Z OMEJEVANJEM SPODBUJAJOČA TERAPIJA V KRONIČNEM OBDOBJU PO MOŽGANSKI KAPI: PRIKAZ PRIMERA. (Slovenian)
In: Rehabilitation / Rehabilitacija, Jg. 12 (2013-08-01), Heft 2, S. 76-82
academicJournal
Zugriff:
Background: Upper limb hemiparesis after stroke is one of the main causes of long-term functional disability of an individual and has a major impact on the quality of life for the whole family. Constraint-Induced Movement Therapy (CIMT) is a relatively new therapeutic approach in Slovenia. It implies the forced use and intense practice of the more affected arm by restraining the unaffected arm, thus boosting plasticity processes in the brain. Methods: A case of a young female patient after stroke, with resulting right-sided hemiparesis, who was included in a twoweek modified CIMT protocol one year after stroke is presented. Effects of the therapy on the motoric function of the upper limb were assessed using the Wolf Motor Function Test (WMFT). The actual use of the upper limb in everyday life was assessed by using the Motor Activity Log (MAL). The evaluation was performed a weekbefore therapy, one week after therapy and at six-month follow-up. Results: After completing the CIMT, the function of the affected arm improved greatly. The largest difference was observed in the amount and quality of use of the affected arm in everyday functioning. At the six-month follow-up the condition improved even further, both in terms of the function of the affected arm as well as regarding the spontaneous hand use in everyday activities. Conclusion: The modified CIMT proved to be an effective method for improving the functionand use of the affected upper limb after stroke. In the case of our patient, the results show further improvements during the follow-up. [ABSTRACT FROM AUTHOR]
Izhodišča: Možganska kap s posledično ohromelostjo polovice telesa je eden glavnih vzrokov za dolgotrajne zmanjšane zmožnosti posameznika in precej vpliva na kakovost življenja vse družine. Z omejevanjem spodbujajoča terapija je v Sloveniji razmeroma nov terapevtski postopek, ki vključuje intenzivno, v funkcijo usmerjeno vadbo z okvarjenim zgornjim udom in omejitev gibanja neokvarjenega zgornjega uda. Terapija spodbuja čim večjo spontano uporabo okvarjenega zgornjega uda v vsakdanjem življenju in s tem procese plastičnosti v možganih. Metode: Predstavljamo primer mlajše pacientke po možganski kapi s posledično desnostransko hemiparezo. Pacientka je bila eno leto po nastopu bolezni vključena v dvotedensko terapijo z modificirano z omejevanjem spodbujajočo terapijo (mOST). Učinke te terapije na motorično funkcijo zgornjega uda smo ugotavljali s funkcijskim testom motorike po Wolfu (Wolf Motor Function Test -WMFT), uporabo zgornjega uda v vsakdanjem življenju pa ocenjevali z vprašalnikom za ocenjevanje motorične dejavnosti (Motor Activity Log - MAL). Ocenjevanje smo opravili pred terapijo, po končani terapiji in ponovno šest mesecev po zadnjem testiranju. Rezultati: S testiranjem po končani modificirani z omejevanjem spodbujajoči terapiji smo ugotovili, da se je izboljšala motorična funkcija delno okvarjenega zgornjega uda, največja razlika pa je bila opazna pri količini in kakovosti upo-rabe okvarjenega zgornjega uda v vsakdanjem življenju. V obdobju sledenja po šestih mesecih smo ugotovili, da se je stanje še izboljšalo, tako v smislu funkcionalnosti kot spontanosti uporabe roke v vsakodnevnih aktivnostih. Zaključki: Uporaba protokola mOST se je pri izboljšanju funkcije in uporabe okvarjenega zgornjega uda po možganski kapi izkazala za uspešno. V primeru te pacientke pa rezultati kažejo še dodatno izboljšanje v obdobju sledenja. [ABSTRACT FROM AUTHOR]
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Titel: |
Z OMEJEVANJEM SPODBUJAJOČA TERAPIJA V KRONIČNEM OBDOBJU PO MOŽGANSKI KAPI: PRIKAZ PRIMERA. (Slovenian)
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Autor/in / Beteiligte Person: | Kotnik, Stanislava ; Goljar, Nika |
Zeitschrift: | Rehabilitation / Rehabilitacija, Jg. 12 (2013-08-01), Heft 2, S. 76-82 |
Veröffentlichung: | 2013 |
Medientyp: | academicJournal |
ISSN: | 1580-9315 (print) |
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