National Repository of Grey Literature 15 records found  1 - 10next  jump to record: Search took 0.00 seconds. 
Shoulder pain in tetraplegics and paraplegics
Hrůzová, Zuzana ; Hlinková, Zuzana (advisor) ; Gallusová, Veronika (referee)
The theme of this bachelor thesis is pain of shoulder girdle in tetraplegics and paraplegics. The bachelor thesis consists of teoretical and practical part. In the theoretical part of the thesis I present the findings about spinal cord lesions, anatomy and kinesiology of shoulder girdle. The aim of this bachelor thesis is to present causes of shoulder girdle pain in tetraplegics and paraplegics and options how to influence it with physiotherapy. In practical part I present case study of SCI patient with pain of shoulder girdle. The case study consists of entry and final examination and photo-documentation of therapy and wheelchair propulsion.
Influence of Cycling Movement of Lower Extremities on Changes in Blood Pressure and Pulse Repetition Frequency
Ptáček, Jiří ; Kříž, Jiří (advisor) ; Hlinková, Zuzana (referee)
Bibliographic identification: PTÁČEK, Jiří. Influence Of Cycling Movement Of Lower Extremities On Changes In Blood Pressure And Pulse Repetition Frequency. Prague: Charles University. 2nd Faculty of Medicine. Department of Rehabilitation and Sports Medicine, 2017. 70p. Supervisor doc. MUDr. Jiří Kříž, PhD. Author's first name and surname: Bc. Jiří Ptáček Title of the diploma thesis: Influence of cycling movement of lower extremities on changes in blood pressure and pulse repetition frequency Department: Department of physiotherapy Supervisor: doc. MUDr. Jiří Kříž, Ph.D. The year of presentation: 2018 Abstract: Due to permanent neurological impairment, patients with spinal cord injury (SCI) are put at risk of complications caused by immobility such as ischemic heart diseases, obesity and metabolic syndrome, which again increases their morbidity and mortality. Based on recent studies, passive cycling (PC) could have protective influence on SCI patients' cardiovascular system. The objective of this thesis is to verify whether PC will effect a change in heart rate and blood pressure in SCI patients and whether or not this reaction depends on the position of spinal cord injury, and hence on intact sympathetic innervation (the line was drawn at Th6 - below and above) 17 patients of Special Unit at Motol...
Evaluation of the short-term effect of physiotherapeutic techniques on spasticity in patients with spinal cord injury
Špačková, Anežka ; Hlinková, Zuzana (advisor) ; Kříž, Jiří (referee)
The subject of this thesis is spasticity in individuals with spinal lesions. The aim is to evaluate and compare a short-term effect of selected physio-therapeutic methods on spasticity of lower limbs in spinal patients. Two methods of comparison were chosen - passive stretching and the Vojta's reflex therapy. The work consists of two parts. The theoretical part describes the problems of spinal lesions, central motoneuron syndrome and spasticity, including its pathophysiology and investigation and therapeutic approaches. The practical part contains an attempt to verify and subsequently compare the immediate antispastic effect of the chosen methods, which is an important prerequisite for the following active exercises as an inseparable part of a physiotherapeutic exercise unit. Clinical evaluation scales are used to evaluate spasticity, namely Modified Ashworth Scale (MAS) and Muscle Excitability Scale (MES). The results are then compared with other studies and literature. Keywords spinal lesions, quadriplegia, Modified Ashworth Scale, Muscle Excitability Scale, Vojta's method, stretching
Effects of different physical activities on cardiovascular functions after spinal cord injury
Svobodná, Magdalena ; Honzátková, Lenka (advisor) ; Hlinková, Zuzana (referee)
The impact on health, mental state and quality of life in people after spinal cord injury is enormous. Significant impairment occurs not only of sensorimotor functions. The autonomic nervous system is also disturbed to some extent, which is very closely related to the management of cardiovascular functions (and heart rate). The aim of this study is to evaluate the effect of different physical activities on heart rate in people after spinal cord injury. The study included 30 people in the chronic stage after spinal cord injury, which were divided into 3 groups according to the neurological level of the spinal cord lesion in tetraplegics (lesion C1-C8), paraplegics with high thoracic lesion (T1-T6), and paraplegics with lesion from T6 below. Each proband completed 4 exercise tests on sports simulators (rowing, kayaking and cross-country trainer and Rotren) and peak heart rate values (SFpeak) were measured after reaching the subjective maximum load (according to the Borg RPE scale). The values of SFpeak were then statistically processed, evaluated and compared - within groups between sports simulators and between groups. The results of the statistical processing show that the sports simulators are not different in terms of reaching the top SFpeak. Although differences between peak heart rate values...
