COMPREHENSIVE EDUCATIONAL-REHABILITATION APPROACH IN A PERSON POST-STROKE: A CASE STUDY

Alma Glinac
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Abstract

A stroke occurs due to a disruption in brain circulation, leading to partial or complete loss of motor, sensory, perceptual, or cognitive abilities. This can result in disability and reduced rehabilitation potential. Therefore, the approach to working with individuals who have experienced a stroke is crucial, adapting to their individual needs in a holistic manner. In this context, the aim of this study was to present a comprehensive rehabilitation approach for an 88-year-old patient following a stroke through the implementation of educational-rehabilitation treatment, achieving gradual improvements in the recovery process. Tests such as the Mini-Mental State Examination, Motor Evaluation Scalefor Upper Extremity in Stroke patients, The Barthel Index for Activities of Daily Living, Aphasic Depression Rating Scale, and The Modified Rankin Scale were applied to assess the set goal. The educational-rehabilitation treatment was conducted daily for 45 minutes, for two months within clinical rehabilitation and nine months in home conditions. The treatment was based on the principles of brain neuroplasticity and motor learning, involving cognitive training, motor training, adaptive skills training, relaxation, education and counseling, motivational training, and the promotion of metacognitive abilities. The research data underwent analysis through descriptive statistics, and the findings were visually illustrated in graphical representations. Based on the obtained results, it can be concluded that there is noticeable functional progress in the patient across all evaluated areas.Keywords:stroke, rehabilitation, educational-rehabilitation treatment
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中风后患者的综合教育康复方法:个案研究
中风的发生是由于脑部血液循环中断,导致部分或完全丧失运动、感觉、知觉或认知能力。这可能导致残疾和康复潜力下降。因此,与中风患者打交道的方法至关重要,要全面适应他们的个人需求。在这种情况下,本研究的目的是通过实施教育康复治疗,为一名 88 岁的中风患者介绍一种综合康复方法,使其在康复过程中逐步得到改善。研究采用了迷你精神状态检查(Mini-Mental State Examination)、脑卒中患者上肢运动评估量表(Motor Evaluation Scale for Upper Extremity in Stroke patients)、日常生活活动巴特尔指数(The Barthel Index for Activities of Daily Living)、失语抑郁评分量表(Aphasic Depression Rating Scale)和修正兰金量表(The Modified Rankin Scale)等测试来评估既定目标。教育康复治疗每天进行 45 分钟,临床康复治疗为期 2 个月,家庭康复治疗为期 9 个月。治疗基于脑神经可塑性和运动学习的原理,涉及认知训练、运动训练、适应技能训练、放松、教育和咨询、动机训练以及促进元认知能力。通过描述性统计对研究数据进行了分析,并以图表直观地说明了研究结果。根据所获得的结果,可以得出结论:患者在所有评估领域都取得了明显的功能进步。 关键词:脑卒中;康复;教育康复治疗
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