Effectiveness of Autogenic Relaxation Training with Cognitive Graded Activity Training for Post Stroke Apathy Patients- A Case Study

Abstract:
Apathy, characterized by reduced motivation, behaviour, and cognitive function, significantly impacts post-stroke recovery, impairing daily functioning and increasing the risk of dementia and depression. This study aimed to evaluate the effectiveness of combining Autogenic relaxation training and cognitive graded activity training in alleviating apathy symptoms in a post-stroke patient. Conducted as a single-case study at the Saveetha Physiotherapy Department, Saveetha Medical College and Hospital, it involved a 46-year-old male patient who had suffered an MCA stroke. The Dimensional Apathy Scale (DAS) was used to assess apathy symptoms before and after a 6-week intervention consisting of 60-minute session of Autogenic relaxation and cognitive graded activity training, five days a week. Results revealed a significant reduction in apathy symptoms, as reflected by a lower DAS score post-intervention. Improvements were observed in emotional responses, cognitive function, and goal-directed behaviour, demonstrating the effectiveness of the combined therapeutic approach. This study underscores the importance of early identification and intervention for apathy in post-stroke patients. The combination of Autogenic relaxation training and cognitive graded activity training shows promise in not only alleviating apathy but also in preventing further cognitive decline and dementia, offering a potential solution for enhancing post-stroke recovery and quality of life.
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