J. Except. People 2022, 11(1):141-155

Combination therapy for patients with a history of ischemic stroke: selected approaches based on special education and psychology in a systematic case study

Michal Vostrý1, Ilona Pešatová2, Barbora Lanková3, Otakar Fleischmann4, Jaroslava Jelínková5
1 Jan Evangelista Purkyně University in Ústí nad Labem, Faculty of Education and Faculty of Health Studies, Department of Special and Social Education, Velká Hradební 13, 400 13, Ústí nad Labem, The Czech Republic
2 Jan Evangelista Purkyně University in Ústí nad Labem, Faculty of Education, Department of Special and Social Education, Hoření 13, 400 01, Ústí nad Labem, The Czech Republic
3 Jan Evangelista Purkyně University in Ústí nad Labem, Faculty of Education, Department of Preprimary and Primary Education, Hoření 13, 400 01, Ústí nad Labem, The Czech Republic
4 Jan Evangelista Purkyně University in Ústí nad Labem, Faculty of Education, Department of Psychology, Hoření 13, 400 01, Ústí nad Labem, The Czech Republic
5 Jan Evangelista Purkyně University in Ústí nad Labem, Faculty of Education, Language Department and Department of English language and literature, České mládeže 8, 400 01, Ústí nad Labem, The Czech Republic

The content of the article encompasses the results of a research survey of a patient with a history of ischemic stroke (hereinafter referred to as ICMP, according to ICD-10; I63 cerebral infarction and I69.3 - consequences of cerebral infarction). The aim of the research was to find out the effect of combination therapy using long-term special educational (speech therapy and music therapy), occupational therapy, and psychological interventions on the development of cognitive and fatal functions of patients after ICMP (cognitive rehabilitation). The paper deals with the possibilities of development and support of individuals after the disease with a possible correction of deficits from a multidisciplinary point of view. The person was selected by random, stratified selection and corresponded to relevant characteristics in advance (age over 45 years, acute ICMP, cognitive and fatal disorder, hospitalization). The selected person participated in the research (female, 47 years old, acute ischemic stroke - March 12, 2021). For our needs, the therapy was focused on special educational care (speech therapy, cognitive rehabilitation, music therapy) and psychological intervention (psychic intervention and psychotherapy). A physiotherapist and an occupational therapist were present during hospitalization and post-hospitalization care. In the implemented research process, we point out the selected case study of the person, which corresponded to the relevant features, and the design of therapy with a focus on special education and psychology. The results of the research point to the fact that when working with patients with a history of ICMP, there is a need for regular multidisciplinary cooperation of an occupational therapist, a physiotherapist, a special educator (speech therapist, music therapist), and a psychologist. The given professions focus on specific areas of support with a focus on cognitive, fatal, and motor functions with the support of social adaptability.

Keywords: Ischemic stroke, motor skills, rehabilitation, special education, psychology, helping professions, comprehensive rehabilitation

Published: December 11, 2022  Show citation

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Vostrý, M., Pešatová, I., Lanková, B., Fleischmann, O., & Jelínková, J. (2022). Combination therapy for patients with a history of ischemic stroke: selected approaches based on special education and psychology in a systematic case study. Journal of Exceptional People, 11(20), 141-155
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    • References

