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
DOI:
https://doi.org/10.47895/amp.vi0.5962Keywords:
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
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Madel F. Brigola, OTRP, CPMT,
Occupational Therapist - Helping Hands Pediatric Therapy Center of Batangas