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Assessment of motor skills and functional abilities in children with CP by correlation of Locomotor stages according to Vojta and the PEDI and TCMS tests.
Halámka, Jiří ; Šafářová, Marcela (advisor) ; Smetanová, Jana (referee)
The study evaluates the level of gross motor skills in pediatric patients with cerebral palsy (CP) using Vojta's Locomotor Stages, postural stability during sitting, and its influence on independence and mobility. The theoretical part of the study provides an overview of cerebral palsy, its classification, and diagnosis. It describes the utilization of current standardized scales employed in this diagnosis, specifically for assessing posture and postural stability while sitting. Furthermore, it summarizes knowledge about the functional abilities of children with CP (self-care, mobility, and social functions) in relation to psychomotor development. The primary objective was to determine the impact of gross motor skill levels on a child's trunk stability and to establish correlations between trunk stability and the independence and mobility of pediatric patients with cerebral palsy. Methodology: In the Practical part, we examined 25 pediatric patients with cerebral palsy using the Trunk Control Measurement Scale (TCMS), which is used to evaluate sitting stability in static and dynamic skills. Additionally, we queried the patients' parents using the standardized Pediatric Evaluation of Disability Inventory (PEDI) questionnaire, which is used to assess children's functional abilities in the areas of...
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Specific nursing care for a frail senior
FRISCHOVÁ, Karolína
The aim of the bachelor thesis entitled "Specific nursing care for a frail senior" was to map the specifics of nursing care for a fragile senior and to find out the use of evaluation tests in practice, or to find the most adequate tool for the evaluation of seniors. In the theoretical part of the bachelor thesis, I focused on the definition of the concept of old age and aging and the problems associated with it, as well as on a detailed description of geriatric frailty from a theoretical point of view and, last but not least, on the assessment scales for a comprehensive assessment of seniors. The chapter is also devoted to proper nutrition in old age, which should not be forgotten in health care and personal life and is often key in the prevention and treatment of diseases. Part of the bachelor thesis is also devoted to risk areas that threaten seniors with geriatric frailty. The last subchapter of the theoretical part is devoted to the importance of motivation in the process of returning the senior's self-sufficiency and not giving up the goal and hope when being bedridden. The practical part of the bachelor thesis was filled with quantitative research investigation, using evaluation tests: SPPB to assess the physical fitness of seniors (see Appendix 1), questionnaire SARC-F (see Annex 2) to determine the degree of sarcopenia and Criteria for the evaluation of fragility according to Friedová (see Appendix 3). Part of the research was carried out in the Home for the Elderly in Bechyně, the other part consisted of members of my family and neighbors over 70 years of age. Testing was anonymous and completely voluntary. The research was processed by means of tables and graphs and statistical processing of hypotheses was done by Chi-square test and correlation method. The aim was early identification of frail patient in health care settings and finding a suitable measurement tool for clinical practice.
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The Independency Training in Person with Multiple Sclerosis in Home Environment
Fabriková, Anna ; Novotná, Klára (advisor) ; Rodová, Zuzana (referee)
BACHELOR THESIS ABSTRACT Name, Surname: Anna Fabriková Supervisor: Mgr. Klára Novotná, Ph.D. Consultant: Mgr. Eliška Rotbartová Title: The Independency Training in Person with Multiple Sclerosis in Home Environment Abstract: This theoretical and practical bachelor thesis deals with the possibilities of occupational therapy for increasing or maintaining self-sufficiency in patients with multiple sclerosis (MS) with higher degree of neurological disability (i.e., patients with EDSS>7). The MS disease, issues of self-sufficiency, palliative care, and some options for social benefits, are described in the theoretical part. The practical part includes 3 case reports of patients of the Centre for Demyelinating Diseases of the Neurological Clinic of the 1st Faculty of Medicine of the Charles University in Prague. All patients completed 6 individual occupational therapy sessions in their home environment. The therapy effect was evaluated by the Barthel Index, modified Frenchay scale and by the Canadian Occupational Performance Measure (COPM). Key words: multiple sclerosis, occupational therapy, rehabilitation, independency, activities of daily living, home environment
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The influence of mobility on self-sufficiency of patients after proximal femur fracture
Kolářová, Markéta ; Nováková, Petra (advisor) ; Pianelli Jahodová, Ivana (referee)
Author: Markéta Kolářová Thesis supervisor: Mgr. Petra Nováková Title: The influence of mobility on self-sufficiency of patients after proximal femur fracture This thesis deals with proximal femur fractures and their impact on self-sufficiency and mobility of patients with this diagnosis. This trauma is very common, and because of the increasing incidence, high morbidity and mortality, negative impact on self-sufficiency and quality of life and high economic cost, it is a worldwide problem that needs to be solved. An important part of taking care of these patients is rehabilitation which includes physiotherapy. The thesis has got two parts - theoretical and practical. The theoretical part includes the characteristics of proximal femur fractures and describes their influence on the mobility and the relation between mobility and self-sufficiency. The practical part includes 3 case studies of patients with the diagnosis of a proximal femur fracture. Objectives: The main objective of the theoretical part is to make clear characteristics of proximal femur fractures and to summarize the issue of loss and recovery of mobility and self- sufficiency in relation with these fractures. The main objective of the practical part is to describe the effect of a physiotherapeutic intervention on mobility and...
