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The Use of the Neurac Method in Patients after Brain Damage
Divišová, Kamila ; Drábová, Zuzana (advisor) ; Pětioký, Jakub (referee)
This bachelor thesis investigates the Neurac method in patients with brain damage caused by cerebrovascular accidents, and their subsequent rehabilitation. The theoretical part of this work introduces different mechanism of brain damage with an emphasis on the ictus and the most widely used rehabilitation procedures. Furthermore, the Neurac method, the Redcord device as well as relevant clinical studies are described. The practical part of the thesis presents examination of two patients, a description of exercises on the Redcord apparatus and therapy procedures that patients underwent.
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Using the Frenchay Arm Test in monitoring the effect of botulinum toxin in spastic patients after brain damage
Medková, Lia ; Angerová, Yvona (advisor) ; Čábelková, Alžběta (referee)
bachelor's thesis: Bachelor's thesis deals with the use of Frenchay Arm Test to study the effect of botulinum toxin to patients with spasticity after brain damage. A question is raised, whether Frenchay Arm Test, is test of self-sufficiency and hand function, is useful for monitoring the effects of botulinum toxin in these patients. The theoretical part explains the physiology of human movement and the consequences of brain damage to motoric. It deals with the increased stretch muscle, i.e. spasticity of patients after brain damage. Furthermore, it introduces the theory of application of botulinum toxin, which in small amounts affects spasticity and helps promote self-sufficiency of a patient. Frenchay Arm Test is presented as appropriate diagnostic method and benefits of applying this method by Occupational therapist are described. In the practical part, the Frenchay Arm Test is applied to two patients prior to application of botulinum toxin, month after and three months after application. The results are evaluated based on modified Frenchay scale and complemented by labels marking individual acts. The emphasis lies on the overall rehabilitation of the patient, which is considered a key to the successful treatment. Keywords: Spasticity, Botulinum, Frenchay Arm Test, Brain Damage, Occupational...
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The influence of rhythmic auditory stimulation on gait-pattern of patients with brain damage brain damage
Pavlikhina, Ekaterina ; Táborská, Silvie (advisor) ; Konopáčová, Eva (referee)
Author: Ekaterina Pavlikhina Supervisor: Mgr. Silvie Táborská Title of bachelors thesis: The influence of rhythmic auditory stimulation on gait-pattern of patients with brain damage Abstract: The Bachelor's thesis is focused on influences of musical therapy method RAS (Rhythmic Auditory Stimulation) upon the quality of patient's walking with the brain injury. The thesis summarizes and compares theoretical knowledges of music therapy in patients with pathological gait-pattern due to brain damage. Theoretical part of the Bachelor's thesis is intended to focus on the brain injury both caused by a trauma and an infarct. In the following part are described the physiologic and pathological mechanisms of walking. The final chapter of the theoretical part introduces the exact principles of musical therapy, it's variants and technics that can be used in the treatment of patients. In this chapter I have also referred on the studies that correlate the topic. The practical part contains two casuistries of the patients with the brain injury, where is described kinesiology and the therapeutic exercises in the way of the program. In order to esteem the progress of applicated therapy I used the special "walking tests". Key words: brain damage, music therapy, pathological gait-pattern, Rhythmic Auditory Stimulation, RAS
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Functional assessment of motor activities of patients after brain damage before and after intensive rehabilitation intervention (with the goal to obtain restoration of upper arm physiological functions)
Sládková, Petra ; Švestková, Olga (advisor) ; Jeřábek, Jaroslav (referee) ; Süssová, Jana (referee)
Rehabilitation of patients after brain damage is an multidisciplinary, complex, intensive, long- term and individual process. Standardized functional instruments for the assessment of the degree of disability and functional abilities of patients are not usually used in rehabilitation in the Czech Republic. Often, motor disorder post brain damage results in hemiparesis and causes impairment of upper arm movement pattern. Movement ability of the upper arm is vital for self-sufficiency, activities of daily life and maintaining an independent family life. Special rehabilitation therapeutic techniques must involve the training of new activities including the mechanism of motor learning which is responsible for functional reorganization of the motor cortex regions, and the activation of reserve neurons for reparation. The aim of the study is to demonstrate that an accelerometer is a suitable instrumet for objective monitoring of impairment of the upper arm movement pattern. Another aim of the study is to demostrate if the FIM test (Functional Independence Measures) and Jebsen-Taylor (JT) test are appropriate instruments for detecting changes of the upper arm movement pattern after intensive, individual and multidisciplinary rehabilitation brain damage patients. Clinical study was undertaken with selected...
