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Use of dancing mat in physiotherapy of patients with multiple sclerosis
Braumová, Lucie ; Novotná, Klára (advisor) ; Gueye, Tereza (referee)
Title: Use of dancing mat in physiotherapy of patients with multiple sclerosis Abstract: The bachelor thesis deals with the use of dancing mat in physiotherapy of patients with multiple sclerosis. The aim of the thesis is to evaluate overall the use and effectiveness of therapy with a dance mat in physiotherapy and possible effect on gait performance, balance and movement coordination. The thesis includes theoretical part and practical part. The theoretical part of the thesis describes the multiple sclerosis in general and how can be symptoms influenced by physiotherapy. The practical part summarise effect of music and dance intervention on people with multiple sclerosis and introduce dancing mat as potencional rehabilitation tool. Practical part includes four case reports of physiotherapy program with dance pad. Effects of this type of therapeutic intervention is evaluated by functional walking tests (T25FW), balance assessment (Berg Balance Scale, the Mini-BESTest), gait performance assassment (the GAITRite instrument). Results are presented in tables and graphes. In discussion part my results are compared with results of similar studies. Key words: exercise, physiotherapy, multiple sclerosis, dance, dancing mat
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Case Study of Physiotherapy Treatment of a Patient with the Diagnosis Total Hip Replacement
Eliášová, Aneta ; Neuwirthová, Svatava (advisor) ; Kaizrová, Irena (referee)
Title: The case study of a physioterapeutic treatment of a patient with a diagnosis total hip replacement. Objectives: The aim of this study is to summarize theoretical and practical knowledge of total hip replacement and to process the case study of a patient with this diagnosis. Methods: This thesis is divided into two main parts - a general one and a special one. The general part includes topics associated with a total hip replacement. It describes the structure of the hip joint, coxarthrosis, which was the indication for the surgery, different types of hip implants and the rehabilitation process. The special part contains the case study of a patient after a total hip replacement, which describes the therapy process along with a final evaluation of the effect of therapies. Results: We managed to fulfil our short term goals. Range of motion in afflicted lower limb was increased, muscle strength was increased, shortened muscles were stretched, the muscle tone in hypertonic muscles was decreased, the treatment of soft tissues was made, walking stereotype was improved and physical fitness of a patient was increased. Keywords: hip joint, coxarthrosis, total hip replacement, physiotherapy, case study
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Case study of patient with Multiple Sclerosis disease
Alsaud, Hussain ; Vomáčková, Helena (advisor) ; Modlinger, Tomáš (referee)
Title Case study of patient with Multiple Sclerosis disease Thesis aim and clinical findings This thesis involves a case study approach for a patient with Multible Sclerosis. The thesis is divided into theoretical part which describes the background of Multiple Sclerosis . The other part is special part, which contains all the work I have done with my patient, all the examinations, conclusions, therapies and results. Methods The practical part took a place in Oblastní nemocnice Kladno, it is based on a female patient, who is suffering from Multiple sclerosis, The patient had one session every day during these two weeks I was there. In total the patient had 5 sessions with me. All the methods applied are from what we have learn and practice during my study in the faculty of physical education and sport, and also all the methods were non-invasive Result After the therapy sessions my patient had a slight progress. Range of motion was increased, strength was improved, The therapies have shown to be effective concerning my patient's diagnosis Keywords Multiple sclerosis, Neurological, physiotherapy, rehabilitation
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Koordinovaná rehabilitace z pohledu pacienta po poškození mozku a členů multidisciplinárního týmu
MATĚJKOVÁ, Andrea
Abstract This diploma thesis aims to describe coordinated health rehabilitation of people after severe brain injury provided by multidisciplinary team within home environment. It comprises both theoretical and practical part. The theoretical part presents the history and development of coordinated rehabilitation services and the function of multidisciplinary team. Furthermore, it characterizes a brain injury in more details. The practical part was carried out by means of qualitative research strategy semi structured interview. The first part of the research was aimed at the interviews with clients after brain injury and cerebrovascular accident. The interviews started after three months from entering the project and were realized by social workers. Its main propose was to evaluate the care of multidisciplinary team. Clients were questioned about work, time, communication