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Functional recovery in patients after total elbow arthroplasty
Turková, Renáta ; Votlučková, Milena (advisor) ; Sládková, Petra (referee)
Title of bachelor thesis: Functional recovery in patients after total elbow arthroplasty Abstract: The purpose of this thesis is to introduce the issue of functional recovery after total elbow arthroplasty. It consists of theoretical and practical part. The theoretical part is processed in the form of a research and can be divided into orthopaedic and rehabilitation sections. The first section provides a summary of total elbow arthroplasty from the orthopaedic point of view. It describes various types of modern implants, operation approaches, groups of indications and possible postoperative complications. The rehabilitation section focuses mainly on physical therapy itself. It describes factors that can affect postoperative progress and presents guidelines that should be followed during rehabilitation after semiconstrained and unconstrained types of implants. It also describes lifetime regime measures and recommendations for the patient. The theoretical part is compiled from the available Czech and foreign sources. The practical part is a case study of two patients with implanted semiconstrained total elbow arthroplasty. It utilizes the knowledge gained in the theoretical part into practice and answers the basic question of this thesis: whether it is possible to achieve full functional recovery in a period...
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The use of reminiscence techniques for patients - clients with cognitive impairment from the perspective of occupational therapist
Pauková, Klára ; Svěcená, Kateřina (advisor) ; Sládková, Petra (referee)
OF THE BACHELOR'S THESIS Name: Klára Pauková Thesis supervisor: Mgr. Kateřina Svěcená Title of the Bachelor's Thesis: "The use of reminiscence techniques for patients - clients with cognitive impairment from the perspective of occupational therapist" Abstract: The Bachelor's Thesis engages in the use of reminiscence methods in clients with cognitive disorder from an ergotherapist's point of view. The Thesis is divided into a theoretical and a practical part. The theoretical part deals with the old age period, its characteristics and delimitation. Next chapter focuses on activation of elderly people and importance of ergotherapy in geriatric persons. The main part of the theoretical part is engaged in reminiscence therapy, attributes of reminiscence approaches, classification of reminiscence methods and the use of reminiscence from an ergotherapist's point of view. The end of the theoretical part pursues the subjects that are used in the reminiscence the most often and the importance of memories for an individual. The practical part of the Bachelor's Thesis deals with the application of reminiscence methods in clients with cognitive disorder. The main aim of the practical part is to discover whether reminiscence methods are applicable for an ergotherapist's work with clients having cognitive...
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Physiotherapy of patients after arthroscopic menisectomy
Tíkal, Ladislav ; Muchová, Renáta (advisor) ; Sládková, Petra (referee)
This bachelor thesis describes a physiotherapy exercise after a menisectomy. The thesis is divided into two parts. The first part is theoretical and the second one is practical. The theoretical part analyses a construction of a knee joint, describes the most common causes of its injury, operating procedures and physiotherapeutic methodologies that are used during the patients recovery after an operation. Author focuses particularly on three physiotherapeutic methodologies: kinesiotaping, proprioceptional neomuscular facilitation and sensomotoric stimulation, which are widely used hereafter. The practical part describes the physiotherapeutic procedure. Patients are divided into several working groups and treated by three aforementioned methodologies. Key words: Menisectomy; Kinesiotaping; Proprioceptional Neomuscular Facilitation; Sensomotoric Stimulation; Meniscal tear;
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The impact of physiotherapy on bodily parameters and load tolerance in obese patients - The clinical application of the International Classification of Functioning, Disability and Health in obese patients
Šimonová, Anna ; Homolková, Alena (advisor) ; Sládková, Petra (referee)
BACHELOR THESIS ABSTRACT Author's first name and surname: Anna Šimonová Bachelor thesis supervizor: Bc. Alena Homolková Oponent: Title of bachelor thesis: The impact of physiotherapy on bodily parameters and load tolerance in obese patients Abstract: This bachelor thesis deals with the impact of physiotherapy on bodily parameters and load tolerance in obese patients. It also concerns with the clinical application of the International Classification of Functioning, Disability and Health (ICF) in obese patients with the aid of the Brief Core Set for obesity. This work is divided into theoretical and practical part. Theoretical part contains basic information about obesity, definition, etiology, diagnosis, medical complications associated with obesity and its treatment. Furthermore, it presents the basic characteristics and description of the Brief ICF Core Set for obesity. Practical part gives an overview of the methodology, the methods used in the examination and treatment. It also includes two case reports of selected patients. These reports consist of entrance and final examination, which contains the Brief ICF Core Set for obesity. Afterwards, it describes the process of therapy and final evaluation of the objectives of this work. Key words: Physiotherapy, obesity, bodily parameters, load tolerance,...
