Casus: Hemiplegia left
Herman was rushed to hospital 6 weeks ago because of acute cerebral hemorrhage. Initially he experienced a paresis on the entire left side and there was a slight neglect along the affected side. Sensitivity studies showed only a slight decrease in tactile input.
Herman made fairly quick progress and now already sits independently from a supine position. Axial sitting balance is currently insufficient. Herman sometimes dares to sink away and does not seem to be fully aware of this. With verbal instruction, however, he can relatively easily bring himself to the correct posture. Due to a shortage of proprioception, he still remains somewhat dependent on this feedback.
From sitting to standing you can manage completely independently, although Herman can sometimes have some difficulties in keeping the balance. With insufficient concentration, he may still suffer from retropulsion. Standing independently succeeds (with sufficient attention) even for short periods.
Improve static balance (in both standing and sitting)
Improve strength and endurance
Applying relaxation therapy and techniques
Extend Range of Motion (ROM) left side
Automation is in position (Z-S)
Integration of Matti inside therapy
How can Matti support Herman?
Using the Heatmap and Center of Mass tool, Herman’s posture (sitting and standing) and balance can be visualized for both the therapist and Herman himself. In this way, the abstract concept of balance can be made more concrete and better practiced.