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Creation of a tool for calculating the efficiency of renewable energy sources
Lecián, Milan ; Zimáková, Jana (referee) ; Binar, Tomáš (advisor)
This diploma thesis deals with the design of a tool for calculating the efficiency and self-sufficiency of a mobile photovoltaic system to ensure the supply of electrical energy during crisis situations. The thesis includes research on various types of renewable energy sources and storage systems. Furthermore, it describes the relationships for calculating the position of the Sun, the intensity of the incident radiation, the efficiency and the output of the PV system and the overall coverage of the system’s consumption. Based on these relationships, a computational model is created. In the next section, this developed computational model is described and shows its application in comparison with the PV*SOL program. In the final part, using the analysis performed with the computational model, a design for o mobile photovoltaic system for supplying electrical energy during crisis situations is created using PV*SOL program. The use of the proposed system is demonstrated by providing electrical energy for emergency survival of the population. The conclusion of the thesis includes an evaluation and recommendations for further research.
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Functional independence measures in wheelchair rugby players
Moudrá, Kristýna ; Vařeková, Jitka (advisor) ; Pavlová, Ilona (referee)
Title: Functional independence measures in wheelchair rugby players Objectives: The aim of the thesis is to investigate the relationship between the sports activity of wheelchair rugby players and the degree of functional independence in daily activities in people with spinal cord injury. Methods: 20 male wheelchair rugby players aged between 20 and 51 years, in the range of spinal cord injury level C5 - Th8, were selected for the empirical mixed research using the purposive sampling method. The methods of data collection include an interview and a self-constructed questionnaire that elicits anamnestic data, subjective assessment of self- sufficiency and player's experiences with health complications associated with wheelchair rugby. Furthermore, an evaluation of the SCIM III functional degree of independence was carried out, the results of which were compared with the results of two previous studies (EMSCI and assumptions of Occupational Therapists from the Czech Republic). Results: The results confirm a positive relationship between the player's functional independence and the sports activity of wheelchair rugby players. Respondents at levels of complete spinal cord injury C6 and C7-8 with the SCIM III assessment demonstrated a higher functional independence rate compared to the overall average...
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Nursing care for patients after amputation of the lower limbs in the home environment
RŮŽIČKOVÁ, Karolína
My bachelor thesis deals with nursing care in patients after amputation of lower limbs in the home environment. The main objective of the thesis was to describe the provided nursing care in patients after amputation of the lower limb in the home environment, to find out the cooperation of nurses and family members in these patients and how nurses evaluate self-sufficiency in patients after amputation of the lower limb in the home environment. In order to meet these goals, we have chosen the following research questions. What nursing care do nurses provide to patients after lower limb amputation in the home environment? How do nurses providing nursing care in a home environment to patients after lower limb amputation cooperate with their family members? How do nurses providing nursing care in the home environment evaluate patients after amputation of the lower limb their self-sufficiency? The research was carried out using qualitative research, specifically in the form of a semi-structured interview. The research sample was consisted of 10 respondents. The selected respondents were nurses from home care agencies of the South Bohemian Region, caring, among other things, for patients after amputation of the lower limb. Based on a research investigation, we found that nursing care provided in the home environment of an amputated patient is almost no different from nursing care provided in a hospital facility. Nurses focus on very similar activities such as wound dressings and stump bandaging. For some nurses working in home care, psychological support for the patient also played an important role in the provision of nursing care. The results also showed that cooperation between nurses and family members is largely effective. The family took care of its amputated family member primarily as part of personal hygiene and eating or provides daily assistance with walking and movement. Not only in the hospital, but also in the home environment, nurses evaluated the self-sufficiency of amputated patients. Thanks to the research investigation, we have revealed that some nurses evaluate self-sufficiency according to evaluation scales, for some the mobility of the amputated patient is essential or they take into account the general condition of the patient.
