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Case Study of Physiotherapeutic Treatment of a Patient with Guillain-Barré syndrome
Škrdlantová, Alžběta ; Kučerová, Ilona (advisor) ; Dědková, Miriama (referee)
Author: Alžběta Škrdlantová Supervisor: Mgr. Ilona Kučerová Title: Case study of Physiotherapy Treatment of a patient with Guillain-Barré syndrome Objectives: The aim of this bachelor's thesis is to summarize basic knowledge about Guillain- Barré syndrome with the focus on physiotherapical care in the theoretical part and a subsequent case study of a patient with Guillain-Barré syndrome. Methodes: The bachelor's thesis is divided into a theoretical and a practical part. The theoretical part contains the characteristics, classification, causes and diagnosis of Guillain-Barré syndrome. Furthermore, treatment options including physiotherapeutic approaches for the disease are elaborated here. The practical part contains a case study of physiotherapy care for a patient with Guillain-Barré syndrome. The case report consists of an initial and final examination, a description of the therapeutic sessions and an evaluation of the therapy effect. Results: After completing the therapy, the patient's stability and walking stereotype improved. The patient no longer needs a compensatory aid to walk. We could also see an improvement in overall physical condition. Keywords: Guillain-Barré syndrome, physiotherapy, rehabilitation, case study
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A case report of physiotherapeutic care of a patient after stroke with left-sided hemiparesis
Kmochová, Natálie ; Neuwirthová, Svatava (advisor) ; Dědková, Miriama (referee)
Title: A case report of physiotherapeutic care of a patient after stroke with left-sided hemiparesis Objectives: The aim of the bachelor thesis is to elaborate the theoretical knowledge dealing with stroke and the practical part including a case study of a patient after stroke with left-sided hemiparesis Summary: The bachelor thesis was created on the basis of a four-week continuous internship at the Hospital Milosrdných sester sv. Karla Boromejského in Prague, in the rehabilitation department from 22 January 2024, to 16 February 2024. The thesis is divided into a theoretical part, dealing with cerebrovascular accident, and a practical part containing the methodology of work and a case study of a patient with this diagnosis. In the theoretical part, I focused on the characteristics of cerebrovascular accident and physiotherapeutic procedures. The patient's case study includes the initial examination, 8 therapeutic sessions, and a final follow-up examination including an overall conclusion. Keywords: CMP, stroke, ischemic stroke, ischemic stroke with left-sided hemiparesis, rehabilitation after ischemic stroke
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Use of rhythmic stimulation in physiotherapy in patients with acquired brain damage
Norková, Hana ; Gerlichová, Markéta (advisor) ; Dědková, Miriama (referee)
Title: Use of rhythmic stimulation in physiotherapy in patients with acquired brain damage Abstract: The topic of the bachelor thesis is the use of rhythmic stimulation in physiotherapy in patients with acquired brain damage. The thesis consists of theoretical and practical part. The theoretical part contains 4 sections. The first section is entirely dedicated to the acquired brain damage. The second section describes the motor system and structures involved in its management. The third section summarizes information related to music therapy, neurological music therapy, rhythmical stimulation in neurological music therapy, music, rhythm and their influence on the human brain. In the last section, the Therapeutic Instrumental Music Performance is described in more details, the elements of which are further used in the practical part. The practical part is built on two case studies illustrating two female patients with an upper limb motor disorder caused by cerebral stroke. During the therapeutic sessions with the patients different elements of Therapeutic Instrumental Music Performance were applied. Both patients used four musical instruments, accompanied by a metronome and played each of the instruments with some specific movements. The synchronization of the pace with the movements of the upper limbs in...
