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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 utilization of COPM in patients following an acute cerebrovascular attack
Košťálková, Olga ; Nováková, Olga (advisor) ; Svěcená, Kateřina (referee)
This paper deals with the utilization of Canadian Occupational Performance Measure (COPM) in clients following an acute cerebrovascular attack (stroke). The theoretical part examines the rules and circumstances of the rehabilitation of clients following the stroke and specific approaches that inspired COPM. This part also describes Canadian Occupational Performance Measure (history, key ideas, structure, and psychometric skills). The practical part investigates the effects of utilizing COPM in patients after an acute cerebrovascular attack and compares the results to the effects of usual occupational therapy examination with data analysis. The conclusion of the study focuses on the satisfaction of clients with the measure and the effect of measure for subsequent intervention and cooperation with occupational therapist. Key words: COPM, stroke, Client - centered practice, occupational performance, Canadian Model of Occupational Performance
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Use of mirror neurons in rehabilitation of upper extremities in patients after stroke
Dedja, Fregen ; Čakrt, Ondřej (advisor) ; Mareš, Pavel (referee)
The aim of this thesis "Use of mirror neurons in rehabilitation of upper extremities in patients after stroke" is to conduct basic information related to issues like stroke and use of mirror neurons in rehabilitation of upper extremities. In this review I would like to present data on mirror neurons, that appear to play a fundamental role in both action understanding, imitation and movement. I would like to stress, in particular, those properties specific to the human mirror neurons, that might explain the human capacity to learn by imitation. This thesis consists of three parts. General part contains a general overview of stroke problematics, and its pathology, symptoms, course, diagnosis and therapy. The special part of this thesis explains the function of mirror neurons and their use in rehabilitation of upper extremities in patients after stroke. The thesis includes a case in which the examination and the therapy suggested by the author tries prove that mirror neurons can be part of the rehabilitation process. Powered by TCPDF (www.tcpdf.org)
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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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Rehabilitation Nursing in CVE Patients in Home Care
CHALOUPKOVÁ, Veronika
The thesis deals with application of nursing rehabilitation in patients after stroke at home care. The thesis further describes cerebrovascular accidents, rehabilitation nursing and home care agencies (HCA). The research reveals correlations between nursing quality and additional education of HCA nurses.
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The importance and possibilities of positioning of patients after stroke
PLOUHAROVÁ, Kamila
This bachelor thesis is about the importance and possibilities of positioning of patients after stroke. The thesis is divided into theoretical part and practical part. The theoretical part deals with a summary of theoretical knowledge about stroke and possibilities of positioning patients after stroke. There is a more detailed description of antispastic positions, which are based on the Bobath concept. The thesis also includes information about other ways of positioning, which are positioning based on the concept of basal stimulation, positioning using inflatable splints, canistherapy and the suitable supply of information to the patient. The aim of the practical part of the thesis is to evaluate the importance of positioning of patients after stroke by comparing the entry and exit examination and suggest short and long term rehabilitation plan for patients. In practical part was chosen qualitative research a case study that was performed with 5 patients after stroke. Patients were selected randomly during my practice in hospital in České Budějovice at the Neurological and Rehabilitation Department. Data collection was performed processing of case studies, which used the method of observation, interviewing patients and nursing staff and secondary data analysis. Each case report contains anamnesis, entry and exit examinations, proposal of short and long term rehabilitation plan and information about therapy, which patients participated. The results of the thesis show that physical conditions were improved by patients described in case studies 1, 2 and 3. Patients 1 and 3 also improved their psychological conditions. The patient described in the case study 2 did not have any psychological problem at the beginning of the research. The physical and psychological conditions were not improved by patients 4 and 5, but avoid the formation of pressure ulcers and to reduce passive range of motion. Improvement by patients 1, 2 and 3 can be caused by favourable prognosis early in the disease and also care of multidisciplinary team. Against to this by patients 4 and 5 was the prognosis unfavourable.
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Physiotherapy of fine motor skills for patiens after cerebrovascular stroke
DAMBOROVÁ, Barbora
The theme of this bachelor thesis is "Physiotherapy of fine motor skills for patiens after cerebrovascular stroke". Stroke is a neurological disease that is caused by a vascular disorder with symptoms corresponding to the affected part of the brain. This disease is the most common and its occurrence can not be reduced despite a great awareness of the risk factors that anyone can affect. The main target of this work is mapping of this stroke issue and its influence on fine motor skills of affected individuals. Than this thesis describe suggestion, implementation and evaluation of therapeutic methods in three probands. Based on those targets a research question was set: What changes in kinesiological testing might occur after the implementation of the proposed therapeutic methods by patiens with impaired fine motor skills after a stroke? This thesis is devided into two main parts: the theoretical part and practical part. The theoretical part deals with the stroke issue and its manifestation by the affected part of the brain as well as its impact on a man. This part describes fine motor skills, manipulation, grasps and fine motor skills testing. The last chapter introduces the therapy from the perspective of physiotherapy, occupational therapy and therapy using the robotic technology Armeo Spring and Amadeo. The practical part is based on qualitative research, which includes a complete kinesiology and neurological testing and analysis functions of individuals grip. Short and long term rehabilitation plans have been done. Both are based on the testing results. The research was conducted for patients with subacute phase of stroke who were hospitalised on the Rehabilitation or Neurological Department of Hospital České Budějovice a.s. Physiotherapy lasted for two weeks in the hospital each probands at the department. During therapy fine motor skills at all probands have been improved. The research could be considered beneficial.
