Background: Stroke can result in persistent motor impairment, balance deficits, gait dysfunction, and reduced upper-limb function. Task-specific and functional rehabilitation may support motor recovery and independence. The Vasa Concept is a task-oriented approach that emphasizes postural control, paretic-side loading, centre-of-mass control, gait training, and functional movement. Evidence regarding its use in stroke rehabilitation remains limited.
Case Presentation: A 50-year-old man with chronic left-sided hemiparesis following a right gangliocapsular intracerebral hemorrhage presented for physiotherapy 4 months after stroke. He had difficulty with independent walking, balance, stair negotiation, and functional use of the affected upper limb. Clinical examination revealed mild spasticity (Modified Ashworth Scale Grade 1+), exaggerated deep tendon reflexes, and impaired selective motor control. A Vasa Concept-based physiotherapy programme was provided for 4 weeks, 5 days per week. Each supervised session lasted 60-90 minutes, with an additional home programme of 30-45 minutes per day. Motor recovery was assessed using the Fugl-Meyer Assessment (FMA) and balance using the Berg Balance Scale (BBS).
Conclusion: A 4-week Vasa Concept-based rehabilitation programme was associated with improvements in motor recovery, balance, gait, and functional performance in this patient with chronic hemorrhagic stroke.
Vasa Concept, stroke rehabilitation, hemorrhagic stroke, physiotherapy, motor recovery, balance, gait training, hemiparesis, functional performance, Fugl-Meyer Assessment, Berg Balance Scale