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Possibilities of Using ICF and WHODAS 2.0 Questionnaire in Patients with Upper Limb Movement Disorders from an Occupational Therapist's Perspective
Antálková, Kateřina ; Sládková, Petra (advisor) ; Kotková, Karla (referee)
OF THE DIPLOMA THESIS Name, Surname: Bc. Kateřina Antálková Supervisor: MUDr. Bc. Petra Sládková, Ph. D. Title of the diploma thesis: Possibilities of Using ICF and WHODAS 2.0 Questionnaire in Patients with Upper Limb Movement Disorders from an Occupational Therapist's Perspective Abstract of the diploma thesis: This thesis deals with the issue in subjects with upper limb mobility disorders, specifically with central hemiparesis, from the perspective of an occupational therapist. Objective functional assessment will be carried out using the International Classification of Functioning, Disability and Health (ICF), and subjective assessment will be carried out using the WHODAS 2.0 questionnaire, WHO Disability Assessment Schedule 2.0. This thesis focuses on subjects with upper limb mobility disorders. All subjects will have the same basic diagnosis, which is right or left central hemiparesis, and should be no more than 3-4 years after a stroke, over 18 years of age, with no upper age limit, or subjects after traumatic brain injury (TBI). The practical part will include patients with a disability level ranging from 1-3, they must not have plegia or contracture, they must be without aphatic deficit and severe cognitive deficit - mild cognitive impairment may be present, but the ability to understand...
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Availability of occupational therapy care in patients with acquired brain injury after discharge from a rehabilitation center
Novotná, Barbora ; Hoidekrová, Kristýna (advisor) ; Angerová, Yvona (referee)
Title: Availability of Occupational Therapy Care in Patients with Acquired Brain Injury after Discharge from a Rehabilitation Center Abstract: At present, there is no standardised outpatient care that would be seamlessly linked to complex inpatient care and ensure the availability of specialised neurorehabilitation in all necessary areas (occupational therapy, physiotherapy, speech therapy and psychology). The main aim of the study was to evaluate the availability of occupational therapy care after discharge from a rehabilitation center after acquired brain injury at the Rehabilitation Institute Kladruby within the Cranioprogram and to create a current list of contracted health care providers for outpatient occupational therapy in the Czech Republic for adults. A questionnaire survey was used in the study, which was conducted on 50 respondents who participated in the Cranioprogram at the Rehabilitation Institute Kladruby. The mean age was 53, 4 (SD ± 15, 1) years and 14 women and 36 men participated. A list of contracted health service providers for ambulatory physiotherapy, occupational therapy, speech therapy and psychology was requested from individual insurance companies. The data results show that 32 respondents attend at least 1 outpatient rehabilitation during the first month after the end of...
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Comprehensive rehabilitation of people with acquired brain injury at the Day Centre of the Department of Rehabilitation Medicine at General University Hospital in Prague; Designing a programme protocol and its comparison with the outpatient clinic protocol
Kyjevská, Martina ; Klimošová, Sylva (advisor) ; Šebková, Natálie (referee)
Name, Surname: Bc. Martina Kyjevská Supervisor: MUDr. Sylva Klimošová Title: Comprehensive rehabilitation of people with acquired brain injury at the Day Centre of the Department of Rehabilitation Medicine at General University Hospital in Prague Subtitle: Designing a programme protocol and its comparison with the outpatient clinic protocol Abstract: This theoretical thesis provides a comprehensive view of the field of outpatient rehabilitation programs for patients with acquired brain injury. The thesis is prepared in the form of a literature search and is divided into a theoretical part and a special part. The theoretical part of the thesis is devoted to the description of acquired brain injury, neurorehabilitation, care coordination process and outpatient form of rehabilitation, including its effectiveness, availability, and limitations. The special part is prepared in the form of a literature search (scoping review). The aim of the special part of the thesis is to design a program protocol primarily based on the mapping of available literature sources and the clinical reasoning of the author. Another output of the thesis was the comparison of the real protocol of the day hospital program of the KRL VFN and the protocol proposed based on the search. The parameters evaluated were the indications...