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Strokes and the protocol of a stroke for Emergency Medical Services of the South Bohemian Region
SCHWARTZ, Kamila
The topic of this thesis are the Stroke and the Protocol of a Stroke for Emergency Medical Services of the South Bohemian Region. The teoretical part of this thesis includes basic anathomy and pathophysiology facts of brain necessary for understanding of a cerebrovascular accident. Afterwards the chapters are focused on the CVA itself. First of all are described the definition and a basic division of Strokes. In the next chapter are described possible high-risk factors leading to an inception of a cerebrovascular accident. The following topic is the Clinical Picture of Ischemic and Hemorrhaging CVA, diagnostic method used in a hospital facility. The important chapter is the therapy of a cerebrovascular accident in a preliminary medical care, there is also described the Protocol of a Stroke and potential patient's aiming to an acute medical treatment. The two last chapters are focused on a hospital medical treatement and after-care. The intention of this thesis is the maping of theoretical knowledge and differences in application of the Protocol of a Stroke aplicated by paramedics and nurses working in the Emergency Medical Service of the South Bohemian Region. We also wanted to evaulate a cooperation with Stroke Centers that can help to get the patient to undergo a medical performance as fast as it is possible which is essential for the patient and improves many times a future quality of life. Practical part tooks place by the method of a qualitative research. There were used semi-structured interviews with paramedics and nurses employed by Emergency Medical Services of the South Boheminan Region. The interviews included twelve questions concerning theoretical knowledge about the Cerebrovascular Accident, knowledge of the Stroke Protocol and filling in of of it, evaulation of co-operation and a telephonic consultation with Stroke Centers in the South Bohemian Region. Furthermore there was led a semi-structured interview with the doctor of the Complex Cerebrovascular Centre in České Budějovice and with the doctor of the Stroke Centre in Písek. The interviews consited of five questions concerning primarily a frequency of occurrence of the Stroke Protocol during the submittig of the patient and the evaulation of the consultation of patient's condition using the Stroke Telephone. Transcribed interviews are the component of practical part. The evaulated answers were catalogued into the charts for a better arrangement and orientation.
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Nurses and physical therapist cooperation for clients after stroke
ŠOULOVÁ, Kateřina
Theoretical base: The brain stroke is one of the most frequented illness which affect our population and which belongs to the second place between reasons of the death. We can divide strokes by origin on ischemics and hemoragics. The biggest part of strokes is composed of ischemics brain strokes, approximately 85%. The rest of strokes are hemoragics brain strokes. When affect patient the brain stroke is necessary fast transport to the hospital, screening and institution of medical treatment. Important part of medical treatment is comprehensive health care which is arranged thanks for the good function multidisciplinary team. It is necessary cooperation of nurses and physiotherapist in the rehabilitation care too. Last not least it is necessary that the patient is the part of the care and the motivation to the cooperation trying to return him to his normal life. My bachelor work is divided into the theoretic part and empiric part. In theoretic part we talk about brain stroke, health care, rehabilitee care and cooperation between nurses and physiotherapist. In empiric part there are results of the research.The objective of the work: The object of empiric part was mapping the cooperation of nurses and physiotherapists with clients after brain stroke in the hospital. For realization of the objective were determinate two questions. In what consist the cooperation between nurses and physiotherapists with clients after the brain stroke? The second question was: What problems complicate the cooperation between nurses and physiotherapists? Methodology: For processing the bachelor work was used qualitative research. For collecting dates we used forms of hidden observation and half structured conversations. The research was realized with 7 nurses and 3 physiotherapists in the hospital in neurologic ward and after care ward. The collection of dates was realized by the approval of the main nurse and head nurses in wards which I named. For keeping the anonymity the agreement is not the part of the bachelor work but it is possible to see it at author of the bachelor work. The research was anonymous, observation and conversations were realized from 23.3.2015 to 17.4.2015. For realization of the research was used the form f hidden participating observation. Discovered dates were written into the diary of observations of sisters (annexe 5) and of physiotherapists (annexe 6) during the observation. Discovered information were rewritten and evaluated. For collecting dates was applicate half structured conversation. I put 35 questions to nurses (annexe 7) and 28 questions to physiotherapists (annexe 8) which were completed thanks for other questions. Conversations were realized with the group of observed nurses and physiotherapists. Answers were written and then rewritten (annexe 9). Obtained dates were analysed, evaluated and sorted into categorical groups. Solutions: Thanks for the research we could see the cooperation between nurses and physiotherapists. The cooperation between them is in the passing on information because awareness is key for giving care. We discovered that they cooperate in rehabilitee care like is setting into position, putting clients to sit down on another place, putting clients to sit down, half help and practise of daily activities. The deficiency was noticed in not cooperation of nurses with physiotherapists next to the bed of the client. From conversations we discovered that nurses are not informed from physiotherapists about correct setting into right position even it is in their competence. From results we can see that the cooperation between nurse and physiotherapist hardly the deficiency of time which we can see in passing information and two-way cooperation. Other factor is changing of physiotherapists in the ward and insufficient consultation in the care of the patient.
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