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The assessment of the impact of rehabilitation on the motor and sensory functions in the stroke patients
Strachoňová, Jitka ; Kobesová, Alena (advisor) ; Čakrt, Ondřej (referee)
Author's first name and surname: Jitka Strachoňová, BA. Title of the bachelor thesis: The Assessment of Impact of Rehabilitation to the Motor and Sensory Functions in the Stroke Patient Department: The Department of Rehabilitation and Sports Medicine at 2nd Faculty of Medicine of Charles University in Prague Supervisor: MUDr. Alena Kobesová, Ph.D. The year of presentation: 2013 Abstract: Introduction: People suffering from cerebrovascular accident represent about 25% of all people with severe disabilities in the population. Physiotherapy aims to reduce sensomotoric deficit of stroke patients. Objective: To assess motor and sensory deficit of the upper limb of the stroke patients and monitor the development of functional deficits during rehabilitation. Evaluate motor deficit by Fugl-Meyer Assessment and sensitive deficit according Nottingham Sensory Assessment. Detect the presence of correlation between improvements of sensory and motor functions. Patients and Methodology: Seven stroke patients were hospitalized on the inpatient rehabilitation department of The Motol University Hospital, underwent a two-week intensive rehabilitation. Patients underwent the entry assessment and two control assessments - after the first and second week of intensive rehabilitation. Motor functions were evaluated using the...
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Case study of physiotherapy treatment of a patient after ischemic stroke
Dubnová, Kateřina ; Kozáková, Alena (advisor) ; Štiková, Barbora (referee)
Title: Case study of physiotherapy treatment of a patient after ischemic stroke. Objective: The main aim of this study was to create the case report of a patient after ischemic stroke, demonstrate own skills of the examination of the patient, propose appropriate therapy, conduct therapy and evaluate its effect. Another aim was to study and elaborate the theoretical knowledge about the issue of stroke. Method: The first (general) part of this bachelor thesis contains theoretical knowledge about etiology, clinical symptoms, varieties and stages of brain stroke, rehabilitation treatment options and special therapeutic approaches to patients with this diagnosis. The second (special) part is aimed at the case report of physiotherapeutic care of patients after ischemic stroke. The aim of the special part was examination of the patient, the selection and subsequent application of appropriate therapy to help the patient to improve the current state of health, to prevent relapse and support him mentally. Based on the initial and the final analysis, the conclusion was compiled and the effect of therapy was evaluated. This special part was based on my own therapeutic work with patients at the Regional Hospital Kladno, where I completed vocational practice at the time from 7. 1. 2013 to 1. 2. 2013. Key words:...
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Efficacy of physiotherapeutic interventions in stroke patients with pusher and neglect syndrome
Fridrichová, Iva ; Pavlů, Dagmar (advisor) ; Pánek, David (referee)
TITLE Efficacy of physiotherapeutic interventions in stroke patients with pusher and neglect syndrome. OBJECTIVES The aim of the thesis is to summarise current literature concerning two peculiar phenomena following stroke - pusher syndrome and neglect. Furthermore the work focuses on evaluation of efficacy of physiotherapeutic interventions. METHODS The thesis represents a critical review of a literature and it consists of three parts. The first one summarize issues concerning the pusher syndrome and neglect in general. In a special part you can find a detailed description of physiotherapeutic methods that are widely used in a rehabilitation treatment of these two neuronal symptoms. This work is concluded by evaluating results of effects of the therapeutic interventions that are discussed with respect to the future research. RESULTS Up till now there are no clinical trials concerning efficiacy of physiotherapeutic methods in a treatment of a pusher syndrome. The similar situation seems to be in case of a neglect syndrome as number of available clinical trials testing the efficiacy of physiotherapeutic techniques is very limited. The studies show positive results of a training of visual and spatial orientation or prism adaptation to effectively treat neglect patients. On the contrary, pharmacological...
