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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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Problem of painful shoulder in hemiparetics patients
Daumann, Pavla ; Muchová, Zuzana (advisor) ; Konvalinková, Romana (referee)
This bachelor thesis is focused on a painful hemiparetic shoulder as a frequently observed complication in patients suffering from stroke. Basic information about stroke, anatomy and kinematics of shoulder joint is included in a theoretical part of the thesis. The largest portion describes a pathogenesis of painful hemiparetic shoulder, its prevention and commonly used physiotherapeutic approaches. The practical part of the thesis consists of two case reports of patients with stroke suffering from painful hemiparetic shoulder. In both cases, a combination of physiotherapeutic approaches applied in ten cycles over a period of 4 to 6 weeks was used. To prove an effectiveness of the therapy, I used kinesiological assessment as well as a faces pain scale for an evaluation of shoulder pain. To assess a mobility of the shoulder, I used a goniometry and functional tests for upper limb. Results of the therapy are described in a discussion part of the thesis and indicate that the combination of physiotherapeutic approaches may decrease pain as well as improve the mobility of affected shoulder. These results should be confirmed in a larger patient population. Key words: stroke, hemiparesis, shoulder, pain, physiotherapy
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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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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 physiotherapy treatment of patient after stroke
Šťastná, Johana ; Říha, Michal (advisor) ; Hankovcová, Eva (referee)
CASE STUDY OF PHYSIOTHERAPY TREATMENT OF A PATIENT AFTER STROKE Objectives: Theoretical analysis of after stroke management and elaboration of physiotherapy treatment schedule in the form of an after stroke patient case study. Methods: This work was done with patients consent within an uninterrupted practice at Central Military Hospital in Prague at the Department of Physical Medicine and Rehabilitation. The practice was held from 9th January to 3rd February. The work is divided into two main sections - a general (theoretical) and a special. In the general section is researched the theoretical background for status post hemorrhagic stroke. The general section includes basic characteristics of the illness, etiopathogenesis, incidence, diagnostics, treatment and options of physiotherapy methods concerning the illness. The special section contains the after stroke patient's case study, the review of proposed therapy and the therapy effect evaluation. Results: The patient's condition evolved during the treatment. The patient developed better muscular strength and joint movement, the swelling was reduced, right hand side of his body and limbs was strengthened and his overall stability and gait was improved. The improvement was indicated by functional scales tests as well. Keywords: hemorrhagic stroke,...
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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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Case Study of physioterapy treatment of a patient after ischemic stroke with right-sided hemiparesis
Čulíková, Tereza ; Neuwirthová, Svatava (advisor) ; Chmelíková, Jana (referee)
Title: Case study of physiotherapy treatment of a patient after ischemic stroke with right-sided hemiparesis Objective: The main aim of this study is to analyze the theoretical knowledge about etiology, clinical symptoms, stages of disease and the following therapeutic methods used during treatment given to patients who suffered a brain stroke. Secondary, prooveing and veryfing my own capabilities in terms of communication with the pacient and his examination, lastly conducting conclusions and creating concepts of therapy treatments which were practically and subsequently applied. Method: The general part of my bachelor thesis contains theoretical knowledge about etiology, clinical symptoms, varieties and stages of ischemic brain strokes and the following options of therapeutic methods used on pacients with such diagnosis. The practical part of the thesis is based on my own study and care of a patient after ischemic brain stroke during my therapeutic observation and research in Rehabilitation Clinic of Malvazinky from 23. 1. 2012 to 17. 2. 2012. Results: Light improvement of fine motor skills, increase of myodynamia of the affected upper extremity involved in complex movement, general improvement of function of the dextral extremity in activities of daily living that implies increase of self-...
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Case Study of physiotherapy treatment of a patient after brain stroke
Tluchořová, Terezie ; Maršáková, Kateřina (advisor) ; Novotná, Irena (referee)
Title: Case Study of physiotherapy treatment of a patient after brain stroke Objective: Gain a theoretical knowledge about etiology, clinical symptoms, stages of disease, localization of haemorrhage and the following therapeutic methods. Method: The general part of the bachelor thesis contains theoretical knowledge about etiology, clinical symptoms, stages of disease, localization of haemorrhage and the following therapeutic methods. The practical part contains casuistry of the patient after the brain vascular stroke. Results: Light improvement of motivity and walk stability. During the therapy came to connection affected extremity to complex moves and symetric loading of lower extremities. Conclusion: Indication of physiotherapy of a patient after appeared highly active in the way of whole state health improvement. Key words: vascular stroke, haemorrhage, hemiparesis, treatment, physiotherapeutic methods.
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The effect of regular training in Locomat system changing the stereotype of gait of patient after cerebrovascular accident
Lang, Michal ; Malá, Jitka (advisor) ; Pavlů, Dagmar (referee)
Title: The effect of regular training in Locomat system changing the stereotype of gait of patients after the cerebrovascular accident Objectives: The purpose of this thesis is to evaluate whether it is appropriate to use the Locomat system in therapy of gait of patients after the cerebrovascular accident, what is the effect of regular training of these patients in the Locomat system on their stereotype of gait and whether the training in the Locomat system of patients after the cerebrovascular accident is more effective in comparison with other physiotherapeutic practices. Methods: The thesis was processed in the Kladruby Rehabilitation Centre on 14 probands, who were divided after the entrance examination in order to form two equivalent homogenous groups. The first group of seven members was experimental, the second one was control. At the beginning of the study the rate of gait disorder was specified at each proband using standardized method of Wisconsin Gait Scale, they also underwent 10 - Meter Walk Test and 6 - Minute Walk Test. Afterwards all the probands absolved a three-week lasting standard regime of rehabilitation. The probands of research groups absolved except the rehabilitation regime during this time period regularly 5x times a week fifteen 30-minute lasting therapy units in the...
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