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The case study of a physiotherapeutic treatment of a patient with stroke and total hip arthroplasty
Čechová, Alena ; Pavlů, Dagmar (advisor) ; Hankovcová, Eva (referee)
Title: The case study of a physiotherapeutic treatment of a patient with stroke and total hip arthroplasty. Aim: The aim of this thesis is to analysis a theoretical knowledge about stroke and total hip arthroplasty and elaboration of physiotherapy treatment schedule in the form of an patient with these two diagnosis case study. Methods: This bachelor thesis elaborate stroke and total hip arthroplasty for femoral neck fracture. The thesis is divided into two parts - general and special. I deal with patient's diagnosis in general part of thesis. I describe ethiopatogenesis of stroke, ischemia in carotid artery in detail and I deal with chronic stroke rehabilitation. Further I elaborate anatomy and kinesiology of hip joint, femoral neck fracture and its treatment. In the end I combine these two diagnosis because femoral neck fracture is common complication of a stroke. Special part include case study of a patient with ischemic stroke and total hip arthroplasty. The physiotherapy treatment is described here in detail, also input and output kinesiology analysis, short - term and long - term therapy plan and evaluation of therapy effect are here. The case study was processed during my internship in the Military University Hospital in Prague at the Department of Physical Medicine and Rehabilitation in the...
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Physiotherapy Case-Study: Rehabilitation of a patient after Ischemic Cerebrovascular Accident
Cattozzo, Giammaria ; Malá, Jitka (advisor) ; Vomáčková, Helena (referee)
Giammaria Cattozzo ABSTRACT The aim of the present thesis is to present the case-study of a patient during the rehabilitation from an ischemic cerebrovascular accident (iCVA) in acute and sub-acute state. This document is divided into two parts: theoretical and practical. The former presents an introduction to the iCVA, its pathophysiology, incidence, main causes, somatic effects and physiotherapeutic treatments. The latter, the kinesiological examination of the patient (initial and final) and the daily procedures performed during the rehabilitation period. In the end, a comparison between the initial and conclusive kinesiologic examination is presented, aiming to highlight the beneficial effects of the treatment. The structure where the practical realisation of the case-study took place is the Rehabilitační nemocnice Beroun. The placement period went form the 18thJanuary until the 12thFebruary 2021. Keywords: ischemic cerebrovascular accident, iCVA, ischemic stroke, case study, spasticity, physiotherapy.
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Case Study of Physical Therapy Treatment of a Patient after Stroke with Left Hemiparesis .
Kholová, Štěpánka ; Opatrná Novotná, Irena (advisor) ; Biskup, Šimon (referee)
Title: Case study of physical therapy treatment of a patient after stroke with left hemiparesis. Objective: The aims of this bachelor thesis were to find out theoretical information about the diagnosis and prepare the case study of the patient after stroke with left hemiparesis. Method: This bachelor thesis is divided into a general part and a special part. The general part is theoretical and describes the characteristics and epidemiology of stroke, anatomy of the blood supply of the brain, physiology of the brain perfusion, etiopathogenesis, prognosis and different types of stroke. The following chapters of the general part were focused on ischemic stroke, its classification, clinical symptoms, diagnosis and treatment of acute ischemic stroke. The next chapters are dedicated to stroke assessments, physical agent modalities, rehabilitation of stroke and physical therapy methods and procedures. The special part is about methodology and a case study of physical therapy treatment of a patient after stroke with left hemiparesis. The case study contains an anamnesis, input kinesiological analysis, detailed analysis of selected exercise sessions, control analysis, output kinesiological analysis and a final evaluation of the effect of therapy. Results: The applied therapy improved self-sufficiency,...
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Case Study of the Physiotherapy Treatment of a Patient after Ischemic Stroke with right-sided Hemiparesis
Medová, Marie ; Opatrná Novotná, Irena (advisor) ; Slezáková, Petra (referee)
Title: Case study of the physiotherapy treatment of a patient after ischemic stroke with right-sided hemiparesis Objectives: The aim of the bachelor thesis is to process a theoretical part dealing with a stroke and a practical part, which includes the case report of the patient after ischemic stroke with right-sided hemiparesis Summary: The bachelor thesis is to process a theoretical part dealing with ischemic stroke and a special part, which contains the methodology of work and case report of the patient with this diagnosis. In the theoretical part, I dealt with the characteristics of ischemic stroke, its cause, risk factors, symptoms, consequences and treatment. The patient's case report includes the patient's initial examination, 8 therapy sessions and the final control examination including an overall final assesment. Keywords: CMP, cerebrovascular accident, ischemic stroke, ischemic stroke with right-sided hemiparesis, rehabilitation after ischemic stroke
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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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Aspirin in the secondary prevention of ischemic stroke
Adámek, Tomáš ; Alušík, Štefan (advisor) ; Kalvach, Pavel (referee) ; Souček, Miroslav (referee)
Introduction: The recurrence of the cerebral ischemic stroke after a history of TIA or ischemic stroke is 3-4% per year. One way of reducing the risk of reccurence is using antiplatelet therapy. The aim of our study was to investigate the effect of aspirin. Even though, newer antiplatelet drugs were developed, their risk/benefit profile has not been proved to be better than aspirin. Reasons for using aspirin in secondary prevention are: the longest experience, clearly proven effect in many studies and low price. On the other hand, aspirin prevents only 25% of strokes, thus there is wide space for searching for causes of failed therapy and alternative therapeutic ways. Noncompliance of aspirin use and embolic events are usually indicated as the most common causes of an ineffective therapy. The goal of our study was to find the antiplatelet therapy effectivity in patients with history of stroke treated with aspirin in daily dose of 100mg. We assured 100% compliance among these patients and as much as possible minimalized a likelihood of embolic causes of strokes. What is more, we tried to find out whether an insuffient suppression of 11-dehydrotromboxane B2 correlates with comorbidities, other used medication or laboratory parameters. Furthermore, whether by administrating an increased dose of...