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Case Study of Physiotherapy Treatment of a Patient After Stroke
Kofránková, Vlasta ; Nováková, Tereza (advisor) ; Hrdý, Tomáš (referee)
Title: Case Study of Physiotherapy Treatment of a Patient After Stroke Objective: To evaluate the effects of physiotherapy care on the patient. Methods: The first general part provides the description of the desease itself, its pre- valence in the Czech Republic, etiopathogenesis, clinical features, prognosis and current therapeutic approaches in acute, sub-chronic and chronic stages. Re- commendations for primary prevention of cerebrovascular accident are described. Post-stroke patients with permanent disabilities run high risk of falling. Some selected methods (tests) are presented to evaluate the patient's balance ability (e.g. Berg Balance Scale, BESTest). The special part of this work presents a case study of a post-stroke patient, the course of the therapy and an evaluation of its effects. Results: The physiotherapy care has led to improvements of gross and fine motor skills and increased the patient's independence in everyday living. Conclusion: It is important to maintain optimal health, independence and self- sufficiency of patients in the chronic stage. Specially developed functional tests can be used to evaluate the patient's condition and to choose an effective therapy. Keywords: stroke, brainstem stroke, cerebrovascular accident, falls prevention, Berg Balance Scale, BESTest
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Case Study of physiotherapy treatment of a patient after acute brain stroke
Pytlová, Lucie ; Maršáková, Kateřina (advisor) ; Voráčová, Helena (referee)
Title: Case Study of physiotherapy treatment of a patient after acute brain stroke. Objective: To officialy to confirm the ability to work well with patiens after a stroke. To gain the needed theoretical knowledge about the given issue and to utilize the practical physiotherapeutic skills. Method: The first part of the bachelor thesis is theoretical. It describes the origin, risk factors and consequences of a stroke. Further described are typical clinical symptoms, possibilities for treatement and technical uses od physiotherapy. The thesis is also dedicated to the subluxation of the paretic arm and the neglect syndrom. The second part contains casuistry of the chosen patient after the ischemic stroke with left - handed symptomatology. Results: Improvement of the walking stereotype, reduction in the painfulness of the paretic arm, increased strength in the paretic lower arm and improvement of the exterior and deep perception. Conclusion: The use of physiotheraphy on a patient after a stroke appeared to be very important, due to partial return of damaged functions. Key word: vascular stroke, hemiparesis, painful arm, physiotherapeutic methods
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Prehospital urgent care for patients with acute cerebral infarction indicated for thrombolytic therapy
VOKÁLKOVÁ, Martina
The topic of this bachelor thesis is prehospital emergency care for patients with acute cerebral infarction indicated for thrombolytic therapy. In the theoretical part of the thesis there are data about the actual occurrence of cerebral strokes, and there are defined terms such as medical rescue service, pre-hospital emergency care and stroke center. The following chapters describe the basic anatomy of the brain. Owing to the topic the largest part of the anatomy consists of vascular supply of the brain, which is related to the cause of cerebral vascular events. This thesis also involves the theme of cerebral vascular events, where the causes of the illness, the clinical picture and its basic distribution are described. There are also described diagnostic procedures in the following chapters. Due to the subject of the bachelor thesis, the most space is devoted to pre-hospital emergency care. Further chapters focus on how to place a patient to the appropriate healthcare facility and the follow-up treatment. The last chapters of the theoretical part mention the possible prevention of this disease. The practical part of the bachelor thesis was qualitative research. Structured managed interviews with medical rescuers of the Health Rescue Service of the South Bohemian Region (ZZS JčK) and non-medical staff involved in the admission of patients to a complex cerebrovascular center ("KCC") were used for the research. There were drawn up two different interviews. The first interview was focused on mapping the knowledge of health rescuers about providing pre-hospital emergency care to patients with stroke. This interview also involved questions for the assessment of the cooperation between ZZS JčK and KCC in the Hospital České Budějovice from the point of view of medical rescuers. The second interview was drawn up for the non-medical staff of the KCC at the České Budějovice Hospital and was about the cooperation between ZZS JčK and KCC at the České Budějovice Hospital from the point of view of the KCC staff. The interviews were rewritten in the practical part and the answers were processed in tables. The research showed that ZZS JčK health rescuers have sufficient knowledge of vascular events. Furthermore, it was found, that the cooperation between ZZS JčK and KCC is evaluated by both sides positively. Research also showed that glycemia measurement is an important point of improvement for patient examination. Both variants of the interviews showed, that this value is not always measured and therefore, it can happen that a patient with hypoglycemia is brought to the KCC instead of a cesarean stroke.
