
of spoon and fork.
8. I am able to
pronounce the words
clearly.
9. I am able to sweep the
floor.
10. I am able to write.

Assessment Tool
This tool will represent as a guide of the researchers in assessing and
evaluating the ability of the respondents to perform their activities of daily living.

This assessment will be conducted three times, once in a week for determining the
progress of the patients condition through the help of physical therapy.
Patient and care givers education assessment
___A. Care giver will be able to participate to the overall physical therapy
management.
___B. Patient will be able to demonstrate an active learner attitude.
___C. Care giver and patient will be able to participate actively to the prevention
of muscle shortening and shoulder complications.
___D. Patient is able to prevent loss of muscle and soft tissue
Length.
___E. Patient is able to prevent shoulder complications.
General mobility assessment
___A. Patient is able to do effective bridging in bed.
___B. Patient is able to roll in bed and transfer from supine lying to sit on edge of
bed.
___C. Patient is able to hold sitting and standing.
___D. Patient is able to reach in all directions and to the floor while in sitting and
in standing.
___E. Patient is able to transfer from bed to chair and back.
___F. Patient is able to walk with or without assistive device and/or outside help
Limbs motor function assessment.
A. Patient is able to perform voluntary activities with the affected upper
limb such as:
___1a. In sitting with arms supported on a table.
___2a. Reaching forward.
___3a. Weight bearing on the affected hand.
___4a. Bring a glass to his mouth.
___5a. Pick and release object on a table, etc
B. Patient is able to perform voluntary activities with the affected lower
limb such as:
___1b. Using a bed or table for support in standing.
___2b. Step up and down forward on a stool.
___3b. Step up and down sideways on a stool.
THERAPEUTIC ACTIVITIES
___A. Supported sitting in bed with arms placed on a table or pillow
Patient is asked to reach and use his sound upper limb in activities
according to his interest.
___B. Assisted sitting on edge of bed, with arms supported on table and feet on
floor or stool.

Asked patient to do any activity with sound upper and lower limbs.
(Remember that while he perform tasks with his sound side, he also apply
body weight on the affected side. Thus, stimulates activity in the affected
side.)
___C. Patient sits in the edge of bed.
By reaching and weight bearing activities with the affected side.
___D. Rolling in bed side to side.
The patient is asked to bring his head and affected shoulder towards the
opposite side while pushing himself with the affected foot.
___E. Patient is able to transfer from supine lying to sitting on the edge of bed.
From a supported 80 to 90 degrees sitting position in bed and patient asked
to come and sit on his sound side edge of bed.
Bring the head of the bed down so that patient is trained to achieve lie to
sit independently.

Notre Dame of Tacurong College

College of Nursing
City of Tacurong
March 2011
JOELARGEN G. ARADANAS,RN,MN,MAN
Dean of College of Nursing
Notre Dame of Tacurong College
College of Nursing
Lapu-lapu street tacurong City
Dear Maam Joy,
Greeting of peace and love!
We the researcher conducting a research entitled Effectiveness of
Physical Therapy in patients recovering with Cerebrovascular accident.
In line with this, we would like to ask from your good office a permission
allowing us conduct our study in different are

Hoping for your kind consideration!

Respectfully Yours,
Quezalyn Eloso
Truman Esmail, Jr.
Farisha Kadalum
Researchers
Noted:
JOELARGEN G. ARADANAS,RN,MN,MAN
Adviser
SUSAN LOVE A. PEREGRINO,RN,MN
Clinical coordinator
JOELARGEN G. ARADANAS,RN,MN,MAN
Dean College of Nursing