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Vestibular function in patients with idiopathic scoliosis
Kučerová, Klára ; Čakrt, Ondřej (advisor) ; Hoskovcová, Martina (referee) ; Bzdúšková, Diana (referee)
Vestibular function in patients with idiopathic scoliosis Abstract The dissertation focuses on evaluating vestibular functions in patients with idiopathic scoliosis (IS) as one of the important factors influencing the etiology of this disease. Clarification of the influence of the altered function of the vestibular system in patients with IS could lead to easier and faster diagnosis and better targeting of treatment through rehabilitation. The main goal of the work was to comprehensively evaluate vestibular functions in patients with IS and to compare it with healthy individuals and patients with defined vestibular dysfunction, which can be monitored in the early phase after cochlear implantation (CI). In these groups, we examined the perception of space, specifically the perception of the subjective visual vertical (SVV), the function of the otolith system using vestibular evoked myogenic potentials (VEMP), postural stability through a stabilometric examination, and the position of the head in space. In patients with IS, we found impaired SVV perception, 38% of patients had abnormal VEMP responses. Patients with IS showed worse postural stability compared to healthy individuals, which was manifested by greater postural deviations in the mediolateral direction. Furthermore, in patients with IS, we noted...
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Mapping of the most common difficulties in the performance of activities of daily living in patients with Parkinson's disease
Šťastná, Klára ; Hoskovcová, Martina (advisor) ; Nováková, Olga (referee)
OF THE DIPLOMA THESIS Name: Bc. Klára Šťastná Thesis supervisor: Mudr. Martina Hoskovcová, Ph.D. Thesis consultant: Mgr. Bc. Anna Rejtarová Title: Mapping of the most common difficulties in the performance of activities of daily living in patients with Parkinson's disease. Abstract of the diploma thesis: The aim of the diploma thesis is to map the most common difficulties in people with Parkinson's disease in the field of personal activities of daily living and to compare the subjective perception of difficulties in activities in relation to the motor symptoms. The secondary goal is to compare the objective evaluation of motor symptoms with the subjective one. The theoretical part summarizes findings of Parkinson's disease. Subsequently, motor symptoms, which include rigidity, bradykinesia, tremor, posture and balance disorders are described. Various treatment options are also described. In the occupational therapy part, there is the influence of the symptoms of the disease on the occupational performance and the quality of life of people with Parkinson's disease. The work continues with a description of an evaluation and intervention in occupational therapy. In the practical part, the questionnaire created by the author is presented, which is used to collect data in quantitative research in the...
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Aerobic Capacity Influence Possibilities in Parkinson`s Disease Patients
Plichtová, Klára ; Hoskovcová, Martina (advisor) ; Vondráková, Ivana (referee)
Author: Klára Plichtová Institution: Rehabilitation, Faculty of Medicine in Hradec Kralove Title: Aerobic Capacity Influence Possibilities in Parkinson's Disease Patients Supervisor: Martina Hoskovcová, MD Number of pages: 101 Number of attachments: 7 Year of defense: 2013 Key Words: Parkinson's Disease, Aerobic Capacity, Aerobic-strengthening Circuit Training, Xbox 360, Kinect, The Biggest Loser Ultimate Workout Summary: The thesis deals with the possibility of influencing aerobic capacity in patients with Parkinson's disease through aerobic-resistant training. It compares two forms of training, a real one (group aerobic-resistant circuit training) and a virtual one (Xbox game console and Kinect sensor). To assess the effect of aerobic-resistant training following assessment was used: spiroergometric examination, UPDRS III motor score, 6MWT, MINI BESTest, PDQ-39 and lower limb muscle strength measuring. The study group included 8 patients with Parkinson's disease. The thesis confirms in a case report form the results of recently published studies that recomend aerobic-resistant training in patients with Parkinson's disease and briefly discusses the advantages and disadvantages of both examined forms.
