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Evaluation of motoric deficit in children after posterior fossa brain tumor surgery
Jirousková, Jitka ; Medunová, Kateřina (advisor) ; Jevič, Filip (referee)
Objective: The main goal of this study was to collect and summarize all available data on both short term effects and late effects of posterior cranial fossa tumor treatment on children patients' motoric abilities and to find out any possible correlation between a decline in motoric abilities and the type of treatment they received. Following previous studies on the topic, this study set a goal to design a testing procedure for areas in which decline of motoric abilities manifests the strongest and to put this procedure to test in the practical part of the study. Methods: Based on a research into specialized literature, four main areas in which a decline of motoric abilities occurs in posterior cranial fossa tumor patients have been identified. Those are ataxia, balance, physical condition and functional activities. For Ataxia the SARA test was used, for physical condition the 6MWT test, for balance the PCTSIB test and for functional activities the BOT-2 test, respectively. Furthermore we observed the overall quality of life of selected patients through a PedsQL questionnaire. The group of patients selected for this experiment consisted of nine individuals who underwent posterior cranial fossa tumor treatment more than two years before. Results: The SARA (p=0,020) a 6MWT (p<0,0001) tests proved a...
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The Influence of Motivational Elements in Paediatric Physiotherapy Focused on the Patients with Acute Lymphoblastic Leukemia - Pilot Study
Chytrá, Markéta ; Jevič, Filip (advisor) ; Králová, Aneta (referee)
THE INFLUENCE OF MOTIVATIONAL ELEMENTS IN PAEDIATRIC PHYSIOTHERAPY FOCUSED ON THE PATIENTS WITH ACUTE LYMPHOBLASTIC LEUKEMIA - PILOT STUDY Abstract The efficacy of acute lymphoblastic leukemia (ALL) treatment in childhood is still increasing and the quality of life of these children is starting to be the focus of interest. The physiotherapy affects in preventive and reactive way the late effects of treatment which may reduce the quality of life. An insufficient motivation of children can be a reason of a reduced adherence to a physiotherapeutic intervention. The goal of this study was to ascertain the influence of the motivational elements in the paediatric physiotherapy in the improvement of motor functions, the quality of life, the motivation to the exercise and the frequency of exercise. There were 9 patients diagnosed with ALL in the maintenance phase of treatment (average age 7,3 years, age range 5,2 - 10,1, 5 girls and 4 boys). All probands underwent a 6- weeks-excercise programme that contains the exercise from the DNS method, yoga for children and stretching. The assessment was performed by Bruninks-Oseretsky Test (BOT2), 6 minute walking test (6MWT), goniometric measurement of ankle joint dorsiflexion, Pediatric Quality of Life Inventory (PedsQL), Intrinsic Motivation Inventory (IMI) and the...
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Assessment tools and physical therapy intervention for chemotherapy induced peripheral neuropathy in pediatric cancer patients
Votrubová, Barbora ; Jevič, Filip (advisor) ; Medunová, Kateřina (referee)
This bachelor thesis aims to provide a general overview of chemotherapy induced peripheral neuropathy (CIPN) in pediatric cancer patients. The first part describes common characteristics of polyneuropathy and specific attributes of CIPN, its incidence, clinical manifestation, risk factors and summary of most frequently used chemotherapy agents causing peripheral neuropathy. The second part reports current assessment strategies for CIPN based on clinical grading scales and then it reports present knowledge of rehabilitation interventions for patients with CIPN. The thesis also includes description and translation of "pediatric-modified Total Neuropathy Score" (ped-mTNS) and "Total Neuropathy Scale-Pediatric Vincristine" (TNS- PV). In discussion part, there are summarized both advantages and disadvantages of CIPN testing systems. The TNS-PV was concluded as the most feasible scale for use in rehabilitation or oncology clinic settings.
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Objectification of supporting base of infants at the edge of third and fourth month via using a pressure plate Conformat - pilot study
Janoušek, David ; Jevič, Filip (advisor) ; Dyrhonová, Olga (referee)
The goal of this thesis is to contribute to discovering a method which can lead to objectification of support base of infants in prone position at the edge of third and fourth month. The motor development during first six months is described in this thesis based on literature search. Part of the thesis is dedicated to selected primitive reflexes and postural reactions. Furthermore, the work deals with objectification of support base of infants at the edge of third and fourth month. In the study were evaluated 10 infants (5 males and 5 females) with average age 14,01 ± 2,2 weeks. Distribution of support was assessed in three situations such as prone position, prone position with maximal rotation of head to the left and prone position with maximal rotation of head to the right. The results did not show significant difference in weight bearing the left and right upper extremity in prone position. However there was a significant difference in weight bearing in the upper extremities during head rotation. The upper extremity on the side of rotation was more loaded. The weight applied to the upper and lower extremities was significantly different in every evaluated situation. Upper extremities were always weighted more. Keywords Supporting base, developmental kinesiology, postural reactions, primitive...
