Rehabilitation in locked-in-syndrome – a case study

Introduction: The locked-in syndrome is a neurological condition which occurs most often as a result of brainstem stroke, characterized by the presence of sustained eye opening, aphonia or severe hypophonia, quadriplegia or quadriparesis, preserved cognitive functioning, and a primary and elementar...

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Main Authors: Anna Grabowska, Justyna Zgórzyńska, Monika Wesołowska, Marcin Wójcicki, Klara Nicpoń-Nożewska, Marta Podhorecka, Walery Zukow
Format: Article
Language:English
Published: Kazimierz Wielki University 2017-03-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/24233
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author Anna Grabowska
Justyna Zgórzyńska
Monika Wesołowska
Marcin Wójcicki
Klara Nicpoń-Nożewska
Marta Podhorecka
Walery Zukow
author_facet Anna Grabowska
Justyna Zgórzyńska
Monika Wesołowska
Marcin Wójcicki
Klara Nicpoń-Nożewska
Marta Podhorecka
Walery Zukow
author_sort Anna Grabowska
collection DOAJ
description Introduction: The locked-in syndrome is a neurological condition which occurs most often as a result of brainstem stroke, characterized by the presence of sustained eye opening, aphonia or severe hypophonia, quadriplegia or quadriparesis, preserved cognitive functioning, and a primary and elementary code of communication using vertical eye movements or blinking. This illness leads to complete physical disability of the person, accompanied with fully retained mental capability. Case study: The goal of the hereby work is to present a description of a case of a person with the locked-in syndrome, caused by ischemic stroke of the pons and left cerebellar hemisphere. The prognosis of improvement in LIS is bad. The patient has to adapt to the new, difficult situation that will probably accompany him for whole life. The article presents the therapeutic process from the onset through physical rehabilitation,  speech therapy and psychological  therapy until return home. The process requires patience from the patient and therapists and family members. Conclusion: Research in this area is supposed to help in planning of cooperation the entire medical team of doctors, nurses, physiotherapists, social workers, speech therapists and neuropsychologists. Interdisciplinary proceedings can greatly help to achieve even a minimal degree of independence and autonomy.
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spelling doaj.art-ea0c880404604fddbfeae23d3b21e7102022-12-22T03:04:11ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062017-03-0173Rehabilitation in locked-in-syndrome – a case studyAnna Grabowska0Justyna Zgórzyńska1Monika Wesołowska2Marcin Wójcicki3Klara Nicpoń-Nożewska4Marta Podhorecka5Walery Zukow6Katedra i Klinika Rehabilitacji Szpital Uniwersytecki nr 1 w Bydgoszczy, Collegium Medicum UMK, ToruńKatedra i Klinika Rehabilitacji Szpital Uniwersytecki nr 1 w Bydgoszczy, Collegium Medicum UMK, ToruńKatedra i Klinika Rehabilitacji Szpital Uniwersytecki nr 1 w Bydgoszczy, Collegium Medicum UMK, ToruńOddział Kliniczny Anestezjologii i Intensywnej Terapii 10 WSK , BydgoszczKatedra i Klinika Geriatrii, Collegium Medicum UMK, Toruń, BydgoszczKatedra i Klinika Geriatrii, Collegium Medicum UMK, Toruń, BydgoszczInstytut Kultury Fizycznej, WKFZIT, Uniwersytet Kazimierza Wielkiego, Bydgoszcz Introduction: The locked-in syndrome is a neurological condition which occurs most often as a result of brainstem stroke, characterized by the presence of sustained eye opening, aphonia or severe hypophonia, quadriplegia or quadriparesis, preserved cognitive functioning, and a primary and elementary code of communication using vertical eye movements or blinking. This illness leads to complete physical disability of the person, accompanied with fully retained mental capability. Case study: The goal of the hereby work is to present a description of a case of a person with the locked-in syndrome, caused by ischemic stroke of the pons and left cerebellar hemisphere. The prognosis of improvement in LIS is bad. The patient has to adapt to the new, difficult situation that will probably accompany him for whole life. The article presents the therapeutic process from the onset through physical rehabilitation,  speech therapy and psychological  therapy until return home. The process requires patience from the patient and therapists and family members. Conclusion: Research in this area is supposed to help in planning of cooperation the entire medical team of doctors, nurses, physiotherapists, social workers, speech therapists and neuropsychologists. Interdisciplinary proceedings can greatly help to achieve even a minimal degree of independence and autonomy. https://apcz.umk.pl/JEHS/article/view/24233locked-in-syndromerehabilitation processstrokespeech therapy
spellingShingle Anna Grabowska
Justyna Zgórzyńska
Monika Wesołowska
Marcin Wójcicki
Klara Nicpoń-Nożewska
Marta Podhorecka
Walery Zukow
Rehabilitation in locked-in-syndrome – a case study
Journal of Education, Health and Sport
locked-in-syndrome
rehabilitation process
stroke
speech therapy
title Rehabilitation in locked-in-syndrome – a case study
title_full Rehabilitation in locked-in-syndrome – a case study
title_fullStr Rehabilitation in locked-in-syndrome – a case study
title_full_unstemmed Rehabilitation in locked-in-syndrome – a case study
title_short Rehabilitation in locked-in-syndrome – a case study
title_sort rehabilitation in locked in syndrome a case study
topic locked-in-syndrome
rehabilitation process
stroke
speech therapy
url https://apcz.umk.pl/JEHS/article/view/24233
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