The influence of recreational climbing on changes in selected parameters in person after a stroke – case report
Keywords:
stroke, rehabilitation, rock climbingAbstract
Introduction: The rehabilitation treatment in persons after a stroke constitutes one of the most difficult problems of medical and psychosocial nature. The rehabilitation of poststroke patients includes many therapeutic methods which generally may be divided into traditional and specialistic. The aim of this study was to assess the influence of recreational climbing on efficiency of selected functional parameters in a post-stroke person who took part in regular individual climbing classes taking place on an artificial climbing wall.
Material and method: The subject of the study was analysis of function of disabled person with right-sided hemiparesis, who became disabled as result of a stroke. At the time of introducing the course of the classes the neurological and functional condition of the patient was assessed as good. The symptoms of right-sided hemiparesis were observed in the patient. The problems, which occurred, referred to faster locomotion and spasticity especially of the right palm which was manifested by difficulties in performing precise movements. The following were performed: a subjective evaluation of the locomotion functions, stairs locomotion test, ‘Get up and go’ test, ‘toe-touch’ test, hand grasping activity test, Berg Balance Scale, evaluation of the range of motion of the paralyzed extremities.
Results: In the subjective self-evaluation test of the quality of performed specific activities, the examined person felt a significant improvement between specific tests, especially during walking down the stairs. Within the range of locomotion abilities of the examined person an improvement in motion and gait, especially stair gait, was discovered. The most noticeable improvement in the hand grasping activity test was observed in pincer and precision grip. The evaluation of the range of motion of the paralyzed upper extremity manifested the greatest improvement in the supination movement and dorsiflexion, while in case of the lower extremity, in the rotational movement.
Conclusions: Rock climbing may constitute an effective element of the functional rehabilitation of post-stroke patients in the period of functional adaptation.
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References
Grochmal S, Zielińska-Charszewska S. Rehabilitacja w chorobach układu nerwowego. Wyd. 2. PZWL. Warszawa 1986.
Prusiński A. Neurologia praktyczna. PZWL. Warszawa 2003.
Wolny T, Saulicz E, Gnat R, Kokosz M, Kuszewski M, Myśliwiec A. Subiektywna ocena efektów różnych metod leczenia usprawniającego pacjentów po przebytym udarze mózgu. Fizj. Pol. 2009;3(4),vol. 9:223-231.
Nowotny J. Zarys rehabilitacji w dysfunkcjach narządu ruchu. AWF. Katowice 1990.
Nowotny J. Podstawy kliniczne fizjoterapii w dysfunkcjach narządu ruchu, podręcznik dla studentów fizjoterapii i fizjoterapeutów. PZWL. Warszawa 2006.
Bobath B. Adult hemiplegia. Heinemann medical books. Oxford 1990.
Davis P. Right in the middle: selective trunk activity in the treatment of adult hemiplegia. Springer Verlag, Berlin 1990.
Kozubski P, Liberski P. Neurologia, podręcznik dla studentów medycyny. PZWL, Warszawa 2006.
Wolny T, Saulicz E, Gnat R, Kokosz M, Myśliwiec A, Kuszewski M. Ocena efektywności metody Butlera w usprawnianiu gnozji kończyny górnej niedowładnej u pacjentów w okresie późnym po udarze mózgu. Fizj. Pol. 2010;2(4),vol. 10:95-102.
Lennon S, Stokes M. Fizjoterapia w rehabilitacji neurologicznej. Elsevier Urban&Partner. Wrocław 2009.
Kosmol A. Teoria i praktyka sportu niepełnosprawnych. AWF. Warszawa 2008.
Kowalik S. Kultura fizyczna osób z niepełnosprawnością. Dostosowana aktywność ruchowa. GWP. Gdańsk 2009.
Sonelski W, Sas-Nowosielski K. Wspinaczka sportowa. Zagadnienia wybrane. AWF. Katowice 2002.
Opara J. Rehabilitacja w neurologii, podręcznik dla studentów fizjoterapii. AWF. Katowice 2007.
Zambaty A. Kinezyterapia. „Kasper”. Kraków 2002.
Walaszek R, Kasperczyk T, Magiera L. Diagnostyka w kinezyterapii i masażu. Kasper. Kraków 2007.
Berg K, Wood-Dauphinee S, Williams JI, Maki B. Measuring balans in the elderly: validation of an instrument. Can. J. Public Health. 1992;Jul-Aug;83Suppl 2:7-11.
Kwolek A, Drużbicki M. Ocena symetrii obciążenia kończyn dolnych i prędkości chodu chorych po udarze mózgu rehabilitowanych szpitalnie z wykorzystaniem platformy dynamometrycznej. Przegląd Medyczny Uniwersytetu Rzeszowskiego 2005;1:52-57.
Swędzioł W. Ręka wspinacza – przyczyny i charakterystyka najczęstszych zespołów przeciążeniowych ręki, przedramienia i okolicy stawu łokciowego u wspinaczy sportowych. W: Kuder A, Perkowski K, Śledziewski D. (red). Proces doskonalenia treningu i walko sportowej. Polskie Towarzystwo Naukowe Kultury Fizycznej. Warszawa 2009.
Bienia J. Wspinaczka skałkowa jako jeden z czynników usprawniania leczniczego. Chir. Narz. Ruchu i Ort. Pol. 27;5.
Lewandowski A. Wspinaczka skałkowa formą rehabilitacji ruchowej osób niepełnosprawnych. Postępy Rehabilitacji, 2008;22/4:11-18.
Swędzioł W. Wspinaczka halowa i skałkowa z osobami niewidzącymi. W: Bergier J, Kubińska Z. Kultura i rekreacja w integracji osób niepełnosprawnych. PWSZ. Biała Podlaska 2006;359-369.
Otfinowski J, Jasiak-Tyrkalska B, Bogunia A, Buda B. Usprawnianie ręki metodą wymuszonego używania u chorych po udarze mózgu. Fizjoterapia Polska 2004; vol. 4, 1:19-24.
Alzahrani MA, Dean CM, Ada L. Ability to negotiate stairs predicts free-living physical activity in community dwelling people with stroke: an observation study. Aust. J. Physioter. 2009;55(4):277-81.
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