From Critical Care to Early Functional Recovery: Physiotherapy Rehabilitation in Anterior Cerebral Artery Infarct – A Case Study

Author(s)	Rishika Gurung, Apoorva Tiwari
Country	India
Abstract	Background: The medial frontal lobe is affected by anterior cerebral artery (ACA) infarcts, which frequently manifest as diminished motor initiation, poor balance, and contralateral lower limb weakness. In order to avoid problems and improve healing, early physical therapy is essential. Case Description: A 58-year-old man was hospitalized to the intensive care unit (ICU) with diminished awareness and paralysis in his left lower leg due to a right ACA infarct. The patient needed ventilator assistance at first, then NIV, and finally room air. Intervention: The implementation of an organized physiotherapy program included gradual functional training, positioning, passive mobility, respiratory care, and sensory stimulation. Outcome: Over the course of two weeks, there was a noticeable increase in trunk control, motor strength, respiratory condition, and functional independence. Conclusion: For stroke patients in the intensive care unit, early, organized physical therapy promotes neurological recovery and prevents complications.
Keywords	ACA infarct, early mobilization, ICU physical therapy, neuroplasticity, stroke rehabilitation.
Published In	Volume 8, Issue 3, May-June 2026
Published On	2026-05-17
DOI	https://doi.org/10.36948/ijfmr.2026.v08i03.78027

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