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The Interconnection of Components of the Coordinated Rehabilitation to Individuals after the Cerebrovascular Accident.
HEJZLAROVÁ, Petra
Cerebrovascular accident (CVA, stroke) is a disease that affects the central nervous system. Many people, even younger in age, have suffered the stroke, and especially in developed countries. For adults it falls into the most common causes of disability. Greater attention is now focused on medical rehabilitation, but all the elements of rehabilitation are important. The status after stroke results in physical, psychological and social consequences. Therefore, early and coordinated rehabilitation is important, since it increases the possibility of the person´s integration. The diploma thesis aims to describe particular components of coordinated rehabilitation granted to the patients after the CVA in the treatment and rehabilitation centre Chvaly. More specifically, the author tries to analyse the coherence of the individual components of coordinated rehabilitation. In the theoretical part, the author focuses at first on the definition of the CVA, follows up with a general treatise about the coordinated rehabilitation, and then she specifies coordinated rehabilitation for patients after the CVA, and briefly describes the facility under examination. To achieve the objective there has been used qualitative research, the method of questioning, the technique of a semistructured interview. The research sample includes people after the CVA, and the staff of the treatment and rehabilitation centre Chvaly, applying specific elements of rehabilitation. Research indicates that in the examined centre they use therapeutic and social elements, where the treatment dominates. The treatment center puts emphasis on self-sufficiency of a person after the CVA, working with the family and a multidisciplinary team, which is also perceived by the clients after the CVA. The results of the diploma thesis can serve as a feedback for the examined treatment centre, they can be used to improve the quality of coordinated rehabilitation. This work can be used as a source of information for people after the CVA and their families.
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Case Study of physioterapy treatment of a patient after hemoragic stroke with left hemiparesis
Formánková, Dita ; Neuwirthová, Svatava (advisor) ; Aronová, Lucie (referee)
Title: Case study of physioterapy treatment of a patient after hemoragic stroke with left hemiparesis. Objectives: The aim of the thesis is to obtain academic findings about stroke concerning anatomy, pathology, therapetuic approaches and methods which can be utilised in cases of stroke. The specific part focuses on the therapeutic care of a patient after hemorragic stroke which was taken during a month practice at Rehabilitation clinic Malvazinky, Medditera s.r.o. Summary: The theory of the thesis discusses anatomy and pathology of human brain in terms of strokes. There is a brief mention of ischemic strokes and a detailed elaboration on hemorraghic strokes. Furthemore, the same part of the thesis epitomizes the risk factors and diagnosis of strokes. There is also a detailed treatise on the physioterapeutic care of stroke. The practice of the thesis introduces a case study of physioterapy treatment of a patient after hemoragic stroke with left hemiparesis. Keywords: Stroke, hemoragic stroke, hemiparesis, shoulder pain, physiotherapeutic technique and methods.
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Case study of physical therapy care of patient after ischemic stroke
Čížková, Michaela ; Hnátová, Iva (advisor) ; Hankovcová, Eva (referee)
Title: Case study of physiotherapy treatment of a patient after the ischemic stroke Objectives: The main aim of this study was to verify my ability to work with the patient, his examination, making conclusions, proposed treatment and its subsequent implementation. Other aim was mapping of the literature on the subject. Methods: The first part of my bachelor thesis is theoretical and it is aimed on stroke. There are described anatomy of cerebral artery, knowledge about stroke, its clinical symptoms and treatment options in this part. The description of spasticity with its influence on therapy and its treatment and the techniques used in physiotherapy are also there. The Brocca aphasia is described in the last section. The second part is the case report of a patient P. V. with diagnosis: ischemic stroke with dextral symptomatology. This special part is based on two weeks' work with the patient in the hospital (Ústřední vojenská nemocnice - Vojenská fakultní nemocnice Praha). This work lasted from 9th January 2012 to 3rd February 2012. The thesis includes: the entrance examination, the short-term and the long-term treatment plan, the descriptions of therapeutic units, the final examination, the comparison of the entrance and final examination and evulation of the therapy effect. The therapy was...
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