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Use of computer based exercise therapy in patients with Parkinson's disease. Comparation effectiveness of computer based exercise therapy and conventional therapy in parkinsonian patients with postural instability-pilot study
Otta, Jiří ; Hoskovcová, Martina (advisor) ; Kobesová, Alena (referee)
Author's first name and surname: Jiří Otta, BA Title of the master thesis: Use of computer based exercise therapy in patients with Parkinson's disease. Comparation effectiveness of computer based exercise therapy and conventional therapy in parkinsonian pacients with postural instability-pilot study. Department: Department of Neurology 1st Faculty of Medicine and General teaching Hospital Supervisor: As. MUDr. Martina Hoskovcová Consultant: Mgr. Ondřej Čakrt, Ph.D. The year of presentation: 2013 Abstract Introduction: Stability and walking disorder is an important part of clinical image of Parkinson's disease (further only as PD) and another neurodegenerative diseases with Parkinson-syndrome aspects (further only as PS). Above all in the late PD - phases stability and walking disorders and falls resulting from them responsible for serious functional restrictions and they can lead up to a self - sufficiency decreasing. In the clinical application for patients with PD are so far ordinarily accepted as a standard the guidelines Clinical Practice Guidelines - KNGF (Koninklijk Nederlands Genootschap voor Fysiotherapie - Royal Hollandian Physiotherapeutical Societies). In these days there are appearing new, unconvenional methods in rehabilitation (further only as RHB) of stability disorder and falls in patients...
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Physiotherapy impact on the stability of standing and selected clinical parameters in patients with multiple sclerosis
Honsová, Kamila ; Hoskovcová, Martina (advisor) ; Bitnar, Petr (referee)
Diploma thesis "Impact of physiotherapy on stability in stance and selected clinical parameters in Multiple Sclerosis patients" is aimed to study problems of disturbed postural stability in connection with this disorder. Research was made to evaluate the impact of two-month's physiotherapy, based on sensomotor learning, on the balance in stance, gait parameters and related functions. The sample of 6 patients with disability EDSS = 5, age 43 and more than five years course of MS on average, were undergoing a battery of clinical and paraclinical tests. Questionaire method was used for assessing quality of life parameters. Powered by TCPDF (www.tcpdf.org)
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Balance and gait disorders in movement disorders
Hoskovcová, Martina ; Růžička, Evžen (advisor) ; Mareš, Jan (referee) ; Čakrt, Ondřej (referee)
Gait and balance disorders and the resulting falls are a substantial part of Parkinson's disease (PD) and other movement disorders. Especially in the late stage of PD more than 80 % of the patients fall. History of falls remains the best predictor of falls nonetheless, but it can not be used in falls prevention. Dopaminergic pharmacotherapy improves postural stability and gait in PD only in the early stage and the dopaminergic responsiveness of these symptoms decreases significantly during the disease progression. The impact of this medication on future falls risk remains still unclear. The connection between balance and gait disorders and cognitive impairment in PD is also not fully understood. The current state of knowledge about gait and balance disorders and cognitive impairment in PD is not satisfactory. Therefore the aims of the experimental part of this thesis were prospective monitoring of risk factors and predictors of falls, observation of the impact of dopaminergic medication on future falls risk and verifying the relationship between gait and balance disorders and cognitive impairment in PD. The fourth aim of the thesis was to specify the type and severity of gait and balance disorders in patients with essential tremor (ET). Although ET is one of the most common neurological disorders,...
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Balance and gait disorders in movement disorders
Hoskovcová, Martina ; Růžička, Evžen (advisor) ; Mareš, Jan (referee) ; Čakrt, Ondřej (referee)
Gait and balance disorders and the resulting falls are a substantial part of Parkinson's disease (PD) and other movement disorders. Especially in the late stage of PD more than 80 % of the patients fall. History of falls remains the best predictor of falls nonetheless, but it can not be used in falls prevention. Dopaminergic pharmacotherapy improves postural stability and gait in PD only in the early stage and the dopaminergic responsiveness of these symptoms decreases significantly during the disease progression. The impact of this medication on future falls risk remains still unclear. The connection between balance and gait disorders and cognitive impairment in PD is also not fully understood. The current state of knowledge about gait and balance disorders and cognitive impairment in PD is not satisfactory. Therefore the aims of the experimental part of this thesis were prospective monitoring of risk factors and predictors of falls, observation of the impact of dopaminergic medication on future falls risk and verifying the relationship between gait and balance disorders and cognitive impairment in PD. The fourth aim of the thesis was to specify the type and severity of gait and balance disorders in patients with essential tremor (ET). Although ET is one of the most common neurological disorders,...
