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Evaluation of the effect of rehabilitation using visual biofeedback for patients after vestibular schwannoma resection
Jandová, Nikola ; Čakrt, Ondřej (advisor) ; Chovanec, Martin (referee)
The aim of this thesis was to evaluate the effect of rehabilitation with visual biofeedback at acute stage after vestibular schwannoma surgery and to evaluate if preoperative intratympanic aplication of gentamicin has influence on vestibular compensation of standing stability. The study was attended by 20 patients (12 women and 8 men) in the age from 28 to 63 years. Eight patients had vestibular schwannoma diagnosed in their left side, twelve in the right side. Rehabilitation program using interactive rehabilitation system Homebalance took place from the 5th postoperative day until hospital discharge, daily 15 to 20 min. To evaluate of therapeutic intervention objectively the device Synapsys Posturography System was used. Stabilometric examination was done before operation of vestibular schwannoma, after operation and after termination of rehabilitation with visual biofeedback. Statistic analysis showed significant increase of mean values of measured parameters CoP (sway velocity CoP, length of trajectory of CoP, area of the confidence ellipse CoP) postoperatively compared to preoperative values. After termination of therapeutic intervention there was any significant decrease of values of parameters CoP compared to postoperative status. Between group of patients with preoperative aplication of...
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Home therapy of the patients after stroke with stability disorders with utilization of visual biofeedback and stabilometric platform
Lidová, Monika ; Tichá, Marie (advisor) ; Jeníček, Jakub (referee)
Authorˊs first name and surname: Monika Lidová Bachelor thesis supervizor: MUDr. Marie Tichá Oponent: Title of bachelor thesis: Home therapy of the patients after stroke with stability disorders With utilization visual biofeedback and stabilometric platform Abstract: The thesis deals with therapy of the patients after stroke with stability disorders in virtual reality. Stabilometric platform Nintendo Wii and program HomeBalance were used during the therapy and enable the visual biofeedback to the pacient. Another specification of this therapy is that the whole process was situated to home environment. The therapy lasted one month and every patient should exercise every day. Time of one exercise depended on the patient's skills. The patient's task was to change position of the center of pressure to the specific place. Every day the patient exercised identical therapeutic scene consisting of a balanced position sequence in the space, that the patient should have achieved. The success of the therapy was evaluated objectively by intrumentation (FootScan) and objective tests, but also by patients' subjective feeling. Berg Balance Scale, Timed Up and Go and Tinetti Performance Oriented Mobility Assessment were used as the objective tests. The monitored parameter for objective evaluation of the stabilometric...
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The effect of foot stimulation on postural stability of patients after stroke - objectivisation by a footscan
Zárubová, Markéta ; Pochylová, Barbora (advisor) ; Táborská, Silvie (referee)
BACHELOR THESIS ABSTRACT Author's first name and surname: Markéta Zárubová Bachelor thesis supervizor: Mgr. Barbora Pochylová Oponent: Title of bachelor thesis: The effect of foot stimulation on postural stability of patients after stroke - objectivisation by a footscan Abstract: This bachelor thesis is focused on determining the effect of foot stimulation on the postural stability of stroke patients using stimulation aids. Three hemiparetic patients have been chosen for this thesis. The therapeutic effect has been analyzed using the Footscan®7.x system, a noninvasive method showing the foot sole pressure distribution. Measurements have been taken before and after foot stimulation in several standing modifications: standing on a broad basis and standing on a narrow basis. In each of these two standing modifications, measurements with eyes opened and closed have been taken. Three different types of stimulation aids have been used in each patient item-by-item. Values of the parameters before and after foot stimulation were entered into tables allowing for the comparison of all three aids. The results are presented in tables and graphs. Key words: Postural stability, stroke, footscan, foot, stimulation aids
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Using parts of classical dance in Physiotherapy
Červenková, Lucie ; Bitnar, Petr (advisor) ; Ježková, Martina (referee)
The aim of this thesis is to explore the possible use of classic ballet in physiotherapy. It explains the concept of classical ballet, its history and contemporary forms and deals with the contributions that dancing can make to postural stability and control. The possible relation between classical ballet and hypermobility and the psychological and social benefits of dancing are also considered. The thesis presents a case study that describes a set of ballet exercises, its use and the resulting stability improvement in a patient. Finally, a proposal outlining a group therapy session course using components of classical ballet is included.