and co-operation of individual experts involved in the process of recovering. The second part of the research used a method called focus group, where 12 members of the team were involved. The goal of the research was to describe how the multidisciplinary team works from both the point of view of a patient after the brain injury and the members of the multidisciplinary team within the project GAJU. The GAJU project is entitled "Coordinated rehabilitation of patients with brain injury (reg. number GAJU 138/2016/S)". The selection of patients was based on the communicative skills criteria e.g. skills to participate in the directed conversation based on the FIM and WHODAS and the follow-up questions concerning social issues, physiotherapeutic and ergo therapeutic methods and techniques. To achieve the aim of the diploma thesis two research questions were defined: "How is the function of multidisciplinary team perceived by clients involved in GAJU project?" and "How is the function perceived by the members of multidisciplinary team involved in GAJU project who put the coordinated rehabilitation into practice?" It was found out that after the discharge from a hospital being with family members was the most important. Besides, multidisciplinary team who regularly commuted to clients helped them. The members of the team were physiotherapists, ergo therapists, social workers and doctors. In view of the fact that physiotherapist attended the client the most frequently, the function of this expert is perceived as crucial during recovery. No less important is ergo therapist who is useful concerning motor activity and presenting various tools and aids leading to improvement. Social worker is apprehended rather as a psychological or informative support. Positively valued is attending clients at home, interconnection of the team members and the progress of the client from all points of view. On the other hand the lack of working experience of some team members is pointed out. Additionally, some clients were not satisfied that the data were collected by means of questionnaires.
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Comparison of Physiotherapeutic Approaches to Treatment of Lateral Ligaments Injuries of Ankle Joint
Živcová, Tereza ; Šenderová, Karolína (advisor) ; Nováková, Petra (referee)
Author: Tereza Živcová Tutor: Ing. Karolína Šenderová Opponent: Title of bachelor thesis: Comparison of Physiotherapeutic Approaches to Treatment of Lateral Ligament Injuries of Ankle Joint Abstract: This bachelor thesis deals with different physiotherapeutic approaches to treatment of lateral ligament injuries of ankle joint. Concretely, it compares and evaluates the differences between the treatment with long-term fixation and the functional therapy during I. and II. degree of ligament injuries. The thesis is divided into two parts. The theoretical part of study gives basic informations about the ankle joint. It deals with traumatology of soft tissues of the ankle joint especially the mechanism of injury and its classification, diagnostics and advantages and disadvantages between long-term immobilization and functional therapy. The most frequently used methods and physiotherapeutic approaches, which have a great influence on patient's condition are also mentioned here. The section about instability of the ankle joint is included as well. The practical part of study contains a methodology, basic questions, goals from which criteria for selection of the patients arise. There is a questionnaire, which was distributed in the Czech Republic and Canada and two case studies whereas each of them had different...
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Role of physiotherapy in psychosomatic disorders. Subtitle: Yoga and its use in psychosomatics
Krupičková, Kateřina ; Konopáčová, Eva (advisor) ; Novotná, Marie (referee)
BACHEROL THESIS ABSTRACT Author's first name and surname: Kateřina Krupičková Bacherol thesis supervizor: Ing. Eva Konopáčová Oponent: Title of bacherol thesis: Role of physiotherapy in psychosomatic disorders Yoga and its use in psychosomatics Abstract: This bachelor thesis covers the topic of psychosomatic medicine and the use of yoga in the treatment of psychosomatic diseases. This thesis is a combination of theoretical and research part. The theoretical part is divided into three sections. First one contains theoretical basis of psychosomatic medicine and the issue of psychosomatic diseases (definition, epidemiology, etiopathogenesis, diagnostics, therapy etc.). The second section outlines the role and possibilities of physiotherapy in psychosomatic medicine - an overview of physiotherapeutic methods that can be used in the treatment of psychosomatic diseases. The last section covers the topic of yoga, its history, different types and briefly describes techniques that yoga offers. The research part of this bachelor thesis contains one case report of a patient that has been diagnosed with a psychosomatic disease (chronic cervical spine pain). It also contains methodology of this work, its objectives, criteria for patient selection, review of the literature, initial examination and training units. The aim...
