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Stereognosis assessment in the hands area of physiotherapy students.
Dlasková, Lucie ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Title: Stereognosis assessment in the hands area of physiotherapy students. Objectives of work: The main objective of this dissertation is an evaluation of stereognosis functions of hands and also the influence from the practise of palpation skills on the stereognosis at a group of thirty physiotherapy students from the first-year bachelor's degree during two measurements at an interval of six months. Next aim is to compare results of these measurements and to evaluate potential changes. Methods: This dissertation work was made by form of clinical study. The evaluation criterion was time and perfection in performed tests. For the assessment of hand stereognosis at the research group were used 4 simple tests without using sight: test by Petrie - sort the balls by size, to recognise a foam made letters and to determine the roughness of sandpaper. Results: The results show that during the study of physiotherapy at students there has been a slight development in the stereognosis functions. The influence of somatosensory learning during the six months period helped to reduce the number of errors which have been made by probands while taking the assigned tests. Results indicate that regular and careful practise of palpation ability has a particular influence for development and improvement of...
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Prevalence of asymmetric lateral disability on musculoskeletal apparatus in the neonatal age and infancy
Hanzlová, Andrea ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Title: Prevalence of asymmetric lateral disability on musculoskeletal apparatus in the neonatal age and infancy. Objective: The purpose of this research thesis was to compile issues of possible types of asymmetric musculoskeletal impairment observed in neonates and infants, identify potential causes of these asymmetries and lateral predilection for reported types of asymmetries. The main subject of discussion are just found lateral predilection of asymmetries and relationship of their causes with prenatal, perinatal or postnatal period. Methods: This thesis is structured in the form of literary research and has descriptively- analytical character. Results: On the basis of the analysis of available sources about the asymmetric musculoskeletal impairment in neonates and infants a comprehensive picture of possible types of these impairment, their causes and lateral predilections was made. The vast majority of reported asymmetric impairment seems related to prenatal or perinatal period. Key words: asymmetry in infancy, birth injuries, congenital defects, positional preference
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Physical Rehabilitation in Multiple Sclerosis- Questionnaire
Marková, Magdaléna ; Řasová, Kamila (advisor) ; Maršáková, Kateřina (referee)
Title: Physical rehabilitation in Multiple Sclerosis - Questionnaire Objectives: The objective of the project is to map approach to physiotherapy of patients with multiple sclerosis (MS) using a questionnaire in three selected countries in Europe. We assume that the results objectively point out the diversity of approaches to physiotherapy among patients with MS. The data collection will be further used to prepare an international comparative study comparing the effectiveness of various physiotherapeutic approaches. Methods: The questionnaire, used in our study has been created by a team of experts from organizations RIMS, SIG on Mobility (Rehabilitation in Multiple Sclerosis, Special Interest Group) during the last two years. PhDr.Kamila Řasová, PhD., from whose initiative this study came, is a member of this organization. The questionnaire was sent to the coordinator in each country. Then the coordinator completed the questionnaire together with the experts in rehabilitation. Completed copies were sent to the Czech Republic, where they were statistically analysed. Results: We found out that in each country there are differences between knowledge and usage of examination and therapeutic techniques. Furthermore, the perception of the therapeutic content of the three basic models for physiotherapy...
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Case Study of physiotherapy treatment of a patient after acute brain stroke
Pytlová, Lucie ; Maršáková, Kateřina (advisor) ; Voráčová, Helena (referee)
Title: Case Study of physiotherapy treatment of a patient after acute brain stroke. Objective: To officialy to confirm the ability to work well with patiens after a stroke. To gain the needed theoretical knowledge about the given issue and to utilize the practical physiotherapeutic skills. Method: The first part of the bachelor thesis is theoretical. It describes the origin, risk factors and consequences of a stroke. Further described are typical clinical symptoms, possibilities for treatement and technical uses od physiotherapy. The thesis is also dedicated to the subluxation of the paretic arm and the neglect syndrom. The second part contains casuistry of the chosen patient after the ischemic stroke with left - handed symptomatology. Results: Improvement of the walking stereotype, reduction in the painfulness of the paretic arm, increased strength in the paretic lower arm and improvement of the exterior and deep perception. Conclusion: The use of physiotheraphy on a patient after a stroke appeared to be very important, due to partial return of damaged functions. Key word: vascular stroke, hemiparesis, painful arm, physiotherapeutic methods
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Case study physiotherapy care patient with proximal humerus fracture
Ottomanská, Nikola ; Maršáková, Kateřina (advisor) ; Charvát, Robert (referee)
Name: Case study physiotherapy care patient with proximal humerus fracture Aims: Summary of theoretical knowledge, the study methodology, comprehensive rehabilitation, treatment design and evaluation of its effect in a patient diagnosed with the condition after fracture of proximal humerus. Methodology: Retrieval with a case study arose during the work experience from 21.1.2013 to 15.2.2013 in IKEM in Prague. The thesis is divided into two parts, theoretical and special. The first part summarizes the anatomy and kinesiology of the upper limb girdle, characteristics of fractures of the proximal humerus and its classification, diagnosis and treatment, examination of the shoulder joint and rehabilitation, including physical therapy. A special section describes the case of a patient with this diagnosis. On the basis of history and initial examination has been set design the therapy. Therapeutical approach was prescribed according to the medical history and physical examination and its effect was assessed using kinesiology analysis at the end. Results: The patient increased range of movement in flexion, abduction, extension and rotation of the left shoulder joint and increase muscle strength in muscles on the left. During therapy, the patient was instructed to autotherapy. Key words: fracture, proximal...
