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The state of cognitive functions in relation to motor vehicle driving authorization for seniors. Subtitle: "New short cognitive tests" and Montreal Cognitive Assessment.
Stodůlková, Petra ; Uhlířová, Jaromíra (advisor) ; Straková, Eva (referee)
INTRODUCTION: By the age of 65, every driver holding a valid driving license is required to undergo a compulsory medical examination according to Act 361/2000 Coll. The purpose of the examination should be to examine not only physical, but also psychosocial and cognitive factors that can affect the ability to drive safely. However, the extension of the validity of a driving license may have a considerable impact on the preservation of the existing self-sufficiency. GOALS: To determine the relationship of anamnestic data on the state of driving a motor vehicle with the state of cognitive functions. As a secondary goal, the work asks whether there is a correlation between the results of the Montreal cognitive test (MoCA-CZ1) with newly created memory screening tests (POBAV, ALBA and DOZNAT). METHODOLOGY: The research was based on a qualitative examination of the 39 drivers older than 65 years. Drivers were assessed by the state of cognitive function according to the Montreal Cognitive Test, and were then examined by "new short cognitive tests" targeting different types of memory. Finally, the participants filled out the questionnaire on subjective evaluation of driving skills. RESULTS: Dependence was found between the driving frequency and the groups of drivers with cognitive impairment and...
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Intervention of occupational therapist in adult patients with neurogenic dysphagia
Hochová, Anna ; Uhlířová, Jaromíra (advisor) ; Šemberová, Ivana (referee)
The Occupational Therapist's Intervention for Adult Patients with Neurogenic Dysphagia Abstract of the Thesis: Dysphagia is a serious disorder, often caused by a cerebrovascular accident; in many cases it may be its only or primary symptom, and even the cause of death. The main objective of this thesis is to raise awareness of swallowing disorders among occupational therapists. Despite the fact that the occupational therapist's intervention for patients with swallowing disorder is common practice among occupational therapists abroad, this issue still is not well known among occupational therapists in the Czech Republic. There is also a considerable lack of Czech literature dealing with swallowing disorders from the occupational therapy point of view. This thesis therefore not only presents theoretical findings in this field but also recommends practical procedures for occupational therapists. The theoretical part of the thesis describes functional anatomy of the swallowing structures and swallowing physiology and pathophysiology. It analyses different causes of dysphagia with a focus on neurological disorders, defines the term dysphagia and other related terms, and briefly explains several classification methods of dysphagia. While the first part of the thesis looks primarily into the diagnostics and...
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The issue of driving a car in patients after stroke - the possibility of occupational therapy intervention
Málková, Kristýna ; Svobodová, Tereza (advisor) ; Uhlířová, Jaromíra (referee)
The issue of driving a car after stroke is getting increasingly common, especially because of the high stroke incidence concerning productive age patients. Nowadays, driving is considered a matter of course which intervenes our leisure time activities and work performance. Self-sufficiency and independency of a patient is one of the domains of occupational therapy, which is why the occupational therapist is a part of an interdisciplinary team. The theoretical part of the thesis defines terms relating to stroke and further neuropsychological deficits. It describes problematics of returning to automobile driving and legislative aspects. Possibilities of occupational therapy interventions relating to driving are proposed as well. The practical part of the thesis stands on a survey research, conducted in the Czech Republic and Belgium. The survey was aimed at occupational therapists who work with neurological patients and focuses on the issue of returning to driving and possible occupational therapy interventions. The conclusion also describes and compares practical Czech and Belgian occupational therapy with patients who have undergone a stroke. Key words: stroke, driving a car, occupational therapy, rehabilitation
