The Rehabilitation Nurse's Intervention in People with Spasticity: Case Report

Catarina Mateus, Helena Pestana, Luís Sousa and Sandy Severino

SAP Health and Policy, 2025

Abstract: Introduction: Stroke is one of the main causes of disability and mortality in Portugal. Early rehabilitation is essential to reduce complications such as spasticity, improve functionality and acilitate home reintegration. Case report: Case report based on rehabilitation nursing interventions, following the CAse REport guidelines. A home rehabilitation program was implemented for a 50-year-old client with spastic left hemiparesis. Muscle strength, spasticity and pain were assessed using validated scales such as the Modified MRC Scale and the Ashworth Scale.The intervention plan included passive and active-assisted mobilizations, transfer exercises and teaching the caregiver. There was a slight improvement in muscle strength and spasticity, but no impact on functional independence, according to the Barthel Index.Conclusions: Early intervention and continuous monitoring by a Rehabilitation Nurse Specialist were fundamental to improving muscle strength and reducing spasticity. Caregiver training played a crucial role in implementing the care plan.

Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:cwf:shpart:shp2025243

DOI: 10.56294/shp2025243

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