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The use of dual task training in rehabilitation of patients after acquired brain injury
Hanzlíková, Kateřina ; Krivošíková, Mária (advisor) ; Klimošová, Sylva (referee)
Title: The use of dual task training in rehabilitation of patients after acquired brain injury Abscract: Patients after acquired brain damage may have a range of cognitive, motor, psychological, phatic, or sensory difficulties. These impairments impact the individual's performance in personal and instrumental activities of everyday live. Simultaneously, patients may lose functions that were previously automatic, such as the ability to maintain postural control. Therefore, they need to make more effort to consciously control movement and because of this, the ability to perform two tasks at the same time is reduced. However, the conditions of a normal day require simultaneous execution of multiple interactions. The cognitively oriented Day Care Centre of The Department of Rehabilitation Medicine of the General Hospital and the First Medical Faculty of Charles University includes a dual task program for patients after acquired brain injury, which focuses on training of cognitive and motor functions. The theoretical part of this thesis is addressing the issue of dual task paradigm. The aim of the practical part is to evaluate the effect of this 4week intensive program on cognitive, motor functions and self-sufficiency of individuals after acquired brain injury. To determine the effect of the dual task program,...
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Driving Simulator and Its Use in the Rehabilitation of People with Acquired Brain Injury
Strubinská, Šárka ; König, Jan (advisor) ; Nováková, Olga (referee)
DIPLOMA THESIS ABSTRACT Name, surname: Bc. Šárka Strubinská Supervisor: Mgr. Jan König Consultant: Mgr. Eliška Burdová, Mgr. Bc. Jitka Bonková Sýkorová Title: Driving Simulator and Its Use in the Rehabilitation of People with Acquired Brain Injury Abstract: The diploma thesis describes the utilization of a driving simulator for manual control in the rehabilitation of individuals with acquired brain injury. The main objective of this thesis is to determine the feasibility of using a driving simulator and its potential to increase the likelihood of returning to driving by clients with acquired brain injury in the chronic stage. The first sub-objective is to investigate the influence of driving simulator training on attention and the potential to increase the likelihood of returning to driving by clients with acquired brain injury in the chronic stage. The second sub-objective is to determine whether the proposed set of tests is appropriately designed as a criterion for inclusion in the driving simulator research. The theoretical part summarizes the knowledge about acquired brain injury and its consequences, cognitive functions, impairments, car driving, and legislative regulations or possibilities for driving skills testing. Furthermore, this section provides information about rehabilitation by acquired brain...
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Occupational Therapy Program in the cognitive Day Care Centre of the Department of Rehabilitation Medicine General University Hospital
Filipčíková, Šárka ; Krivošíková, Mária (advisor) ; Šebková, Natálie (referee)
DIPLOMOVÉ PRÁCE (v AJ) Jméno, příjmení: Bc. Šárka Filipčíková Vedoucí práce: Bc. Mária Krivošíková, M.Sc. Název diplomové práce: Occupational therapy program in the cognitive Day Care Centre of the Department of Rehabilitation Medicine General University Hospital Abstract: Cognitive functions are an essential part of every individual's daily life. Day Care Centers focused on cognitive rehabilitation are still not yet availeble, well known and widespread in the Czech Republic. The diploma thesis focuses on rehabilitation programs for people with acquired brain injury. The main aim is provide an overview of therapeutic programs that focus on cognitive rehabilitation. The theoretical part of the work also deals with the issue related to the rehabilitation of cognitive function. The aim of the practical part is to verify the effect of intensive 4-week memory therapy in the cognitive program of patients with acquired brain injury at the Day Care Centers of the Charles University 1st Faculty of the Department of Rehabilitation Medicine General Faculty Hospital. A secondary aim is to update the protocol of the aforementiones program and verify its feasibility by occupational therapists. Data for the program analysis were obtained from the initial and final examinations performed by the occupational...
