Flaccidity to Functionality of Upper Extremity in Stroke Patients: A Retrospective Case Series

Background: Stroke, as defined by the World Health Organization, is a leading cause of disability and mortality (1). Rehabilitation plays a crucial role in optimizing upper limb function and quality of life in stroke patients. However, limited research exists on recovery progress in the Indian context. Objective: This retrospective case series aims to explore the phase-wise recovery of upper extremity function in adult stroke patients, emphasizing the transition from flaccidity to voluntary movement and functional use in a tertiary care centre. Methods: Clinical records of adult stroke patients admitted for rehabilitation between 2024 and 2025 were reviewed. Inclusion criteria included adults (18-50 years) presenting with upper limb flaccidity, 6 months rehabilitation duration, and unilateral stroke. Exclusion criteria were presence of additional neurological or psychiatric conditions. Recovery was tracked using Brunnstrom Staging of Motor Recovery, Modified Ashworth Scale, and Fugl-Meyer Upper Extremity Assessment. Results: 59% reached the pre-functional phase within 3 months, and 33% attained consistent functional use of the upper limb by 6 months. Outcomes correlated positively with therapy intensity and patient engagement. Conclusion: Early rehabilitation, reassessment, and long-term support are essential for optimizing recovery. This study adds context-specific evidence for stroke rehabilitation pathways in India. Descriptive statistics with sample size of 10 was used to analyse the percentage of recovery according to Age, Stroke type, Severity, Location of Injury, Side affected and Rehab months.