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Case Study of Physiotherapy Treatment of a Patient with Hemorrhagic Stroke
Adamantiadis, Alexandros ; Stupková, Michaela (advisor) ; Malá, Jitka (referee)
Title: Case Study of Physiotherapy Treatment of Patient with Hemorrhagic Stroke Aim: The aim of this thesis is to present a case study of a physiotherapy approach to a treatment of a patient with complications after a hemorrhagic stroke. The theoretical part of the thesis will focus on the pathology, risk factors and prevention. On the practical part I will present the case study with the patient's medical history, all the examinations done by me at the start and end of the treatments, day to day therapies and final results. Methods: The practical section is based on the case of a 51-year-old male, who was diagnosed with a hemorrhagic stroke in 6/7/2017. The study consists of physiotherapeutic approaches for an initial kinesiological examination on the first day, followed by eight therapy sessions lasting half an hour each, and on the last day a final kinesiological examination. All methods used were non-invasive. Results: The progress was notable during the ten sessions of therapy. The patient's gait has improved significantly in quality and quantity, the spasticity has improved and his ability to control the lower extremity and upper extremity. Although the results have shown great progress in the gait, he is still as dependent as before for his everyday life activities and still needs assistance...
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Case study of physiotherapeutic treatment of a patient with spastic quadriparesis and condition after subarachnoid hemorrhage
Válová, Karolína ; Vomáčková, Helena (advisor) ; Hlinovská, Jana (referee)
Author: Karolína Válová Title: Case study of physiotherapeutic treatment of a patient with spastic quadriparesis and condition after subarachnoid hemorrhage Objectives: The aim of this bachelor's theses was to summarize theoretical knowledge about diagnosis spastic paresis, issues associated with it and present practical case study of physiotherapeutic treatment of a patient with spastic quadriparesis and condition after subarachniod hemorrhage. Methods: This theses is devided into theoretical and special part. Under the theoretical part are described characteristics of the diagnosis, it's epidemiology, etiopathogenesis, clinical picture, possibilities of therapy and treatment, complications associated with spastic paresis, physiotherapeutic care, physical therapy and effect of chosen therapeutic interventions and methods. Special part includes case study of a patient with spastic quadriparesis and condition after subarachnoid hemorrhage. It includes anamnesis, detailed initial kinesiological analysis, short-term and long-term therapeutic plan, record of therapeutic units, outcome kinesiological analysis and evaluation of the effect of therapy. Results: During therapeutic units has been achieved improvement of self-sufficiency of the patient, his general ability to move, gait stereotype, level of...
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Case study of physiotherapy treatment of a patient after hemorrhagic stroke resulting left-sided hemiparesis
Kalousek, Filip ; Heřmánková, Barbora (advisor) ; Vomáčková, Helena (referee)
Title: A case study of physiotherapy treatment of a patient after hemorrhagic stroke resulting in left-sided hemiparesis Objective: To analyze and compile theoretical information regarding intrarcranial hemorrhaging, to clarify the etiology of this disease and different forms of manifestation in the clinical environment. To demonstrate my skills within the range of knowledge acquired during the bachelor's study of physiotherapy, which includes: the ability to communicate with the patient, patient examination, and put together a therapeutic plan based on that examination that will be practically applied during therapeutic intervention. Method: This work consists of two main parts. General part and practical part. The general part contains the etiology and theoretical knowledge related to the issue of intracranial hemorrhage, describes the anatomical structures of the vascular supply to the brain, possible variants and stages of this disease, clinical symptoms and related complications. Last but not least, it deals with possible therapeutic approaches that can be applied to a patient with this disability. The practical part deals with the case report of a long-term hospitalized patient after a hemorrhagic stroke resulting in left-sided hemiparesis, with whom I have worked in the hospital in Brandýs...
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Influence of Botulinum Toxin Application on Quality of Life in Patients with Multiple Sclerosis
Miňová, Zuzana ; Jirásková, Lucie (advisor) ; Kövári, Martina (referee)
The aim of the bachelor's thesis is to find out how medical application of botulinum toxin can affect the quality of life in patients with multiple sclerosis. The thesis is based on theoretical research providing a brief overview of the basic facts about multiple sclerosis - its pathogenesis, etiology, clinical picture, treatment alternatives. Further on, the thesis deals with the concept of spasticity, possibilities to influence it and also its valuation. The subsequent section comprises an overview of the findings about botulinum toxin and its therapeutic application. The term quality of life, an influence of the disease on the quality of life and also the methods used to evaluate it are described at the end of the theoretical part. The practical section contains case histories of two patients who underwent the medical application of botulinum toxin. The thesis is closed by a discussion on this topic. Powered by TCPDF (www.tcpdf.org)
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Case report of physiotherapeutic care of patient with diagnosis ischemic stroke
Grygarová, Lenka ; Pavlů, Dagmar (advisor) ; Voráčová, Helena (referee)
Title: Case report of physiotherapeutic care of patient with diagnosis ischemic stroke. Objectives: The main aim of this thesis was processing casuistic of ischemic stroke diagnosis patient, and obtain theoretical knowledge about this illness. Methods: Bachelor thesis is divided into general and special part. General part is focused in theoretical knowledge describing the anatomy of the vascular supply to the brain, epidemiology and neuroplasticity of the brain. In the second half of the general part is with greater detail processed the issue of ischemic cerebrovascular disease, its classification, clinical features and risk factors. The final section is dedicated to spasticity and rehabilitative care for the patient. A special section was created on the basis of the current practices since 20 January 2014 till 14 February 2014 at Vršovická zdravotní a.s.. Its content is a close up casuistics reports of patient after ischemic stroke with left-sided symptomatology. Results: The patient's condition improved during rehabilitation. There has been a positive effect on stability while standing, walking and overall self-sufficiency of the patient. Keywords: Stroke, ischemic, spasticity, rehabilitation care.
