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Constraint induced movement therapy for upper extremity in patients after stroke in occupational therapy
Horsáková, Petra ; Krivošíková, Mária (advisor) ; Svěcená, Kateřina (referee)
Constraint induced movement therapy is one of many neurorehabilitation methods, based on principle of overcoming the learned non-use phenomenon by a specific therapeutic protocol including some behavioral techniques. A classification of currently available studies on the topic have been made on the model of literature review, with an in-depth focus on using Constraint induced movement therapy in occupational therapy for adult patients after stroke who have upper limb motor disorders. The present study is structured into two sections: a theoretical part and an analytic-descriptive one. In theoretical part history of the method is presented together at Basic method principles and detail contents of a therapeutic protocol. The analytical and descriptive section is aimed to analyse international studies important and relevant with respect to an occupational therapy practice. In this second section are also proposed many possible activities of shaping and task practice techniques which can be used by occupational therapists. Translation of the most widely used test (Motor Activity Log and Wolf Motor Function Test) into Czech language is included. Keywords: constraint induced movement therapy, stroke, upper extremity, occupational therapy
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Memory disorders assessment in patients with Alzheimer's disease Subtitle: Relationship between memory disorders and selected Activities of Daily Living
Košnarová, Lenka ; Krivošíková, Mária (advisor) ; Piťhová, Zuzana (referee)
THESIS ABSTRACT Name: Bc. Lenka Košnarová Supervisor: Mária Krivošíková, M.Sc. Opponent: Title of thesis: Memory disorders assessment in patients with Alzheimer's disease Abstract: Objective: The main objective of the thesis was to investigate the impact of memory disorders on self-care in patients with Alzheimer's disease (AD). Another objective of the thesis was to determine whether age of patients with AD affects occupational performance in daily living activities. Methods: The sample was consist of 50 probands (11 men, 39 women), who were diagnosed AD by physician. For data collection was used a questionnaire Bristol Activities of Daily Living scale (BADLS) evaluating self-care and Contextual Memory Test (CMT) for evaluation of memory disorders. Testing the hypothesis was performed by correlation the corrected Spearman correlation coefficient and regression analysis. Results: The thesis results confirmed a significant correlation between BADLS scores and CMT scores - immediate recall (rSp = .51; p<0.05), delay recall (rSp = .42; p<0.05), total (rSp = .48; p<0.05). Furthermore, research results suggest that memory impairment occur more with PADLS. There also was no statistically significant relationship between age and performance of activities of daily living (ADL) coefficient (rSp = .07; p<0.05)....
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Determination of fine motor skills in patients after traumatic brain injury with Purdue Pegboard
Kaňková, Hana ; Krivošíková, Mária (advisor) ; Rodová, Zuzana (referee)
of diploma thesis: Objective In the Czech republic there is no normative data for Purdue pegboard test in any reprezentative group of people. First goal of this diploma thesis is to determine basic normative data Purdue pegboard test in not representative sample of people with traumatic brain injury at the age of 22-40 years in chronic phase. Second goal is to determine clinical utility of Purdue pegboard test in this clinical population group of people. The Student t-test and ambiguity proportion was used to statistic analyse the hypothesis. As a graphic processing was choosen the linear equation with the image of the Gaussian curve. There are analysed 3 case studies about people with traumatic brain injury to accomplish second goal. There is no significant difference in Purdue pegboard test score in employed and unemployed people with traumatic brain injury, equally to women and men with traumatic brain injury. There is evidence, that age influence score of Purdue pegboard test in men with traumatic brain injury, but not in women with traumatic brain injury. There are presented basic norms of Purdue pegboard test in people with traumatic brain injury in standard and percentile scale in this thesis. Normative data in people with traumatic brain injury makes easier to work with this clinical...
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Dynamic Loewenstein occupational therapy cognitive assessment in individuals after obtaining brain injury in working age
Křelinová, Michaela ; Uhlířová, Jaromíra (advisor) ; Krivošíková, Mária (referee)
The thesis Dynamic Loewenstein occupational therapy cognitive assessment in individuals after obtaining brain injury in working age deals with a comparison of the level of the brain injured and non-brain injured people's cognitive functions with the aid of the Loewenstein Occupational Therapy Cognitive Assessment battery (DLOTCA). The theoretical part is focused on an issue of the acquired brain injury, a description of cognitive areas and as well their pathology due to this injury. The aim of the practical part is to test the cognitive functions with the aid of the Loewenstein Occupational Therapy Cognitive Assessment. The survey's main object is the applicability of the working version of the Loewenstein Occupational Therapy Cognitive Assessment battery (DLOTCA), its translated version. The testing was carried out on seventy probands devided into three groups. Healthy people (n=50), cerebrovascular accident patients (n=10) and traumatic brain injury patients (n=10). Key words: obtained brain injury Dynamic Loewenstein occupational therapy cognitive assessment cognitive function working age occupational therapy cognitive assessment
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Determination of the Basic Normative Data of the Jebsen-Taylor Test in a Non-Clinical Population.