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Physiotherapy after breast surgery
Knapová, Kristýna ; Břízová, Marie (advisor) ; Havlová, Martina (referee)
The aim of this work is to describe the issue of breast cancer surgery and the role of physiotherapy in this area. The theoretical part describes basics of breast anatomy, defines breast carcinoma, its diagnosis, risk factors, types, ways of spreading and symptoms of the disease. For the prevention and treatment of postoperative complications is crucial early and long-term physiotherapy of the patients. Next chapter describes the objectives of physiotherapy, kinesiological analysis of patients and most frequently used therapeutic techniques. The last chapter deals with the psychological aspect of therapy and confirms the significant influence of psychic on the results of treatment and on the quality of life of the patients. The practical part aims to analyze the physical condition of the patients after breast surgery and to evaluate the effect of physiotherapy on the course of treatment and prevention of postoperative complications. The second objective was to determine the level of awareness of breast cancer patients and possible postoperative complications. In order to meet the goals, the case studies of two patients who underwent a breast rescue operation with several sub- nodal nodes were processed. At the same time, both patients were handed over and explained the educational material...
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Influence of spasticity in patients with multiple sclerosis using method of electrical stimulation according to Jantsch
Pokorná, Anna ; Kövári, Martina (advisor) ; Kříž, Jiří (referee)
The electrical stimulation (ES) according to Jantsch was created with a primary aim to reduce spasticity, however its impact has been neither proved nor disproved by any study. Therefore, the aim of the thesis is to find out if this type of the ES can reduce spasticity of m. triceps surae within the patients with multiple sclerosis (MS). Apart from the spasticity, there was as well observed the influence of the ES on an active movement performed by the antagonists of spastic muscle and the walking speed. Fifteen probands participated in our pilot controlled non- randomized study, probands were divided into two groups - first with the application of the ES (STIM) and second without the application of the ES (NOSTIM) during the hospitalization. We used the concept of Jean-Michel Graciese - Five-step clinical assessment in spastic paresis during the examination process. From this protocol, we choose Tardieu scale to measure spasticity, examination to measure active range of motion and 10MWT. Furthermore, TUG was added. The measurements took place on the 1st, 4th and 8th day of the hospitalization. The intragroup difference was evaluated by the ANOVA for repetitive measures with Fisher's post- hoc test and the level of importance p=0.05. From acquired data it follows that the ES according to Jantsch...
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Activity of lower oesophageal sphincter in healthy patients in various postural positions
Beranová, Kateřina ; Bitnar, Petr (advisor) ; Hlava, Štěpán (referee)
The aim of this thesis is to describe information about GERD, its etiology, anatomy, pathology, treatment options and rehabilitation in patients with GERD. Lower oesophageal sphincter and antireflux barrier. The study was approved by the ethics committee. 30 probands were included in the study and their health status was verified using the Health Related Quality of Life questionnaire. A manometric catheter was inserted, proband was instructed to maintain various postural positions. Lying supine with lower limbs elevated above the surface, lying supine with lower limbs elevated above the surface with head fixated manualy, sitting and standing position, load in the center of gravity 3/6/9 kg, load outside the center of gravity 3/6/9 kg, lifting of the office chair. It has been shown that LES pressure increases in all postural positions compared to resting pressure. The positions activate the diaphragm to demonstrate the postural function of the diaphragm. The most significant change in LES pressures was in the postural position of lying supine with lower limbs elevated above the surface, the LES resting pressure of 20.34mmHg changed to the pressure of LES 40.92mmHg. Clinical experience and studies have shown that patients with GERD have disposition for respiratory and / or vertebrogenic difficulties....
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