Community Reintegration at Six Months
| Patient | 63M, chronic phase |
|---|---|
| Lesion | MCA territory, moderate |
| Severity | NIHSS 6 |
| Days since onset | 180 |
| Before the strokeRan a market stall and walked everywhere before the stroke | |
| Also on the chartType 2 diabetes; Mild anxiety about falling outdoors | |
| PrecautionsUneven and crowded surfaces; Sitting support nearby for rest breaks | |
Test yourself
Which community reintegration plan best serves his goals?
The teaching
Walking speed functions as a vital sign and predicts community participation (Fritz and Lusardi 2009) Reintegration changes through practising participation, not by waiting for clinic gains to transfer Measure capacity and participation separately — speed and distance for one, the outing log for the other
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The full sequence
This page carries the case’s first decision. The full sequence — every decision, the five-domain examination, and the debrief that grades you — is in the drill, and the library is included with membership.
Sources on this page: Fritz and Lusardi 2009, Journal of Geriatric Physical Therapy, walking speed as a vital sign. Saunders 2020, Cochrane Database of Systematic Reviews, physical fitness training after stroke · Fritz and Lusardi 2009, Journal of Geriatric Physical Therapy, walking speed as a vital sign. Moore 2018, Journal of Neurologic Physical Therapy, core set of outcome measures for adults after stroke