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Suggestions for spiritual care for persons with acquired brain injury
Kurovská, Lenka ; Macek, Ondřej (advisor) ; Ulrichová, Monika (referee)
This thesis deals with the area of spiritual care for persons that suffered a traumatic brain injury, stroke or another brain damage at adult age. It describes what these people have to go through after termination of acute treatment, what are their needs and coping strategies. It presents results of researches dealing with correlation between spirituality/religiosity and managing of unfavourable circumstances connected with the health condition, therapy and rehabilitation. It summarises the recommendations for suitable adjustment of spiritual care to somatic, communication, cognitive and psychosocial changes, which may occur as a result of the brain injury. It pays special attention to the use of expressive therapies and supplementary methods thanks to which it is possible to reflect spiritual topics also in other ways than in a classical conversation.
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Nutritional interventions for patients with brain injuries and movement limitations
Kadečková, Klára ; Sládková, Petra (advisor) ; Svěcená, Kateřina (referee)
Patients with acquired brain damage, who are attending rehabilitation day-care center on the Department of Rehabilitation Medicine of the General Hospital and the First Medical Faculty of Charles University in Prague, are often limited by fatigue and lack of energy. Patients are attending day hospital mainly with brain damage acquired after stroke and less often also after brain trauma. Secondary prevention of atherosclerosis development or progression and prevention of stroke relapse is very important with these patients. Nutritional intervention plays significant role in prevention and treatment of many risk factors of an atherosclerotic artery damage. Common consequence of brain damage is development of secondary sarcopenia. Patient in day hospital must bring their own food. Individualized program as a result from examination by the multidisciplinary team doesn't include nutritional assessment. Study with patients with acquired brain damage was carried out on Department of Rehabilitation. Study used bioelectrical impedance analysis provided by InBody 370 S. Body composition of patients was measured. This data and anthropometric measurements were evaluated for presence of metabolic and cardiovascular disease risk factors. Muscle mass percentage was evaluated as well. Study found out that most...
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Functional assessment of activities and participations according to the ICF in patients with central hemiparesis.
Marková, Kateřina ; Sládková, Petra (advisor) ; Angerová, Yvona (referee)
THESIS ABSTRACT Name, surame: Bc. Kateřina Marková Thesis supervisor: MUDr. Bc. Petra Sládková, Ph. D. Title of thesis: Functional assesment of activities and participations according to the International Classification of Functioning, Disability and Health in patients with central hemiparesis Abstract: Functional independence and social integration, which are the domains of occupational therapy, are essential for the successful rehabilitation of patients. The International Classification of Functioning, Disability and Health can provide a suitable framework for functional assessment, not only for occupational therapists. The main aim of this thesis is a determination of the functional picture of selected patients with central hemiparesis. The secondary objectives encompass firstly a verification of pre- established hypotheses, and secondly, an evaluation of the influence of the Day Hospital of the General University Hospital in Prague on the functional abilities of patients with central hemiparesis. Primary research methods comprise in particular a quantitative data analysis and comparison; however, a qualitative analysis of texts or description are also utilized. The research retrospectively evaluates the results of the assessment of activities and participation and environmental factors in patients with...
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Importance of a Subjective Assessment of Patient's Quality of Life after Acquired Brain Injury, WHODAS 2.0 Questionnaire
Hysková, Ludmila ; Sládková, Petra (advisor) ; Pluhaříková-Pomajzlová, Jana (referee)
OF THE DIPLOMA THESIS Name, Surname: Bc. Ludmila Hysková Supervisor: MUDr. Bc. Petra Sládková Ph.D. Title of the diploma thesis: Importance of a Subjective Assessment of Patients' quality of Life after Acquired Brain Injury, WHODAS 2.0 Questionnaire Abstract: The diploma thesis deals with the quality of life with people after acquired brain injury. Brain injury is a common cause of disability in the adult population. The aim of the thesis is to find out how the quality of life with people after acquired brain injury changes depending on the attendance of a day care centre. Furthermore, the aim is to determine if there is a correlation between subjective WHODAS 2.0 and objektive FIM data. The theoretical part describes the acquired brain injury, its types and consequences and the subsequent rehabilitation. It also focuses on the quality of life and the possibilities of its assessment using different tools. The WHODAS 2.0 questionnaire is introduced and its clinical use is described. The practical part focuses on the methodology, objectives, hypotheses and research set. The research population consists of 21 patients who attended a rehabilitation day care centre for 4 weeks. The data is collected from the period of April 2022 to March 2023. The results of the work show that the quality of life...
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