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Functional assessment of motor activities of patients after brain damage before and after intensive rehabilitation intervention (with the goal to obtain restoration of upper arm physiological functions)
Sládková, Petra ; Švestková, Olga (advisor) ; Jeřábek, Jaroslav (referee) ; Kozler, Petr (referee)
6 Abstract The rehabilitation of patients with brain damage is an interprofessional, complex, intensive, long-lasting and individually oriented process. One frequent consequence of brain damage is hemiparesis, which also causes a disorder of the upper extremity movement pattern. The movement ability of the upper extremity is essential for an individual's self-sufficiency, the performance of common daily activities, and thus for an independent life in a family setting. Special therapeutic rehabilitation approaches should involve the training of new activities, including the motor learning mechanism that activates brain plasticity. A functional reorganization of the motor cortex occurs along with the activation of reserve neurons and the replacement of damaged synapses. One of the aims of this work was to demonstrate, using objective function methods, the possibility of influencing the movement patterns of a paretic upper extremity by means of intensive interprofessional rehabilitation even several years after the brain damage. The second aim was to demonstrate that the monitoring of motor functions in patients after brain damage leads to improved motivation, thereby improving motor functions. A study was conducted among 55 selected patients after brain damage with central hemiparesis who participated in the...
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The use of HandTutor in occupational therapy with people after brain damage
Bartoňová, Eliška ; Oborná, Pavlína (advisor) ; Čábelková, Alžběta (referee)
This bachelor's thesis deals with the use of HandTutor technology in occupational therapy with people after brain damage. The theoretical part describes HandTutor technology, brain damage and subsequent occupational therapy intervention. HandTutor technology is presented as an active rehabilitating system of upper limb including diagnostic and therapeutic part. The practical part contains the aim of the thesis, research questions and the methodology of the research. In my research, the progress of therapies with HandTutor technology is presented by two case reports of people after brain damage. The result of the research is the record of the changes in the parameters measured by HandTutor technology. The changes are reflected in the charts and visual supplements. The conclusion summarises the responses of research questions describing also the problems which can occur while using this technology. This thesis serves as an introduction HandTutor technology, specifies its use in occupational therapy with people after brain damage and recommends futher research of the diagnostic data analysis in an objective evaluation. Key words: HandTutor occupational therapy brain damage upper limb objective evaluation
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Clinical application of the Fugl-Meyer assessment in occupational therapy
Pivoňková, Zuzana ; Sládková, Petra (advisor) ; Svěcená, Kateřina (referee)
The goal of this BA thesis is to translate and to create a manual of so called Fugl-Meyer assessment concept that can be used within the Czech population and its following clinic application for the patients with the brain damage. The theoretical part focuses on patient's issues after the brain damage, on the details and specifics of neuro-rehabilitation and the possibility of a usage of ICF. It also focuses on test scales and it describes Fugl-Meyer assessment. The last part focuses on inter-professional team and the role of Occupational therapist within the team. The practical part defines the problem, the goal of the thesis and deals with the methodology of the thesis. It brings the results of the research, it deals with the characteristics and the evaluation process, it deals with the tools, time demands and scoring. In the very end there is an answer to the basic question of the whole thesis: Is the Fugl-Meyer assessment applicable for the patients after the brain damage? Key words: Fugl-Meyer Assessment brain damage functional assessment in occupational therapy occupational therapy neurorehabilitation
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Mapping of the availability of the Occupational Therapy for people with acquired brain damage in Prague and Central Bohemia
Babincová, Hana ; Svěcená, Kateřina (advisor) ; Sládková, Petra (referee)
As it is evident from the title, the main aim of this thesis is to map the availability of occupational therapy for people with acquired brain damage in Prague and the Central Bohemia region. The first half of the theoretical part focuses on causes, incidence and consequence of acquired brain damage. The other half deals with occupational therapy within this target group with a particular focus on methods of obtaining information (interview, observation, questionnaires) and standardized tests. The last chapter points out the situation of people with acquired brain damage in the Czech Republic. On one hand, the chapter describes the ideal course of rehabilitation and the common course of rehabilitation in the Czech Republic on the other. Another part of the thesis focuses on the research based on questionnaire survey among occupational therapists working with people after acquired brain damage. The next aim of the research was to determine the availability of individual components - local, time, financial and qualitative. Key words: brain damage, symptoms after brain damage, occupational therapy, availability, mapping
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Possibilites of Art Therapy Use with Central Nervous System (CNS) Disorder Client.
ŠMÍDOVÁ, Eva
The Bachelor thesis examines the possibilities of using art therapy on an adult male with organic psycho-syndrome. The aim of the thesis is to determine the effectiveness of individual art therapy in reduction of stress in a patient, who has been a victim of changes in the area of emotional perception and disorder of cognitive functions, connected with personality changes including changes in behaviour and motor-disorders. The aim is related with finding a new meaning of life, development of cognitive skills and abilities and better manages of unpleasant emotional frame of mind. It was discovered that individual art therapy method induces desired therapeutic change.
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