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Proceedings of the 29th National Conference of the Czech Association of Occupational Therapists
Jelínková, Jana ; Dončevová, Lucie ; Dvořáková, Petra ; Fialová, Tereza ; Hrůšová, Marika ; Hůlková, Pavla ; Chanovická, Ladislava ; Tothová, Jindřiška ; Kristková, Veronika ; Kynštová, Hana ; Myslivcová, Květa ; Marková, Olga ; Slepičková, Veronika ; Novotná, K. ; Stanovská, Monika ; Malíková, Lenka ; Stodůlková, Petra ; Rohlenová, Eva ; Stuchlá, Daniela ; Šámalová, Hana ; Šídová, Lucie ; Hamerníková, Petra ; Uhlířová, Jaromíra ; Váňová, Tereza ; Zahradnická, Ilona
Proceedings of the Conference
Fulltext:  PDF
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Woman after breast cancer surgery in productive age and their return to employment from the view of occupational therapy
Fockeová, Erika ; Uhlířová, Jaromíra (advisor) ; Šebková, Natálie (referee)
Breast cancer in women of productive age is a huge problem of the current population. Approximately 52% of women, which were diagnosed with breast cancer in 2013, were aged 20-64. The aim of this thesis is to discover the influence of surgical solution of breast cancer on women return to their original profession. There were 68 suitable participants, who received surgical treatment, were aged 20-64, with finished treatment and who went back to their original employment. The results show that amongst manually working women, 60,9% return to their original employment, in administrative 78% return, which, in acceptance region of 0,05 (p = 0,142), is not a statisticaly significant difference. Furthermore, it was not found that age and lenght of treatment are connected (p=0,040). It appears that the time it takes to return to employment is significantly connected to the type of operation (acceptance region 0,05, p=0,046). This research shows how important it is for women after breast cancer treatment to receive timely rehabilitational intervention and to return to employment and how this affects their quality of life. Key words: Breast cancer, occupational therapy, return to work, cancer survivors, quality of life, quantitative research
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Functional electrical stimulation of paretic upper extremity in patients after stroke
Pilsová, Zuzana ; Uhlířová, Jaromíra (advisor) ; Hoidekrová, Kristýna (referee)
This study aims to evaluate the effects of functional electrical stimulation on motor and functional abilities of paretic upper limb in patients after stroke. Specifically detects the immediate effect of functional electrostimulation on the increase of the active range of motion, reduction of the hand spasticity degree and the improvement of functional performance. The research covered a total of 6 patients after first stroke in the basin aretria middle cerebral artery. The research sample had a homogeneous distribution of the paresis heaviness from light, moderate, to severe. The research was conducted in total of three weeks, every working day, 60 minutes a day, with 30 minutes of indicated electrostimulation and 30 minutes of testing of monitored parameters. Patients were evaluated using the Modified Frenchay scale, Modified Tardieu scale and the range of motion goniometer. Research showed in 60 observations that the functional electrical stimulation has immediate and significant effect on increasing the active range of dorsal flexion motion of the wrist (p-value 0.043). The average improvement on 95% interval estimation is 0.08. During the monitoring of the improvement of the active range of wrist dorsal flexion motion between input and output examination there was no statistically significant...
