Identifying nursing interventions captured in patients with stroke by Korean nursing students: Nursing interventions classification study

Park, Jeong Eun

doi:10.17079/jkgn.2023.25.1.69

Cited by 3 publications

(1 citation statement)

References 23 publications

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“…The main objectives of rehabilitation treatment and physical therapy interventions following a stroke are to enhance the patient's functional capabilities, foster self-reliance, and enhance their overall quality of life [19,20]. There are numerous types of interventions available that are customized to address the specific requirements of each patient [21][22][23].…”

Section: Introductionmentioning

confidence: 99%

A Comprehensive Review of Physical Therapy Interventions for Stroke Rehabilitation: Impairment-Based Approaches and Functional Goals

Shahid¹,

Kashif

Shahid

2023

Brain Sciences

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Stroke is the fourth leading cause of mortality and is estimated to be one of the major reasons for long-lasting disability worldwide. There are limited studies that describe the application of physical therapy interventions to prevent disabilities in stroke survivors and promote recovery after a stroke. In this review, we have described a wide range of interventions based on impairments, activity limitations, and goals in recovery during different stages of a stroke. This article mainly focuses on stroke rehabilitation tactics, including those for sensory function impairments, motor learning programs, hemianopia and unilateral neglect, flexibility and joint integrity, strength training, hypertonicity, postural control, and gait training. We conclude that, aside from medicine, stroke rehabilitation must address specific functional limitations to allow for group activities and superior use of a hemiparetic extremity. Medical doctors are often surprised by the variety of physiotherapeutic techniques available; they are unfamiliar with the approaches of researchers such as Bobath, Coulter, and Brunnstrom, among others, as well as the scientific reasoning behind these techniques.

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Section: Introductionmentioning

confidence: 99%

A Comprehensive Review of Physical Therapy Interventions for Stroke Rehabilitation: Impairment-Based Approaches and Functional Goals

Shahid¹,

Kashif

Shahid

2023

Brain Sciences

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Methods of Evidence-based medicine for patients after stroke with early Spasticity

Homola

2024

USMYJ

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аcute cerebrovascular accident is the main cause of disability. Stroke has different clinical characteristics and consequences that require individual rehabilitation examination and approach. Adverse neurological disorders are accompanied by motor, cognitive, and psycho-emotional consequences. Over the past 20 years, the treatment of acute cerebrovascular accidents has significantly increased the recovery rates of patients. This is due to the progress of international clinical protocols, randomized evidence-based medicine, adequate medication, step-by-step and individualized physical therapy, and occupational therapy strategies for patients. One of the most important contributions to rehabilitation for stroke patients is made by evidence-based medicine. The literature review highlights current evidence and critical appraisal to confirm the effectiveness of evidence-based medicine in rehabilitation interventions to improve movement control, activity, participation, and functioning. The benefits of rehabilitation interventions on spasticity after stroke in the early period have been proven. However, even after medical and rehabilitation, the restoration of motor function remains insufficient to achieve the patient's request, due to inconsistent application of evidence-based medicine. The purpose of the literature review is to analyze the effectiveness of evidence-based medicine in rehabilitation interventions for people after early stroke with spasticity to improve quality of life and motor function. Materials and methods. In this review, we analyzed rehabilitation interventions and evidence-based medicine in physical therapy. We substantiated the materials of the Canadian Clinician's Guide to Stroke Rehabilitation for 2020. The review includes scientific publications in English. Articles and research by scientists published over the past 15 years. A computer search was conducted through the PubMed database. We considered 63 publications that were evaluated according to the following criteria: reliability, validity, and measurability. The changes that have occurred during the research have been analyzed. Conclusions. Spasticity in the late period after acute cerebrovascular accident has significant negative consequential difficulties that patients are unable to cope with on their own. We have found that rehabilitation measures and physical therapy techniques improve the motor functions of patients with spasticity in the early period, provided that the recommendations of evidence-based medicine are followed. The timely use of methods, tools, and an individualized approach to each patient gives positive results. After all, the purpose of physical therapy is not to convince patients that the consequences of stroke are not subject to rehabilitation, but to help and teach patients to be independent and improve the quality of life of people with spasticity in the early or late period. It was also determined that the topic of recovery of patients with late-onset spasticity after stroke is not sufficiently covered. To date, more than half of people after stroke remain limited in everyday activities and have negative consequences - motor disorders, and activity limitations that significantly affect the quality of life and independence. Further research is needed to determine whether it is possible to reduce late-onset spasticity and improve the motor function of patients after stroke with the possibility of further use of the affected limb.

