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Comparison of Orthotic Effect between an Ankle Foot Orthosis and a Functional Peroneal Electrostimulation on Gait in Patients after Stroke.
Lučanská, Veronika ; Jeníček, Jakub (advisor) ; Drábová, Zuzana (referee)
Name: Veronika Lučanská Supervisor: Mgr. Jakub Jeníček Opponent: Title of bachelor thesis: Comparison of Orthotic Effect between an Ankle Foot Orthosis and a Functional Peroneal Electrostimulation on Gait in Patients after Stroke. Abstract: This bachelor's thesis is focused on comparing orthotic effect between an ankle foot orthosis and a functional peroneal electrostimulation on gait in patients after stroke. The goal of this thesis is to evaluate and compare orthotic effect of AFO and FPES. Footscan® and video analysis were both used for examining gait. This thesis consists of both theoretical and practical sections. The theoretical part contains basic knowledge on stroke and hemiparetic gait, focusing on foot-drop. It also contains a review of several studies describing the effect ofAFO and FPES. In practical section of this thesis, two different patients will be used as case studies. These patients were measured without any aid, with AFO and then again with FPES. The variables evaluated are velocity of gait, length of stance phase, movement of center of plantar pressure and gait stereotype. Data from dynamic plantography is then evaluated and compared via tables, graphs and via photos. Key words: stroke, foot-drop, functional electrostimulation, ankle foot orthosis, footscan
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Comparison of electrostimulation systems WalkAide and NESS L300 in therapy of foot drop in patients after stroke.
Šulcová, Dominika ; Jeníček, Jakub (advisor) ; Drábová, Zuzana (referee)
This bachelor thesis consists of a theoretical and a practical part. The theoretical part provides a brief introduction into problematics of disability of stroke patients and mainly focuses on gait impairment, specifically on foot drop syndrome that affects about 20% of all stroke patients. Following section contains characterization of functional electrical stimulation and its application to the peroneal nerve, which is used in therapy of foot drop. The theoretical part is then concluded by neat description of two peroneal stimulators that are currently available in Czech Republic, systems WalkAide® and NESS L300®. The practical part includes therapy records of two stroke patients, in which both mentioned devices were used, and filled questionnaires that were directed to representatives of distributor companies. These documets focus on financial problematics of systems in question. The outcome of the practical part is a comprehensive overview that summarizes the use of both stimulators in therapy of foot drop and their accessibility for patients in Czech Republic. All gathered facts about WalkAide® and NESS L300® are then systematically compared and evaluated from the perspective of a therapist and a patient. Powered by TCPDF (www.tcpdf.org)
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The Use of Mirror therapy in patients after stroke
Kovář, Jan ; Senohrábková, Eva (advisor) ; Drábová, Zuzana (referee)
BACHELOR THESIS ABSTRACT Title of bachelor thesis:The Use of Mirror therapy in patients after stroke Abstract: The topic of my bachelor thesis consisting of theoretical and practical parts relates to Mirror therapy and its use in patients after stroke from the physiotherapeutical point of view. The theoretical part is conceived as a review of the background art. I summarize present information concerning stroke and describe certain methods and concepts which have proved to be useful in the therapy of stroke patients. The Mirror therapy principle consists in observation of the unaffected limb in a mirror being vertically attached to the sagittal axis of the patient's body. Movements performed by the unaffected limb give illusion these are likewise performed by the impaired limb. While watching the reflection in the mirror, the mirror neurons system is activated. The system thereafter provokes activation of motor and somatosenzory areas of the cerebral hemispheres controlling the affected limb. Central nervous system effectively uses reparation neuroplasticity and provides both motor and senzory function improvement. In the Mirror therapy chapter, I focus on the principles of the method as well as on its therapeutic effects and ways of application. Results of present studies evaluating Mirror therapy efficacy...
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Use of Forced-Use Therapy in stroke patients
Slavíková, Radka ; Senohrábková, Eva (advisor) ; Drábová, Zuzana (referee)
Title of bachelors thesis: Use of Forced-Use Therapy in stroke patients Abstract: This bachelor thesis deals with Forced-use therapy, which is used in neurorehabilitation of the upper extremity in stroke patients. The most common symptoms of stroke included upper limb paresis, therefore in neurorehabilitation are alway looking for new methods, which include the FUT. The basis of this therapy is restraint healthy limb, which is achieved by use of the paretic extremity. The basic question this work is whether is FUT effective upper limb in neurorehabilitation of patients after stroke and whether improvements persist after termination of therapy. Bachelor thesis consists of theoretical part and practical part. The theoretical part is conceived as a research drawing particularly from foreign studies. This section contains an overview of studies that discuss the effectiveness of FUT. The practical part contains two case reports documenting the examination and treatment of patients after stroke through FUT. Key words: forced-use therapy, constraint-induced movement therapy, neurorehabilitation, neuroplasticity, stroke
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Importance of imaging methods in neurology
Drábová, Zuzana ; Lisý, Jiří (referee) ; Kynčl, Martin (advisor)
The nervous sytem is one of the most important organ system of the human body. All the functions of the body are regulated and controlled by the nervous system, which consist of two main divisions: 1. the cerebrospinal nervous system - systema nervosum centrale 2. the peripheral nervous system - systema nervosus periphericum. Neurology is very large branch and that's also the reason why there are use many of the imaging methods which help the neurologists first in the diagnostic. In dissertation I deal with the importance such methods like are e.g. magnetic resosnance imaging (MRI) , computer tomography (CT), digital substraction angiograpgy (DSA) and the other. There will be described a progress of investigation and especially the importance and applying the technology to the neurology. Analysis the role of the radiologic technician in neurology is the separate chapter, where I try to sum up the way of applying the radiologic technician in so-called auxiliary neurological investigations. Powered by TCPDF (www.tcpdf.org)
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POSSIBILITIES OF USING THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH IN PHYSIOTHERAPY
DRÁBOVÁ, Zuzana
At present, when an international communication across health systems is quite common, there is a growing need to establish a common language which could be used for an expert´s communications from different countries and disciplines. A uniform language for encoding a wide range of information is provided by classifications that belong to a Family of International Classifications of World Health Organization (WHO-FIC). International Classification of Functioning, Disability and Health (ICF) was officially approved in 2001 and it forms and a conceptual framework for describing the disability. In the Czech Republic the Communication No. 431/2009 Coll. came into effect from 1 July 2010; it introduces ICF classification into a clinical practice. The physiotherapy is a part of the comprehensive rehabilitation system and people with the disability form a target group of patients for this field of specialization. We use many specific methods to examine motion systems and all his parts, the most of them are subjective. Still, we must find a way how to code the information obtained during the examination under a single scheme and the universal language given by ICF. This thesis demonstrate an importance of ICF classification and it could be a suggestion how to use the classification for an evaluation of the patient´s functional status by selected examination methods in an everyday practice of physiotherapists.
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