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Case study of physiotherapeutic care for a patient with the diagnosis of a tribal ischemic cerebrovascular accident
Krejčová, Barbara ; Pavlů, Dagmar (advisor) ; Voráčová, Helena (referee)
Title: Case study of physiotherapeutic care for a patient with the diagnosis of a tribal ischemic cerebrovascular accident. Objectives: This work aims at processing the casuistry of a patient with the diagnosis of a tribal ischemic cerebrovascular accident at summarizing the theoretical knowledge about cerebrovascular accidents and subsequent rehabilitation, at suggesting a therapy, observing its progress, and at evaluating the effect of therapeutic influence on the patient's condition. Methods: I acquired the practical sources for processing this bachelor's paper during my professional practice, which took place from 6th to 31st January, 2014, at the rehabilitation in-patients' ward of Vršovická zdravotní a.s. The paper is composed of two parts - the general and the special ones. The general part of the paper deals with the theoretical knowledge about cerebrovascular accidents, their classification, possible causes of their origin, and the anatomy of the cerebrovascular system. The main theme of the general part of my bachelor's paper is about rehabilitation after a cerebral ictus. The general part was processed on the basis of expert literature mentioned on the reference list. The special part describes the patient's casuistry after a tribal ischemic cerebrovascular accident, an initial...
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Effect of hippotherapy at clients with sclerosis muiltiplex.
Hrbasová, Hana ; Leontovyčová, Jana (advisor) ; Šifta, Petr (referee)
Hipotherapy is a complex therapy, broaden and recently very sought after rehabilitation method, which is being more and more recognized by experts for its broaden scene. It is a complex therapy thanks to involving medicine, psychology, pedagogy and also a social sphere. That's why is this method indicated at many different levels of disablement. It's being used with pacients with children's cerebral palsy, diverse level of cerebral dysfunction and multiple sclerosis. And it's the therapy's effect on multiple sclerosis that this thesis paper discusses. It also applies to brain and spinal traumas, scoliosis, back pain, orthopedic defects, cardiovascular disease, degenerative muscle disease, obesity, as well as it provides help at emotional and mental aspect, e.g. children with behavioral disorders and many others. At hipotherapy is being used a three dimensional (multidimensional) horse motion. Horse's spine moves up - down, forward - backward, right - left. Imitating a mechanisms of human walking, which leads to relaxation of spasticity. Impulses are transmitted onto back which brings interaction of impeller and back muscles, stand up pose, and posture interference. All this brings a walking improvements, movements coordination, balance and consolidation of a flabby muscles. Each horse has a different nature...
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Case study of a patient with hemorrhagic stroke in cerebellum
Alharthi, Faisal Fahad M ; Maršáková, Kateřina (advisor) ; Smejkal, Petr (referee)
Physiotherapeutic case study of hemorrhagic stroke in the cerebellum with hemiplegia patient as bachelor thesis is provided for you to show the full kiensiological assessment, special therapy approaches and therapy effect during 9 sessions. The farther goal of this thesis is to explain the clinical picture, physiological, biomechanics points of view. During my clinical practice, we used the main structure for the Kinesiological assessment according to the Prague School approaches. Manual muscle testing according to Kendall and Janda were used also. Due to the instructions and the protocols from the UVN hospital in Prague the main therapy concept was following " Grasies Concept" for stroke patients. Finally, we applied final kinesiological assessment to compare the patient situation before and after the therapy with focusing on the "Grasies Concept" effect. As a result of our work we found that the "Gracies concept" shows a great result in spastic pattern prevention more on the lower extremity. However, significant improvement in patient stability and verticalization ability which influence the improvement in ADL scale results. Powered by TCPDF (www.tcpdf.org)
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Evaluation of the short-term effect of physiotherapeutic techniques on spasticity in patients with spinal cord injury
Špačková, Anežka ; Hlinková, Zuzana (advisor) ; Kříž, Jiří (referee)
The subject of this thesis is spasticity in individuals with spinal lesions. The aim is to evaluate and compare a short-term effect of selected physio-therapeutic methods on spasticity of lower limbs in spinal patients. Two methods of comparison were chosen - passive stretching and the Vojta's reflex therapy. The work consists of two parts. The theoretical part describes the problems of spinal lesions, central motoneuron syndrome and spasticity, including its pathophysiology and investigation and therapeutic approaches. The practical part contains an attempt to verify and subsequently compare the immediate antispastic effect of the chosen methods, which is an important prerequisite for the following active exercises as an inseparable part of a physiotherapeutic exercise unit. Clinical evaluation scales are used to evaluate spasticity, namely Modified Ashworth Scale (MAS) and Muscle Excitability Scale (MES). The results are then compared with other studies and literature. Keywords spinal lesions, quadriplegia, Modified Ashworth Scale, Muscle Excitability Scale, Vojta's method, stretching
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