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Testing of the postural stabilization in relation to weight changes of breasts
Korábová, Pavlína ; Rašev, Eugen (advisor) ; Novotná, Irena (referee)
Title: Testing of the postural stabilization in relation to weight changes of breasts Objectives: Aim of this study is to assess postural changes after breast reduction. To capture the level of postural stability before and after surgery and to evaluate changes between these states. Methods: This thesis is a clinical trial of one group of persons (n=12). It has been created as a quasi experiment. For testing there was used diagnostic method of postural somatooscilography (PSOG) which includes performing postural provocation test on the platform Posturomed under standard conditions. The testing was performed three times. The measurement was recorded by program Microswing 6.0, the collected data was evaluated by program Posturomed Commander and further analyzed by one - way Analysis of Variance in statistical program OpenStat. Results: Managed to prove, that breast reduction has a positive influence on postural stabilization at women suffering from gigantomastia. Status of postural stability was significantly improved two months after surgery. Keywords: postural stability, Posturomed, postural somatooscilography, gigantomastia, reduction mammaplasty
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Slackline as a therapeutic possibility to influence postural stability
Komárková, Klára ; Čakrt, Ondřej (advisor) ; Pospíšilová, Mariana (referee)
Objectives: To summarize knowledge about a control of posture, a balance training and a testing on balance platform. I investigate in experimental part of my thesis if slackline training will affect stabilography and differences in quantitative parameters will be found in a training group or a control group. Hypothesis: A specific slackline training positively affects stability which was measured in posturographic selected tests done by the training group. Methods: We test postural stability in control (10 persons) and training (10 persons) group in selected tests of stability. We used a balance platform for testing. The data were statistically analysed. Results: 4 weeks of intense slackline training result in improvement of postural control. That is support by the data of stabilometric examination. The results were just below statistical significance (p > 0.05). Conclusion: The results testify that slacklining can improve postural control in healthy subjects. The results were on the boundary of statistical significance in our intervention group.
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Clinical findings and diagnosis of vestibular lesions in patiens with vestibular schwannomem
Kalitová, Petra ; Langmeier, Miloš (advisor) ; Šlapák, Ivo (referee) ; Kozler, Petr (referee)
Summary: The aim of our study was diagnosis and rehabilitation of vestibular loss in patients with vestibular schwannoma. In the first part we focused on analysis of a group of patients before resection of vestibular schwannoma, mainly on evaluation of gain of posturography and on optimalisation of diagnostic algorithm of vestibular pathology. Throughout the second experiment, we studied if rehabilitation of postural gait with visual biofeedback will speed up vestibular compensation in patients after resection of vestibular schwannoma. The group consisted of 44 patients, who underwent surgical removal of vestibular schwannoma. Before surgery each patient underwent clinical vestibular examination, electronystagmographic recordings and posturography. In the second part of the study 17 patients from previous group were chosen. These patients underwent rehabilitation and rehabilitation with biofeedback. For evaluation was used independent samples T-test and cross-tabulation. A great number of variables were reduced by factor analysis. For statistical analysis of the group with rehabilitation was used nonparametric Wilcoxon signed rank test. Statistical analysis revealed that the most typical parameter for vestibular pathology is the time of the step quick turn test, which is a part of posturography. We proved...
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Effect of deep foot massage on postural stability in patients with spinocerebellar ataxia
Hlaváčková, Tereza ; Pospíšilová, Mariana (advisor) ; Čech, Zdeněk (referee)
Introduction: Spinocerebellar ataxia (SCA) is currently defined as a group of diseases with progressive cerebellar syndrome, which manifests distinctively by ataxic stance and gait. In patients with SCA, deterioration of postural control occurs due to changes of pathophysiological degenerative nervous system. Control of postural stability is significantly influenced by somatosensory afferentation of soft tissue of foot. The work objective is to determine the effect of deep foot massage on postural stability in the group of patients and to compare obtained results with experiments without deep foot massage. Methods: Seven patients of the Clinic Rehabilitation at the Faculty Hospital, Prague Motol (average age 51.9 ± 13.9 years, 5 men, and 2 women) with SCA and clinical signs of cerebellar ataxia were participated in this study. All patients were examined using posturography before and after application of deep foot massage. Measurements were conducted on a firm surface, foam pad with open and closed eyes. Length of COP trajectory, COP area and COP velocity were measured. Results: Significantly lower values of the length and COP velocity were found on the foam pad with closed eyes, when the deep foot massage was applied. Experiments without applications of the deep foot massage did not show any...
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