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Sensory Assessment and Therapy in Patients after Brain Damage. Subtitle: Sensory Reeducation in Patients after Stroke
Šimáková, Hana ; Krivošíková, Mária (advisor) ; Rybářová, Kateřina (referee)
The Bachelor's thesis focuses on examination and therapy of sensation in patients after brain damage. The theoretical part of the thesis summarizes the somatosensory system from the neurological point of view. It also describes sensation disorders and the impact of impaired sensation on the function of the upper limb. The thesis contains two standardized tests for sensory assessment - the Rivermead Assessment of Somatosensory Performance and the United States Version of the Nottingham Sensory Assessment. The thesis also covers sensory therapy and proposes sensory reeducation for patients after brain damage. The practical part of the thesis contains a draft translation of the United States Version of the Nottingham Sensory Assessment. It tests this assessment in real life and evaluates its clinical utility in order to compile a plan of sensory reeducation for two patients after stroke.
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Occupational therapy interventions for pediatric patients with the epidermolysis bullosa congenita
Šímová, Klára ; Krivošíková, Mária (advisor) ; Rodová, Zuzana (referee)
The aim of the thesis is to describe possibilities of occupational therapy interventions for pe- diatric patients with the Epidermolysis bullosa congenita. The theoretical part includes the issue of Epidermolysis bullosa congenita including current diagnostics and therapy in the Czech republic. This part also desribes the possibilities of occupational therapy diagnostics and intervention. The practical part includes firstly the translation of the questionnaire "Parental Questionnaire on Coping Skills of Children with EB in Everyday Life" into Czech langugage, secondly case report of a pedi- atric patient with Epidermolysis bullosa congenita and thirdly occupational therapy intervention ma- nual for children with EB. So far, the occupational therapist is not a common part of the multidisci- plinary EB treatment team, although his scope is broad and can significantly improve quality of life. These areas and effect of occupational therapy are described in this work. Key words: occupational therapy Epidermolysis bullosa congenita pediatric patient multidisciplinary team quality of life
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Clinical utility of the Czech version of Canadian Occupational Performance Measure for physiucally disabled adults patients
Rusková, Patricie ; Krivošíková, Mária (advisor) ; Nováková, Olga (referee)
Aim: The aim of diploma thesis was clinical utility of the Czech version of Canadian Occupational Performance Measure (COPM) in both parts. Utility in performance of activities of daily living and utility in satisfaction with performance of activities of daily living for physically disabled adults persons. Methods: The pre-research consisted of 40 persons with physical disability after stroke. For data collection was used Canadian Occupational Performance Measure, Barthel index and Subjective QUAlity of Life Analysis (SQUALA). Hypotheses were vitrificated by correlation analysis using Spearman's Rank Correlation Coefficient. Results: P-value (p = 0,00001) from the test of dependence of measured values by COPM in performance of activities of daily living and BI was lower than level of significance α = 0,05; 0,00001 < 0,05. P-value from the test of dependence of measured values by COPM in satisfaction with performance of activities of daily living and SQUALA questionnaire was lower than level of significant α = 0,05; 0,041 < 0,05. Conclusion: The results of the statistical analysis did not confirm the independence of the measured values by the Czech version COPM, BI and the SQUALA questionnaire. It was supported the using COPM in both parts, in performance of activities of daily living and in satisfaction...
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Training of cognitive functions in patients after cerebrovascular accident
Schmid, Filipa ; Krivošíková, Mária (advisor) ; Micková, Hana (referee)
Cerebrovascular accidents (CVA) represent an important health problem and training of cognitive functions after CVA is an important part of the rehabilitation process. The main objective of this bachelor thesis was the development and evaluation of a cognitive training program for adult patients after CVA using published literature. The main working hypothesis was that the program improves cognitive function both objectively and subjectively. The program's frequency was three times a week with an intensity of 30 minutes and duration of four weeks. In addition, it included independent practice sessions on weekends. Objective evaluation was performed using four short cognitive assessments ("Pětičárový test obrazcové produkce" [ČAPR], "Pětibodový test obrazcové produkce" [BOPR], Montreal Cognitive Assessment [MoCA], Saint Louis University Mental Status [SLUMS]). Subjective evaluation was performed by the patient using three questionnaires for memory, thinking ability and executive functions. Using specific criteria, two patients were recruited to complete the program and evaluation upon entering and leaving the program. After completion, ČAPR, BOPR and SLUMS scores improved in both patients. However, MoCA scores and subjective evaluation of cognitive function did not change. The main result of this...
