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Case Study of Physiotherapy Treatment of a patient after ischmic stroke
Šimek, Jacob ; Kučerová, Ilona (advisor) ; Křížková, Štěpánka (referee)
Title: Case study of physiotherapy treatment of a patient after an ischemic stroke Aims: Goal of this thesis is to assemble a well arranged consolidation of theoretical and practical knowledge of strokes and at the same time to formulate a case study of a patient who suffered an ischemic stroke resulting in mild left-sided hemiparesis. Summary: The first general section of this bachelor thesis includes detailed description of pathological process known as stroke. Author devotes himself to anatomical structures securing vascular supply of the brain, pathogenesis and etiology of this condition, different types of stroke and how these differ, manifest, are diagnosed and treated. Author also mentions risk factors and how to prevent the formation of stroke. At the end, fundamental physiotherapy principles of treating a stroke patient are summarized. The second special part of this thesis includes case study of a patient who suffered an ischemic stroke. In this section, author presents results of the initial examination he performed, outlines therapeutic plan and records every therapy session with the patient. At the end, author showcases results of his final examination that will serve for an evaluation of effectivness of chosen therapy. Documentation and data for creation of this section of thesis were...
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Adaptation of performance of personal activities of daily living in patients with hemiparesis. Subtitle: Training of dressing up for patients with hemiparesis by the use of a video manual
Ćmielová, Daniela ; Uhlířová, Jaromíra (advisor) ; Sýkorová, Jitka (referee)
Title: Adaptation of Performance of Activities of Daily Living in Patients with Hemiparesis Subtitle: Training of Dressing up for Patients with Hemiparesis by the use of a Video Manual Abstract: This bachelor's thesis deals with the possibilities of adapting the implementation of personal activities of daily living (pADL) in patients with hemiparesis. In particular, it focuses on the possibilities of training and adaptation during dressing up of the upper and lower part of the patient's body. The theoretical part summarizes the basic knowledge of the central nervous system, motor control and neurological diseases, which result in the partial paralysis of one-half of the body. Furthermore, the concept of pADL and their connection to the field of occupational therapy is explained. The following chapters are dedicated to the theoretical description of the possibilities of adaptation, training of activities of daily living and evaluation in the field of occupational therapy. Last, but not least, there is an overview of existing manuals that are currently available. The aim of the practical part was to create a video manual, designed for people with hemiparesis to practice the activitity of dressing up. The manual includes 21 activities focused on dressing up, forms of adaptation of activities and...
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Case Study of Physiotherapy Treatment of a Patient after ischemic stroke with right spastic hemiparesis
Harásková, Kristýna ; Kučerová, Ilona (advisor) ; Hankovcová, Eva (referee)
Author: Kristýna Harásková Title: Case study of physiotherapy treatment of a patient after ischemic stroke with right spastic hemiparesis. Objectives: The main aim of this thesis is to gain theoretical knowledge about stroke. Furthermore, elaboration of case study of a patient after ischemic stroke with right spastic hemiparesis including examination, therapy and especially its practical realization. Methods: The thesis consists of general and special part. In general part I summarize theoretical knowledge about stroke, its classification, stroke risk factors, prevention and symptoms. At the end of general part I deal with treatment and rehabilitation in each stage after stroke. Special part contains the case study of physiotherapy treatment of a patient after ischemic stroke with right spastic hemiparesis that also includes complete kinesiology analysis, course of each therapy and final evaluation of the effect of therapy. Results: During therapies patient's condition was improving. Especially active movements and walking stability improved. Keywords: Stroke, ischemia, hemiparesis, physiotherapy methods, rehabilitation.
