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Current physiotherapeutic approaches to the treatment of phantom pain after amputations
Posekaná, Pavlína ; Demeková, Júlia (advisor) ; Kálal, Jan (referee)
This bachelor thesis is carried out in the form of research with the aim to summarize phantom limb pain issues in physiotherapeutic practice. The general part describes the causes of phantom pain origin in central and peripheral nervous system and summarizes facts about amputation as a surgical intervention, it's classification and possible complications. It also summarizes all familiar pharmacological and nonpharmacological medical approaches used for phantom limb pain treatment. The main part is focused on three currently most effective methods used to treat phantom limb pain in physiotherapy - mirror therapy, virtual reality and transcutaneous electrical nerve stimulation. Next part of this thesis is two case interpretations of patients with lower limb amputation. Both patients undertake six weeks of mirror therapy and they described it's effect as positive. The efficiency has been evaluated according to a questionnaire.
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Incidence and management of muscle imbalances in physically active and inactive populations: Objective rehabilitation solutions for populations with nonspecific back pain
Šmejkal, Jiří ; Zeman, Václav (advisor) ; Topolčan, Ondřej (referee) ; Kálal, Jan (referee)
v anglickém jazyce: Incidence and management of muscle imbalances in physically active and inactive populations: Objective rehabilitation solutions for populations with nonspecific back pain Summary Totally 258 patients with chronic low back pain aged 51,5 +8,4 years were treated for three weeks in the Rehabilitation Centre focused on lumbar back pain. We observed incidence of muscle dysbalances and accomplished their exact objectiveness using the Tergumed system. We tried to compare and solve their mutual influence during the rehabilitation treatment. We compared differences between physically active and physically inactive population, the impact of total motivation,age and other factors on the improvement of strenght, motion, dysbalances and total pain relief.Significant improvement of movement and muscle strenght p <0,001 were documented on the Tergumed in three weeks.The physically active population and patients motivated.by using the Tergumed preferred active exercises to passive therapy. We also observed improvement in finger-floor distance and reduction of pain, documented by the visual analogue scale, decrease in body weight and cholesterol level (p <0,001). In three- week observation nor significant changes in muscle dysbalance, neither their differences according to sex,age ,chronical...
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Performance measuring of individuals with physical handicap
Vít, Ondřej ; Kálal, Jan (advisor) ; Radvanský, Jiří (referee)
The thesis is focused on the measurement of the energy consumption during the locomotion of the mobility disabled (riding a wheelchair a walking with 2 point support - crutch). The probands were handicapped by partial amputation of lower limb based on the vascular cause which represents approximately 90 percent of all amputations done in the Czech Republic. The thesis also presents a brief classification of amputations according to the extent of the separation, the history of amputations and the main etiologic factors leading to amputation. In the result section the measured data are discussed. In the last part of the thesis, the conclusions are discussed and compared to information available from similar studies. Powered by TCPDF (www.tcpdf.org)
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Energy expenditure of driving in a wheelchair in people with lower limb amputation
Němeček, Pavel ; Kálal, Jan (advisor) ; Špaňhelová, Šárka (referee)
The aim of this thesis was to determine the effect of driving in a wheelchair and walking on crutches on the energy expenditure and cardiopulmonary system in people with lower limb amputation. For this measurement we used a device Metamax 3B made by Cortex, functioning by measuring the concentration of oxygen and carbon dioxide in the breathing air, and a sporttester made by Polar. On the basis of oxygen consumption is possible to determine an energy expenditure during the activity. Our study was attended by 11 probands (men), patient of long-term hospital in Motol Hospital. Nine probands were amputated from vascular causes, one from the traumatological causes and one from the other causes. Probands rode (or walked) for four minutes back and forth along the corridor thirty meters long. They were instructed to ride (walk) at a speed to fit their needstand to also keep the same pace for a defined period of time. Walking on crutches without prosthesis managed only three of the testing file. During the study, these values were measured: distance traveled, average speed, oxygen consumption (VO2, VO2/kg, VO2 peak), carbon dioxide output (VCO2), respiratory exchange ratio (RER), tidal volume (VT), breathing frequention (BF), minute ventilation (MV), heart rate (HR), energy expenditure and performance. In this work...
