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

Authors

  • Emmanuel S. Navarroza, MD Department of Physical Medicine and Rehabilitation, St. Luke’s Medical Center – Quezon City https://orcid.org/0000-0002-6444-3156
  • Carl Froilan D. Leochico, MD, PTRP Department of Physical Medicine and Rehabilitation, St. Luke’s Medical Center – Quezon City; Department of Rehabilitation Medicine, College of Medicine and Philippine General Hospital, University of the Philippines Manila; School of Medicine, St. Louis University, Baguio City, Philippines https://orcid.org/0000-0003-2928-2083
  • Madel F. Brigola, OTRP, CPMT
  • Dannelle Ann P. Iniba, CSP-PASP

DOI:

https://doi.org/10.47895/amp.vi0.5962

Keywords:

Case report, Telerehabilitation, hybrid rehabilitation, Moyamoya, COVID-19

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.

Author Biography

  • Madel F. Brigola, OTRP, CPMT

    Occupational Therapist - Helping Hands Pediatric Therapy Center of Batangas

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Published

2023-12-18

Issue

Section

Articles

How to Cite

1.
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. Acta Med Philipp [Internet]. 2023 Dec. 18 [cited 2025 Apr. 4];57(12). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/5962

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