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Aerobic Capacity Influence Possibilities in Parkinson`s Disease Patients
Plichtová, Klára ; Hoskovcová, Martina (advisor) ; Vondráková, Ivana (referee)
Author: Klára Plichtová Institution: Rehabilitation, Faculty of Medicine in Hradec Kralove Title: Aerobic Capacity Influence Possibilities in Parkinson's Disease Patients Supervisor: Martina Hoskovcová, MD Number of pages: 101 Number of attachments: 7 Year of defense: 2013 Key Words: Parkinson's Disease, Aerobic Capacity, Aerobic-strengthening Circuit Training, Xbox 360, Kinect, The Biggest Loser Ultimate Workout Summary: The thesis deals with the possibility of influencing aerobic capacity in patients with Parkinson's disease through aerobic-resistant training. It compares two forms of training, a real one (group aerobic-resistant circuit training) and a virtual one (Xbox game console and Kinect sensor). To assess the effect of aerobic-resistant training following assessment was used: spiroergometric examination, UPDRS III motor score, 6MWT, MINI BESTest, PDQ-39 and lower limb muscle strength measuring. The study group included 8 patients with Parkinson's disease. The thesis confirms in a case report form the results of recently published studies that recomend aerobic-resistant training in patients with Parkinson's disease and briefly discusses the advantages and disadvantages of both examined forms.
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Use of computer based exercise therapy in patients with Parkinson's disease. Comparation effectiveness of computer based exercise therapy and conventional therapy in parkinsonian patients with postural instability-pilot study
Otta, Jiří ; Hoskovcová, Martina (advisor) ; Kobesová, Alena (referee)
Author's first name and surname: Jiří Otta, BA Title of the master thesis: Use of computer based exercise therapy in patients with Parkinson's disease. Comparation effectiveness of computer based exercise therapy and conventional therapy in parkinsonian pacients with postural instability-pilot study. Department: Department of Neurology 1st Faculty of Medicine and General teaching Hospital Supervisor: As. MUDr. Martina Hoskovcová Consultant: Mgr. Ondřej Čakrt, Ph.D. The year of presentation: 2013 Abstract Introduction: Stability and walking disorder is an important part of clinical image of Parkinson's disease (further only as PD) and another neurodegenerative diseases with Parkinson-syndrome aspects (further only as PS). Above all in the late PD - phases stability and walking disorders and falls resulting from them responsible for serious functional restrictions and they can lead up to a self - sufficiency decreasing. In the clinical application for patients with PD are so far ordinarily accepted as a standard the guidelines Clinical Practice Guidelines - KNGF (Koninklijk Nederlands Genootschap voor Fysiotherapie - Royal Hollandian Physiotherapeutical Societies). In these days there are appearing new, unconvenional methods in rehabilitation (further only as RHB) of stability disorder and falls in patients...
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Gait and balance disorders in Parkinson's disease - comparison of two different methods of physiotherapy
Kříž, Petr ; Hoskovcová, Martina (advisor) ; Matolínová, Vendula (referee)
Title: Gait and balance disorders in Parkinson's disease - comparison of two different methods of physiotherapy Abstract: This thesis is concerned with the problematics of balance therapy applied to patients with Parkinson disease. The aim of the theoretical part is to briefly describe contemporary knowledge about this problem. The aim of the practical part is then to compare the level of postural stability before and after the therapy applied to those patients, that consider postural stability as their main problem. To assess postural stability problems, following tests were used: computerized Sensory Organization Test, MINI BESTest, UPDRS and measurements of knee flexion and extension. One patient underwent a balance training in the gym according to methodical row of sensory motor stimulation, another two patients underwent balance therapy on the SMART Balance Master®, all of them in the scale of 10 therapies during 5-7 weeks. In the intraindividual comparation, all patients have reached an overall improvement of their postural stability. The amount of steady state stability has not changed (according to the methods used). Proactive stability has improved in one case, the stability of gait has improved in two cases. Key words: Parkinson's disease, postural instability, physiotherapy, balance training,...
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