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Using means of physical therapy to influence spasticity from the physiotherapist 's point of view
Bouzková, Gabriela Natálie ; Sládková, Petra (advisor) ; Matolínová, Vendula (referee)
The theme of the bachelor thesis is using means of physical therapy to influence spasticity from the physiotherapeutist's point of view. Theoretical part describes upper motor neuron syndrome and spasticity as one of its symptoms. Further it states methods of evaluation and options of influence of spasticity including latest research methods. Separate chapter is dedicated to the physical therapy, its impact on human organism and means used to treat spasticity. In the practical part the influence of cryotherapy on spasticity of upper limb of two patients after brain injury is examined. Efficiency is measured by Tardieu scale and goniometry. Main contribution of the thesis lies in gathering and analyzing of present findings, mainly on the field of physical therapy. The practical part then confirms positive effect of cryotherapy but recommends further research. Key words: spasticity, upper motor neuron syndrome, brain injury, physical therapy, cryotherapy
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Functional assessment of motor activities of patients after brain damage before and after intensive rehabilitation intervention (with the goal to obtain restoration of upper arm physiological functions)
Sládková, Petra ; Švestková, Olga (advisor) ; Jeřábek, Jaroslav (referee) ; Süssová, Jana (referee)
Rehabilitation of patients after brain damage is an multidisciplinary, complex, intensive, long- term and individual process. Standardized functional instruments for the assessment of the degree of disability and functional abilities of patients are not usually used in rehabilitation in the Czech Republic. Often, motor disorder post brain damage results in hemiparesis and causes impairment of upper arm movement pattern. Movement ability of the upper arm is vital for self-sufficiency, activities of daily life and maintaining an independent family life. Special rehabilitation therapeutic techniques must involve the training of new activities including the mechanism of motor learning which is responsible for functional reorganization of the motor cortex regions, and the activation of reserve neurons for reparation. The aim of the study is to demonstrate that an accelerometer is a suitable instrumet for objective monitoring of impairment of the upper arm movement pattern. Another aim of the study is to demostrate if the FIM test (Functional Independence Measures) and Jebsen-Taylor (JT) test are appropriate instruments for detecting changes of the upper arm movement pattern after intensive, individual and multidisciplinary rehabilitation brain damage patients. Clinical study was undertaken with selected...
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Functional assessment of motor activities of patients after brain damage before and after intensive rehabilitation intervention (with the goal to obtain restoration of upper arm physiological functions)
Sládková, Petra ; Švestková, Olga (advisor) ; Jeřábek, Jaroslav (referee) ; Kozler, Petr (referee)
6 Abstract The rehabilitation of patients with brain damage is an interprofessional, complex, intensive, long-lasting and individually oriented process. One frequent consequence of brain damage is hemiparesis, which also causes a disorder of the upper extremity movement pattern. The movement ability of the upper extremity is essential for an individual's self-sufficiency, the performance of common daily activities, and thus for an independent life in a family setting. Special therapeutic rehabilitation approaches should involve the training of new activities, including the motor learning mechanism that activates brain plasticity. A functional reorganization of the motor cortex occurs along with the activation of reserve neurons and the replacement of damaged synapses. One of the aims of this work was to demonstrate, using objective function methods, the possibility of influencing the movement patterns of a paretic upper extremity by means of intensive interprofessional rehabilitation even several years after the brain damage. The second aim was to demonstrate that the monitoring of motor functions in patients after brain damage leads to improved motivation, thereby improving motor functions. A study was conducted among 55 selected patients after brain damage with central hemiparesis who participated in the...
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Clinical application of the Fugl-Meyer assessment in occupational therapy
Pivoňková, Zuzana ; Sládková, Petra (advisor) ; Svěcená, Kateřina (referee)
The goal of this BA thesis is to translate and to create a manual of so called Fugl-Meyer assessment concept that can be used within the Czech population and its following clinic application for the patients with the brain damage. The theoretical part focuses on patient's issues after the brain damage, on the details and specifics of neuro-rehabilitation and the possibility of a usage of ICF. It also focuses on test scales and it describes Fugl-Meyer assessment. The last part focuses on inter-professional team and the role of Occupational therapist within the team. The practical part defines the problem, the goal of the thesis and deals with the methodology of the thesis. It brings the results of the research, it deals with the characteristics and the evaluation process, it deals with the tools, time demands and scoring. In the very end there is an answer to the basic question of the whole thesis: Is the Fugl-Meyer assessment applicable for the patients after the brain damage? Key words: Fugl-Meyer Assessment brain damage functional assessment in occupational therapy occupational therapy neurorehabilitation
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Current physioterapy approaches to the spasticity - application of Fugl - Meyer assessment.
Uhlíková, Jana ; Sládková, Petra (advisor) ; Svěcená, Kateřina (referee)
The subject of this Bachelor's dissertation is current physiotherapy approaches to the spasticity. The issue and therapy of spasticity is described in the theoretical section, which gives the summary of measurements, physiotherapy approaches and also the mechanism of beginning spasticity. Further chapters mention complications of spasticity and chances of therapy, which are recommended according to the current knowledge in medicine and clinical research, called evidence based medicine. The dissertation leads to the problematic of upper extremity affected by spasticity. The theoretical section presents the Fugl-Meyer assessment of motor performance (FMA), specialized on upper extremity. The practical section is based on application of FMA for upper extremity by 4 patients with upper motor neuron lesion and the signs of upper extremity spasticity. The main purpose of this dissertation is to find out the reliability of FMA setting on functional use on affected arm in patients with upper extremity spasticity. Key words: Spasticity, Fugl-Meyer assessment of motor performance, physiotherapy and spasticity, neural plasticity, muscle tone, evidence based medicine, upper extremity (spasticity of upper extremity), upper motoneuron syndrome
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