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The issue of driving a car in patients after stroke - the possibility of occupational therapy intervention
Málková, Kristýna ; Svobodová, Tereza (advisor) ; Uhlířová, Jaromíra (referee)
The issue of driving a car after stroke is getting increasingly common, especially because of the high stroke incidence concerning productive age patients. Nowadays, driving is considered a matter of course which intervenes our leisure time activities and work performance. Self-sufficiency and independency of a patient is one of the domains of occupational therapy, which is why the occupational therapist is a part of an interdisciplinary team. The theoretical part of the thesis defines terms relating to stroke and further neuropsychological deficits. It describes problematics of returning to automobile driving and legislative aspects. Possibilities of occupational therapy interventions relating to driving are proposed as well. The practical part of the thesis stands on a survey research, conducted in the Czech Republic and Belgium. The survey was aimed at occupational therapists who work with neurological patients and focuses on the issue of returning to driving and possible occupational therapy interventions. The conclusion also describes and compares practical Czech and Belgian occupational therapy with patients who have undergone a stroke. Key words: stroke, driving a car, occupational therapy, rehabilitation
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Dynamic Loewenstein occupational therapy cognitive assessment in individuals after obtaining brain injury in working age
Křelinová, Michaela ; Uhlířová, Jaromíra (advisor) ; Krivošíková, Mária (referee)
The thesis Dynamic Loewenstein occupational therapy cognitive assessment in individuals after obtaining brain injury in working age deals with a comparison of the level of the brain injured and non-brain injured people's cognitive functions with the aid of the Loewenstein Occupational Therapy Cognitive Assessment battery (DLOTCA). The theoretical part is focused on an issue of the acquired brain injury, a description of cognitive areas and as well their pathology due to this injury. The aim of the practical part is to test the cognitive functions with the aid of the Loewenstein Occupational Therapy Cognitive Assessment. The survey's main object is the applicability of the working version of the Loewenstein Occupational Therapy Cognitive Assessment battery (DLOTCA), its translated version. The testing was carried out on seventy probands devided into three groups. Healthy people (n=50), cerebrovascular accident patients (n=10) and traumatic brain injury patients (n=10). Key words: obtained brain injury Dynamic Loewenstein occupational therapy cognitive assessment cognitive function working age occupational therapy cognitive assessment
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The Application of Robot-Assisted Therapy of Hand in Patients after Stroke in Chronic Phase: Follow-up Trial of Application of AMADEO Instrument
Oktábcová, Alice ; Uhlířová, Jaromíra (advisor) ; Kotková, Karla (referee)
Name: Alice Oktábcová Supervisor: Mgr. et Mgr. Jaromíra Uhlířová Oponent: ……………. Diploma thesis: The Application of Robot-Assisted Therapy of Hand after Stroke: Follow-Up Trial of Application of AMADEO Instrument Key words: stroke, robot-assisted therapy, Amadeo Instrument, follow-up study, upper extremity In recent years, western countries noted a gradual increase in stroke survivors. Stroke can cause motor activity impairment and also senzoric and cognitive disorders which lead into restriction of participation of activities of daily living and also reduction of social and community activities. Functional improvment of upper and lower extremity after stroke is a very complex proces which has to be solved in multidiscplinary and multifactorial approach in result of every stroke survivor to live in the most independent way as possible. Robot-assisted therapy for motor recovery could be a successful way to improve motor activity of stroke survivors. Amadeo Instrument is one of robot-assisted therapy for hand rehabilitation of stroke survivors. This instrument can be described as final effector without exoskeleton which allows functional motor therapy for fingers and also a motivational feedback. Amadeo therapy can be passive, assisted, active and also interactive. The aim of this thesis is to...
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Possibility of occupational therapy interventions in traumatology Subtitle: Interventions for patients with the upper limb komplex regional pain synddrome diagnosis
Kuželková, Karolína ; Uhlířová, Jaromíra (advisor) ; Krulová, Anna (referee)
Name: Karolína Kuželková Thesis supervisor: Mgr. Jaromíra Uhlířová Possibility of occupational therapy interventions in traumatology: Interventions for patients with the upper limb complex regional pain syndrome diagnosis Abstract of the Bachelor's Thesis: Aim of this bachelor's thesis is to outline the current situation of the treatment of patients with complex regional pain syndrome - CRPS emphasizing rehabilitation in the health care including occupational therapy. The theoretical part is introducing problems of the actual diagnosis of CRPS. It is also summarizing individual diagnostic and possible interventions applied in the Czech Republic and in abroad. Aim of the practical part was to find out what types of processes are currently used in patients in Prague centres for pain treatment and other rehabilitation institutes and whether they correspond with therapeutic processes described in the theoretical part. Another aim of the practical part of the bachelor's thesis was to find out whether any occupational therapists work in pain treatment centres and what is their scope of duties. It came out from held discussions that an occupational therapist is not usually a member of the interprofessional team in Prague pain treatment centres. Scope of occupational therapist`s duties has been so far described...
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