58-year-old software architect: Post-ischaemic-stroke left hemiparesis (6 months post-onset)
Travelled from Boston, MA β via Doha to Chennai (MAA) for a 6-week comprehensive neuro-rehab. Independent household ambulation with a single cane; return to remote work at 60%.
At a glance
- Patient
- 58-year-old software architect
- Condition
- Post-ischaemic-stroke left hemiparesis (6 months post-onset)
- Programme
- 6-week comprehensive neuro-rehab
- Outcome
- Independent household ambulation with a single cane; return to remote work at 60%
How the programme progressed
Rehab week-by-week β American patient story
- 1
Week 1
Baseline assessment (FMA-UE 22/66, 10 m walk 42 s). Introduction to task-specific gait training on treadmill with harness support.
- 2
Week 2β3
Progressive weight-bearing and step-up drills. Fine-motor retraining with pegboard and buttoning tasks. Family attendant coached on transfers.
- 3
Week 4β5
Community-ambulation simulation (kerbs, ramps, escalators). Left-upper-limb constraint-induced therapy 3 hrs/day.
- 4
Week 6
Home-programme handover, ergonomic set-up for return to remote work, final review with clinical director.
Outcome measures and milestones
Outcome
10 m walk time: 42 s β 14 s
Outcome
FMA-UE: 22 β 41 / 66
Outcome
Modified Rankin Scale: 4 β 2
Outcome
Discharged with home-programme video + monthly online reviews
Composite patient profile assembled from typical caseloads for American patients. Individual outcomes vary β this story is illustrative, not a guarantee.
What the patient said
"The intensity was something I couldn't have got at home. Six hours a day, six days a week, with the same senior clinician β and it cost me less than one week of US outpatient rehab."
Follow-up and continuity of care
Online reviews at 2 weeks, 6 weeks and 3 months post-discharge. Home programme scaled to family gym setup.
- Home-exercise video
- Weekly progress report to home doctor
- WhatsApp follow-ups: 2 wk / 6 wk / 3 mo
- Online video review sessions
- Discharge report with ICD-10 codes
Similar composite stories from other countries
Questions American patients ask about a story like this
How composite stories are built, whether outcomes are guaranteed, and how to plan a similar programme.
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