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The effect of Pilates on stability and walking parameters in patients with multiple sclerosis.
Gabrielová, Anna ; Novotná, Klára (advisor) ; Kövári, Martina (referee)
The thesis investigates problems of walking and balance disorders in patients with multiple sclerosis and the effect of group Pilates lessons. The theoretical part provides an overview of the current knowledge about the disease - etiology, pathogenesis, diagnostics, types and symptoms of multiple sclerosis (MS) and the possibilities of therapy. The Pilates method, its history and principles of exercise are described. The aim of the practical part was to evaluate the effect of the Pilates program on walking and balance in MS patients. The group included 32 patients, 21 in the experimental group and 11 in the control group. The experimental group participated on the 10 - week Pilates program. Standardized gait and balance functional test were used for objective assessment; patient outcome measurements were used for subjective evaluation of exercise effect. More detailed gait parameters were obtained using the GAITRite instrument. Measurements were performed before and after therapy. Significant change - improvement (p < 0.05) was observed in some values of balance parameters, walking parameters and even in some subjective questionnaires. Therefore, we suggest, that group exercise lessons supervised by experienced instructor may be beneficial exercise therapy for people with MS and mild disability....
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Effect of home-based resistance training on balance and gait performance in patients with multiple sclerosis
Štefánek, Adam ; Novotná, Klára (advisor) ; Kövári, Martina (referee)
Title: Effect of home-based resistance training on balance and gait performance in patients with multiple sclerosis. Objective: The aim of the first part of this diploma thesis is to introduce the newest and the most important knowledge about multiple sclerosis. This part also deals with the evaluation of the connection between resistance training and gait in patients with multiple sclerosis. The aim of the experimental part is to verify these findings, particularly the hypothesis whether regular home-based resistance training has influence on gait characteristics and postural stability in patients. Methods: The studied sample included 15 patients - 11 patients in the experimental group and 4 patients in the control group. Patients in the experimental group were educated about home- based resistance training that took place 3 times per week during 12-weeks long period. Patients in the control group perserved their usual training program. Gait characteristics were objectively measured using GAITRite system. Registered physical performance measures include gait speed and cadence, step length and duration. Another objective evaluation metthods included TUG (Timed Up and Go), FRT (Functional Reach Test) and LRT (Latreal Reach Test). Questionnaires were used to assess subjective perception of the gait,...
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Fatigue in patients with multiple sclerosis. Subtitle: The impact of negative thermotherapy on fatigue in patients with multiple sclerosis
Dědinová, Kristýna ; Novotná, Klára (advisor) ; Sládková, Petra (referee)
BACHELOR THESIS ABSTRACT Author: Kristýna Dědinová Supervisor: Mgr. Klára Novotná, Ph.D. Title: Fatigue in patients with multiple sclerosis: The impact of negative thermotherapy on fatigue in patients with multiple sclerosis Abstract: The bachelor thesis deals with the issue of fatigue in patients with multiple sclerosis (MS) and the effect of negative thermotherapy on this fatigue. The main aim of the study is to determine whether it is possible to alleviate fatigue in patients with MS using local negative thermotherapy (specifically using a special cooling cap). The secondary aim is to observe the impact of the outside temperature on fatigue and performance in functional tests in patients with MS. The thesis consists of a theoretical and a practical part. The theoretical part describes the multiple sclerosis, fatigue as common symptom of MS and possible effect of negative thermotherapy. The practical part is focused on the effect of local negative thermotherapy on fatigue and related symptoms in group of people with MS. The following functional tests were chosen to evaluate the effect of negative thermotherapy: Timed 25-Foot Walk (T25FW), Six-Minute Walk Test (6MWT), Nine-Hole Peg Test (9-HPT) and Symbol Digit Modalities Test (SDMT). Fatigue was assessed using two questionnares: Modified Fatigue Impact...
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Impact of core muscle activation on postural function in people with multiple sclerosis
Birčáková, Martina ; Novotná, Klára (advisor) ; Sládková, Petra (referee)
This bachelor's thesis deals with the impact of activation of core muscles on postural function in patients with multiple sclerosis (MS). The aim is to assess the effect of Acral coactivational therapy (ACT) on core activation. Furthermore, we will be tracking the suitability of using this method with different types of MS. The thesis has a practical and a theoretical section. The theoretical section deals with the illness of MS, the term core muscles is defined here along with its effect on postural function and lastly, there is a chapter addressing the ACT method. The practical section involved six patients with three types of MS. The effect of the ACT method is described using two case studies. The results confirming the effect of the therapy are presented in the form of tables and graphs. The effect on postural function was assessed by aspect examination while sitting, standing and in movement strategy tests and also by walking tests (Timed 25 foot walk test, Timed up and go test and one leg stand). Core muslce activation was examined using tests by Professor Kolář. The discussion contains a comparison of our results with the results of foreign studies dealing with this issue. The results show an improvement in core muscle activation in all patients. The movement strategy tests which is part...
