Early post stroke rehabilitation after heart transplantation
Elżbieta Miller, Zbigniew Śliwiński, Anna Cabak
Elżbieta Miller, Zbigniew Śliwiński, Anna Cabak – Early post stroke rehabilitation after heart transplantation. Fizjoterapia Polska 2007; 7(3); 351-354
Brain stroke is the leading cause of disability, and usually affects people after 60. At this age, the risk of concomitant diseases, affecting not only the cardiovascular system is high. The number and intensity of the diseases are often contraindications for early post stroke rehabilitation. Patients after brain stroke and heart transplantation are rare cases. The aim of the study was to present the effectiveness of early post-stroke rehabilitation in case of the 53-year-old man who underwent heart transplantation in 2000, due to congestive cardiomyopathy. The patient was examined 4 times during the 3rd, 6th, 9th and 15th week after the stroke. The test examined muscle strength in Lovett scale and the grade of muscle tone in Ashworth scale. A functional test was performed in Barthel scale and the extent of requiring care and attention — in Rankin scale. The paper presents an individual diagram of physiotherapeutic procedures divided into two stages: the early stage (0-6 weeks) and the transient stage (6-9 weeks), adjusted to the patient’s actual neurological and cardiological state. Basic recovery after physiotherapeutic treatment was obtained before the 9th week. Patients after heart transplantation can be successfully treated by rehabilitation. A substantial progress in medicine obligates to exchange information about rehabilitation treatment of patients with untypical concomitant diseases.
brain stroke, heart transplantation, post stroke rehabilitation
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