Description

The episode tells the story of a patient, Mr. C, who was treated by Hao about 20 years ago. Mr. C, in his 80s, had severe deconditioning and muscle wasting following a thigh fracture and long hospital stays. Unable to walk or even perform simple movements, he was resigned to a wheelchair, with little hope for recovery, according to physiotherapists.

The therapist saw the potential for recovery due to Mr. C’s intact neurological function and developed a rehabilitation program. Starting with minimal muscle movements, the plan included:

1. Tilt Table Therapy: Gradual weight-bearing exercises to build standing tolerance.
2. Sliding Transfers: Encouraging small shifts and movements to strengthen muscles.
3. Dynamic Strengthening Exercises: Activities like wheelchair pushes and using a pedal-powered sewing machine to engage various muscle groups.

The patient showed slow but steady progress over two years, eventually transitioning to standing with a gutter frame, taking steps, and performing daily activities. The therapy culminated in Mr. C returning home with improved mobility and independence. Key factors contributing to the success were unlimited time, resource availability, patient engagement, and the therapist’s determination.

The story concludes with reflections on the power of persistence, patient-centered care, and the fulfillment found in small victories during rehabilitation.