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Characteristics of gait impairment and possible therapeutic interventions in people with multiple sclerosis.
Novotná, Klára ; Kubala Havrdová, Eva (advisor) ; Čakrt, Ondřej (referee) ; Taláb, Radomír (referee)
Walking disorders are one of the most visible symptoms of multiple sclerosis (MS). Multiple sclerosis (MS) is a chronic autoimmune neurodegenerative disease of the central nervous system that is the most common cause of disability of young adults. Walking disorders are one of the most common motor problems that accompany this disease, which patients themselves perceive as the most limiting. Walking disorders can be caused by many symptoms of MS such as: muscle weakness, spasticity, sensory disturbances, visual disturbances, sphincter problems, cognitive dysfunction, fatigue and thermosensitivity. Measuring of various gait parameters (most often speed and endurance) also helps to monitor the effects of treatment and to evaluate the progression of the disease. Even in patients with minimal neurological symptoms it is possible to detect deterioration of gait parameters. Realized studies have shown that subjectively perceived improvement in gait after treatment with natalizumab can be objectified with the aid of assessment of walking parameteres. Similarly, a functional gait test can be used to assess the therapeutic response (and thus evaluate the cost effectiveness of treatment) to symptomatic treatment with fampridine. As a physiotherapist, I was also interested in the possibility of influencing...
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Balance training using biofeedback in people with multiple sclerosis
Sasínová, Jana ; Novotná, Klára (advisor) ; Kövári, Martina (referee)
The present thesis deals with the issue of balance disorders in patients with multiple sclerosis (MS) and the effect of individual balance training using biofeedback. It presents an overview of the current knowledge about MS - epidemiology, pathogenesis, diagnostics, types, symptoms and treatment methods. The thesis also describes principles of balance control of the human body, balance deficits in patients with MS and physiotherapeutic treatment. The aim of the experimental part was to evaluate the effect of the Homebalance® system on balance in MS patients and its comparison with conventionally used sensorimotor training. A total of 18 people took part in the research, 9 in the experimental group and 9 in the control group. Standardized tests and functional scales supplemented by standardized questionnaires on balance and gait were used to objectively assess balance. Measurements were performed before and after a series of therapies. After treatment, a significant improvement (p 0,05) was found in some tests and functional scales, but in none of subjective patient reported outcomes. Exercise using the Homebalance® system may be a suitable alternative to classical rehabilitation methods used for balance training in people with MS. Keywords Multiple sclerosis, balance impairment, Homebalance®,...
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Effect of Balance Training on Balance and Walking in Patients with Multiple Sclerosis
Hendrychová, Jiřina ; Novotná, Klára (advisor) ; Pavlů, Dagmar (referee)
Title: Effect of Balance Training on Balance and Walking in Patients with Multiple Sclerosis Objectives: Main aim of this master thesis is to assess the effect of four-week sensorimotor stimulation therapy and four-week balance training with Homebalance® in Multiple Sclerosis patients with balance disorders. Also to assess how effective these techniques are, if they are performed without any other therapy. And at the end compare them between each other. Methods: The research was conducted with 20 subjects divided in two groups of ten. These two groups differed in their balance programme. First group underwent four- week sensorimotor stimulation therapy twice a week for an hour. Second group trained at home with Homebalance® for four weeks 15-20 minutes a day. Everyone has been measured before and after therapies with Timed 25-foot walk (T25FW), Timed Up-and-Go Test (TUG) and TUG cognitive, Mini-BESTest and Berg Balance Scale, they also filled in short balance questionnaire, 12-Item Multiple Sclerosis Walking Scale (MSWS-12) and Falls Efficacy Scale-International (FES-I). Data analysis was provided by Shapiro-Wilk test, Student t-test, Wilcoxon signed-rank test and Mann-Whitney U test according to data distribution. Results: The average EDSS score in people with Homebalance® therapy was 3,8 (± 1,53)...
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