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Anorectal dysfunction in multiple sclerosis
Motlová, Alžběta ; Kövári, Martina (advisor) ; Bitnar, Petr (referee)
This thesis is interested in summary of anorectal dysfunction in patients with sclerosis multiplex. This thesis is divided into 2 parts. The objective of the first part is a description of the anorectal dysfuntions. It also includes epidemiological data, dividing, investigating algorithms and possibilities of therapy. The second part is consisting of the case report of pacient with fecal incontinence who underwent the physiotherapy. Her medical history, individual therapy according to kinesiological analysis, evaluation by rectoanal manometry and subjective questionnaire are widely described within. Therapy is assessed by standardised questionnaire Fecal Incontinence Quality of Life Scale and St. Marks Continence Scale. The anorectal manometry evaluates the function of anal sphincters while at rest, during a voluntary contraction and also subcribes sensitivity of rectum. The subjective questionnaires reflect the psychosocial aspects and patient's quality of life. The analysis of fuction and kinesiological analysis were performed before and after physiotherapy and then after 3 months of hometherapy.
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Influence of walking disorder on possibilites of activities in patients with Multiple sclerosis
Hendrychová, Jiřina ; Novotná, Klára (advisor) ; Kövári, Martina (referee)
The thesis deals with negative effect of gait impairment in people with multiple sclerosis (MS) on activities of everyday life (work activities, social activities, personal activities). First part of thesis (theoretical) describes multiple sclerosis disease with typical syndromes and treatment options (especially rehabilitation treatment options). This part also contains description of International Classification of Function, Disability and Health (ICF) as a new tool for rehabilitation assessment. Then process of ICF of evaluation of ICF in relation to MS is mentioned. Second practical part of thesis contains subjective evaluation of activities (using questionnaire) and objective gait performance assessments (Timed 25 foot walk test, The 2 minute walk test) in group of 156 people with MS. Results of all assessments are described and in discussion compared with similar foreign studies. Discussion part includes recommendation on how these results can influence rehabilitation process in people with MS. Practical part of thesis is illustrated by a case study describing one of MS patients.
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Utilisation of CI Therapy in Patients with Multiple sclerosis
Klesnilová, Eliška ; Novotná, Klára (advisor) ; Kövári, Martina (referee)
Thesis written in a form of research deals with possibilities of utilization of Constraint Induced Movement Therapy (CI therapy) in treatment of patients with multiple sclerosis (MS). CI therapy represents a concept of rehabilitation techniques with the main aim of reducing motor deficit of the affected limb by its return to the functional mode. The thesis consists of two parts. The first part is based on research of relevant literature and gives a general summary of multiple sclerosis, neuroplasticity and general knowledge about CI therapy. The second part then summarizes all available information related to efficiency of CI therapy in MS. It is documented by a case report of a patient with relapse remitent type of MS. The therapy has led to improvements, which is objectified by functional tests such as Frenchay arm test or Motor Activity Log.
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Methods of a grip evaluation after reconstructive surgery of the spastic hand
Pechová, Petra ; Fialová, Ludmila (advisor) ; Kövári, Martina (referee)
The aim of the thesis was to find out which areas of life of people with hand spasticity may affect the performance of reconstructive surgery. Furthermore, to determine which specific factors involved in the function and dysfunction of the upper limb in people with upper motor neuron syndrome can affect the results of the intervention, and what are the relationships between these factors. The group consisted of 13 people with cerebral type of spasticity. Subjects were examined preoperatively, three months after the intervention, and five months after the intervention. Operations were performed in the wrist-hand and elbow region. Subjects were examined repeatedly by some sensory modality, goniometry, Frenchay arm test, Score for visual evaluation of functional task of the hand, The QuickDASH, modified Ashworth Scale, modified Barthel Index and each person was classified according to The Manual Ability Classification System. There was an elbow contracture release and an improvement in an active motion in the wrist as result of the intervention. The results showed a statistically significant difference in some test scores Frenchay arm test, Score for visual evaluation of functional task of the hand, The QuickDASH and the modified Barthel Index before and after intervention. In a group of people with...
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Myofascial headaches causes and physiotherapy treatment option
Beranová, Kateřina ; Bitnar, Petr (advisor) ; Kövári, Martina (referee)
This bachelor thesis is written in form of background research. The aim of this study was to summarize types of myofascial headaches, causes and treatment options in the field of physical therapy. This thesis focuses as well on comparsion of recent foreign scientific studies concerned with nonfarmacological treatment of headaches in general. First part of the thesis describes forms of headaches, mostly treatable with physical therapy. One chapter is dedicated to myofascial trigger points. In the other part physical therapy treatments are explained and compared individually, enumeration of physical therapy techniques, which are used and signifi cantly effect live in treatments of headaches as migraine, tension type headache and cervigenic headache. Powered by TCPDF (www.tcpdf.org)
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Influence of Botulinum Toxin Application on Quality of Life in Patients with Multiple Sclerosis
Miňová, Zuzana ; Jirásková, Lucie (advisor) ; Kövári, Martina (referee)
The aim of the bachelor's thesis is to find out how medical application of botulinum toxin can affect the quality of life in patients with multiple sclerosis. The thesis is based on theoretical research providing a brief overview of the basic facts about multiple sclerosis - its pathogenesis, etiology, clinical picture, treatment alternatives. Further on, the thesis deals with the concept of spasticity, possibilities to influence it and also its valuation. The subsequent section comprises an overview of the findings about botulinum toxin and its therapeutic application. The term quality of life, an influence of the disease on the quality of life and also the methods used to evaluate it are described at the end of the theoretical part. The practical section contains case histories of two patients who underwent the medical application of botulinum toxin. The thesis is closed by a discussion on this topic. Powered by TCPDF (www.tcpdf.org)
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The effect of facilitation physiotherapy on cognitive functions in multiple sclerosis patients
Kořínková, Markéta ; Řasová, Kamila (advisor) ; Kövári, Martina (referee)
Cognitive function disorders have an enormous impact on the life quality of a patient, his or her family and close people. It influences the patient's job, social interaction and independence. This diploma thesis focuses on the possibility of improving cognitive functions concerning multiple sclerosis with the help of facilitation physiotherapy. Twelve disordered volunteers participated a two-month physiotherapeutic programme (motor programs activating therapy), for 1 hour, twice per week. Before the beginning and after the end of the therapeutic programme an examination by a clinic test PASAT and the monitoring of functional magnetic resonance was done. The results of functional magnetic resonance were further compared with the results of group of healthy volunteers. Concerning clinic test, the results of the disordered patients have improved after the therapy. In functional magnetic resonance statistics the earlier start and change of a curve progress of brain activation was discovered, which portrays improving speed of processing information at multiple sclerosis disordered.
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