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Application of Pro-active Approach with Urias Air Splints in Occupational Therapy of the Upper Limb for Children with Cerebral Palsy.
Bakun, Jana ; Čábelková, Alžběta (advisor) ; Krivošíková, Mária (referee)
BACHELOR THESIS ABSTRACT Name, Surname: Jana Bulavčuková Thesis supervisor: Bc. Alžběta Čábelková Thesis opponent: Title of the Bachelor Thesis: Application of Pro-Active Approach with Urias Air Splints in Occupational Therapy of the Upper Limb for Children with Cerebral Palsy Abstract: This bachelor thesis deals with the use of Pro-active approach in neurorehabilitation in children with cerebral palsy. The thesis is divided into the theoretical and practical part. The theoretical part describes, cerebral palsy specifically its etiology, classification of individual forms and their clinical picture. Furthermore, the theoretical part deals with the approach of Urias and other therapeutical aids PANat), the basic characteristic, the neurophysiological background and the model of motor learning. At the end of the theoretical part are examples of inflatable planks and therapeutic tools of PANat. The aim of the bachelor thesis is to draw up a training plan according to the PANAT concept to influence the range of movements in the upper limb in children with spastic quadruparative and triparetic form of cerebral palsy The partial goal is to determine if a three- month rehabilitation with the help of a set exercise plan has an effect on muscle tone, grip function and self-sufficiency. The practical part confirms...
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Clinical utility of Rivermead Behavioral Memory Test in Patients after Brain Damage
Šimková, Klára ; Krivošíková, Mária (advisor) ; Bolceková, Eva (referee)
OF DIPLOMA THESIS Title of diploma thesis: Clinical Utility of Rivermead Behavioural Memory Test in Patients after Brain Damage Objective: The main goal of this diploma thesis was to monitor the relationship between memory functions measured by the Rivermead Behavioral Memory Test (RBMT-3) and their subsequent influence on occupational performance in ADL (pADL) in patients after brain damage. The partial objective was to determine whether self-sufficiency in ADL can be predicted from RBMT-3 results. The last partial goal was to create a working version of the RBMT-3 and translate it from the original English version. Methods: The research group consisted of 40 probands (22 males and 18 females) after brain damage. For data collection, the Rivermead Behavioral Memory Test (RBMT-3) for assessing the memory function level was used. FIM (version 5.2) was used for evaluating the level of occupational performance in ADL (pADL). Hypothesis verification was performed by correlation analysis and corrected Spearman's correlation coefficient and p-values. For this pre- research, the level of significance α1 < 0.05 and α2 < 0.01 was chosen. Results: The pre-research did not confirm the dependence between the RBMT-3 memory level and the level of self-sufficiency measured by FIM. The P value (p = 0.526) from the...
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Clinical utility of Rivermead Behavioral Memory Test in Patients after Brain Damage
Šimková, Klára ; Krivošíková, Mária (advisor) ; Bolceková, Eva (referee)
OF DIPLOMA THESIS Title of diploma thesis: Clinical Utility of Rivermead Behavioural Memory Test in Patients after Brain Damage Objective: The main goal of this diploma thesis was to monitor the relationship between memory functions measured by the Rivermead Behavioral Memory Test (RBMT-3) and their subsequent influence on occupational performance in ADL (pADL) in patients after brain damage. The partial objective was to determine whether self-sufficiency in ADL can be predicted from RBMT-3 results. The last partial goal was to create a working version of the RBMT-3 and translate it from the original English version. Methods: The research group consisted of 40 probands (22 males and 18 females) after brain damage. For data collection, the Rivermead Behavioral Memory Test (RBMT-3) for assessing the memory function level was used. FIM (version 5.2) was used for evaluating the level of occupational performance in ADL (pADL). Hypothesis verification was performed by correlation analysis and corrected Spearman's correlation coefficient and p-values. For this pre- research, the level of significance α1 < 0.05 and α2 < 0.01 was chosen. Results: The pre-research did not confirm the dependence between the RBMT-3 memory level and the level of self-sufficiency measured by FIM. The P value (p = 0.526) from the...
