Naslov
Planing and Performance of Motor Tasks of a Patient With Chorea and Balistic Movements

Autori
Dogan, Davor ; Vlašić, Sanjica ; Budinčević, Hrvoje

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Abstract Book 2016 Mind and Brain 56th INTERNATIONAL NEUROPSYCHIATRIC CONGRESS / Demarin, Vida ; Budinčević, Hrvoje - Pula : International Institute for Brain Health, 2016, 83-83

Skup
Mind and Brain 56th INTERNATIONAL NEUROPSYCHIATRIC CONGRESS

Mjesto i datum
Pula, Hrvatska, 15.06.2016. - 18.06.2016

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
sensory tricks, physiotherapy, hemibalisam

Sažetak
Introduction/Objectives: Hyperkinetic movements have been reported after ischaemic and haemorrhagic stroke. Hemichoreahemibalism have been most commoly reported hyperkinetic movement after stroke. The aim is to present the challenges of neurorehabilitation approach in patient with chorea and balistic movments. Case report: We report a case of a 61-year old female patient hospitalized at Stroke and Intensive Care Unit Department of neurology, University Hospital Sveti Duh. Four days prior to hospitalization involuntary movements of left-side exstremities started, together with behavior changes. Upon admittance to hospital the neuroradiological methods (MSCT, MR, MRA)confirmed intracelebral hemorrhage in the right subthalamic nucleus region which was the next three weeks resorbed. Neurological status showed choreatic ballistic movments of the left arm and leg. Involuntary movments were more observable when the patients was in psychological excitates, while reduced when resting, even disappearing when sleeping. Medication had only a partial impact reduction involuntary movments. Physiotherapeutical plan was to activate the patint outside the bad. Voluntary movments of the patient towards anty-gravity positions intensified choreoballistic movements of the left extremities aggravating her psychological condition insomuch that she refused the physiotherapy. A gradual and tactical approach resulted in patients cooperation and motivation with a commmon goal set - the possibility of unassisted walking. The realization of the goal set developed through motor tasks – from simpler to more demanding. In two months in hospital the patient was able to walk with the assistnce of another person. Conclusions: Sensory tricks with deep somatic pressure showed good results regarding the calming of involuntary movements. The patient learned how to control choreoballistic movements with sensory tricks e.g.- when sitting a leg upon the other leg supporting the affected side with the backrest, side lying on the affected side, corner-standing. In conclusion, patients with hyperkinetic movements after stroke require multidiscipilinary team involved in their neurorehab

Izvorni jezik
Engleski

POVEZANOST RADA