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Case report of physiotherapeutic care of patient with diagnosis ischemic stroke
Weissová, Adéla ; Pavlů, Dagmar (advisor) ; Křížková, Štěpánka (referee)
Title: Case report of physiotherapeutic care of patient with diagnosis ischemic stroke. Objectives: The main goal of this thesis is to elaborate a case study of patient after ischemic stroke, and to summarize theoretical knowledge regarding this diagnosis. Methods: The thesis is divided into general and special part. In the general part I focus on describing the theoretical basis of this diagnosis with the help of literature, especially on its etiopathogenesis, clinical symptomatics and rehabilitation cure of patients after this disease. The practical part includes case report of the patient with whom I had the opportunity to cooperate during a continuous practice in the regional hospital in Kladno in the term - 21.1. - 15.2. 2019. The case report include the input analysis of the patient, the suggestion of the therapy according to the input values, the application of the given therapies and the evaluation of the subsequent effect of the therapeutic action on the physical and mental condition of the patient. Results: The patient's health condition improved during the therapies. Effect of the therapy was an improvement of the patient's self-sufficiency and self-reliance in routine daily activities. This improvement was due to the increase in the movement of the paretic segments. Key words: stroke,...
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Bilateral Upper Limb Training in Patients with Central Hemiparesis
Rejtarová, Anna ; Uhlířová, Jaromíra (advisor) ; Marková, Olga (referee)
Background: Bilateral training is an intervention used in patients with hemiparesis. This training is based on the movement of both (bi) sides (lateral) of the body simultaneously. There exist a lot of articles focused on specific methods of bilateral training. However, the used terminology is inconsistent. The aim of this thesis is to describe the neurophysiological background of bimanual and bilateral methods, review and clear out the used terminology, and describe the different techniques included in bilateral training. Methods: Relevant literature was searched in PubMed, ScienceDirect and OVID Evidence Based Reviews. The inclusion criteria were the availability of fulltext, publication date after 1980, English language and a connection with medicine. The searched keywords were bimanual or bilateral training, metod and therapy. Results: From 1021 articles, only 132 articles meet the inclusion criteria. Five main rehabilitation interventions are used in practice: a) cooperative activity of both arms, b) synchronous movement of both arms c) Mirror therapy, d) an activity, where the impaired hand assists the paretic hand and d) robotic therapy or therapy with mechanical devices. The neurophysiological background is based on a) modulation of interhemispherical inhibition, b) increased motor control of...
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Case Study of Physiotherapeutic care for a patient with the diagnosis of an ischemic cerebrovascular accident
Valentová, Zuzana ; Reckziegelová, Petra (advisor) ; Hamouzová, Dita (referee)
Title: Case study of physiotherapeutic care for a patient with the diagnosis of an ischemic cerebrovascular accident. Objectives: This work aims at processing the casuistry of a patient with the diagnosis of an ischemic cerebrovascular accident. I'll summarize the theoretical knowledge about cerebrovascular accidents and subsequent rehabilitation. The aim of the special part is to process the examination, to propose the therapy, to monitor its course and to evaluate the effect of the therapy on the patient's condition. Methods: I acquired the practical sources for processing this bachelor's thesis during my professional practice, which took place from 15th January to 9th Ferbruary, 2018, at the rehabilitation in-patients' ward of Regional Hospital Kladno. The paper is composed of two parts - the general and the special ones. The general part of the thesis deals with the theoretical knowledge about cerebrovascular accidents, the anatomy of the cerebrovascular system, the classification of the cerebrovascular accidents, possible causes of their origin, their prevention and subsequent rehabilitation. 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 an ischemic cerebrovascular accident, an initial...
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Physiotherapeutic Procedure for Patient after Ischemic Cerebrovascular Accident (Stroke) in The Pons
Alrasheed, Abdulaziz Abdullah A ; Pavlů, Dagmar (advisor) ; Modlinger, Tomáš (referee)
Title of thesis: Physiotherapeutic Procedure for Patient after Ischemic Cerebrovascular Accident (Stroke) in The Pons. Author: Abdulaziz Abdullah Alrasheed. Work placement: Oblastní Nemocnice Kladno Summary: In the thesis, I will be covering a case study diagnosed with ischemic cerebrovascular accident (stroke) in the pons. It will be divided into 2 parts ( General - Practical) The general part explains the anatomical, biomechanical ,physiological and neurophysiological point view of the brain and brain stem corresponding to the object's diagnosis. The practical part shows the procedure of the treatment starting from the initial examinations with its conclusion, also the goal of the therapy, short and long rehabilitation plan and with day to day therapy sessions and the final examinations with its conclusion, the results of the therapy procedure, and the effectiveness of the treatment. KEYWORDS: Cerebrovascular Accident, Ischemic Stroke, Physiotherapeutic Procedure, Penumbra, Incoordination, Rehabilitation, Hemiparesis, Range of Motion, Drooped Foot, Gait Training, Balance Exercises, Verticalization, Spasticity.