The influence of posture on grip strength in patients with spinal cord injury
Krátká, Monika ; Hlinková, Zuzana (advisor) ; Kříž, Jiří (referee)
This master's thesis deal with the ability to maintain trunk stability in paraplegic patients in the relation to the functional skills of upper extremity. Its aim is to determine the extent to which posture influences grip strength in these persons. It consists of two parts. The first part includes introduction of the spinal cord injury and findings of the mechanisms and functional significance of the torso in relation to posture and everyday activities. Further, it presents the possibilities of utilization and different ways of measurement of grip strength in clinical practice. In the second part, the results of the measurement of grip strength in paraplegic persons in three different positions - lying on the back and in two different sitting positions - are analyzed. The measurements were undertaken using a dynamometer. It was measured twice, always after one week period. All patients attend the standard therapy provided by the Spinal Unit in the University Hospital in Motol, where they have been also hospitalized in that time. The results refer to certain dependency of gripstrength of upper extremity to posture in paraplegic persons. This was proved within the comparison of values from sitting position with back support and without back support. In the first named position were reached higher...
The possibilities of physical exercise in relation to the metabolism after spinal cord injury
Olišarová, Eva ; Hlinková, Zuzana (advisor) ; Kříž, Jiří (referee)
The goal of this bachelor thesis is to summarize the information about the possibilities of the physical exercise in individuals with the spinal cord injury. The work presents various types of the physical activity and describes their effect on metabolism and body composition. It also includes the information about the frequency, the duration and the intensity of exercise. The interruption of the somatomotor and somatosensory pathways in patients with spinal cord injury leads to the reduction of their physical activity. As a consequence of that, their metabolic profile and body composition get worse. Early after the injury, the patients suffer from the massive muscle atrophy and the rise of the amount of adipose tissue. These changes have a negative effect on metabolism of lipids and carbohydrates. It results in the development of dyslipidaemia and insulin resistance, sometimes even in type 2 diabetes mellitus. These secondary complications worsen the quality and the length of life of the patients with the spinal cord injury. Better understanding of these issues is necessary to improve the quality of health care for these people. The work includes a short questionnaire. Its goal is to describe the current situation of patients with the spinal cord injury in the Czech Republic. The questionnaire was...
Reliability of "Muscle excitability scale" for spasticity assessment in patients with spinal cord injury
Kadrmanová, Ivana ; Kříž, Jiří (advisor) ; Hlinková, Zuzana (referee)
The aim of this paper was to define interrater reliability of "Muscle excitability scale" in assessment of lower extremities muscle spasticity in patiens with spinal cord injury. Raters were two students of 2nd grade of master study of physiotherapy. Testing was performed at Centrum Paraple o.p.s. and 48 patients took part in the research. Except the Muscle excitability scale, Modified Ashworth scale, Penn spasm frequency scale and Clonus scale were also assessed. Percentage rate of agreement and also value of kappa coefficient that state value of agreement between raters were assigned for each scale. Percent agreement for Muscle excitability scale was 54,2 % for right and 64,6 % for left lower extremity. Kappa coefficient and therefore interrater reliability of this test was assessed on 0,38 on the right side and 0,51 on the left. The results and thein comparison with other used scales are discussed in this thesis.
Validity of "Muscle excitability scale" for spasticity assessment in patients with spinal cord injury
Posseltová, Tereza ; Kříž, Jiří (advisor) ; Hlinková, Zuzana (referee)
The aim of the thesis was to assess a construct validity of "Muscle Excitability Scale" in assessment of spasticity in patients with spinal cord injury. The correlation between this scale and other clinical tests evaluating various aspects of spasticity was investigated. 48 participants with symptoms of a spasticity were included in the study. The Spearman rank correlation coefficient was used for quantification of correlation between each two tests. The most significant correlation was found between the Muscle Excitability Scale and the Modified Ashworth Scale (rs=0,26 - 0,35, p<0,05). Less significant correlation was found in comparison with the Clonus Scale (rs=0,27, p<0,05) and with the SCI-SET (rs=0,25 - 0,26, p<0,05). There was no correlation between the Muscle Excitability Scale and the Penn Spasm Frequency Scale. Additionally every test was compared to each other and then the outcomes was discussed and compared to results of other similar studies. Keywords Muscle Excitability Scale, validity, spasticity, spinal cord injury, Modified Ashworth Scale, Penn Spasm Frequency Scale, Clonus Scale, SCI-SET

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