Patients with multiple strokes are often excluded from studies due to poor outcomes. This case report described change in mobility and balance in a 54-year-old male with four strokes following intensive physical therapy (PT) based on the Task oriented Approach. Outcome assessment demonstrated clinically meaningful change in balance and mobility, and no adverse events. Intensive task-oriented PT is safe and feasible, and may contribute toward positive outcomes in severe disability related to multiple strokes.

Human ; Male ; Middle Aged ; Physical Therapy Modalities ; Stroke ; Outcome Assessment (health Care) ; Cerebral Infarction

Non-specific spinal pain is a leading cause of disability worldwide and traditional approaches to management have failed to address the societal burden of spinal pain. This narrative review describes the shift in approach to the management of non-specific spinal pain over the past two decades and outlines key recommendations in modern practice guidelines that are informed by these changes. Implementation of evidence-based practice for spinal pain remains a challenge.
Models, Biopsychosocial