prikaz prve stranice dokumenta Rehabilitacija sindroma ataksije, neuropatije i obostrane vestibularne arefleksije (CANVAS): prikaz slučaja s pregledom literature
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master's thesis
Rehabilitacija sindroma ataksije, neuropatije i obostrane vestibularne arefleksije (CANVAS): prikaz slučaja s pregledom literature
Split: University of Split, 2019. urn:nbn:hr:176:909231
Pavić, Antonela
University of Split
University Department of Health Studies

Institutional repository: Repository of the University Department for Health Studies, University of Split

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Pavić, A. (2019). Rehabilitacija sindroma ataksije, neuropatije i obostrane vestibularne arefleksije (CANVAS): prikaz slučaja s pregledom literature (Master's thesis). Split: University of Split. Retrieved from https://urn.nsk.hr/urn:nbn:hr:176:909231

Pavić, Antonela. "Rehabilitacija sindroma ataksije, neuropatije i obostrane vestibularne arefleksije (CANVAS): prikaz slučaja s pregledom literature." Master's thesis, University of Split, 2019. https://urn.nsk.hr/urn:nbn:hr:176:909231

Pavić, Antonela. "Rehabilitacija sindroma ataksije, neuropatije i obostrane vestibularne arefleksije (CANVAS): prikaz slučaja s pregledom literature." Master's thesis, University of Split, 2019. https://urn.nsk.hr/urn:nbn:hr:176:909231

Pavić, A. (2019). 'Rehabilitacija sindroma ataksije, neuropatije i obostrane vestibularne arefleksije (CANVAS): prikaz slučaja s pregledom literature', Master's thesis, University of Split, accessed 27 November 2024, https://urn.nsk.hr/urn:nbn:hr:176:909231

Pavić A. Rehabilitacija sindroma ataksije, neuropatije i obostrane vestibularne arefleksije (CANVAS): prikaz slučaja s pregledom literature [Master's thesis]. Split: University of Split; 2019 [cited 2024 November 27] Available at: https://urn.nsk.hr/urn:nbn:hr:176:909231

A. Pavić, "Rehabilitacija sindroma ataksije, neuropatije i obostrane vestibularne arefleksije (CANVAS): prikaz slučaja s pregledom literature", Master's thesis, University of Split, Split, 2019. Available at: https://urn.nsk.hr/urn:nbn:hr:176:909231

