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Case study of the physiotherapy treatment of a patient after stroke with left hemiparesis
Damborová, Martina ; Novotná, Irena (advisor) ; Křížková, Štěpánka (referee)
Title: 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. The following chapters solve directly the ischemic stroke, its pathophysiology, clinical manifestations, epidemiology and treatment. The conclusion of this part is devoted to comprehensive rehabilitative care for patients after stroke, including a description of 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. - 30. 1. 2015 during the clinical practise in Oblastní nemocnici Kladno, a.s. Keywords: Stroke, ischemic stroke, left hemiparesis, physiotherapy procedures and methods.
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Public Awareness of stroke risk factors
Gašparová, Natália ; Marková, Eva (advisor) ; Novotná, Jindra (referee)
1. Title of the thesis: Public awareness of stroke risk factors 2. Author's first name and surname: Natália Gašparová 3. Supervisor: Mgr. Eva Marková, Ph.D. Institute of Theory and Practice of Nursing 1st Faculty of Medicine, Charles University in Prague Nowadays stroke represents a severe medical problem. It is the third most common reason for death and only 1/3 of the patients following this diagnosis can fully recover. This bachelor thesis shows the importance of public awareness about the risk factors of stroke. The purpose of this study was to figure out if the general public knows what a stroke is, what the risk factors are and how one can prevent and detect a stroke. In the experimental part of the study we focused on a quantity research with the help of a survey, which targeted the question of general awareness about stroke, its risk factors and its possible prevention. The used survey was self-produced. This study includes 145 participants, out of which 60 % were men and 40 % were women. Our results show, that the majority of the participants see smoking as the most severe risk factor in stroke and when it comes to prevention the majority suggests lowering the blood pressure. Further we found out, that most of the participants (17 %) thinks that a headache is the most important symptom of...
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Case study of physiotherapy treatment of a patient with cerebellar ischemic stroke
Chlouba, Martin ; Neuwirthová, Svatava (advisor) ; Štiková, Barbora (referee)
Title: Case study of physiotherapy treatment of a patient with cerebellar ischemic stroke. Summary: The general part of the bachelor thesis deals with the topic of stroke. To understand the issue of disease there will be described the brief anatomy of vascular brain supply, division of stroke according to the location and cause of ischemia. The risk factors which affect the posibility of stroke and eventual preventation will be presented. Also the most commonly used diagnostic and physiotherapeutic methods and their benefits in a different stages of the disease will be mentioned. In the practical part of the thesis there will be described case study of the patient treated for ischemic stroke. The case study contains kinesiological analysis, therapeutic units and evaluation of their effect. Keywords: stroke, ischemia, physiotherapeutic methods, therapy
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The Use of Mirror therapy in patients after stroke
Kovář, Jan ; Senohrábková, Eva (advisor) ; Drábová, Zuzana (referee)
BACHELOR THESIS ABSTRACT Title of bachelor thesis:The Use of Mirror therapy in patients after stroke Abstract: The topic of my bachelor thesis consisting of theoretical and practical parts relates to Mirror therapy and its use in patients after stroke from the physiotherapeutical point of view. The theoretical part is conceived as a review of the background art. I summarize present information concerning stroke and describe certain methods and concepts which have proved to be useful in the therapy of stroke patients. The Mirror therapy principle consists in observation of the unaffected limb in a mirror being vertically attached to the sagittal axis of the patient's body. Movements performed by the unaffected limb give illusion these are likewise performed by the impaired limb. While watching the reflection in the mirror, the mirror neurons system is activated. The system thereafter provokes activation of motor and somatosenzory areas of the cerebral hemispheres controlling the affected limb. Central nervous system effectively uses reparation neuroplasticity and provides both motor and senzory function improvement. In the Mirror therapy chapter, I focus on the principles of the method as well as on its therapeutic effects and ways of application. Results of present studies evaluating Mirror therapy efficacy...
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The effect of dynamic neuromusculur stabilization on motor deficit in patients after stroke
Zelenková, Jana ; Kobesová, Alena (advisor) ; Demeková, Júlia (referee)
The aim of the study was to evaluate the effect of specific rehabilitation concept on the motor deficit in patients after stroke. This concept is used at the Department of inpatient rehabilitation FN Motol, the main component is exercise on the principles of dynamic neuromuscular stabilization (DNS) and is based on the principles of developmental kinesiology. The study included 12 patients after stroke. Probands participated in the 3 week therapy, exercise was carried out twice a day. Significant (p <0.05) improvement in motor function of the arm, hand, leg and foot was demonstrated by using Student`s paired t-test. There was a statistically significant improvement in postural control and reducing shoulder pain (all assessed using a specific scale: Chedoke McMaster Stroke Assessment). Changes in the degree of spasticity were evaluated by Modified Ashworth scale. A statistically significant improvement in the degree of spasticity was observed in these muscle groups: the elbow flexors , adductors of lower limb, knee extensors and hamstrings. It has been shown that the concept of dynamic neuromuscular stabilization can be advantageously used in selected patients after stroke. It is appropriate to supplement the DNS therapy with training of ADL.
