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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...
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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
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Effect of exercise with Flexibar in paraplegics
Dušková, Tereza ; Hlinková, Zuzana (advisor) ; Špaňhelová, Šárka (referee)
The aim of this study was to demonstrate that exercise with a oscillatory poles FLEXI- BAR ® for paraplegics has a positive effect on strength, the force endurance, stability and proprioception. The theoretical starting point is the supposed positive effects of vibration training on the human body. The training was attended by 14 subjects, who thirty minutes a day for four weeks, doing exercises with Flexi-Bar ® as a single methodical series of exercises. The effect of therapy was evaluated by hand-grip test, inclination test, a modified 6- MWT test and a test of target point. The hypotheses were confirmed, the results of all tests was statistically significant.
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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.
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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...
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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
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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...
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