Metadata
TitleRehabilitacija sindroma ataksije, neuropatije i obostrane vestibularne arefleksije (CANVAS): prikaz slučaja s pregledom literature
Title (english)REHABILITATION OF ATAXIA, NEUROPATHIA AND BILATERAL VESTIBULAR AREFLEXIA - CANVAS SYNDROME: CASE STUDY WITH LITERATURE REVIEW
AuthorAntonela Pavić
MentorAna Poljičanin (mentor)
Committee memberAna Poljičanin (predsjednik povjerenstva)
Committee memberLjubica Žunić (član povjerenstva)
Committee memberDaniela Šošo (član povjerenstva)
GranterUniversity of Split
(University Department of Health Studies)
Split
Defense date and country2019-09-24, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract
Pozadina i svrha. Pacijenti oboljeli od cerebelarne ataksije s neuropatijom i vestibularnom arefleksijom obično imaju poteškoće s kretanjem. U ovoj studiji fizioterapija se temelji na vježbama po Bobath konceptu, prilagođene osobama sa CANVAS sindromom koji ima narušenu ravnotežu i hod. Procjenjena je sposobnost različitim funkcionalnih testovima kako bi mogli izmjeriti i evaluirati promjene koje su nastupile. Metode. Istraživanje je napravljeno po uzoru na eksperimentalnu studiju prikaza slučaja jedne pacijentice s ABAA fazama u stabilnoj fazi. Ispitivanja su provedena 12 puta, tri u svakoj fazi: A (na početku); B (tijekom liječenja); A (odmah nakon tretmana); i A (nakon dva mjeseca). Ključno obilježje liječenja bilo je olakšavanje posturalne aktivnosti i selektivna kontrola kretanja. Nekoliko mjera uspješnosti i samoprocjene i korišteni su intervjui. Rezultati. Nakon intervencije pokazalo se poboljšanje ravnoteže. Test ravnoteže, brzine hoda i ustajanja sa stolice (Short Physical Performance battery (SPPB)) je pokazao da je došlo do poboljšanja. Test “ustani i idi“ pokazuje poboljšanje nakon intezivnog vježbanja. Mjerenje duljine iskoraka nema statistički značajan rezultat. Broj padova je bio nula u posljednih godinu dana uključujući i zadnji tjedan istraživanja. Procjena kategorije funkcionalnog kretanja (FAC) pokazuje da je stanje ostalo nepromjenjeno na kraju istraživanja. Ljestvica za procjenu i klasifikaciju ataksije (SARA) pokazuje dobre rezultate. Indeks funkcionalne samostalnosti po Barthelu pokazuje poboljšanje koje nije statistički značajno. Upitnik zdravstvenog statusa (Short form health survey - SF-36) pokazuje poboljšanje samo za vrijeme trajanja rehabilitacijskog postupka, ali ne i u kontrolnim mjerenjima. Upitnik za procjenu depresivnosti i anksioznosti (Hospital Anxiety and Depression Scale – HAD ljestvica) pokazuju da tjelovježba pozitivno utječe na smanjenje osjećaja depresije i anksioznosti. Upitnika za procjenu vrtoglavica (Dizziness Handicap Inventory - DHI) ne pokazuje značajni napredak. Klinički globalni dojam (CGI) i pacijentov klinički globalni dojam (PCGI) nisu izvijestili o poboljšanju ravnoteže i funkcije hoda nakon zadnje faze istraživanja. Zaključak. Rezultati ukazuju da se ravnoteža i hod mogu poboljšati nakon fizioterapije koja se temelji na Bobathovom konceptu, ali se nažalost dobiveni rezultati ne uspijevaju održati nakon prestanka vježbanja.
Abstract (english)
Background and purpose. Patients with cerebellar ataxia with neuropathy and vestibular areflexia usually have difficulty navigating. In this study, physiotherapy is based on exercises in the Bobath concept, adapted for people with CANVAS syndrome who have impaired balance and gait. The ability of various functional tests was evaluated to measure and evaluate the changes that occurred. Methods. The study was modeled on an experimental case-control study of a single patient with stable-phase ABAA. Tests were performed 12 times, three at each stage: A (at baseline); B (during treatment); A (immediately after treatment); and A (after two months). A key feature of the treatment was the facilitation of postural activity and the selective control of movement. Several performance and self-assessment measures and interviews were used. The results. Improved balance was shown after the intervention. The Short Physical Performance battery (SPPB) test showed that there was improvement. The rise and go test shows improvement after intense exercise. Measuring the step length does not have a statistically significant result. The number of falls has been zero in the last year, including the last week of the survey. The description of Functional Ambulation Category (FAC) assessment shows that eating remained unchanged at the end of the study. The Ataxia Assessment and Classification Scale (SARA) shows good results. Barthel's index of functional independence shows an improvement that is not statistically significant. The Short Form Health Survey (SF-36) shows improvement only during the rehabilitation procedure and not in the control measurements. feelings of depression and anxiety Dizziness Handicap Inventory (DHI) showed no significant progression Clinical Global Impression (CGI) and Patient Clinical Global Impression (PCGI) reported no improvement in balance and gait function after the last phase of the study. Conclusion. The results indicate that balance and gait can be improved after physiotherapy based on the Bobath concept, but unfortunately the results obtained are not maintained after cessation of exercise.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:176:909231
Study programmeTitle: Physiotherapy (university/graduate)
Study programme type: university
Study level: graduate
Academic / professional title: magistar/magistra fizioterapije (magistar/magistra fizioterapije)
Type of resourceText
File originBorn digital
Access conditionsOpen access
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Created on2020-07-02 16:26:10