Bačová, Eliška ; Krivošíková, Mária (advisor) ; Rodová, Zuzana (referee)
Motor skills disorder of upper limb motor disorders is currently a frequent reason for large population disability. That is why it is necessary to adress this issue and look for possibilities of proper evaluation and therapy. One of the standard methods is Jebsen- Taylor test (JTT). This thesis deals with theoretical aspects of the Jebsen-Taylor test and presents results of the research verifying psychometric characterictics of the test as well as influence of demografic characteristics on the performance in the test. The theoretical part deals with motor skills disorder that are closely related with the test. The practical part presents results of the research using the sample of nonrandomised Czech non-clinical population. The aim is to create basic norms of the Jebsen-Taylor test and this particular population.The norms were created on a sample of 180 persons separately for men and women divided into three age groups (20-59, 60-75, 76-99). The age of the participants influences the results in most subtests of the Jebsen-Taylor test. With the increasing age, an average time of particular subtests increases, too. The gender influence was not notably manifested in most subtests. In the group of men the performance of the upper limb showed significant difference. On the other hand, in the group of...
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Impact of a cognitive function therapy on people with dementia
Nová, Jarmila ; Krivošíková, Mária (advisor) ; Piťhová, Zuzana (referee)
This thesis occupies with a cognitive training efficiency with a focus on memory and attention of dementia diagnosed people, especially people with vascular dementia, mixed dementia or Alzheimer's disease. The theoretical part deals with dementia issues and current knowledge on the field of a cognitive and occupational therapy. The main empirical part goal is a determination of the cognitive training by dementia diagnosed people. The next goal is to find out, how much clients are satisfied with the cognitive function therapy. The cognitive function training is made within a period of 8 weeks in social institutions in Jirkov and Chomutov. The research sample is consisted of 24 clients (at the age of 65 and more) with diagnosed Alzheimer's disease, vascular or mixed dementia, they were divided into an experimental and comparative group. Clients are evaluated before the intervention and after the intervention using Mini-Mental Examination test (MMSE), Trail Making test, part A (TMT:A and Swwartz scale of the therapy evaluation (SOS-10). Statistically significant results of set significance rate (p < 0,05) were found by the test MMSE (0,01 < 0,05) and scale SOS-10 (0,02 < 0,05), but the test TMT:A (0,09 > 0,05) hasn't confirmed therapy efficiency from the reason of the small research sample. Those...
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The intervention in Occupational Therapy for children with perception disorder of body schema
Smrčková, Andrea ; Ředinová, Barbora (advisor) ; Krivošíková, Mária (referee)
This thesis deals with process of body scheme, its disorders in childhood and the possibility of influencing, mainly due to the sensory integration. The aim of this bachelor thesis is to create a synoptic manual on processing of body scheme from the perinatal period when the creating of body scheme is an indispensable component, to neonatal, infant and toddler age, when the possibilities of influencing the disorders are the most effective and provide good results. The thesis is divided into two parts; one is theoretical and the other practical. The theoretical part describes the commonly used terms relating to the body and body perception, perception development, specific diagnoses, where the body image disorder is present, methods of evaluation and therapy. The practical part describes two case studies of preschool children diagnosed with dyspraxia, in which the body scheme disorder is analyzed. For practical knowledge there is an importance of proper physiological perception and negative impacts of disturbances on motor skills in all areas. Key words: Occupational therapy, body scheme, dyspraxia, Sensory Integration, process of body scheme
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Occupational therapy in patients after the brain injury with neglect syndrome
Říhová, Petra ; Uhlířová, Jaromíra (advisor) ; Krivošíková, Mária (referee)
OF BACHELOR THESIS Title of bachelor thesis: Occupational therapy in patients after the brain injury with neglect syndrome This bachelor thesis is focused on summarizing the knowledge of the neglect syndrome, very interesting phenomenon accompanying brain injury. Thesis provides information about prevalence, etiopathogenesis, classification, clinical presentation and course of the disease. Special attention is devoted to diagnostic and therapeutic procedures and description of occupational therapist's intervention during the various phases of the disease. The bachelor thesis is divided into theoretical and practical part. Theoretical part is a review of specialized literature and summarizes the informations about neglect syndrome. The practical part contains one casuistic of a patient with neglect syndrome and processed data from surveys. The questions in the survey are about the experiences of occupational therapists with incidence, diagnosis and therapy of neglect syndrome in Czech republic. The bachelor thesis concludes with a discussion about the results of survey and recommended procedure for diagnosis and treatment of neglect syndrome. Key words: Neglect syndrome, innatention, hemi-innatention occupation therapy, neglect syndrome therapy, neglect syndrome diagnostics
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The impact of apraxia on the performance of everyday activities in patients after brain damage - options of objective assessments
Krejčová, Veronika ; Nováková, Olga (advisor) ; Krivošíková, Mária (referee)
Bachelor's dissertation Abstract: The focus of this Bachelor's dissertation is on the options of objective assessments of apraxia. With the objektive assessments can we determine the impal of apraxia. The main focus of this dissertation is find options of objective assessments of apraxia. This dissertation includes theoretical and practical section. The theoretical section focuses on the basic information about brain damage. Further chapters of the theoretical section describe the apraxia, its definition and classification. There are also described specific tests for apraxia. The practical section is based on the detailed description of one of the tests - Naturalistic action test. Key words: Brain damage, ideational apraxia, ideomotor apraxia, measuring apraxia, standardized testing methods of apraxia, naturalistic action test
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