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. 2023 Jul 15;15(7):e41921. doi: 10.7759/cureus.41921

Table 2. Summarization of neuro-rehabilitation given to the patient.

Y: letter Y is used to represent the patient; reps: repetitions; L: liter; A-P: anterior-posterior; mins: minutes; IFT: interferential therapy; ADLs: activities of daily living

Sr No. Patient goal Physiotherapy interventions Treatment protocol
1. Education to the patient about her present status Gaining consent and trust from the patient The patient was educated about the importance of timely exercise and monitoring symptoms
2. Mrs. Y will experience decreased pain by the end of one week Hydrocollator and interferential therapy Hydrocollator pack for seven minutes. IFT of frequency 100-150 Hz for five mins
3. Mrs. Y will experience decreased tingling sensations in her upper limbs within two weeks Nerve stretching and, nerve gliding exercises 10 reps thrice a day with a 15-second hold.
4. Mrs. Y will be able to perform full-range shoulder and neck activities within three weeks Shoulder Maitland mobilization, cervical traction, and active range of motion exercises A-P, anterior glide, and caudal glides were performed to increase shoulder ranges. Two-three glides/second for 15 seconds with five reps for two weeks
4. Mrs. Y will regain the strength of her upper limb muscles by the end of two weeks Delorme technique Upper limb strength training with a ½ L water bottle initially, then progressed to 1 L
5. The patient will be able to do mild strenuous daily activities without exertion in two weeks Diaphragmatic breathing and thoracic expansion exercises 10 reps thrice a day
6. Mrs .Y will experience decreased dizziness by the end of three weeks Vestibular rehabilitation exercises like gaze stabilization exercise Mrs. Y will experience decreased dizziness by the end of three weeks. Vestibular rehabilitation exercises like gaze stabilization exercise three to  times a day
7. Decreased ADLs requiring overhead shoulder movements Initiation and progression of overhead shoulder movements Encourage the use of the upper limbs for overhead ADLs