diplomsko delo
Ines Korošec (Author), Špela Mihevc (Reviewer), Zorana Sicherl (Mentor)

Abstract

Uvod: Možganska kap je bolezen, ki povzroča trajne posledice motoričnih in kognitivnih sposobnostih ter predstavlja eno največjih tveganj za invalidnost. Osebe po možganski kapi se soočajo z izgubo sposobnosti za opravljanje vsakodnevnih aktivnosti. Kljub posledicam, ki jih možganska kap povzroči na možganih, imajo ti sposobnost obnavljanja. Metoda stopnjevane motorične predstave je ena izmed metod, ki se uporablja za izboljšanje funkcije zgornjega uda po možganski kapi na način, da si posameznik gibanje zamišlja brez motoričnega izhoda, kar vodi do aktivacije podobnih področij možganske skorje kot pri izvršenem gibu. Metoda stopnjevane motorične predstave temelji na strategijah implicitne in eksplicitne motorične predstave ter terapije z ogledalom, s čimer se izkorišča nevroplastičnost možganov ter omogoča postopna obnova motoričnih funkcij po možganski kapi. Namen: Prepoznati praktično vrednost in učinkovitost metode stopnjevane motorične predstave v procesu obravnave oseb po možganski kapi. Metode dela: Izveden je bil pregled literature, pri katerem je iskanje potekalo v bibliografskih bazah PubMed, Web of Science, OT Seeker in SAGE Journals. Uporabljena je bila dodatna literatura, ki smo jo pridobili z ročnim iskanjem. Rezultati: V analizo je vključenih šest raziskav, objavljenih med letoma 2015 in 2022. Skupno je vključenih 339 oseb. Raziskave so pokazale razliko v časovnem obdobju intervencije in trajanju metode stopnjevane motorične predstave, ki je bila kot samostojna intervencija izvedena v dveh raziskavah, v preostalih štiri pa v kombinaciji s konvencionalno terapijo ali tuina masažo. Učinkovitejša je bila v subakutni fazi možganske kapi ter kot dopolnilna intervencija. Razprava in zaključek: Uporabnost metode stopnjevane motorične predstave in njenih stopenj se v procesu obravnave oseb po možganski kapi razlikuje. Da bi bolje razumeli in potrdili njeno učinkovitost, se kaže potreba po večih raziskavah z enotnejšo uporabo metode v primerjavi z različnimi starostnimi skupinami ter stopnjami motorične okvare v različnih fazah možganske kapi.

Keywords

diplomska dela;delovna terapija;cerebrovaskularni insult;motorična predstava;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [I. Korošec]
UDC: 615.851
COBISS: 191677699 Link will open in a new window
Views: 17
Downloads: 10
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Other data

Secondary language: English
Secondary title: ǂThe ǂmetod [!] of graded motor imagery in upper limb treatment after stroke
Secondary abstract: Introduction: Stroke is a disease that causes lasting effects on motor and cognitive abilities and presents one of the major risks for disability. Despite of the consequences that a stroke leaves to the brain, it has the ability to recover. The Graded Motor Imagery is one of the methods used to improve upper limb function after a stroke by imaging movements without actual motor output, leading to the activation of similar areas in the brain's cortex as in executed movements. Graded Motor Imagery is based on strategies of implicit and explicit motor imagery together with Mirror therapy, harnessing the brain's neuroplasticity and enabling a gradual restoration of motor functions after a stroke. Purpose: To identify the practical value and effectiveness of Graded Motor Imagery in the rehabilitation process of stroke survivors. Methods: A literature review was conducted, during which the search was performed in the bibliographic databases PubMed, Web of Science, OT Seeker, and SAGE Journals. Additional literature was obtained through manual search. Results: The analysis od six studies published between 2015 and 2022 are included in the analysis. A total of 339 individuals participated. Variations were observed among the studies in the intervention period and the duration of the Graded Motor Imagery method, which was implemented as a individual intervention in two studies and in combination with conventional therapy or Tuina massage in the remaining four. It proved to be more effective in the subacute phase of stroke and as a supplementary intervention. Discussion and conclusion: The use of Graded Motor Imagery and its stages varies in the rehabilitation process post-stroke. To better comprehend and confirm its effectiveness, there is a need for additional research with a more consistent application of the method across diverse age groups and levels of motor impairment at different stages of stroke.
Secondary keywords: diploma theses;occupational therapy;cerebrovascular accident;motor imagery;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Embargo end date (OpenAIRE): 1970-01-01
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za delovno terapijo
Pages: 43 str., [4] str. pril.
ID: 23358210