Patient case study: multidisciplinary rehabilitation

Patient case study: multidisciplinary rehabilitation

We take pride in providing exceptional and personalised patient care for each of our patients. Through our strategy of personalised high-intensity rehabilitation, we’re able to achieve strong clinical outcomes like the one below.

Our patient’s background and the challenge


At the age of 66, Vincent was admitted to his local hospital after suffering from a stroke. After 10 days in care, he was transferred to Circle Rehabilitation in Reading, for intensive, multidisciplinary rehabilitation.

According to the Stroke Association, ‘a stroke is a brain attack. It happens when the blood supply to part of your brain is cut off.’ This resulted in Vincent sadly suffering from typical stroke symptoms including slurred speech and weakness on one side of his body.

Here we explore Vincent’s progress; after just 27 nights of care, he was able to go back to living in the comfort of his own home, with his wife Shirley. Vincent’s recovery ultimately meant he was able to get back to the life he loves, filled with entertainment from regular visits from his five grandchildren.

Therapy and treatment


The nature of Vincent’s rehabilitation focussed primarily on mobility, function and cognitive improvement. Regular physiotherapy sessions were undertaken throughout each week along with functional occupational therapy sessions focused on real life tasks, and finding new ways to complete them.

Each rehabilitation program is designed specifically to the patient, factoring in their pre-stroke lifestyle, to accomplish day-to-day, and perhaps more ambitious tasks. In Vincent’s case it was enabling him to complete tasks, such as making a cup of tea, or washing himself, with minimal supervision and, in some cases completely independently.

A typical day in rehabilitation for Vincent was created to include some of the following activities:


Patients are helped to get ready for the day and have several menu options to choose from for breakfast, lunch and dinner.

Vital to the recovery of patients, our skilled staff provide physiotherapy or hydrotherapy.

Ward rounds:
Staff visit patients at regular intervals to check and discuss their progress.

Consultant visits:
The patient’s consultant also checks in to monitor the progress and success of treatment.


‘Functional Independence Measure’, also known as ‘FIM’, is way in which we measure a patient’s rehabilitation progress. These assessments are internationally approved outcome measures used to accurately measure disability in the UK. The assessments have a set list of criteria which are used regularly before, during and after treatment. That way we can accurately see changes in how a patient is responding to rehabilitation in real-time and adjust the treatment plan if needed.

A FIM score is based on a scale of 0 to 7, whereby 0 means total dependence and 7 means independence.

A complete list of scores for the FIM is as follows:

1. Total assist needed
2. Maximal assist (you can perform 25 percent of the task)
3. Moderate assist (you can perform 50 percent of the task)
4. Minimal assist (you can perform 75 percent of the task)
5. Supervision needed
6. Modified independence (you use an assistive device)
7. Independence in performing the task

This scale is used to measure 18 separate tasks, including eating, bathing, toileting, walking and social interaction, to name a few.

To learn more about these assessment measures and our overall outcomes across Circle Rehabilitation click on the button below.

FIM & FAM rehabilitation measurements

In Vincent’s case, his consultant Dr. Sultan and the multidisciplinary team met on a weekly basis to review and track Vincent’s progress. This helped shape his rehabilitation sessions, as each goal within his rehabilitative program was met.

As a result Vincent was discharged from Circle’s Rehabilitation Clinic being close to full independence with an average FIM score of 6.5. This was a great increase from the 5.3 FIM score he had upon admission.

*Some patient details have been changed to ensure patient privacy.

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