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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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The clinical application of the Functional Independence Measure (version 5.2) for patients with brain trauma
Hájková, Pavlína ; Svěcená, Kateřina (advisor) ; Angerová, Yvona (referee)
Bachelor's dissertation Abstract: The focus of this Bachelor's dissertation is on the evaluation of Functional Independence Measure (FIM, version 5.2) and its clinical application for patients with brain trauma. This dissertation includes theoretical and practical section. The theoretical section focuses on the basic information about causes and consequences of brain trauma, and about methods and different measures of independence. Further chapters of the theoretical section describe the establishment and history of FIM, target population of FIM, its clinical use, and psychometrical measures of this tool. The practical section is based on the clinical application of FIM used with patients with brain trauma. The main focus of this dissertation is to analyze the advantages and the disadvantages of using FIM tool to measure functional independence of patients with brain trauma. Key words: Functional Independence Measure, Functional Independence Testing, functional independence, independence, personal activities of daily living, measuring independence, standardized testing methods for measuring independence, brain trauma, consequences of brain trauma
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Balance and the motor skills training through biofeetback
Roubková, Leona ; Janatová, Markéta (advisor) ; Vondřejcová, Kateřina (referee)
7 Name: Leona Roubková Supervizor: MUDr. Markéta Janatová Opponent: Title of the bachelor thesis: Balance and motor skills training through biofeedback. The Synapsys Posturography System and Nintendo Wii utilization in therapy of patients after brain injury. ABSTRACT The main theme of this thesis is the use of modern gaming console, the Nintendo Wii in therapy of patients after a brain injury. The work focuses mainly on training of postural stability platform with the Wii FitBalance Board. The author objectifies the results of therapy using posturography with the new equipment Synapsys Posturography System. The theoretical part describes the postural motor, its management, ontogenesis, but also its failure and the most common causes of these disorders. The author pays particular attention to the work mechanisms of injury and damage to the brain, which has a direct impact on the perception of body position and movement. A separate chapter summarizes the general knowledge about stroke and its effects and explains main problems of instrumentation in physiotherapy. The practical implementation includes the description of the therapy with the Nintendo game console, including the input and output examination through the new device Synapsys Posturography System. The main task in this section was an attempt to...
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Experimental model of rats neurorehabilitation
Panas, Maria ; Angerová, Yvona (advisor) ; Matolínová, Vendula (referee)
Modern neurorehabilitation improves the quality of life for people with brain injury. An important role of modern physiotherapy is to apply all latest findings of brain neuroplasticity and to support and strengthen it. The theoretical part of my work focuses on the physiology and pathophysiology of the central nervous system, the definitions of neuroplasticity, its mechanisms and the possible uses in rehabilitation, and it looks at different types of neurorehabilitation and its foundation. My work also reviews various substances that can influence neuroplasticity. The practical part of my work describes a neurorehabilitation experimental model of laboratory rats and the resulting experimental outcomes.
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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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