Physiotherapy in a Patient after Brain Vascular Event
Authors:
E. Musilová; E. Žiaková; D. Letašiová
Authors place of work:
Katedra fyzioterapie, Fakulta ošetřovatelství a zdravotnických odborných studii Slovenské zdravotnické univerzity v Bratislavě
Published in the journal:
Rehabil. fyz. Lék., 21, 2014, No. 3, pp. 136-140.
Category:
Original Papers
Summary
Strokes are frequent and serious diseases. They are second and third the most frequent causes of death in developed countries, in Czech republic, they are the second most frequent cause of cardiovascular diseases and in the last years, they represent 6% of all deaths. The goal of this research was to determine the influence of rehabilitation treatment on the improvement of patient’s independence and self-sufficiency, and to evaluate the effect of rehabilitation intervention on the level of functional disability after ischemic or hemorrhagic stroke and to compare the results using the FIM test.
The sample group included a total of 34 patients, whose average age was 77.8 years (SD ± 10.3), 17 women and 17 men. In order to determine the effect of rehabilitation on the individual types of stroke, the sample group was further divided into a group of 26 patients (average age of 78,7 years, SD ± 10,3) diagnosed with ischemic stroke and a group of 8 patients (average age of 74,9 years, SD ± 10,4) who suffered hemorrhagic stroke. The initial examination was carried out before the onset of the patients’ rehabilitation treatment and the final check up was conducted on the day that the patients were released to either go home or to continue further treatment in another institution.
The statistical analysis was performed in Microsoft Excel 2003. The results show that undergoing comprehensive rehabilitation leads to greater levels of functional independence and to improvements in self-sufficiency as well as basic daily activities in post-stroke patients. The results further prove that patients who had suffered ischemic stroke reached better results in the motoric and cognitive scores in the FIM test than patients who had suffered hemorrhagic stroke. This leads to a conclusion that hemorrhagic stroke has more serious consequences for patients than ischemic stroke.
Keywords:
stroke, FIM test – Functional Independence Measure, physiotherapy
Zdroje
1. HORÁČEK, O., KOLÁŘ, P.: Cévní onemocnění mozku. In KOLÁŘ, P. a kol. 2009. Rehabilitace v klinické praxi. 1. vyd., Praha, Galén, 2009, s. 386-393, ISBN 978-80-7262-657-1.
2. KALVACH, P.: Cévní mozková onemocnění. In JEDLIČKA, P., KELLER, O., 2005. Speciální neurologie. Praha, Galén, 2005, s. 73-107, ISBN 80-7262-312-5.
3. KALVACH, P., a kol.: Mozková ischemie a hemoragie. 3. přeprac. a dopl. vyd., Praha, Grada Publishing, 2010, 456 s., ISBN 978-80-247-2765-3.
4. KELLY, P. J. et al.: Functional recovery following rehabilitation after hemorrhagic and ischemic stroke. In Archive Physhisical Medicine Rehabilitation [online], 84, 2003, 7 [cit. 2013-02-18]. Dostupné na internetu: http://download.journals.elsevierhealth.com/pdfs/journals/0003-9993/PIIS0003999303000406.pdf.
5. Klobucká, S., Žiaková, E.: Robotická lokomočná terapia - prvé skúsenosti v rehabilitačnom centre Hormony. Rehabilitace a fyzikální lékařství, 26, 2009, 3, s.126-134, ISSN 1803-6597.
6. Klobucká, S., Kráľovičová, M., Žiaková, E.: Funkčná asistovaná terapia hornej končatiny. Rehabilitace a fyzikální lékařství, 17, 2010, 4, s. 164-168, ISSN 1803-6597.
7. PAOLUCCI, S. et al.: Functional outcome of ischemic and hemorrhagic stroke patients after inpatient rehabilitation: a matched comparison. Stroke [online], 34, 2003, 12 [cit. 2013-02-18]. Dostupné na internetu: http://stroke.ahajournals.org/content/34/12/2861.full.pdf+html?sid=5a0aa92e-bf7f-4049-8241-3d0cfbe0dfc7.
8. PAZDÍREK, J. a kol.: Functional independence measure in patients with stroke. Chronobiology in Medicine Dedicated to the 85 th anniversary of professor Franz Halberg. NCO NZO Brno, LF MU Brno, 2004, s. 129-133, ISBN 80-7013-000-0.
9. RING, H. et al.: Functional measures of first-stroke rehabilitation inpatients: Usefulness of the Functional Independence Measure total score with a clinical rationale. Physical Medicine Rehabilitation [online], 78, 1997, 6 [cit. 2013-02-08]. Dostupné na internetu: http://download.journals.elsevierhealth.com/pdfs/journals/0003-9993/PIIS0003999397904299.pdf.
10. VÍTOVEC, J., SOUČEK, M.: Hypertenze a cévní mozkové příhody. Neurologie pro praxi [online], 2003, 1, [cit. 2013-02-18]. Dostupné na internetu: http://www.neurologiepropraxi.cz/pdfs/neu/2003/01/07.pdf.
Štítky
Physiotherapist, university degree Rehabilitation Sports medicineČlánok vyšiel v časopise
Rehabilitation and Physical Medicine
2014 Číslo 3
- Hope Awakens with Early Diagnosis of Parkinson's Disease Based on Skin Odor
- Deep stimulation of the globus pallidus improved clinical symptoms in a patient with refractory parkinsonism and genetic mutation
Najčítanejšie v tomto čísle
- Anterior Cruciate Ligament Injury – Magnetic Resonance Imaging Diagnostics and Surgical, Clinical and Rehabilitation Contexts
- Shoulder in Epitome – First Part
- Physiotherapy in a Patient after Brain Vascular Event
- Intra-Articular Healing and Graft-to-Bone Incorporation after Arthroscopic Anterior Cruciate Ligament Reconstruction