The Effects of Using Modern Technologies in the Neurorehabilitation Process of a Patient after Traumatic Brain Injury

Danuta Smoląg, Ewa Puszczałowska-Lizis, Tomasz Krzyszkowski, Tomasz Derek

Danuta Smoląg, Ewa Puszczałowska-Lizis, Tomasz Krzyszkowski, Tomasz Derek – The Effects of Using Modern Technologies in the Neurorehabilitation Process of a Patient after Traumatic Brain Injury – A Case Study –  Fizjoterapia Polska 2024; 24(4); 316-328

DOI: https://doi.org/10.56984/8ZG01A8X9Z4

Abstract
This study presents an analysis of the case of a 44-year-old male patient who experienced a traumatic brain injury, resulting in spastic quadriplegia, meningitis, right-sided craniotomy, ventriculoperitoneal shunt placement, and right hip arthroplasty. Data was collected over a four-year comprehensive therapy process involving treatment periods, during which the patient was under the care of an interdisciplinary team and participated in an individualized rehabilitation program, consisting of 3-4 hours of physical therapy daily for 5-6 days per week. The material included results from functional tests, muscle tone assessments, and balance evaluations. Numerical data from robotic gait therapy devices were also considered. With the consent of the patient and his family, the therapy process was documented via video recordings and photographs, which were then used for a retrospective visual analysis of recorded material at various stages of rehabilitation. For this purpose, the ShapeCare.Fizjo device was used, along with Blaze Pose software, based on a moving person’s skeletal detection model. The results indicated that comprehensive therapy using innovative tools such as C-eye, ReoGo, ReoAmbulator, and LeviActive system improved the patient’s balance and motor skills, as well as facilitated the gait re-education process. The use of modern technologies in neurorehabilitation not only optimizes therapeutic outcomes but also reduces the risk of musculoskeletal strain for the therapist during their professional work.
Key words
gait re-education, ReoAmbulator medical robots, ShapeCare Physio application
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The impact of an approach incorporating myofunctional therapy of the masticatory system movement on the motor efficiency of a patient after a subarachnoid hemorrhage to the left hemisphere of the brain – A case study

Danuta Smoląg, Tomasz Krzyszkowski, Ewa Puszczałowska-Lizis, Tomasz Derek

Danuta Smoląg, Tomasz Krzyszkowski, Ewa Puszczałowska-Lizis, Tomasz Derek – The impact of an approach incorporating myofunctional therapy of the masticatory system movement on the motor efficiency of a patient after a subarachnoid hemorrhage to the left hemisphere of the brain – A case study –  Fizjoterapia Polska 2024; 24(1); 313-330

DOI: https://doi.org/10.56984/8ZG2EF8CaG

Abstract
This paper analyzes the case of a 46-year-old woman who suffered a subarachnoid hemorrhage to the left hemisphere of the brain with penetration into the ventricular system from a ruptured aneurysm of the left middle cerebral artery (cardiac arrest, critical condition, GCS 4), followed by subsequent paralysis of the lower and upper right limbs and aphasia. Data collected during a 2-year therapy process were analyzed, including examinations of the stomatognathic system, analysis of the axes and planes of the facial cranium in relation to the joint structures of the movement system, observations of the interactions of tissue structures as well as mandibular-hyoid and lingual structures, analysis of Angle’s classifications, analysis of imaging studies of the orofacial zone and neck muscle tension, results of periodic functional tests, including manual functional analysis of the masticatory system movement. A vision analysis of the material was performed using ShapeCare.Physio equipment with Blaze Pose software based on a model for detecting the skeleton of a moving person. It was found that treatment including myofunctional therapy of the masticatory system movement contributed to the improvement of the patient’s motor efficiency after suffering a subarachnoid hemorrhage to the left hemisphere of the brain and after a frontotemporo-parietal craniotomy.
Key words:
orofacial sphere, masticatory system movement, occlusion, Angle’s classifications, vision analysis
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