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Occupational Therapy Focused on Upper Extremity Motor Disorders at School-Age Children with Cerebral Palsy
Čížková, Markéta ; Krivošíková, Mária (advisor) ; Sládková, Petra (referee)
Cerebral palsy (CP) is one of the most frequent neurodevelopmental deseases. The brain lesion may disturb upper extremity functioning in children with cerebral palsy (CP). This thesis aims to create a therapeutic program focused on movability of upper limbs in school-aged children with CP and and verify the efficiency of this therapeutic program. Another goal is to consider the applicability of the Jebsen Taylor Test of Hand Function for assessment of hand function in children with CP. The theoretical part deals elaborately with cerebral palsy, therapeutic interventions in children with CP and its efficiency according to the evidence based medicine. This part also deals with standardized assassment tools and pays close attention to the Jebsen Taylor Test of Hand Function (JTTHF) and the Manual Ability Classification System (MACS). The practical part presents six case studies of children with cerebral palsy who attended the occupational therapy three times a week over three weeks. The created therapeutic program includes three areas focused on the bimanual training, grips and grafomotorics. This program was appropriate for four of six children patients. The program was too hard for children with quadruparesis classified as MACS IV. The other children were classified as MACS II. The efficiency of...
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Objectification of The Alberta Infant Motor Scale for Czech Republic
Vavříková, Marianna ; Svěcená, Kateřina (advisor) ; Krivošíková, Mária (referee)
Name of student: Marianna Vavříková Leader of the master thesis: Mgr. Kateřina Svěcená, PhD. Topic of the master thesis: Objectification of The Alberta Infant Motor Scale for Czech Republic Background: In the Czech Republic there is not a lot of standardized assessments for children which are formed for the Czech population. It is possible to use assessments from other countries. But for well interpreting of results and for good evidence based practice therapists need to have Czech normative data. Aims: Aim of this study was to make pilot study for using Alberta Infant Motor Scale. And then identify whether Czech therapists need to make new Czech normative data or if it is possible to use the Canadian ones. Methods: Alberta Infant Motor Scale was used on 31 Czech children. Assessment was used in home setting with presence of mother. All of assessments were videotaped. Each video was analyzed and the child obtained score after home visit. All mothers were informed about the research and anonymity was kept. Results: In the gross motor development Czech population is retarded in comparison with the Canadian normative data. Except children in ages 0 - < 1 and 1 - < 2 months. For using Alberta Infant Motor Scale new Czech normative data are needed. Key words: Alberta Infant Motor Scale Standardized...
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Clinical utility of the QUEST test in occupational therapy for evaluation of the upper extremities function in children with cerebral palsy. Subtitl: QUEST - Quality of Upper Extremity Skills Test
Hodboďová, Kateřina ; Krulová, Anna (advisor) ; Krivošíková, Mária (referee)
OF DIPLOMA THESIS Author: Bc. Kateřina Hodboďová Supervisor: Mgr. Anna Krulová Title: Clinical utility of the QUEST test in occupational therapy for evaluation of the upper extremities function in children with cerebral palsy Subtitle: QUEST - Quality of Upper Extremity Skills Test This diploma thesis engages in description of the QUEST (Quality of Upper Extremity Skills Test) test and its practical contribution to the practice of occupational therapy. The main aim of the thesis is to demonstrate the utility of the QUEST test as an evaluation of functional capabilities of upper extremities in children with cerebral palsy in Czech occupational therapy practice. The theoretical part provides basic information about cerebral palsy in children, about the possibilities of intervention in occupational therapy focussed on upper extremities, about the importance of assessment in occupational therapy, with an emphasis on the use of standardized evaluation tools in occupational therapy. Big part is also devoted to the characteristics of the foreign test QUEST. It includes information about the origin of the test, psychometric properties and normative data. Furhtermore, the description of the test items, the method of administration and evaluation, as an interpretation of the results are included. The...
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