    1. Alia, C., Spalletti, C., Lai, S., Panarese, A., Lamola, G., Bertolucci, F., et al. (2017). Neuroplastic changes following brain ischemia and their contribution to stroke recovery: novel approaches in neurorehabilitation. Front. Cell. Neurosci, 11, 76. Go to original source...
    2. Allen Christensen K, Lund K-M, Thuesen J. (2019). Evaluation of Person-Centredness in Rehabilitation for People Living with Dementia Is Needed: A Review of the Literature. Journal of Aging Research, 2019, 1-9. Go to original source...
    3. Antonio Merchan-Baeza J, Gonzalez-Sanchez M, CuestaVargas A. (2015). Clinical effect size of an educational intervention in the home and compliance with mobile phone-based reminders for people who suffer from stroke: protocol of a randomized controlled trial. JMIR Res Protocols, 4, e33. Go to original source...
    4. Béjot, Y., Bailly, H., Durier, J., Giroud, M. (2016). Epidemiology of stroke in Europe and trends for the 21st century. La Presse Médicale, 45(12), 391-398. Go to original source...
    5. Brouns B, Meesters JJL, Wentink MM, de Kloet AJ, Arwert HJ, Vliet Vlieland TPM, et al. (2018). Why the uptake of eRehabilitation programs in stroke care is so difficult-a focus group study in the Netherlands. Implementation Science, 13(1), 13. Go to original source...
    6. Clemson, L., Lannin, N. A., Wales, K. et al. (2016). Occupational therapy predischarge home visits in acute hospital care: A randomized trial. Journal of the American Geriatrics Society, 64(10), 2019-2026. Go to original source...
    7. Donnan GA, Fisher M, Macleod M, Davis SM. (2008). Stroke. The Lancet, 371, 1612-1623. Go to original source...
    8. Dundar, U.,Toktas, H., Solak, O., Ulasli, A. M., & Eroglu, S. (2014). A comparative study of conventional physiotherapy versus robotic training combined with physiotherapy in patients with stroke. Topics in Stroke Rehabilitation, 21(6), 453-461 Go to original source...
    9. Feigin VL, Lawes CM, Bennett DA, Anderson CS. (2003). Stroke epidemiology: a review of population-based studies of incidence prevalence and case-fatality in the late 20th century. Lancet Neurol,2(1), 43 - 53. Go to original source...
    10. Feigin, V. L. (2007). Cévní mozková příhoda: prevence a léčba mozkového iktu. 1. české vyd. Prague, Galén.
    11. Fleischmann, O. (2006). Nemoc jako psychologický problém. Vybrané psychologické aspekty terénní sociální práce. Ústí nad Labem, UJEP.
    12. Fleischmann, O. (2010). Aggress and self-esteem. In.: Durki, G. Wspólczesna rzeczywistość w wybranych problemach spolecznych. Impuls, Kraków, 177-183.
    13. Fulk GD, Combs SA, Danks KA, et al. (2014). Accuracy of 2 activity monitors in detecting steps in people with stroke and traumatic brain injury. Phys Ther, 94, 222-229. Go to original source...
    14. Galetto, V., and Sacco, K. (2017). Neuroplastic changes induced by cognitive rehabilitation in traumatic brain injury: a review. Neurorehabil. Neural Repair, 31, 800-813. Go to original source...
    15. Horn SD, DeJong G, Smout RJ, et al. (2005). Stroke rehabilitation patients, practice, and outcomes:is earlier and more aggressive therapy better? Arch Phys Med Rehabil, 86(12 Suppl 2), 101-114. Go to original source...
    16. Hučík, J. a Hučíková A. (2010). Kazuistika v špeciálnej pedagogike. Prešov, Faculty of Education.
    17. Kalita, Z. (2006) Akutní cévní mozkové příhody: diagnostika, patofyziologie, management. Prague, Maxdorf.
    18. Klein M, Mogles N, van Wissen A. (2014). Intelligent mobile support for therapy adherence and behavior change. J Biomed Inform, 51, 137-151. Go to original source...
    19. Kovářová, I. et al. (2018). Cévní mozková příhoda: Soubor doporučení pro pacienty a jejich rodiny. Rehabil. fyz. Lék., 25(3), 126-130
    20. Krakauer JW, Carmichael ST, Corbett D, Wittenberg GF. (2012). Getting neurorehabilitation right: what can be learned from animal models? Neurorehabil Neural Repair, 26, 923-31. Go to original source...
    21. Kristensen HK, Ytterberg C, Jones DL, Lund H. (2016). Research-based evidence in stroke rehabilitation: an investigation of its implementation by physiotherapists and occupational therapists. Disability and Rehabilitation, 38, 2564-2574. Go to original source...