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Physical Therapy and Neurorehabilitation of Patients With Cerebrovascular Stroke

Nikolovska,

Taci

2023

MEDIS

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Cerebral stroke represents an acute disturbance of circulation in the brain, which occurs with local and general brain symptoms. Main etiological factors are: arteriosclerosis, increased blood pressure, arterial hypotension, heart diseases, malformations of brain blood vessels, etc. Stroke is the most common neurological disease and the leading cause of mortality in the world, right after cardiovascular and malignant diseases. Cerebrovascular stroke is a focal neurological deficit caused by intracerebral hemorrhage. It is a condition that occurs due to a change in blood circulation in the brain and a very low supply of oxygen and nutrients to parts of the brain, which results in their damage and disruption of the functions that depend on them. There are two types of cerebrovascular stroke: ischemic - thrombosis and thromboembolism (85%) and hemorrhagic – intracerebral and subarachnoid bleeding (15%). The clinical picture can develop gradually or, the patient can suddenly fall into a coma. Absence of movements of the affected limbs predominates, always opposite to the side of the impact with an outburst of the facial nerve of the central type. Hemiplegia is a loss of the voluntary movements of one half of the body, caused by damage to the opposite brain hemisphere. The musculature is atonic, tendon reflexes are reduced or lost. The aim of the research is to determine the effectiveness of physical therapy and neurorehabilitation in patients with cerebrovascular brain stroke. Treatment of stroke: In the acute stage, physical therapy is aimed at preventing complications of the loco-motor apparatus (contractures, muscle and tendon retraction, heterotropic ossifications), the respiratory system (hypostatic pneumonia) and the skin (decubitus). This is achieved through treatment with position (frequent change of the position of the body in bed), passive exercises performed according to strictly defined rules, breathing exercises, exercises for healthy limbs and great care of the skin. The trophic changes of the skin are treated with ultraviolet radiation in suberythemic doses or with D’Arsonval currents. The research was conducted at the University of Southeast Europe - (Stul University) at the Faculty of Health Sciences in the Department of Physical Therapy and Rehabilitation, over a period of 6 months, from the beginning of From the beginning of May - to the end of October 2023. The research included 27 stroke patients, of which 11 patients had a left-sided stroke, and the remaining 14 patients had a right-sided stroke. According to the gender structure, 12 patients are male and the remaining 15 patients are female. After completing the six-month treatment with physical therapy, kinesitherapy and the methods of Vojta and Carl and Bertha Bobat, the results show great progress in almost all parameters. A decrease in tonic primitive reflexes, neck and labyrinthine tonic reflexes, reduction of extensor hypertonia, improvement of motor-reflex activity, proprioceptive afference, coordination, reduction of neck tone, foot reflex, stimulation of the grip reflex and improvement of the position of the neck, limbs and body. The presented results shows significant improvement in both groups of participants. Physical therapy and rehabilitation combined with kinesitherapy have an exceptional positive effect in: prevention of pathological primitive reflexes;creation and automation of normal active movements;saving irregular positions of the limbs and the whole body;establishment of balance and correct pattern of movement; fight against spasticity, secondary contractures and deformities; improvement of coordination and awareness of the body in relation to the environment.

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Identifying nursing interventions captured in patients with stroke by Korean nursing students: Nursing interventions classification study

Cited by 3 publications

References 23 publications

A Comprehensive Review of Physical Therapy Interventions for Stroke Rehabilitation: Impairment-Based Approaches and Functional Goals

A Comprehensive Review of Physical Therapy Interventions for Stroke Rehabilitation: Impairment-Based Approaches and Functional Goals

Methods of Evidence-based medicine for patients after stroke with early Spasticity

Physical Therapy and Neurorehabilitation of Patients With Cerebrovascular Stroke

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