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Case study of physical therapy treatment of ischemic stroke patient with right-sided hemiparesis
Bárta, Tomáš ; Reckziegelová, Petra (advisor) ; Dědková, Miriama (referee)
Title: Case study of physical therapy treatment of ischemic stroke patient with right- sided hemiparesis Objectives: The purpose of this bachelor thesis was to process theoretical information about the diagnosis and to create case study of the ischemic stroke patient with right- sided hemiparesis. Summary: This bachelor thesis deals with stroke and is formed of theoretical general and practical special part. The general part includes the definition of stroke, anatomy of blood supply to the brain, types of stroke, stroke assumptions and its prevention, and post-stroke rehabilitation possibilities using physiotherapeutic methods and procedures applied depending on the stage of the disease. The special part describes the methodology of the thesis and contains a case study of the ischemic stroke patient with right-sided hemiparesis. The case study includes anamnesis, initial kinesiological analysis, course of performed therapies and final kinesiological analysis with evaluation of the therapeutic effect. Data for the processing of the special part of the theses were obtained within the continuous professional experience at the Rehabilitation Clinic of the FNKV during the period from 11-1-2021 to 5-2-2021. Keywords: ictus, cerebral infarction, stroke, cerebrovascular accident, cerebrovascular ischemia,...
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Physiotherapy with a patients suffering from neglect syndrome in a subcuse phase after cerebrovascular accident
Jančová, Jana ; Gueye, Tereza (advisor) ; Dědková, Miriama (referee)
Title of bachelor thesis: Physiotherapy with a patients suffering from neglect syndrome in subcuse phase after cerebrovascular accident Abstract: This bachelor thesis deals with physiotherapy of patients with neglect syndrome in the subacute phase after cerebrovaskular accident. The work consists of theoretical and practical part. The theoretical part solves the problem of neglect syndrome. There is information about etiopathogenesis, types of syndrome and clinical picture of the disease. Furthermore, the work is focused from the physiotherapeutic perspective on diagnostic and therapeutic methods or concepts that can be used to influence the neglect syndrome. In the practical part there is a case report of a patient who was subsequently put together a therapeutic unit. The aim of this section is to demonstrate a possible physiotherapeutic intervention in a patient with neglect syndrome. Furthermore, the practical part describes the results of a questionnaire survey aimed at mapping diagnostic and physiotherapeutic methods that are used in the Moravskoslezsky and Olomoucky regions. The last part points to the possible effectiveness of prismatic adaptation in the rehabilitation of patients with neglect syndrome. In the discussion I deal with a comparison of methods that are described in domestic and foreign...
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Occupational therapy practise guidelines in patients with functional upper limb impairment after stroke in subacute phase
Miczová, Sára ; Dědková, Miriama (advisor) ; Krivošíková, Mária (referee)
Author's name: Bc. Sára Miczová Supervisor:: Mgr. Miriama Dědková, DiS Opponent: Thesis title: Occupational therapy practise guidelines in patients with functional upper limb impairment after stroke in subacute phase To be able to provide occupational therapy intervention of high quality the occupatioal therpaists should rely on relevant standards of clinical care and clinical guidelines. (Švestková, 2018). Occupational therapists as well as other members of the interdisciplinar team provide professional care to the patients recovering from stroke. Those patients often have to deal with upper limb impairment which leads to decrese of quality of life. Relevant studies focused on this topic were searched via key words in PubMed, Web of Science and OVID Evidence Based Medicine Reviews databasis. The criterias of selection were: public access to the content, english language which were mainly focused on stroke patients rehabilitation. The suggestion of guideline was created based on methods accepted by department. The occupational therapist as well as physiotherapeutist of early rehabilitation were included in the process of creating the guideline using the GRADE programme for it. Only 48 out of 4054 studies were used, these were divided into two cathegories, one being the cathegory of assessment, the...
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The most common fractures of the lower limb in the geriatric patients and their following rehabilitation (physiotherapy)
Římanová, Elen ; Dědková, Miriama (advisor) ; Nováková, Petra (referee)
OF THE THESIS Name: Elen Římanová Supervisor of the thesis: Mgr. Miriama Dědková Consultant of the thesis: Mgr. Miriama Dědková Title of the thesis: The most common fractures of the lower limb in the geriatric patients and their following rehabilitation (physiotherapy) Abstract of the thesis This thesis deal with physiotherapy after fractures of the lower limb in geriatrics patients and problematic of geriatric's patients care. Timely physiotherapy is important at the same way like following physiotherapy for prevention of immobility syndrome. The geriatric patient is threatened by immobility syndrome, because of physiological involute changes. During immobility syndrome is patient limited in restoration of independence. Due to frequent polymormidity of geriatric patient is threating development of another health complications and decondition. Thesis has theoretical and practical part. In theoretical part are described basics of anatomy, kinesiology, types of fractures and their solutions. Bigger part is dedicated to geriatric's problematic and methods of physiotherapy, which I applied. In practical part are processed case report of three patients, which had fractures of lower limb. This patient completed physiotherapy for four weeks, five days in week for 45 minutes. Our target was to achieve...
