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Physiological Principle of Neurorehabilitation : Diffuse Cerebral Hypoxia
Altmanová, Jana ; Angerová, Yvona (advisor) ; Pitrmanová, Věra (referee)
OF BACHELOR THESIS Title: Physiological principle of neurorehabilitation Subtitle: Diffuse cerebral hypoxia Abstract of Bachelor thesis: This experimental work deals with the verification of a hypothesis that secondary brain changes induced by hypoxia can be influenced by neurorehabilitation. The aim is to determinate the effect of motor training in combination with erythropoietin and enriched environment on the functional state of a rat brain after hypoxia. The research subjects was 31 laboratory rats who were exposed to an altitude of 8,000 meters above sea level in hypobaric chamber, which induced diffuse cerebral hypoxia. The studied group of rats was subjected to regular motor training and was compared with the control group which underwent the rehabilitation without motor training. The experiment lasted 8 weeks and took place at the Institute of Physiology, First Faculty of Medicine. Results of the study showed improvement in the functional status of rats that were living in an enriched environment, were applied erythropoietin and underwent daily motor training. The increasing incidence of people who survive brain damage, connected with an oxygen deficiency, increases the importance of monitored dependencies between the neurorehabilitation and the functional state of the organism. The...
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Back School focused on sitting position
Piňosová, Eva ; Pitrmanová, Věra (advisor) ; Táborská, Silvie (referee)
This paper seeks to contribute to problems of the Back School and tries to apply it to three clients. They were chosen as a model example of people, to whom the Back School should be of assistance. Practical research was focused on "sitting", perhaps the most problematic area, which in times as dominated by sitting as today's, afflicts clients the most. It also contributes to the general application of the Back School and its benefits to clients in their pain caused by inappropriate motion patterns. The theoretical part defines the Back school and explores it's history, aim and methods. It also deals with pathophysiology and etiology of vertebral problems and considers also the influence of psyche and breathing on the locomotor system. Chapters which deal with sitting also inform about the influence of sitting on the organism. Brügger's concept of sitting is discussed and different forms of sitting analyzed. A part of the paper is also concerned with ergonomy of furniture designed for sitting and ergonomic aids. The practical part consists of diagnostics and therapy proposals for each client. Their therapy was designed according to methods discussed in the practical part of this paper. The outcome is a clear positive influence if the Back school on the clients.
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Idiopathic scoliosis from the ontogenetic kinesiology point of wiev
Hančinská, Michaela ; Pruner, David (advisor) ; Pitrmanová, Věra (referee)
The bachelor thesis "Idiopathic scoliosis from the ontogenetic kinesiology point of view" provides basic information about anatomy, kinesiology and spinal curvature development. Various possibilities of idiopathic scoliosis etiology are described in the thesis. Motoric ontogenesis and its variation from the physiological norms are discussed in the main part. The other part discusses examination, therapy and prognosis of idiopathic scoliosis. Furthermore, a patient case report is included in the thesis as well.
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Options of driving in patients after spinal cord injury
Otta, Jiří ; Angerová, Yvona (advisor) ; Pitrmanová, Věra (referee)
Author's first name and surname: Jiří Otta Field of study: Physiotherapy, Year of matriculation: 2008 Title of bachelor thesis: Options of driving in patients after spinal cord injury Working place: Department of Rehabilitation Medicine of the First Faculty of Medicine and General Teaching Hospital in Prague Bachelors thesis supervisor: prim. MUDr. Yvona Angerová Consultant: Zdena Faltýnková Year of bachelor thesis defence: 2011 ABSTRACT Car driving is in these days a fix part of our lives, a part of daily activities. The point of this thesis is to bring a complex overview of key areas. This thesis evaluates the whole process from the beginning of car driving idea up to the terms needed to its realisation. From therapist position it is important to asses patient's functional kinetic potencial, to set the strategy of transfer into a car, loading and loading out of a wheelchair and driving itself, of course. In detail it is spoken about the types of adjustment of manual steering and possibilities of transfers into the car. Patients are divided into three main groups, according to their grade of disability. Absolutely selfconfindent drivers, drivers with particularly need of assistance and non-drivers. The measure of independence depends on level of the spinal cord lesion. The deciding factor and criteria,...
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Gait analysis : comparison and selection of test and examinational methods
Vobrubová, Dita ; Pitrmanová, Věra (advisor) ; Vondřejcová, Kateřina (referee)
This thesis focuses on gait examination of hemiparetic patients. The first part addresses general pieces of knowledge about gait, examination options, application of examinational gait tests in the physical therapy, and description of hemiparesis. The second part is summary of my practical experience with gait examinations of hemiparetic patients. The goal of this thesis is to try and evaluate options of tests and gait examinational methods: The Rancho Los Amigos Observational Gait Analysis System The Tinetti Balance and Gait Evaluation The Rivermead Visual Gait Assessment The benefits and drawbacks of each test are also evaluated. It is described how the test informs about gait disorder, its use in practice, the difficulty of realization for both patient and examiner, the method of test evaluation.
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The use of physiotherapeutical methods and procedures in paraplegic patients. Verticalisation and gait
Beránková, Michaela ; Muchová, Renáta (advisor) ; Pitrmanová, Věra (referee)
This bachelor thesis focuses on the usage of physiotherapeutical methods and procedures in the therapy of patients with paraplegia. In the theoretical part I described shortly the anatomy and the etiology, consequences and clinical picture of the spinal cord injury. I also described the examination procedures and most of all complications that can most often occur after the spinal cord injury. The practical part is aimed at the possibilities of complex physiotherapy in the therapy of patients with spinal injury. Therewith the accent is set on the possibilities of verticalisation and gait in paraplegic patients. I'm detailing not just the verticalisation and gait possibilities, but also all sorts of instruments and gadgets that make this part of physiotherapy easier for patients. In this thesis there is short casuistry of patient with traumatic spine and spinal cord injury on the level of Th10 and Th11.
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