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Case Study of Physiotherapeutic Treatment of a Patient with the Diagnosis M. Parkinson
Stuchlíková, Kateřina ; Neuwirthová, Svatava (advisor) ; Saveljev, Michal (referee)
v Abstract Author: Kateřina Stuchlíková Supervisor: Mgr. Svatava Neuwirthová Title: A case report of physiotherapeutic care for a patient with Parkinson's disease Objectives: The main objective of this bachelor thesis i to process a case study of a ptient diagnosed with Parkinson's disease in the special part and in the theorethical part to provide information about this diagnosis, particularly focusing on etiopathogenesis, diagnosis ant treatment. Methods: The general part includes theoretical information about Parkinson's disease concerning clinical presentation, ethiopathogenesis, pathophysiology, diagnostic options and teratment, including rehabilitation. The special part contains the case report of the patient, whoch was developer during the bachelor's internship at the Nemocnice milosrdných sester svatého Karla Boromejského. Results: The objectives of both the theorethical and special parts were fulfilled. Conclusion: Based on the evaluation of the therapy's efect, it can be stated that physiotherapeutic care was succesful because it had a partially positive impact on the patient's condition. Keywords: Parkinson's disease, physiotherapy, case report, neurodegenerative disease, tremor, rigidity, hypokinesia, bradykinesia, akinesia
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Vliv fyzioterapie na kondici, koordinaci a posturální stabilitu u osob s Parkinsonovou chorobou.
DOMASOVÁ, Martina
Parkinson's disease is a neurodegenerative progressive disease that cannot be cured even today. However, it is possible to influence and slow down its progress to a certain extent. Symptomatic treatment is used to suppress the disease, of which physiotherapy is an integral part. In Parkinson's disease, physiotherapy can suppress the symptoms of this disease, improve the patient's condition and significantly help the patient maintain a higher quality of life for a longer period of time. The first aim of the bachelor thesis was "To draw attention to the importance of physiotherapy in a patient with Parkinson's disease". The second aim was "To map the possibilities of physiotherapy in a patient with Parkinson's disease". Both of these goals were fulfilled and described in the theoretical part in subchapter 1.8.3. In addition, the practical part of this thesis refers to the first one, where it is possible to see the changes in the condition of the patient with Parkinson's that occur when applying group exercise to his regimen. The third aim was "To design an exercise that would lead to the improvement of the condition of the patient with Parkinson's". This goal is dealt with in the practical part of this thesis. Based on the knowledge gained in the theoretical part, an exercise unit was created, which was then applied for two months to a group of seven probands. To evaluate its effect on the condition of patients, input and output kinesiological analyses were compared, including clinical tests to examine fitness, coordination and postural stability (FTSST, TUG, BBS, Pull Test, Push & Release Test).
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Diagnosis and progress monitoring of Parkinson’s disease using dysgraphia analysis methods
Markovič, Michal ; Galáž, Zoltán (referee) ; Mekyska, Jiří (advisor)
Parkinson’s disease causes among other symptoms also writing disorder. Parkinson's dysgrafia is disease the writing of parkinsonics. The aim of the work is to show the importance of examinig the parametres of Parkinson's dysgrafia and to find writing parametres, which could distinguish healthy subjects from the pacient and also it could monitoring progress of pakinson's disease. Some of the parametrs showed marked differences and therefore could distinguish healthy people from those with Parkinson’s disease.
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Modification of 3D FDM delta printer frame for improvement of print quality
Butakov, Aleksandr ; Jaroš, Aleš (referee) ; Zemčík, Oskar (advisor)
This work is focused on solving the problems of delta 3d printer frame rigidity and impact of rigidity on final quality of 3d printing. A variant of a 3d printer on a classic Kossel-shaped frame has designed and built. Further, frame strength analysis and improvement design is performed, with subsequent production of a new variant and comparison of the 3d printing results of both variants. The result of this work is to show how the frame construction really affects the print quality.
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Revision of steam turbines and repair design
Grepl, Martin ; Trněný, Bohumil (referee) ; Fiedler, Jan (advisor)
The theme of this master thesis is the revision and repair design of the condensing steam turbine SST 600 in Bielsko-Biala. The thesis deals with the revision of the steam turbine and the repair design of the damaged parts, the overall analysis of the separation of the steam of the split plane and the calculation of the parameters for tightening the new screws. The master thesis is given for a specific case. The introductory part of the master thesis deals with a basic description of the repaired steam turbine. Subsequently, a review of individual disassembled parts is given and the scope of the repairs is stated. In the next part of this thesis are summarized the causes of the steam leakage of the dividing plane at the points of the cross section and in the area of the control stage. The last part deals with the sealing problem of the split plane and the related main part of the master thesis is the calculation of the tightening parameters of bolts in the turbine housing. Another aim of the master thesis is to create drawings of the lightening of the split plane on turbine house.