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Influenceable risk factors and ischemic stroke
BERKOVÁ, Simona
The bachelor thesis describes the influenceable risk factors of ischemic stroke. The main objective of thesis was to compare knowledge about higher mentioned factors between two groups of respondents. First group includs patients with high risk for developing stroke. Second one is composed of those patients, who was already treated after stroke developed. This research question led us to fulfill the objective: Is there any diference in knowledge of two mentioned groups of respondents above? For the research realization we applied quality approach through a semi-structured interview. The background for the interview (annex 1) consisted of nine questions. The main questions have been developed with supplementary questions. The first four question were clarified by a stroke. There were also questions about lifestyle. The data obtained from the research was subsequently processed by open-coding using pencil and paper. The research team consisted of 10 respondents, with 5 respondents in the high risk group of the stroke and the remaining 5 respondents. after a stroke of the ischemic type. The results of the work were divided into thematic categories and subcategories for better clarity. Answers from respondents from a qualitative research survey suggested that patients with a high risk of CMP are less well-targeted than CMP patiens. All patients are dispensed by a physician. It is clear that these results may indicate a low level of primary prevention, notably awareness of this disease and a low level of health literacy overall All patients go to the doctor regularly. It is clear that these results may indicate a low level of primary prevention, especially awareness of this disease and a low level of health literacy.
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Case Study of Physical therapy treatment of a patient after ichemic stroke with right hemiparesis
Šturcová, Veronika ; Novotná, Irena (advisor) ; Křížková, Štěpánka (referee)
Title: Case study of physical therapy treatment of a patient after ichemic stroke with right hemiparesis Objectives: The aim of this bachelor thesis was to find out theoretical information about the diagnosis and prepared the case study of the patient after ischemic stroke with right hemiparesis. Summary: This bachelor thesis deals with stroke and consists of two parts. The general part is focused on theoretical knowledge, contains a definition and a classification of stroke, anatomy of the blood supply of the brain, epidemiology, clinical symptoms, risk factors, diagnosis, treatment and rehabilitation of stroke including methods of physical therapy used for patients after stroke. The special part contains bachelor thesis methododologic and a case study of physical therapy care of a patient after ischemic stroke with right hemiparesis which includes anamnesis, complete kinesiology analysis, process of treatment and final evaluation. Data for processing the special part were obtained during the clinical practise at rehabilitation department of Regional hospital Kladno from 8.1.2018 do 2.2.2018. Keywords: stroke, ichemic stroke, right hemiparesis, physical therapy procedures and methods
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Aspirin in the secondary prevention of ischemic stroke
Adámek, Tomáš ; Alušík, Štefan (advisor) ; Kalvach, Pavel (referee) ; Souček, Miroslav (referee)
Introduction: The recurrence of the cerebral ischemic stroke after a history of TIA or ischemic stroke is 3-4% per year. One way of reducing the risk of reccurence is using antiplatelet therapy. The aim of our study was to investigate the effect of aspirin. Even though, newer antiplatelet drugs were developed, their risk/benefit profile has not been proved to be better than aspirin. Reasons for using aspirin in secondary prevention are: the longest experience, clearly proven effect in many studies and low price. On the other hand, aspirin prevents only 25% of strokes, thus there is wide space for searching for causes of failed therapy and alternative therapeutic ways. Noncompliance of aspirin use and embolic events are usually indicated as the most common causes of an ineffective therapy. The goal of our study was to find the antiplatelet therapy effectivity in patients with history of stroke treated with aspirin in daily dose of 100mg. We assured 100% compliance among these patients and as much as possible minimalized a likelihood of embolic causes of strokes. What is more, we tried to find out whether an insuffient suppression of 11-dehydrotromboxane B2 correlates with comorbidities, other used medication or laboratory parameters. Furthermore, whether by administrating an increased dose of...
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Mild cognitive impairment after stroke
Jaremová, Vladěna ; Kulišťák, Petr (advisor) ; Hrachovinová, Tamara (referee)
The goal of this thesis was to describe cognitive profile of mild cognitive impairment (MCI) in patients witch ischemic stroke (IST). The theoretical introduction focuses on IST, the concept of MCI, and neuropsychological test of cognitive deficits related to IST. The empirical part of the thesis describes the research results. 64 patients with various types of brain lesions after first-ever stroke were examined within 3-6 months after hospital admission. The cognitive performance was assessed across five cognitive domains: memory, attention, executive functions, visuospacial abilities, and language. All cognitive domains were impaired to the similar extend; the impairment quite severe, and ranged from 1.5 to 2.0 SD below the mean of the control group. The results showed that right hemisphere lesions were associated with visuospacial impairment whereas left hemisphere lesions were associated with language impairment. Also, it was examined which combination of tests differentiates best between patients from the experimental groups and the control group, and among individual experimental groups. It is necessary to develop and use sensitive and valid tests that can detect mild cognitive deficits in patients after ischemic stroke, which could be useful for rehabilitation planning. Keywords: mild...
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