case_images: PMC11821362_01
case_images: Five days after onset, T2 FLAIR image.. (A, B, C, D, E, F, H) Brain images by cross-section. (G) High signal intensity observed in the pons.. FLAIR: Fluid-Attenuated Inversion Recovery.
case_images: cureus-0017-00000077390-i01.jpg
case_images: PMC11821362_01_cureus-0017-00000077390-i01.jpg
case_images: FIG1
case_images: PMC11821362_02
case_images: PMC11821362_03
case_images: Intervention overview.. The patient experienced a right pontine infarction two years ago, resulting in left hemiplegia. Following the onset, the patient underwent inpatient rehabilitation, followed by outpatient and daycare rehabilitation services. In [specific year], the intervention described in this report began. The intervention consisted of two phases, each lasting three months with twice-weekly sessions. In Phase A, one session per week focused on left upper extremity strength training and task-oriented training. The other session included 20 minutes of lower extremity strength training and gait training, plus 20 minutes of machine-based lower extremity strength training and aerobic exercise. In Phase B, one weekly session continued with left upper extremity strength training and task-oriented training, while the other session consisted of 20 minutes of dual-belt treadmill training, plus 20 minutes of machine-based lower extremity strength training and aerobic exercise.
case_images: cureus-0017-00000077390-i02.jpg
case_images: PMC11821362_03_cureus-0017-00000077390-i02.jpg
case_images: FIG2
case_images: This case report outlines two distinct phases (Figure 2) implemented using an AB design.
case_images: PMC11821362_04
case_images: PMC11821362_05
case_images: PMC11821362_06
case_images: PMC11821362_07
case_images: Intervention procedures.. (A) The device consists of a treadmill divided into two belts. Each belt is 105 cm long and 37 cm wide, with handrails on the front and sides. The space between the two belts is 20 cm, covered by a seat to allow the subject to move between each belt. Four touch buttons are located on the front, back, left, and right handrails.. (B, C, D) Training scene. The participants press the button with the same number as the number displayed on the monitor in front of them as they move from one side of the treadmill to the other. The numbers shown on the monitor are randomly displayed from numbers 1 to 4, and the numbers change randomly each time a button is pressed.. (E) The subject wears a safety belt, and the physical therapist stands behind the subject. If the subject starts to lose his/her balance, the physical therapist prevents the fall by pulling on the safety belt.
case_images: cureus-0017-00000077390-i03.jpg
case_images: PMC11821362_07_cureus-0017-00000077390-i03.jpg
case_images: FIG3
case_images: Tokyo, Japan), actively switching between the left and right lanes while sequentially pressing one of four buttons corresponding to randomly displayed numbers on a monitor (Figure 3).
case_images: PMC11821362_08