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Performance measuring of individuals with physical handicap
Vít, Ondřej ; Kálal, Jan (advisor) ; Radvanský, Jiří (referee)
The thesis is focused on the measurement of the energy consumption during the locomotion of the mobility disabled (riding a wheelchair a walking with 2 point support - crutch). The probands were handicapped by partial amputation of lower limb based on the vascular cause which represents approximately 90 percent of all amputations done in the Czech Republic. The thesis also presents a brief classification of amputations according to the extent of the separation, the history of amputations and the main etiologic factors leading to amputation. In the result section the measured data are discussed. In the last part of the thesis, the conclusions are discussed and compared to information available from similar studies. Powered by TCPDF (www.tcpdf.org)
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The effect of gait training with a prosthesis on stability and parameters in patients with thigh amputation
Tučková, Tereza ; Smékal, David (advisor) ; Kálal, Jan (referee)
Diploma thesis "Effect of gait school with prosthesis on stability and walking parameters of patients after transfemoral amputation deals with problems of patients after transfemoral amputation due to vascular etiology. It mentions elementary knowledge of rehabilitation after amputation of lower extremity. Furthermore, there are described main complications that amputation brings into the patient ́s life: pain associated with amputation, skin complications and psychological hardships. Emphasis is laid on gait and gait practice for patients with amputation. I further deal with deviations commonly observed on gait of these patients and with factors influencing the gait, including the influence of particular parts of the prosthesis on patients ́ gait. The practical part is dedicated to comparison of two different approaches to gait practice. The effect of these approaches is evaluated on the basis of results of two groups of patients. The results were gathered by examination on force plate, measurement of gait velocity, examination of gait cadence and evaluation of patients ́s gait videos. Furthermore, I use functional tests: LCI - 5, ABIS - R, ABC scale and PEQ. All of these examinations were performed at the beginning and in the end of patients ́ stay at the Clinic of rehabilitation in Hradec Králové. The...
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Function of physical therapy in comprehensive rehabilitation within Evidence Based Medicine
Ondruszová, Lucie ; Kálal, Jan (advisor) ; Schreier, Bronislav (referee)
This thesis called "Function of physical therapy in comprehensive rehabilitation within Evidence Based Medicine" firstly speaks about neuroanatomy and neurophysiology of peripheral nerves. This work also deals with symptomatology of peripheral nerve lesions and muscle dysfunctiones. It deals with indications of rehabilitation therapy including physical therapy by electrostimulation too. The aim of this thesis is to gather and make critical assessment of the piece of knowledge about objectification of physical therapy by electro stimulation. On the basis these piece of knowledge this work denominates crucial issue of objectification of electrostimulation and physical therapy as a whole. The aim of this thesis is to find out what are therapeutical possibilities of selective electrostimulatin in comprehensive rehabilitation within Evidence Based Medicine. Powered by TCPDF (www.tcpdf.org)
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Energetic expenditure of walking with prosthesis and wheelchair ride by people with bilateral amputation.
Kubátová, Bohuslava ; Kálal, Jan (advisor) ; Majorová, Simona (referee)
~ . Autors fi.rst name and surename: Bohuslava KubátoYá Title of the thesis: Possibilities of resocialisation for people with bilateral amputation. Department: TVPVZP Supervisor: Doc. MUDr. Jan Kálal CSc. The year of presentation: 2008 Abstract: The target of the work is a presentation of comprehensive look at the rehabilitation after bilateral amputation. The walking with prosthesis by people with bilateral amputation is very difficult. The inquiry proved that in given collection is 48% able to effective locomotion but only for short distance. In connection with it the work pursues with status ofbilateral amputated persons and with the options oftheir resocialisation. It works by the methods of questionnaire and their evaluation. The hypothesis that the bilateral amputated person is under certain condition able to partial resocialize is in the end ofthe work acknowledged. Keywords: Bilateral amputation, rehabilitation, artificiallimb, prosthesis, resocialisation
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Optimization of logistic system in Ferencik company
KÁLAL, Jan
The main goal of this diploma thesis was optimization of the logistic system in company dealing with distribution of plants and products for garden. At first I had to analyze the logistic system about flow of information and goods, after that describe critical factors who can disrupt continuity and efficieny of the logistics system and finally find the way how make the system better and how reduce logistics costs. I found these critical factors: 1)Information system used by copany does not support all processes between Ferencik s.r.o copany and their supplier. This makes the system slower and inexact. 2) Only three members from ?association of gardeners? are using the information system. This waken strong possition of assotion. 3) Too small place of warehouse and store is not comfortable for employee and customers. Recommendations are these. Company has to find the way, how connect their system with supplier system. Also prepare course for ?association of gardeners? and show them the information systém. Build new bigger store with large warehouse.
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