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Use of Forced-Use Therapy in stroke patients
Slavíková, Radka ; Senohrábková, Eva (advisor) ; Drábová, Zuzana (referee)
Title of bachelors thesis: Use of Forced-Use Therapy in stroke patients Abstract: This bachelor thesis deals with Forced-use therapy, which is used in neurorehabilitation of the upper extremity in stroke patients. The most common symptoms of stroke included upper limb paresis, therefore in neurorehabilitation are alway looking for new methods, which include the FUT. The basis of this therapy is restraint healthy limb, which is achieved by use of the paretic extremity. The basic question this work is whether is FUT effective upper limb in neurorehabilitation of patients after stroke and whether improvements persist after termination of therapy. Bachelor thesis consists of theoretical part and practical part. The theoretical part is conceived as a research drawing particularly from foreign studies. This section contains an overview of studies that discuss the effectiveness of FUT. The practical part contains two case reports documenting the examination and treatment of patients after stroke through FUT. Key words: forced-use therapy, constraint-induced movement therapy, neurorehabilitation, neuroplasticity, stroke
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Case study of physiotherapy treatment of a pacient after intracranial hemorrhage
Ballýová, Monika ; Kozáková, Alena (advisor) ; Štiková, Barbora (referee)
Title: Case study physiotherapy treatment of a patient after intracranial hemorrhage Target: The target of this bachelor's thesis is a summary of theoretical knowlegde about the issue of stroke and case report of physiotherapy treatment of patients after intracranial hemorrhage. Method: The bachelor's thesis is divided into two parts. In the general part deals with the theoretical knowledge of strokes, including the question of prevention. In the general part is well informed about the rehabilitaion of neurogically ill patients. In the special part of the thesis is a acse report of pateint care. There is an input kinesiology analysis on the basis of the determined short-term and long-term physiotherapy plan. The following are recorded all therapeutic units that patient has. Base on the output kinesiological analysis of the effect therapy was evaluated. Case report has been prepared in the course of continunous practice in the Regional Hospital in Kladno during the 6th - 31st January 2014. Key words: stroke, hemorrhage, physiotherapy, case study
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Evaluation of therapy cognitive and motor functions with technical equipment
Arimiyawu, Lenka ; Gerlichová, Markéta (advisor) ; Janatová, Markéta (referee)
The thesis evaluates the effect of four-week home therapy using stabilometric platform Nintendo Wii Balance Board and tablet with integrated software HomeBalance in patients with brain injury. Software HomeBalance has been developed for the treatment of balance disorders and cognitive function. Manipulating the platform and the tablet may also develop grip and handling abilities of hand, both will be evaluated in this work as well. The theoretical part describes new trends in rehabilitation of cognitive-motor interference, dual-task therapy and therapy using technological equipments. Methods: A total of 9 subjects underwent four weeks of therapy using a therapeutic set HomeBalance. The control group of 12 subjects received therapy without any technological equipment. Patients participated in the initial examination, home therapy and final examination. As an evaluation of the therapy Mini-BESTest, Timed Up and Go test, Montreal cognitive assessment, 9- hole peg test, and also two games from HomeBalance software and questionnaire assessing satisfaction with therapy have been used. Results: After treatment the whole group improved in only two tests evaluated: in Mini- BESTest and the time of diagnostic scene in HomeBalance software. The research group had statistically better results in both tests...
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Functional electrical stimulation of nervus peroneus of patients after stroke
Petříčková, Kristina ; Konvalinková, Romana (advisor) ; Jeníček, Jakub (referee)
BAKALÁŘSKÉ PRÁCE V AJ Author: Kristina Petříčková Supervisor: Mgr. Romana Lavičková Opponent: Title of bachelor thesis: Functional electrical stimulation of nervus peroneus of patients after stroke Abstract: This bachelor thesis consists of a theoretical and a practical part. The theoretical part is mainly focused on the option of managing foot drop with the use of functional electrical stimulation. It provides background research of available thematical literature, information about current options of using funtional electrical stimulation and information of its combination with other types of therapy. It also provides results of research studies that have been realized and describes effects of functional electrical stimulation on different aspects of gait and function of the lower limb. Described effects are both of orthotic (immediate) and therapeutic (long-term) character. Goal of the practical part was to compare gait of one patient after stroke with no compensational device and with functional electrical stimulator and to sum-up the orthothic effect of electrostimulator. It was anticipated that both quantity and quality of gait would be improved, but there was no noted improvement in quantity. Key words: Functional electrical stimulation, foot drop, nervus peroneus, stroke, ankle-foot orthosis
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