A hybrid home rehabilitation program for Moyamoya disease to facilitate return to work and functional independence: A case report from a developing country during the COVID-19 pandemic
https://doi.org/10.47895/amp.vi0.5962
- Author:
Emmanuel S. Navarroza
1
;
Carl Froilan D. Leochico
1
,
2
,
3
;
Madel F. Brigola
;
Dannelle Ann P. Iniba
Author Information
1. Department of Physical Medicine and Rehabilitation, St. Lukes Medical Center - Quezon City
2. Department of Rehabilitation Medicine, College of Medicine and Philippine General Hospital, University of the Philippines Manila
3. School of Medicine, St. Louis University, Baguio City, Philippines
- Publication Type:Case Reports
- Keywords:
Case report;
Hybrid rehabilitation;
Moyamoya
- MeSH:
Telerehabilitation;
COVID-19
- From:
Acta Medica Philippina
2020;54(Online):1-5
- CountryPhilippines
- Language:English
-
Abstract:
A 35-year-old female, right-handed, non-hypertensive, and non-diabetic Filipino presented with decreased verbal output and weakness of the right upper and lower extremities during the peak of the COVID-19 pandemic. Cerebral angiography showed bilateral steno-occlusive disease, which was consistent with Moyamoya disease. She underwent inpatient rehabilitation consisting of physical, occupational, and speech therapy. Rehabilitation posthospital discharge was continued using a hybrid rehabilitation approach with a mixed in-person home rehabilitation and remote telerehabilitation. The hybrid approach helped ensure continuity of rehabilitation care, minimize travel and exposure to the hospital or community amid the COVID-19 risks, and reduce costs, without entirely losing the benefits that could only be obtained from hands-on therapeutic evaluation and treatment. After six months of hybrid rehabilitation, the patient was able to return to work and regain functional independence.
- Full text:5962-Article Text-91795-1-10-20221221.pdf