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Viewers of Herbář, TV program popularizing alternative lifestyle
Gajdová, Jana ; Reifová, Irena (advisor) ; Jansa, Petra (referee)
The topic of my thesis is the audience of Herbář, a programme broadcast by Czech Television since 2013, which popularises alternative lifestyles characterised by conscious consumer tactics. These tactics include, for example, certain forms of local food activism based on the ideas of the Slow Food movement, the application of certain DIY practices, the pursuit of partial food self-sufficiency, or an individual's efforts to minimize the negative impact of their actions on the state of the environment. The TV programme Herbář is a lifestyle show that features elements of TV food tourism focused on the countryside and traditions. It is a specific form of eco-reality television, using the emotional identification of the viewer with the presenter, which occurs through the chosen way of moderating the programme, and dramatisation, using images of idealised rural and simple lifestyles. I first introduce the reader to the related themes in order to place my work in a clear context. I will then attempt to answer who the audience of Herbář is, what are the possible audience attitudes towards the programme and related themes, and how these audience attitudes are reflected in the lifestyles of individual viewers. I will attempt to answer these questions through a simultaneous triangulation of qualitative and...
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Quality of life and Physical Self in Senior Population
Polívková, Aneta ; Fialová, Ludmila (advisor) ; Hošková, Blanka (referee)
Title: Quality of life and Physical Self in Senior Population Objectives: The main aim of this thesis is to analyze the quality of life of the elderly with respect to the place where they live and the level of physical activities performed in the past and present. Respondents are divided into those living in nursing homes and those who live in their natural environment. In particular, we want to find out whether these two groups differ in the given areas of life or not. Another criterion by which we divide and compare the respondents is the amount of physical activity in the past and present. The aim of this division is to determine the effect of physical activity on the current quality of life of the elderly. Methods: The selected means of obtaining information for our thesis was a paper questionnaire. After analyzing several questionnaires focused on quality of life, the SQUALA questionnaire was selected. We used statistical methods for nonparametric data to evaluate the results. Results: The results confirmed the relationship between physical activity and a higher level of quality of life. On the contrary, we have refuted the expectations of a better quality of life in the health dimension of seniors living at home. Furthermore, we found out that seniors living in nursing homes overall rated...
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The Design of Universal Models of Assistive Devices for Production Using a 3D Printing to Improve the Self-sufficiency of People with Acquired Brain Injury.
Gazdová, Klára ; Rodová, Zuzana (advisor) ; Angerová, Yvona (referee)
Author: Bc. Klára Gazdová Supervisor: Bc. Zuzana Rodová, M.Sc. Title: The Design of Universal Models of Assistive Devices for Production Using a 3D Printing to Improve the Self-sufficiency of People with Acquired Brain Injury Abstract: Background: Patients with acquired brain injury often need to be equipped with personalized compensatory aids to increase paretic upper limb involvement and self-sufficiency. One of technologies for production of aids is 3D printing, which is use abroad. Limit is professional and time consuming in preparation of 3D models of printing aids. Reducing this complexity is possible by creating universal 3D models that allow change dimensions of aid without professional intervention. Goal: Main goal is design universal 3D models of aids. Aids help patients engage paretic upper limb and increase self-sufficiency. Based on analysis, activities of daily living in patients with acquired brain injury were selected. Methodology: Author created Record Form data collection, guidelines were created to minimize subjectivity in acquisition of data from occupational therapists. Author collected data at Rehabilitation Institute Kladruby and ERGO Aktiv o.p.s. Record form was distributed to occupational therapists working with target group of patients, but models were created from...
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