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Efficiency of Robot-assisted Therapy through the Device Armeo Spring in Patients after Stroke in Acute Phase of Early Rehabilitation
Bocanová, Renata ; Oktábcová, Alice (advisor) ; Uhlířová, Jaromíra (referee)
This diploma thesis deals with the issue of robotic-assisted therapy, namely with the mechanical exoskeleton robotic device Armeo Spring, and it is focused on an acute stroke population. The aim of this study is to evaluate the efficiency of a robotic-assisted therapy using Armeo Spring device and to compare it with the efficiency of a common individual occupational therapy focused on improving motor function of upper extremity of patients with the acute stroke. There were 19 patients involved in the research, who were hospitalized in early rehabilitation acute beds. They were selected on the basis of entry criteria and further divided into two groups. An experimental group included 10 participants (n=10), a control group included 9 participants (n=9). The patients in the experimental group using Armeo Spring device underwent four to five 30-minutes therapies per week for three week period, the control group underwent the same amount of individual occupational therapies focused on improving motor function of a paretic upper limp. Each participant, evaluated before and after the intervention, underwent the total number of 12 therapy sessions. In the face of the determined hypothesis, following methods were used to evaluate the sample of patients: Function Independence Measure (FIM) for evaluating...
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Occupational Therapy Focused on Upper Extremity Motor Disorders at School-Age Children with Cerebral Palsy
Čížková, Markéta ; Krivošíková, Mária (advisor) ; Sládková, Petra (referee)
Cerebral palsy (CP) is one of the most frequent neurodevelopmental deseases. The brain lesion may disturb upper extremity functioning in children with cerebral palsy (CP). This thesis aims to create a therapeutic program focused on movability of upper limbs in school-aged children with CP and and verify the efficiency of this therapeutic program. Another goal is to consider the applicability of the Jebsen Taylor Test of Hand Function for assessment of hand function in children with CP. The theoretical part deals elaborately with cerebral palsy, therapeutic interventions in children with CP and its efficiency according to the evidence based medicine. This part also deals with standardized assassment tools and pays close attention to the Jebsen Taylor Test of Hand Function (JTTHF) and the Manual Ability Classification System (MACS). The practical part presents six case studies of children with cerebral palsy who attended the occupational therapy three times a week over three weeks. The created therapeutic program includes three areas focused on the bimanual training, grips and grafomotorics. This program was appropriate for four of six children patients. The program was too hard for children with quadruparesis classified as MACS IV. The other children were classified as MACS II. The efficiency of...
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Clinical utility of the QUEST test in occupational therapy for evaluation of the upper extremities function in children with cerebral palsy. Subtitl: QUEST - Quality of Upper Extremity Skills Test
Hodboďová, Kateřina ; Krulová, Anna (advisor) ; Krivošíková, Mária (referee)
OF DIPLOMA THESIS Author: Bc. Kateřina Hodboďová Supervisor: Mgr. Anna Krulová Title: Clinical utility of the QUEST test in occupational therapy for evaluation of the upper extremities function in children with cerebral palsy Subtitle: QUEST - Quality of Upper Extremity Skills Test This diploma thesis engages in description of the QUEST (Quality of Upper Extremity Skills Test) test and its practical contribution to the practice of occupational therapy. The main aim of the thesis is to demonstrate the utility of the QUEST test as an evaluation of functional capabilities of upper extremities in children with cerebral palsy in Czech occupational therapy practice. The theoretical part provides basic information about cerebral palsy in children, about the possibilities of intervention in occupational therapy focussed on upper extremities, about the importance of assessment in occupational therapy, with an emphasis on the use of standardized evaluation tools in occupational therapy. Big part is also devoted to the characteristics of the foreign test QUEST. It includes information about the origin of the test, psychometric properties and normative data. Furhtermore, the description of the test items, the method of administration and evaluation, as an interpretation of the results are included. The...
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Constraint induced movement therapy for upper extremity in patients after stroke in occupational therapy
Horsáková, Petra ; Krivošíková, Mária (advisor) ; Svěcená, Kateřina (referee)
Constraint induced movement therapy is one of many neurorehabilitation methods, based on principle of overcoming the learned non-use phenomenon by a specific therapeutic protocol including some behavioral techniques. A classification of currently available studies on the topic have been made on the model of literature review, with an in-depth focus on using Constraint induced movement therapy in occupational therapy for adult patients after stroke who have upper limb motor disorders. The present study is structured into two sections: a theoretical part and an analytic-descriptive one. In theoretical part history of the method is presented together at Basic method principles and detail contents of a therapeutic protocol. The analytical and descriptive section is aimed to analyse international studies important and relevant with respect to an occupational therapy practice. In this second section are also proposed many possible activities of shaping and task practice techniques which can be used by occupational therapists. Translation of the most widely used test (Motor Activity Log and Wolf Motor Function Test) into Czech language is included. Keywords: constraint induced movement therapy, stroke, upper extremity, occupational therapy
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The Application of Robot-Assisted Therapy of Hand in Patients after Stroke in Chronic Phase: Follow-up Trial of Application of AMADEO Instrument
Oktábcová, Alice ; Uhlířová, Jaromíra (advisor) ; Kotková, Karla (referee)
Name: Alice Oktábcová Supervisor: Mgr. et Mgr. Jaromíra Uhlířová Oponent: ……………. Diploma thesis: The Application of Robot-Assisted Therapy of Hand after Stroke: Follow-Up Trial of Application of AMADEO Instrument Key words: stroke, robot-assisted therapy, Amadeo Instrument, follow-up study, upper extremity In recent years, western countries noted a gradual increase in stroke survivors. Stroke can cause motor activity impairment and also senzoric and cognitive disorders which lead into restriction of participation of activities of daily living and also reduction of social and community activities. Functional improvment of upper and lower extremity after stroke is a very complex proces which has to be solved in multidiscplinary and multifactorial approach in result of every stroke survivor to live in the most independent way as possible. Robot-assisted therapy for motor recovery could be a successful way to improve motor activity of stroke survivors. Amadeo Instrument is one of robot-assisted therapy for hand rehabilitation of stroke survivors. This instrument can be described as final effector without exoskeleton which allows functional motor therapy for fingers and also a motivational feedback. Amadeo therapy can be passive, assisted, active and also interactive. The aim of this thesis is to...
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Conservative Therapy Methods of Cervicobrachial Syndrome
Knolová, Kateřina ; Rybářová, Jana (advisor) ; Hamarová, Zuzana (referee)
The theoretical part of my bachelor's thesis is focused on the pathophysiology of functional and structural disorders in the cervical spine from the perspective of kinesiology, biomechanics and developmental kinesiology. Additionally, focuses on diagnostics and therapy methods. The practical part of the thesis comprises three case histories of patients with the same primary diagnosis, but different functional medical findings. The aim of this thesis is to compare different approaches to treating these patients.
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