    22. Lurija, A. R. (1996). Das Gehirn in Aktion. Einführung in die Neuropsychologie. Rowohlt Tb.
    23. Ranner M, Guidetti S, von Koch L, Tham K. (2018). Experiences of participating in a client-centred ADL intervention after stroke. Disability and Rehabilitation, 41(25), 1-9. Go to original source...
    24. Rosamond W, Flegal K, Furie K, Go A, Greenlund K, Haase N et al. (2008). Heart disease and stroke statistics - 2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation, 117(4), 25-146. Go to original source...
    25. Röthlisberger, F., Schmitt, K., Scheel-sailer, A., Boes, S., Rubinelli, S. (2017). Challenges and potential improvements in the admission process of patients with spinal cord injury in a specialized rehabilitation clinic - An interview based qualitative study of an interdisciplinary team. BMC Health Services Research, 17, 5-10 Go to original source...
    26. Sacco RL, Kasner SE, Broderick JP, Caplan LR, Connors JJ, Culebras A et al. (2013). An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 44(7), 2064-2089. Go to original source...
    27. Samuel, G. S., Oey, N. E., Choo, M., Ju, H., Chan, W. Y., Kok, S., Ge, Y., Van Dongen, A. M., & Ng, Y. S. (2017). Combining levodopa and virtual reality-based therapy for rehabilitation of the upper limb after acute stroke: pilot study Part II. Singapore medical journal, 58(10), 610-617. Go to original source...
    28. Sawicki, S., Wedlichová, I., Fleischmann, O. (2008). Osobnost jedince a náročné životní situace. Ústí nad Labem: Univerzita J. E. Purkyně.
    29. Scharingerová, J. (1999). Dílčí oslabení výkonu. Speciální pedagogika: časopis pro teorii a praxi speciální pedagogiky, 9(1), 20-28.
    30. Scharinger, F. W. (1995). Dílčí oslabení výkonu a jeho vliv na školní praxi.
    31. Schultz, J. H. (1982). Das autogene Training. 17 Aufl., G. Thieme, Stuttgart 1982.
    32. Stone K. (2014). Enhancing preparedness and satisfaction of caregivers of patients discharged from an inpatient rehabilitation facility using an interactive website. Rehabil Nurs, 39, 76-85. Go to original source...
    33. Škoda O, Herzig R, Mikulík R, Neumann J, Václavík D, Bar M et al. (2016). Klinický standard pro diagnostiku a léčbu pacientů s ischemickou cévní mozkovou příhodou a s tranzitorní ischemickou atakou - verze 2016. Cesk Slov Neurol, 79/112(3), 351-363. Go to original source...
    34. Škorňa, M. Co může internista udělat pro svého pecienta po ischemické cévní mozkové příhodě. Vnitř Lék 2021; 67(1): 7-14 Go to original source...
    35. Škoulodík, D., et al. (2012). Endovaskulární léčba ischemické cévní mozkové příhody. Cesk Slov Neurol, 75/108(6), 669-683.
    36. Štětkářová, I., Ehler, E., Jech, R. (2012). Spasticita a její léčba. Prague, Maxdorf.
    37. Švestková, O., Angerová, Y., Druga, R., PfeiffeR, J., Votava, J. (2017). Rehabilitace motoriky člověka: fyziologie a léčebné postupy. Prague, Grada.
    38. Teasell, R., Mehta, S., Pereira, S., McIntyre, A., Janzen, S., and Allen, L. (2012). Time to rethink long-term rehabilitation management of stroke patients. Top Stroke Rehabil, 19, 457-462. Go to original source...
    39. Truelsen T, Piechowski-Jóźwiak B, Bonita R, Mathers C, Bogousslavsky J, Boysen G. Stroke incidence and prevalence in Europe: a review of available data. Eur J Neurol 2006; 13(6): 581-598 Go to original source...
    40. Válková, L. (2015) Rehabilitace kognitivních funkcí v ošetřovatelské praxi. Prague: Grada.
    41. Vostrý, M., Fleischmann, O., et al. (2019). Podpora osob s Alzheimerovou chorobou za využití informačních a komunikačních technologií z pohledu pomáhajících profesí. UJEP, Ústí nad Labem.
    42. Winstein, C. J., Stein, J., Arena, R. et al. (2016). Guidelines for adult stroke rehabilitation and recovery. Stroke, 47(6), 98-169. Go to original source...
    43. Zacharová, E.; Šrámková, J.; Hermanová, M. (2007). Zdravotnická psychologie: teorie a praxe. Prague: Grada.

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