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Case Study of Physiotherapy Treatment of a Patient After Stroke
Kofránková, Vlasta ; Nováková, Tereza (advisor) ; Hrdý, Tomáš (referee)
Title: Case Study of Physiotherapy Treatment of a Patient After Stroke Objective: To evaluate the effects of physiotherapy care on the patient. Methods: The first general part provides the description of the desease itself, its pre- valence in the Czech Republic, etiopathogenesis, clinical features, prognosis and current therapeutic approaches in acute, sub-chronic and chronic stages. Recommendations for primary prevention of cerebrovascular accident are described. Post-stroke patients with permanent disabilities run high risk of falling. Some selected methods (tests) are presented to evaluate the patient's balance ability (e.g. Berg Balance Scale, BESTest). The special part of this work presents a case study of a post-stroke patient, the course of the therapy and an evaluation of its effects. Results: The physiotherapy care has led to improvements of gross and fine motor skills and increased the patient's independence in everyday living. Balance ability of the patient is evaluated using the BESTest. Conclusion: It is important to maintain optimal health, independence and self- suffi- ciency of patients in the chronic stage. Specially developed functional tests can be used to evaluate the patient's condition and to choose an effective therapy. Keywords: cerebrovascular accident, brainstem stroke, falls...
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Clinical evaluation of postural balance functions in patients with chronic obstructive pulmonary disease
Hrdý, Tomáš ; Smolíková, Libuše (advisor) ; Špaňhelová, Šárka (referee)
Introduction: Chronic obstructive pulmonary disease (COPD) is one of the most common chronic respiratory diseases. Impairments in exercise capacity, kinesiology and skeletal muscle function are well established in these patients. Recently presented data also suggests impairments in postural balance and increased risk of falls in patients with COPD. The aim of this study is to examine postural balance functions in a group of patients and compare the results with a control group. Methods: Twelve patients (the average age 65,6 ± 7,1, 5 women, 7 men) with COPD hospitalized at the Pulmonary Clinic at the Faculty Hospital, Prague Motol and 10 healthy control subjects (the average age 58,6 ± 5,2, 7 women, 3 men) participated in this study. Participants were measured by The Activities-specific Balance Confidence Scale (ABC) and The Balance Evaluation Systems Test (BESTest). Results: COPD patients scored significantly worse (0,0099, p < 0,05) on the ABC scale total score compared to healthy controls, 78,38 ± 21,14 for COPD versus 97,78 ± 3,88 for controls. The total score and the six subsystem categories score of the BESTest were lower in COPD patients, but not significantly, compared to controls. Conclusion: Patients with COPD showed a lower degree of balance confidence and postural balance functions....
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Case Study of Physiotherapy Treatment of a Patient After Stroke
Kofránková, Vlasta ; Nováková, Tereza (advisor) ; Hrdý, Tomáš (referee)
Title: Case Study of Physiotherapy Treatment of a Patient After Stroke Objective: To evaluate the effects of physiotherapy care on the patient. Methods: The first general part provides the description of the desease itself, its pre- valence in the Czech Republic, etiopathogenesis, clinical features, prognosis and current therapeutic approaches in acute, sub-chronic and chronic stages. Re- commendations for primary prevention of cerebrovascular accident are described. Post-stroke patients with permanent disabilities run high risk of falling. Some selected methods (tests) are presented to evaluate the patient's balance ability (e.g. Berg Balance Scale, BESTest). The special part of this work presents a case study of a post-stroke patient, the course of the therapy and an evaluation of its effects. Results: The physiotherapy care has led to improvements of gross and fine motor skills and increased the patient's independence in everyday living. Conclusion: It is important to maintain optimal health, independence and self- sufficiency of patients in the chronic stage. Specially developed functional tests can be used to evaluate the patient's condition and to choose an effective therapy. Keywords: stroke, brainstem stroke, cerebrovascular accident, falls prevention, Berg Balance Scale, BESTest
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Case Report of a Patient with Diagnosis of Guillain-Barré Syndrome
Chládková, Karolína ; Pavlů, Dagmar (advisor) ; Hrdý, Tomáš (referee)
Title Case Report of a Patient with Diagnosis of Guillain-%DUUp 6yndrome Summary This thesis consists of two parts, a general part and a special part. The general part summarizes theoretical basis of the Guillain-%DUUp V\QGURPH. It represents the etiology and pathogenesis of the disease, its clinical marks and course, diagnostics and cure. Forms of the syndrome are defined. The aim of the special part is a case report of physiotherapy care for a patient with Guillain-%DUUp V\QGURPH ,W ZDV ZRUNHG RXW at the time of continuous bachHORU¶V practice in 9UãRYLFNi a.s. in Prague. The case report is initiated with a musculoskeletal assessment of the patient, and continues with performance of the therapeutic units and re-assessment. of the effectiveness of the therapy. The effect of the therapy is evaluated on the basis of comparison of the both assessments. Key words physiotherapy, physical therapy, case report, Guillain-%DUUp V\QGURPH
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Case of physiotherapy care for patient diagnosed with hemoragic stroke
Frühbauerová, Lenka ; Maršáková, Kateřina (advisor) ; Hrdý, Tomáš (referee)
Title of bachelor's thesis: Case of physiotherapy care for patient diagnosed with hemoragic stroke Objectives: The aim is to emphasize the issues about stroke and subsequent treatment. Thesis emphasizesusing physiotherapy and physioterapeutic methods as an important part of treatment of pacients after stroke. A special part includes a detailed casuistry of patient after hemoragic stroke. Methods: The thesis is divided into the general part and the special part. The general part describes the classification, diagnostic methods and risc factors of stroke. The theory focuses on chosen consequences of stroke as a poststroke depression syndrome, a neglect syndrome, hemiplegic shoulder pain and a Thalamic syndrome and it also describes special physiotherapeutic methods, which are used in the cure of pacients after stroke. The special part of thesis introduces the physiotherapeutic care of pacient after hemoragic stroke with left hemiparesis. It is formed by the casuistry, which includes the list of therapies. The casuistry was created during a month bachelor praxis at the Rehabilitation clinic in Vršovická zdravotní a.s. Keywords: physiotherapeutic methods, poststroke depression, shoulder pain, Thalamic syndrome.
