When Elliot came for an evaluation at the Challenge Center some time after his stroke, he had already made amazing changes in his life and improvements in his function. His achievements had led him to believe that he had reached a plateau. He could not have been more mistaken. Elliot’s major difficulties were centered on his poor balance and the weakness of his entire left side. Because the weight he had to put on his arm was too much for his wrist to handle, he walked with a crutch that had a platform on which he rested his elbow. While walking, Elliot used abnormal movements to compensate for a weak trunk and left leg. Unfortunately, these same abnormal movements that “helped” to move his leg also threw him off balance, and he was falling almost once a week.
Elliot tended to rock his trunk to the right to “help” swing his left leg, which not only knocked him over at times, but also caused him severe back and hip pain. You can imagine what doing 1,000 forceful side bends a day would do to your spine. Pain in his left leg also limited him to sitting less than 30 minutes at a time, which interfered with the support groups he runs for recovering addicts. This pain was largely due to his weak left knee hyper-extending (bending backwards) every time he stepped onto his leg.
Since receiving physical therapy at the Challenge Center, Elliot has made dramatic improvements. He hasn’t fallen for months. Just this simple accomplishment would make most stroke survivors very happy, but Elliot has achieved other positive results as well. Because he has developed enough control on his left side so that he doesn’t need those abnormal movements to walk, Elliot no longer complains of back pain and is able to sit through several support-group sessions without leg pain. Not only has he met his goal of being able to walk with a cane “standing up straight” but has surpassed it. He is now walking indoors with no assistive device at all and plans to work towards walking outdoors with both hands free.
The confidence Elliot now has in his movement has spilled over to other parts of his life as well. He has moved out of the dorm- style room he occupied at the recovery center where he volunteered, and lives in his own apartment nearby so he can continue to run his support groups. He is working towards his GED and is planning a career as a paralegal.