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Support systems (frames, stands) in modern machine tool design
Horák, Jiří ; Marek, Tomáš (referee) ; Knoflíček, Radek (advisor)
This bachelor’s thesis has a character of recherche, and it is focused on a description of an actual state and construction of supporting systems and frames of machine tools. This thesis deals with the construction of machine centers. It also analysis adverse effects arising from the machining, that the machine frame must withstand to maintain sufficient precision. In the thesis, there are also some basic principles for the construction of support systems. The thesis also includes a recherche describing the most common design arrangements in the creation of machine tools, as well as the author’s observations on the possible development of the problem.
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Aerobic training in the treatment of gait disorders in patients with Parkinson's disease
KOCÁBKOVÁ, Štěpánka
This bachelor thesis investigates the effect of aerobic training on gait disorders in patients with Parkinson's disease. The specific features of gait in this disease are short, shuffling steps, slowed movement, impaired balance and reduced upper limb synkinesis. All of these features can, apart from the application of medication, be influenced to some extent by regular exercise. The aim of this bachelor thesis was to design a suitable exercise unit for these patients and to describe the effect of aerobic training on gait disorders. The theoretical part is an introduction to the issue of Parkinson's disease. Subchapters describe the definition, incidence, research history, anatomy and physiology of the basal ganglia, etiology, clinical features, stages, diagnosis and treatment. Furthermore, there is compared gait analysis of Parkinson's disease patients with healthy individuals and what the term aerobic training means. The practical part is processed in the form of qualitative research. Based on the input examination of three patients diagnosed with Parkinson's disease, I created an exercise unit, which can be found in Appendix 3. After three months, I did an output examination and compared if the created exercise unit had a positive effect in gait disorders or not. From the results, the positive effect of aerobic training on gait disorder in Parkinson's disease patients could not be clearly demonstrated. For a valid result, research would need a larger number of patients. However, patients evaluated the exercise unit positively and I believe that this work could find further application, for example in the clinical practice of physiotherapists or as an educational material for patients with Parkinson's disease and their family members.
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In the process
Volková, Markéta ; Velická, Erika (referee) ; Korbička, Pavel (advisor)
My bachelor's thesis is an object responding to the space that surrounds it. It points out the contradiction between organic and austere form. In my work, I materialize abstract experiences through metonymically selected building elements related to the places in which I have these experiences. As an extraction of elements appearing in the architecture of the Southern Mediterranean, a form of ornament appears in the work, which is understood by a figurative comparison to the experience of travelling on holiday. Another element, representing a figurative experience of returning "to reality", are the lux spheres. Their character is linked to the architecture of Central Europe. I explore the relationship between the different types of buildings, which I then freely develop. My perception of reality enhances the recognition of the new with the already known. I let the objects represent and capture these two opposing perceptions with implications and emphasis on their differences. In this way, I come to find in my work a similarity between geometric austerity, which signifies perfectionism, and the intuitive unfolding of ornament, which inserts the theme of organicity into the object. An important aspect of the thesis is processuality. I understand my work as a border between conceptual and intuitive process.
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The influence of rhytmical movemet on patients with Parkinson's disease
MYSLIVCOVÁ, Anna
This bachelor thesis deals with the issue of a progressive neurological disease called Morbus Parkinson, which is translated to Czech as Parkinson's disease. This disease irreversibly damages the central nervous system and cannot be cured yet. It is only possible to alleviate the symptoms by pharmacological treatment and improve the quality of life of the patients with the help of rehabilitation. The aim of the work is to describe the main issues of the disease, to clarify the possibilities of physiotherapy and to design a rhythmic exercise unit on the basis of which educational videos for home exercise of patients with Parkinson's disease were created. The first part summarizes general knowledge about Parkinson's disease, history, development and rehabilitation. Most of the work deals with the research itself, which was attended by 3 clients with Parkinson's disease. The individual case reports consist of an initial entrance examination, which also includes, for example, tests evaluating stability and gait. This is followed by two months, during which the exercises took place once a week and then the current state was compared with the results of the initial examination. The studies found and the subjective evaluation of probands show that it is appropriate to include rhythmic exercises in the rehabilitation. Due to the state of emergency lasting continuously from 5th October 2020, it was not possible to conduct group exercises, so the exercises were conducted with two patients online, which allowed patients to exercise safely at home and were not at risk of infection. One patient underwent exercises normally after loosening of the regulations issued by the government. The work can serve as a source of information for the lay and professional public and methods of solution can be used in physiotherapeutic practice.
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