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Use of rhythmic stimulation in physiotherapy in patients with acquired brain damage
Norková, Hana ; Gerlichová, Markéta (advisor) ; Dědková, Miriama (referee)
Title: Use of rhythmic stimulation in physiotherapy in patients with acquired brain damage Abstract: The topic of the bachelor thesis is the use of rhythmic stimulation in physiotherapy in patients with acquired brain damage. The thesis consists of theoretical and practical part. The theoretical part contains 4 sections. The first section is entirely dedicated to the acquired brain damage. The second section describes the motor system and structures involved in its management. The third section summarizes information related to music therapy, neurological music therapy, rhythmical stimulation in neurological music therapy, music, rhythm and their influence on the human brain. In the last section, the Therapeutic Instrumental Music Performance is described in more details, the elements of which are further used in the practical part. The practical part is built on two case studies illustrating two female patients with an upper limb motor disorder caused by cerebral stroke. During the therapeutic sessions with the patients different elements of Therapeutic Instrumental Music Performance were applied. Both patients used four musical instruments, accompanied by a metronome and played each of the instruments with some specific movements. The synchronization of the pace with the movements of the upper limbs in...
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Occupational therapy for patients after the application botulinum toxin. Subtitle: Influencing of functional independence in adult patients after acquired brain injury
Sobelová, Veronika ; Rodová, Zuzana (advisor) ; Dědková, Miriama (referee)
This Master's thesis focuses on Occupational therapy for patients after application of botulinum toxin to upper limb. The aim of the thesis was to evaluate and compare a progress of functional independence in patients after acquired brain injury. There were twenty patients involved in the research, who were further divided into two groups and separated by ten people in each group. Both groups underwent the application of botulinum toxin whereas the experimental group A went through the occupational therapy. The control group had ordinary rehabilitation at home and without any occupational intervention for the duration of twelve week under guided self-rehabilitation contract of spastic paresis, so-called GSC. A programme of the group A included over the counter rehabilitation outpatient occupational therapy. The patients attended the course twice a week for the duration of four weeks. Afterwards, they received a home programme for the duration of eight weeks, during which they had two examinations at occupational therapy. All the participants were evaluated by Global Subjective Self-Assessment which is focused on spasticity. There were further evaluated according to Functional Independece Measure and modified Frenchay Arm Test. The experimental group with outpatient occupational therapy was...
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Effect of application of botulotoxin for change of gait in patients after brain damage with spastic dystonia
Bárdyová, Tereza ; Angerová, Yvona (advisor) ; Dědková, Miriama (referee)
Title: Effect of application of botulotoxin for change of gait in patients after brain damage with spastic dystonia Abstract: The theme of this bachelor thesis is verifying possibilities of botulinum toxin influencing the gait stereotype of patients with spastic dystonia. The thesis consists of theoretical and practical parts. The theoretical part consists of research of relevant literature sources, based on which basic terms of the associated range of problems are briefly defined: muscle tone, spasticity, spastic dystonia, botulinum toxin and gait. Part of the theoretical summary also includes scales that describe muscle tone (Ashworth scale, Tardieu scale, Five-step clinical assessment by Gracies) and also tests evaluating gait stereotype (Tinetti Gait and Balance Examination, 10 Meter Walk Test, 2 Minute Walk Test, Timed Up and Go, Rivermead visual assessment of the gait). The practical part contains two case reports of patients suffering from spastic dystonia who were monitored during one cycle of the application of botulinum toxin. Degree and nature of spasticity of these patients were measured at equal intervals and then, using the selected tests, the gait stereotypes were compared at various stages of effect of botulinum toxin. Based on the obtained results, effect of this substance on gait...
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