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Scientific paper - Review paper
Neurorehabilitacija u pacijenata nakon preboljenog moždanog udara
Medicina Fluminensis : Medicina Fluminensis, 52 (2016), 2; 166-175. urn:nbn:hr:184:558173
Oljača, Ana; Schnurrer-Luke-Vrbanić, Tea; Avancini-Dobrović, Viviana; Kraguljac, Darko

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Oljača, A., Schnurrer Luke Vrbanić, T., Avancini Dobrović, V. & Kraguljac, D. (2016). Neurorehabilitacija u pacijenata nakon preboljenog moždanog udara. Medicina Fluminensis : Medicina Fluminensis, 52. (2), 166-175. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:558173

Oljača, Ana, et al. "Neurorehabilitacija u pacijenata nakon preboljenog moždanog udara." Medicina Fluminensis : Medicina Fluminensis, vol. 52, no. 2, 2016, pp. 166-175. https://urn.nsk.hr/urn:nbn:hr:184:558173

Oljača, Ana, Tea Schnurrer Luke Vrbanić, Viviana Avancini Dobrović and Darko Kraguljac. "Neurorehabilitacija u pacijenata nakon preboljenog moždanog udara." Medicina Fluminensis : Medicina Fluminensis 52, no. 2 (2016): 166-175. https://urn.nsk.hr/urn:nbn:hr:184:558173

Oljača, A., et al. (2016) 'Neurorehabilitacija u pacijenata nakon preboljenog moždanog udara', Medicina Fluminensis : Medicina Fluminensis, 52(2), pp. 166-175. Available at: https://urn.nsk.hr/urn:nbn:hr:184:558173 (Accessed 25 April 2024)

Oljača A, Schnurrer Luke Vrbanić T, Avancini Dobrović V, Kraguljac D. Neurorehabilitacija u pacijenata nakon preboljenog moždanog udara. Medicina Fluminensis : Medicina Fluminensis [Internet]. 2016 June 01 [cited 2024 April 25];52(2):166-175. Available at: https://urn.nsk.hr/urn:nbn:hr:184:558173

A. Oljača, T. Schnurrer Luke Vrbanić, V. Avancini Dobrović and D. Kraguljac, "Neurorehabilitacija u pacijenata nakon preboljenog moždanog udara", Medicina Fluminensis : Medicina Fluminensis, vol. 52, no. 2, pp. 166-175, June 2016. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:558173. [Accessed: 25 April 2024]

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Metadata
Title (croatian)Neurorehabilitacija u pacijenata nakon preboljenog moždanog udara
Title (english)Nerorehabilitation in stroke survivals
AuthorAna Oljača
AuthorTea Schnurrer-Luke-Vrbanić
AuthorViviana Avancini-Dobrović
AuthorDarko Kraguljac
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Orthopedics and Physical Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Physical Medicine and Rehabilitation
Abstract (croatian)
Moždani udar je naglo nastali žarišni ili globalni neurološki deficit uzrokovan cerebrovaskularnim poremećajem. Simptomi ovise o veličini oštećenja i zahvaćenog područja te o vremenu proteklom od pojave simptoma do dijagnoze. Brzim prepoznavanjem simptoma i prijevozom pacijenta do jedinice akutnog liječenja povećava se udio pacijenata koji se mogu liječiti trombolitičkom terapijom te se na taj način smanjuje moralitet i invaliditet. Rani početak rehabilitacije u akutnoj fazi liječenja iznimno je važan. Ovisno o veličini oštećenja pacijenti se dalje zaprimaju na bolničko liječenje i specijalizirani program neurorehabilitacije, terapiju nastavljaju ambulantno ili se otpuštaju kući, na provođenje kućne rehabilitacije. Kriteriji za prijam su stabilan neurološki status, odsutnost značajnijeg komorbiditeta, prisutnost značajnijeg neuromotornog deficita u najmanje dvije od pet navedenih funkcija: pokretljivost, aktivnost samozbrinjavanja, komunikacija, kontrola stolice i mokrenja, kontrola žvakanja i gutanja. Rana rehabilitacija je ključna jer je oporavak neuroloških deficita najbolji u prva tri mjeseca nakon moždanog udara. Današnji principi neurorehabilitacije temelje se na teoriji neuroplastičnosti. Terapijski program se individualno prilagođava svakom pacijentu i uključuje medicinsku njegu, farmakološku terapiju, pacijenti prolaze specijalizirani program neurorehabilitacije, uz primjenu ortopedskih pomagala, provode se okupacijsko–radne aktivnosti, logopedske vježbe i kognitivni trening.
Abstract (english)
Stroke is characterized by a sudden development of a focal or a global neurological deficit caused by a cerebrovaskular origin. Symptoms vary from the size of the damage and the affected area, and the time elapsed from the onset of the symptoms to their diagnosis. Early recognition of the symptoms and transportation to the hospital increases the proportion of patients who can be treated with thrombolytic therapy and that way reduce the morality and disability of the patients. Early initiation of rehabilitation in acute phase of treatment is of great importance. Depending on the severity of their deficits, patients are admitted into further inpatient neurorehabilitation or are released home to home therapy or they continue their therapy as an outpatient rehabilitation. Criteria for admission are stable neurological status, the absence of significant comorbidities, the presence of significant neurodevelopmental deficits in at least two of the five functions: reduc tion activities in mobility, self-care activities, communication, control of stool and urine, control chewing and swallowing. Early rehabilitation is crucial because the recovery of neurological deficits is most efficent in the first 3 months after the stroke. Today’s principles of neurorehabilitation are based on the theory of neuroplasticity. The therapeutic program is individually adapted to each patient and includes medical care, drug treatment, neurorehabilitation according to the protocol, with the application of orthopedic supplies, occupational activities, speech exercises and cognitive training.
Keywords (croatian)
Keywords (english)
Languagecroatian
Publication typeScientific paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numberingvol. 52, no. 2, pp. 166-175
p-ISSN0025-7729
URN:NBNurn:nbn:hr:184:558173
Publication2016-06-01
Document URLhttp://hrcak.srce.hr/158497
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2017-04-21 08:30:57