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Case study of the physiotherapy treatment of a patient after stroke with left hemiparesis
Šalbabová, Anna ; Maršáková, Kateřina (advisor) ; Hrdý, Tomáš (referee)
CASE STUDY OF THE PHYSIOTHERAPY TREATMENT OF A PATIENT AFTER STROKE WITH LEFT HEMIPARESIS Aims: The aim of this thesis was to gain theoretical knowledge about stroke and the development of case study of a patient after ischemic stroke with left hemiparesis. Summary: This bachelor thesis deals with the stroke. The thesis consists of two parts. In the general section is described the definition of stroke, anatomy of the blood supply of the brain and classification of the stroke, its methods of diagnostic and treatment. The following chapters solve the comprehensive rehabilitative care for patients after stroke, including a description of special appropriate physiotherapy techniques. The special part is about a case study of the physiotherapy care of the patient after stroke with left hemiparesis. This part contains a complete kinesiology analysis, course of treatment and final evaluation. Data for processing the special part were obtained in the term 5. 1. - 5. 2. 2015 during the clinical practise in Vršovická zdravotní a.s. under supervision of Mgr. Tomáš Hrdý. Keywords: ischemic stroke, rehabilitation after stroke, left hemiparesis.
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Case Report of a Patient with Diagnosis of Guillain-Barré Syndrome
Chládková, Karolína ; Pavlů, Dagmar (advisor) ; Hrdý, Tomáš (referee)
Title Case Report of a Patient with Diagnosis of Guillain-%DUUp 6yndrome Summary This thesis consists of two parts, a general part and a special part. The general part summarizes theoretical basis of the Guillain-%DUUp V\QGURPH. It represents the etiology and pathogenesis of the disease, its clinical marks and course, diagnostics and cure. Forms of the syndrome are defined. The aim of the special part is a case report of physiotherapy care for a patient with Guillain-%DUUp V\QGURPH ,W ZDV ZRUNHG RXW at the time of continuous bachHORU¶V practice in 9UãRYLFNi a.s. in Prague. The case report is initiated with a musculoskeletal assessment of the patient, and continues with performance of the therapeutic units and re-assessment. of the effectiveness of the therapy. The effect of the therapy is evaluated on the basis of comparison of the both assessments. Key words physiotherapy, physical therapy, case report, Guillain-%DUUp V\QGURPH
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Case Study of Physiotherapy Care of Patient with the Diagnosis of Peripheral Paraparesis by Abscess Spondylodiscitis
Košvancová, Adriana ; Pavlů, Dagmar (advisor) ; Hrdý, Tomáš (referee)
Autor: Adriana Košvancová Title: Case Study of Physiotherapy Care of Patient with the Diagnosis of Peripheral Paraparesis by Abscess Spondylodiskitis. Objectives: The aim of this work is to obtain a teoretic findings of problematic of peripheral paraparesis, that appeared as a result of spondylodiscitis. The next object was the physiotherapy metods used in this case. In the special section has been selected to develop a case study patient during work placements. Methods: In general part of thesis is containd a theoretical knowedge of issue spondylodiscitis, etiology, clinical symptoms, diagnostic and therapeutic metods. In practical part is containd case study of a patient with peripheral paraparesis as a result of spondylodiscitis. This part was developed based on the work with the patient during the special practice in Vršovická zdravotní a.s. in the period 6.1.-31.1.2014. Key words: peripheral paraparesis, spondylodiscitis, physiotherapy, case report
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Case of physiotherapy care for patient diagnosed with hemoragic stroke
Frühbauerová, Lenka ; Maršáková, Kateřina (advisor) ; Hrdý, Tomáš (referee)
Title of bachelor's thesis: Case of physiotherapy care for patient diagnosed with hemoragic stroke Objectives: The aim is to emphasize the issues about stroke and subsequent treatment. Thesis emphasizesusing physiotherapy and physioterapeutic methods as an important part of treatment of pacients after stroke. A special part includes a detailed casuistry of patient after hemoragic stroke. Methods: The thesis is divided into the general part and the special part. The general part describes the classification, diagnostic methods and risc factors of stroke. The theory focuses on chosen consequences of stroke as a poststroke depression syndrome, a neglect syndrome, hemiplegic shoulder pain and a Thalamic syndrome and it also describes special physiotherapeutic methods, which are used in the cure of pacients after stroke. The special part of thesis introduces the physiotherapeutic care of pacient after hemoragic stroke with left hemiparesis. It is formed by the casuistry, which includes the list of therapies. The casuistry was created during a month bachelor praxis at the Rehabilitation clinic in Vršovická zdravotní a.s. Keywords: physiotherapeutic methods, poststroke depression, shoulder pain, Thalamic syndrome.
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