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Utilizing of electrical stimulation for decreasing of spasticity in stroke patient
Ustinova, Darya ; Demeková, Júlia (advisor) ; Kövári, Martina (referee)
1 Abstract Electrical stimulation by coupled impulses according to Hufschmidt was created with the primary goal of reducing spasticity. However, there are currently few studies that confirm or refute the effect of this type of electrical stimulation in reducing spasticity. The aim of this diploma thesis was to determine the effect of electrostimulation according to Hufschmidt on the reduction of biceps brachii spasticity in patients after stroke. In addition, the effect of electrical stimulation on increasing the active range of movement of the antagonist of the examined muscle and on the active function of the spastic limb was investigated. For these purposes, a non-randomized controlled pilot study was created, which involved a total of 16 probands, 8 - in the therapeutic group, 8 - in the control group. Five-step clinical assessment in spastic paresis according to Gracies were used for the examination. In the therapeutic group, electrostimulation took place 3 times a week, a total of 8 times. The intragroup difference was evaluated using the Friedman and Wilcoxon paired tests, the intergroup difference was subsequently evaluated using the Mann-Whitney U test. The significance level p = 0.05 applies to all tests. The measured values show that Hufschmidt's electrical stimulation has a positive effect on...
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Physiotherapy in palliative care
Ustinova, Darya ; Chalupská, Tereza (advisor) ; Gerlichová, Markéta (referee)
BACHELOR THESIS ABSTRACT Author: Darya Ustinova Supervisor: Mgr. Tereza Chalupská Opponent: Title of bachelor thesis: Physiotherapy in palliative care Abstract: The purpose of modern palliative medicine is to maintain high quality live of patients with advanced form of disease. Palliative care was originally considered as terminal care, which focused on relief of symptoms at the end of life. Nowadays, palliative care has a greater scope and the concept of rehabilitation, in palliative care, expands. The main purpose of this dissertation is to define the role of physiotherapy in palliative care and to contribute to the existing literature. Theoretical part of this dissertation begins with general information about palliative care and multidisciplinary palliative team with a focus on rehabilitation in palliative care. Below is a list of physiotherapy techniques applicable in palliative care, and the main symptoms that can be affected by physiotherapy in palliative care. The conclusion of the theoretical part is devoted to the attitude of patients and medical personnel to physiotherapy in palliative care and the training opportunities of physiotherapists in the field of palliative care. The practical part describes results of the questionnaire survey on the numbers of the physiotherapists in palliative care...
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