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Physiotherapy Treatment of a Patient in sub-acute phase after Ischemic Cerebrovascular Accident (Ischemic Stroke)
Kouroglou, Minas ; Vomáčková, Helena (advisor) ; Modlinger, Tomáš (referee)
Title of the thesis: Physiotherapy treatment of a patient in sub-acute phase after Ischemic Cerebrovascular Accident (Ischemic Stroke). Název práce: Fyzioterapie léčba pacienta v subakutní fázi po ischemické cévní mozková příhoda (mozková mrtvice). Author: Minas Kouroglou Work placement: Oblastni Nemocnice Kladno Summary The objective of this thesis is to spotlight the physiotherapeutic approach and procedures applied for a patient in sub-acute phase after the diagnosis of Acute Ischemic Cerebrovascular Accident (Ischemic stroke) and also meticulously demonstrate the examination and therapy process provided in an actual case study of the diagnosis. The thesis is divided into two parts. The General part which is the opening part of this thesis is trying to explore the basic theoretical components related to the diagnosis and its characteristics while also reviewing the anatomy, physiology and neurophysiology of the brain structures involved in this specific case study, which is extensively presented in the second, specific part of this paper The specific part of this thesis includes: Anamnesis and Medical History of the patient, Initial and Final kinesiological examinations of the patient with their respective conclusions, a detailed review of the whole therapeutic procedure including the...
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Case study of physiotherapy treatment of a patient after hemorhgic stroke with right hemiparesis after tentamen suicidium
Kočí, Gabriela ; Nováková, Tereza (advisor) ; Kaizrová, Irena (referee)
Title: Case study of physiotherapy treatment of a patient after hemorhgic stroke with right hemiparesis. Objectives: The goal of the thesis was to obtain theoretical information and background on stroke, suicide and therapeutic approaches and methods which can be applied in cases of stroke The specific part aims on the therapeutic care of a patient after suicide attempt followed by ischemic stroke, with whom I worked during one month practise in the Military University Hospital in Prague. Summary: In the theoretical part of my thesis I described anatomy, circulatory system and pathology of human brain, the characteristics of hemorrhagic and ischemic stroke, the epidemiology, clinical manifastation and ways to diagnose and classify them. The principal part focused on therapy after the stroke and physiotherapist's point of view on stroke in general. The theoretical part is concluded by a chapter on suicide. The practical part introduces a case study of the physiotherapy treatment of a patient after suicide attempt followed by ischemic stroke. Keywords: Stroke, ischemic stroke, hemorrhagic stroke, hemiparesis, shoulder joint pain, spasticity physiotherapeutic procedures and methods, status after suicide attempt.
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Physiotherapy case study of a patient with subarachnoid stroke
Černá, Markéta ; Novotná, Irena (advisor) ; Kaizrová, Irena (referee)
Title: Physiotherapy case study of a patient with subarachnoid stroke Objectives: The objective of this case study is to obtain and process with theoretical findings about anatomy, etiology and clasification of subarachnoid stroke, also the usage of diagnostic and therapeutic methods. The objective of a special part is elaboration of patient's casuistry with such a disease in connection with therapy proposal and its practical implementation. Methods: This Bachelor thesis consists of 2 parts - general and special one. The general one contains teoretical knowledge about stroke which includes anatomy, etiology, clasification of stroke, risk factors with prevention, clinical symptoms, diagnosis and phisiotherapeutical approach. The special part of this thesis is dedicated to casuistry of physiotherapeutical care of patient with stroke diagnosis. It contains of kineziological examination, short-term and long-term targets, therapy and the final physical examination. The conclusion of the special part describes the effect of the therapy carried out. This part has been compiled during my continuous professional working experience during 9th January until 3rd February 2017 at ÚVN in Prague. Results: The patient's health condition was completely different before and after the therapy. She was improved in her...
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