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Rehabilitation in patients indicated to bone marrow transplant
Knotková, Edita ; Jevič, Filip (advisor) ; Medunová, Kateřina (referee)
The bone marrow transplantation is proceeded by tranfusion of blood stem cells to the patient who is indicated to this procedure. Most often indications are hematooncological malignancies. The bone marrow transplantation is for some of the patients the only chance of cure. The conditioning including chemotherapy and radiotherapy of various intensity is necessary for succesful bone marow transplant. It causes several side effects such as immobilization, muscle strength loss and endurance loss. It is possible to prevent or at least slow down these side effects by early rehabilitation. This literature review summarizes present knowledge about influence of physical activity on patient indicated to bone marrow transplant during treatment and in the after-treatment period. Endurance training improves aerobic capacity of the patients and correlates with their quality of life. The resistance training helps to prevent muscle strength loss during immobilization and chemotherapy. Intensity of training sessions is still a subject of discussion because of the instable clinical state of the patient during treatment. There was no negative effect of physical activity proven on patients undergoing bone marrow transplant. Powered by TCPDF (www.tcpdf.org)
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The effekct of one training of postural stability in patiens with spinocerebellar ataxia
Filipovičová, Jana ; Pospíšilová, Mariana (advisor) ; Jevič, Filip (referee)
We followed the immediate effect of sensorimotor training on postural stability in patients with spinocerebellar ataxia (SCA). We have tried to explain the possible mechanisms of adaptation to change COP, motor learning and neuroplasticity in the field of neurodegenerative changes in the cerebellum. Research Methods: A total of 10 patients with spinocerebellar ataxia (6 men, 4 women) aged 34-71 years, with an average disease duration of 11.6 years participated in the measurement of postural stability. First, we measured the patients with SCA before and after a 15-minute sensorimotor-training exercise, then this group underwent another day of the same measurement without sensorimotor training. As a second control group of 10 healthy subjects served a similar age, who also underwent sensorimotor training. Then we compared the results of posturographic measurement. Results: In the group of SCA patients, sensorimotor training was found significantly lower values in the monitored parameters LENGTH (t stat = 3,537731 > t krit = 2,262157), VELOCITY (t stat = 3,537731 > t krit = 2,262157) and energy to sustain COP (t stat = 2,715085 > t krit = 2,262157), measured on a foam pad with eyes closed. Measurement without making sensorimotor training produced no significant improvement in the results of monitored...
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Functional disorders of the locomotor system in patients with primary dysmenorrhea
Nosková, Petra ; Ježková, Martina (advisor) ; Jevič, Filip (referee)
The thesis deals with primary dysmenorrhea (PD) in relation to the locomotor system. The aim of the the sis was to compare the frequency of selected joint blocks and the incidence of constitutional hypermobility in PD patients in comparison with the control group. The patient group included 9 women with PD symptoms and the control group consisted of 10 women without these symptoms. The incidence of atlanto - occipital joint block within the patient group was significantly higher than within the control group (p < 0,05). The total number of stuck ribs was also considerably higher in PD patients (p < 0,01). Pain on palpation on the top of the coccygeum apex was significantly higher within the patient group (p < 0,001). Patients with PD did not show significantly different results in Beighton score test for constitutional hypermobility assessment when compared with the control group. Another aim of the thesis was to judge the effect of physical therapy on PD symptoms. For three months, the group of 9 patients had been encouraged to do regular exercises with the impact on postural stability and diagnosed functional disorders of the locomotor system by means of physical therapy. As was shown after the therapy, the reduction of the total number of stuck ribs was statistically significant (p < 0,001). Furthermore,...
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Joint configuration changes pressure pain threshold-centered and decentered position
Jevič, Filip ; Čech, Zdeněk (advisor) ; Vaculín, Šimon (referee)
The term "joint centration" is recently perceived primarily in its biomechanical context. This paper suggests a possible neurophysiological point of view and examines the effect of centered or decentered position on pressure pain treshold (PPT) of three muscles (m. temporalis, m. tibialis anterior, m. interosseus dorsalis I) in sitting and lying position, researched on healthy volunteers. PPT was measured in four randomly ordered positions with 49 people (21 women, 28 men). Significantly higher PPT was detected in all three muscles (p=0,001; 0,0016; 0,00009). In percent the PPT change resembles some of studies working with therapeutical techniques (mobilization, joint manipulation, exercise). Influence of higher postural position (sitting compared to lying down) on PPT was not proved. Cenetered joint position increases the PPT of healthy young adults compared to decentered position. This newly proved fact opens further possibilities of conceiving the key physiotherapeutical notion of "joint centration".
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