CONSTRAINT INDUCED MOVEMENT THERAPY IN CHRONIC STROKE REHABILITATION. A CASE REPORT

Moždani udar u razvijenim zemljama po smrtnosti je na 4.mjestu, dok je u Hrvatskoj na 2. mjestu. Vrlo je visoka stopa smrtnosti u samom ishodu. Do moždanog udara može doći bez obzira na dob i spol te u novije doba se događa u sve mlađoj populaciji uz visok stupanj onesposobljenosti. Za nastanak ove bolesti odgovorni su brojni čimbenici koji se najčešće povezuju s „modernim“ načinom života i životnim navikama. Sve više se danas ulaže napora u prevenciju moždanog udara. Tjelesna aktivnost je veoma bitna u prevenciji bolesti i očuvanju zdravlja, a ukoliko dođe do moždanog udara temeljni je dio u liječenju i rehabilitaciji. Cilj ovog diplomskog rada je prikazati slučaj terapije ograničenim pokretom na pacijentici koja je prije 7 godina doživjela moždani udar (kronični slučaj) te je došlo do hemiplegije cijele lijeve strane tijela. Doživjela je intracerebralno krvarenje te trebala ponovno učiti govoriti. Prikazat će se dinamika oporavka motoričke funkcije pacijentice te kako se kroz oporavak promijenila i kvaliteta života. In developed countries, stroke is at the 4th place, while in Croatia it is in second place in terms of mortality. There is a very high mortality rate at the very outset. Stroke may occur at any age, and recently an increased incidence was observed in the younger population. Many illnesses are responsible for the onset of stroke onset most commonly associated with modern life habits. More and more efforts are now being made to prevent stroke. Physical activity is very important in preventing disease and preserving health, and if it comes to stroke, it is an essential part of treatment and rehabilitation. The aim of this graduate thesis is to present a case of CIMT (Constraint – Induced Movement Therapy) to a patient who has had a stroke (chronic case) 7 years ago and has problems with the entire left side of body. She has experienced intracerebral bleeding and needed to learn how to talk again. The dynamics of motor functions recovery will be presented as well as the recovery-related changes in the quality of life.