Rehabilitation Programme of Stroke Patients in RC Kladruby Bc. Zdeněk Váňa
Content About rehabilitation centre Rehabilitation team members roles Stroke patients rehabilitation programme
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
CP Patients About 150 stroke patients per year Average length of stay 3 months
Stroke Patients Dysfunctions Summary Psychical dysfunctions depression, cognitive dysfunctions Aphasia Sensory dysfunctions Motoric dysfunction Continence dysfunctions ADL problems
Rehabilitation Team Doctor Psychologist Speech Therapist Physiotherapist Ergotherapist Social Worker Nurse
Doctor Head of rehabilitation team Prescribes a rehabilitation programme Analyses a treatment effect
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
Speech Therapist Orofacial massage and stimulation Nominal memory training Articulation exercises Nonverbal communication training
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)
Ergotherapist Recommends compensatory aids Practises ADL Uses specific occupational therapy in workshops Practises gripping and writing
Social Worker Ensures financial contributions In cooperation with doctor, ergotherapist or physiotherapist ensures assistive devices Offers information about home care Ensures follow-up care
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
REHABILITATION PROGRAMME Structure Individual therapy Group therapy Physiatrics Supplemental therapy
Individual Therapy Psychological therapy Speech therapy ADL training Physiotherapy Ergotherapy training of hand function Individual water therapy
ADL training
Physiotherapy
Ergotherapy Hand training
Water therapy
REHABILITATION PROGRAMME Structure Individual therapy Group therapy Physiatrics Supplemental therapy
Group Therapy Psychological group relaxation Group excercise in gym with physiotherapist Group water excercise Ergotherapy in workshops
Excercise in Gym
Group water exercise
Ergotherapy in workshops
REHABILITATION PROGRAMME Structure Individual therapy Group therapy Physiatrics Supplemental therapy
Physiatrics Thermotherapy Hydrotherapy
REHABILITATION PROGRAMME Structure Individual therapy Group therapy Physiatrics Supplemental therapy
Supplemental therapy Sling exercises Fitness Motomed Treadmill Sport games Musicotherapy
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
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