Rehabilitation Programme of Stroke Patients in RC Kladruby

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1 Rehabilitation Programme of Stroke Patients in RC Kladruby Bc. Zdeněk Váňa

2 Content About rehabilitation centre Rehabilitation team members roles Stroke patients rehabilitation programme

3 Basic Information about RC Kladruby Government medical institution Nation-wide activity Indications Patients after surgeries and injuries of movement and nervous systems Nontraumatic diseases of spine and joints Stroke patients

4 CP Patients About 150 stroke patients per year Average length of stay 3 months

5 Stroke Patients Dysfunctions Summary Psychical dysfunctions depression, cognitive dysfunctions Aphasia Sensory dysfunctions Motoric dysfunction Continence dysfunctions ADL problems

6 Rehabilitation Team Doctor Psychologist Speech Therapist Physiotherapist Ergotherapist Social Worker Nurse

7 Doctor Head of rehabilitation team Prescribes a rehabilitation programme Analyses a treatment effect

8 Psychologist Testing of cognitive function Training of cognitive function PC programme NEUROP-2 Minimally twice a week for 15 minutes Psychotherapy Aim to help patients to face up their handicap

9 Speech Therapist Orofacial massage and stimulation Nominal memory training Articulation exercises Nonverbal communication training

10 Physiotherapist Improves ROM, especially of shoulder and hip joint Stimulates paralysed muscles Inhibits spastic muscles Practices a coordination of muscle activity Practices postural reactions in sitting and standing position Practises walking (or some part of walking cycle)

11 Ergotherapist Recommends compensatory aids Practises ADL Uses specific occupational therapy in workshops Practises gripping and writing

12 Social Worker Ensures financial contributions In cooperation with doctor, ergotherapist or physiotherapist ensures assistive devices Offers information about home care Ensures follow-up care

13 Nurse Applies medicaments Helps patients with self-care Helps patient with transport to rehabilitation ward Carries out a preventive body and limb positioning Cooperates with ergotherapist and physiotherapist

14 REHABILITATION PROGRAMME Structure Individual therapy Group therapy Physiatrics Supplemental therapy

15 Individual Therapy Psychological therapy Speech therapy ADL training Physiotherapy Ergotherapy training of hand function Individual water therapy

16 ADL training

17 Physiotherapy

18 Ergotherapy Hand training

19 Water therapy

20 REHABILITATION PROGRAMME Structure Individual therapy Group therapy Physiatrics Supplemental therapy

21 Group Therapy Psychological group relaxation Group excercise in gym with physiotherapist Group water excercise Ergotherapy in workshops

22 Excercise in Gym

23 Group water exercise

24 Ergotherapy in workshops

25 REHABILITATION PROGRAMME Structure Individual therapy Group therapy Physiatrics Supplemental therapy

26 Physiatrics Thermotherapy Hydrotherapy

27 REHABILITATION PROGRAMME Structure Individual therapy Group therapy Physiatrics Supplemental therapy

28 Supplemental therapy Sling exercises Fitness Motomed Treadmill Sport games Musicotherapy

29 Therapy Objectives To reach maximum self-sufficiency and independence To improve ability of walking Relief patient of pain To provide compensatory aids To give advices to relatives

30 THANKS FOR YOUR ATTENTION

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