期刊名称：Ovidius University Annals, Series Physical Education and Sport/Science, Movement and Health
印刷版ISSN：1224-7359
出版年度：2018
卷号：18
期号：2
页码：422-426
语种：English
出版社：Ovidius University Press
摘要：Objectives.This study intends to show the evolution,recovery and the treatment in left-sided predominantly brachial hemiparesis after ischemic stroke.Methods.This scientific approach led to a case study with a female subject aged 72 years of Bucharest.Research methods used: review of specialized literature,pedagogical observation,medical history,method of test (clinical and lab tests),KABAT method.Based on the studied medical history,the subject has the following diagnoses: left-sided predominantly brachial hemiparesis after ischemic stroke;recurrent paroxysmal atrial fibrillation;HBP E stage 3;IHD;left-side EDR post fracture state;state after left-sided hemiarthroplasty with Moore prosthesis on fracture of femoral neck;anxious-depressive syndrome;locomotor disability and moderate selfcare limitation.The study was conducted during the period 2007 -2016,divided into 3 stages,each one with its own history of evolution,recovery and treatment.Depending on the stage of the research,the study monitored the following indicators: a) Objective clinical exam (Central facial paresis,left-sided,left UL –distal pred.paretic motor deficit,brisk deep-tendon reflexes,Spasticity degree 2 fist articulation;left-side LL – paretic motor deficit,brisk deep-tendon reflexes,Babinski (+),possible to walk with a walking stick;b) Lab exam (TA,HB,HT,WBC;LYM,cholesterol,Trig.,glycaemia,creatinine,lipids,urea,VSH,TGO,TGP,Urinalysis ITU with E.Coli).Results.In order to highlight the functional-clinical evolution and the stage rehabilitation treatment,the study results are presented in several stages with different diagnosis,rehabilitation and treatment.After the hip surgery,when she received a cemented hip prosthesis,the patient was submitted to a rehabilitation program lasting 6 weeks approximately,similar to the previous program,but without the intended effects;the patient still has spasticity of the upper limb and the operated lower limb.Currently she is brought by her daughter for neurological reassessment.Conscious patient,transport by means of manually driven wheelchair;she needs maximum help when making the transfers,she can sit on the side of the bed for a short time.Conclusions.We found out that the observance of the medical recommendations regarding the clinicalfunctional assessment and the stage rehabilitation treatment,consistent with the observance of a low-calorie diet and the administration of the pharmaceutical treatment can lead to the improvement of patient’s condition.
