Improvement of Postural Control Using Home-Based Balance Exercise in Post Cerebrovascular Accident (CVA).

Background: Imbalance or poor postural control is one of the common clinical presentations in cerebrovascular accident patients. Another consequence is fall where study showed 50-70% post CVA cases experienced fall after attack. Case Report: This is a case of 60 year- old female, housewife, history of CVA 4 years ago (2013), hypertension and hyperlipidemia. Patient had a history of left cerebrovascular accident on 2013 with right weakness and facial weaness. Her main difficulty was when walking and poor balance control. Balance assessment was done before and after the intervention. All clinical balance assessments were normal, but positive findings were found in Fukuda test, Bal Ex Foam test and positive left cerebellar sign. No significant history of hearing loss, tinnitus, and fullness of the ear, high fever, infections and head trauma reported. In Bal Ex Foam test, the result for condition 1 to 3 and 5 was normal, but for condition 4 to condition 6, patient sway to the left (Figure 1). The patient then underwent Bal Ex home based balance exercise therapy at home. After 10 months of therapy, the patient's conditions were reassessed. In general, she showed great improvement in most tests. She reported subjectively that almost 70% of her balance difficulties had improved. She also noted that her postural improved and she able to performed routine daily activities better than before. Bal ex foam test showed normal result in all condition 1-6, the patient was normal completely. Referred to this study it showed chronic CVA case can be managed with home-based balance exercise without medication to improve their postural control. [ABSTRACT FROM AUTHOR]