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Application of Orthopedic Insoles in Childhood
Svobodová, Julie ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Title: Use of orthopaedic insoles in childhood Supervisor: PhDr. Tereza Nováková, PhD. Problem definition: The importance of the longitudinal arch is one of the most discussed topics in orthopaedics. Similarly important is the indication of orthopaedic insoles for flat feet especially in children. Experts have different opinions about what age insoles should be prescribed, and if their use is beneficial. So far, a clearly defined boundary has not been established between real pathology and a flexible flat foot formed on the basis of hypermobility which is to some extent physiological in childhood. Aim: To compare the plantograms of groups of six-year-old children with diagnosed pes planus/planovalgus before and after six month (or more) use of, individually prepared, insoles. To compare the results with a group of children that did not have insoles prescribed and on this basis to judge whether there was change (improvement) that can be proven with the use of a plantogram. Method: Two groups of six-year-old subjects were formed. The experimental group: subjects with prescribed orthopaedic insoles, and the control group: subjects that were not prescribed orthopaedic insoles. Plantograms were evaluated with the help of the Chippaux-Šmiřák index method. Conclusion: The results indicate a partial...
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Influence of sensomotoric stimulation on flat foot in preschool-aged children
Řehůřková, Markéta ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Title: The effect of sensomotoric stimulation on flat foot of children Introduction: Flat foot is a common health problem in childhood. Its development is related to congenital or acquired dysfunction of the plantar vault. There is no single opinion on the criteria for diagnosis and therapy forms. The aftereffects and health risks of flat foot are often neglected. The therapy form of sensomotoric stimulation, including balance exercises and walking barefoot over different surfaces, could be an appropriate part of the physical activities and games for children in kindergarten. Objectives: The main objective of this work is to evaluate the effect of sensomotoric stimulation of flat foot at preschool age. Methods: The research contains 21 children. Forty-two foot prints were taken at the beginning of the therapy. Three methods were used to evaluate the foot prints: the Chippaux-Šmiřák method, the Godunov-Sztriter method and the Mayer method. The therapy form of sensomotoric stimulation included balance exercises and walking barefoot over different surfaces. The duration of therapy was 15 minutes each school day for six months. The control foot prints of 15 children were taken after the therapy and the results were compared with the foot prints before therapy. Results: The research contains twenty-one...
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Influence of sensomotoric stimulation on flat foot in preschool-aged children
Řehůřková, Markéta ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Title: The effect of sensomotoric stimulation on flat foot of children Introduction: Flat foot is a common health problem in childhood. Its development is related to congenital or acquired dysfunction of the plantar vault. There is no single opinion on the criteria for diagnosis and therapy forms. The aftereffects and health risks of flat foot are often neglected. The therapy form of sensomotoric stimulation, including balance exercises and walking barefoot over different surfaces, could be an appropriate part of the physical activities and games for children in kindergarten. Objectives: The main objective of this thesis was to compare foot prints of a group of children from one kindergarten class before and after six months of sensomotoric stimulation by three different methods (the Chippaux-Šmiřák method, the Godunov-Sztriter method and the Mayer method.). The second objective was to determine at what age category will be the highest prevalence of flat feet and also at what age group is the biggest improvement of the foot arch. The third objective was to compare each other method and determine whether the results will match. Hypothesis 1: After six months of sensomotoric stimulation of the feet of children occurs in the majority of feet of probands the improvement of the longitudinal foot arch...
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Physical Rehabilitation in Multiple Sclerosis- Questionnaire
Marková, Magdaléna ; Řasová, Kamila (advisor) ; Maršáková, Kateřina (referee)
Title: Physical rehabilitation in Multiple Sclerosis- Questionnaire Objectives: The objective of the project is to map approach to physiotherapy of patients with multiple sclerosis (MS) using a questionnaire in three selected countries in Europe. We assume that the results objectively point out the diversity of approaches to physiotherapy among patients with MS. The data collection will be further used to prepare an international comparative study comparing the effectiveness of various physiotherapeutic approaches. Methods: The questionnaire, used in our study has been created by a team of experts from organizations RIMS, SIG on Mobility (Rehabilitation in Multiple Sclerosis, Special Interest Group) during the last two years. PhDr.Kamila Řasová, PhD., from whose initiative this study came, is a member of this organization. The questionnaire was sent to the coordinator in each country. Then the coordinator completed the questionnaire together with the experts in rehabilitation. Completed copies were sent to the Czech Republic, where they were statistically analysed. Results: We found out that in each country there are differences between knowledge and usage of examination and therapeutic techniques. Furthermore, the perception of the therapeutic content of the three basic models for physiotherapy...
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