Cerebrovascular accident is the leading cause of disability worldwide. Ischemic stroke is caused by a sudden decrease in blood flow to the areas of the brain that leads to severe impairment if left untreated. Various imaging techniques are used to know the areas of affection in the brain that help in the diagnosis of the type of stroke and the extent of impairment. In this case, we reported a 45 years old factory owner with a history of hypertension who came with complaints of sudden onset of weakness on the left side of the body for 11 days. Investigations revealed a large block in the right Middle Cerebral Artery (MCA). Due to the infarct, the patient had left hemiplegia with more involvement of the left upper extremity. Physiotherapy was started on the 10th day of the episode on hospital admission. Tailor-made protocol focused on bimanual activities along with consideration of the less affected side was provided to the patient helped in early recovery and made him go back to his occupation. There are many studies on hand rehabilitation, but this is one in its kind that will add to the available literature on early rehabilitation of hand function post hemiplegia.
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