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Padajoče stopalo kot posledica možganske kapi : diplomsko delo
ID Rebolj, Ožbej (Author), ID Levec, Tina (Mentor) More about this mentor... This link opens in a new window, ID Kralj-Iglič, Veronika (Reviewer)

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Abstract
Uvod: Možganska kap je klinično opredeljena kot posledica žilne poškodbe osrednjega živčnega sistema. Povzročijo jo številni bolezenski procesi in dejavniki tveganja, predvsem hipertenzija. Možgansko kap delimo na ishemično in hemoragično. Takojšnja obravnava je ključna za optimalno okrevanje po možganski kapi, zato z rehabilitacijo pričnemo čimprej. Pri osebah z možgansko kapjo se lahko pojavita padec stopala in šibkost dozifleksorjev v paretični spodnji okončini, kar vodi v pogostejše padce, spotikanje in na splošno zmanjšuje sposobnost hoje. Ortoze za gleženj in stopalo so med najbolj pogosto uporabljenimi ortozami. Izboljšajo hitrost hoje, kadenco in dolžino koraka. Namen: Namen diplomskega dela je bila obravnava padajočega stopala kot posledica možganske kapi in predstavitev vrste ortoz za gleženj in stopalo kot pripomoček za uporabo pri padajočem stopalu. Želeli smo tudi predstaviti izkušnjo pacienta po možganski kapi kot študijo primera, s poudarkom na poteku in pacientovem doživljanju bolezni. Metode dela: Opravili smo pregled relevantne strokovne in znanstvene literature s področja obravnave padajočega stopala kot posledice možganske kapi in vrste ortoz za gleženj in stopalo kot pripomoček za uporabo pri padajočem stopalu. Izvedena je bila tudi študija primera pacienta s padajočim stopalom kot posledico možganske kapi. Rezultati: Ortoze za gleženj in stopalo imajo pomembno vlogo pri stabilizaciji gležnja in vzdrževanju ustreznega položaja stopala med hojo. Obravnavani pacient je po možganski kapi pričel z rehabilitacijo z dnevno fizioterapijo, delovno terapijo in logopedskimi vajami. Zaradi posledic kapi je imel padajoče stopalo, kar mu je oteževalo hojo. Po meri izdelana ortoza za gleženj in stopalo je izboljšala njegov vzorec hoje, pozneje jo je zamenjal s serijsko ortozo. Razprava in zaključek: Pacient se je po možganski kapi soočal s številnimi težavami. Ena izmed glavnih je padajoče stopalo, ki je pogosta težava po možganski kapi in ima velik vpliv na mobilnost in kakovost življenja pacienta. Učinkovito obvladovanje padajočega stopala po možganski kapi pogosto zahteva kombinacijo različnih intervencij, pri čemer je uporaba ortoze za gleženj in stopalo ključna. Okrevanje zahteva integrirani pristop, ki vključuje fizično rehabilitacijo, čustveno podporo in kognitivne intervencije za doseganje optimalnih ciljev. Vključenost družine ima pri rehabilitaciji pomembno vlogo. Pacientova motivacija, samopodoba in prisotnost duševne stiske pomembno vplivajo na potek in uspešnost okrevanja.

Language:Slovenian
Keywords:diplomska dela, ortotika in protetika, možganska kap, padajoče stopalo, ortoza za gleženj in stopalo, rehabilitacija
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[O. Rebolj]
Year:2025
Number of pages:30 str., [1] str. pril.
PID:20.500.12556/RUL-169577 This link opens in a new window
UDC:617.3
COBISS.SI-ID:238358531 This link opens in a new window
Publication date in RUL:05.06.2025
Views:337
Downloads:94
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Secondary language

Language:English
Title:Falling foot as a result of a brainstem stroke : diploma work
Abstract:
Introduction: Stroke is clinically defined as a consequence of vascular damage to the central nervous system. It is caused by various pathological processes and risk factors, most notably hypertension. Stroke can be classified as either ischemic or hemorrhagic. Immediate treatment is essential for optimal recovery after a stroke, which is why rehabilitation should begin as early as possible. Individuals who have suffered a stroke may experience foot drop and dorsiflexor weakness in the paretic lower limb, leading to more frequent falls, tripping, and a general reduction in walking ability. Ankle-foot orthoses are among the most commonly used orthotic devices. They improve walking speed, cadence, and step length. Purpose: The purpose of the thesis was to address foot drop as a consequence of stroke and to present different types of ankle-foot orthoses as assistive devices used in the management of foot drop. The aim was also to present a post-stroke patient’s experience as a case study, with an emphasis on the course of the illness and the patient’s personal perception of it. Methods: We conducted a review of relevant professional and scientific literature on the treatment of foot drop following stroke, as well as on various types of ankle-foot orthoses used for this condition. Additionally, a case study was carried out involving a patient with foot drop resulting from a stroke. Results: Ankle-foot orthoses play an important role in stabilizing the ankle and maintaining proper foot positioning during walking. The patient began rehabilitation after the stroke with daily physiotherapy, occupational therapy, and speech therapy. Due to the effects of the stroke, he experienced foot drop, which hindered his ability to walk. A custom-made ankle-foot orthosis improved his gait pattern, and he later transitioned to a prefabricated orthosis. Discussion and conclusion: After the stroke, the patient faced numerous challenges. One of the main issues was foot drop, a common problem post-stroke that significantly impacts mobility and quality of life. Effective management of foot drop often requires a combination of various interventions, with the use of ankle-foot orthoses being crucial. Recovery requires an integrated approach that includes physical rehabilitation, emotional support, and cognitive interventions to achieve optimal outcomes. Family involvement plays an important role in rehabilitation. The patient’s motivation, self-image, and presence of psychological distress significantly influence the course and success of recovery.

Keywords:diploma theses, orthotics and prosthetics, stroke, foot drop, ankle-foot orthosis, rehabilitation

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