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Physiotherapy for people with cerebral palsy from 15 to 30 years old
ŠKOPKOVÁ, Eva
For my bachelor thesis I chose topic Physiotherapy of Persons between fifteen and thirty Years of Age Suffering Cerebral Palsy. Number of patients with this disorder is still increasing, but since 50s of the 20th century neonatal care began to become better. Thanks to this improvement in medical care number of saved newborns, who would have earlier died because of the consequences of prematureness or diseases, is now higher. These children are often disabled by cerebral palsy. Cerebral palsy is an untreatable disease, whose displays can be influenced only by a well chosen therapy. Bachelor thesis has two basic parts. The first one is theoretical, which is divided into a general and special part. In the general part, I focused on the sum of theoretical knowledge about cerebral palsy, I paid attention to the characteristics of the disease, incidence, etiology, pathological anatomy and to the classification of cerebral palsy. Then I focused on the diseases associated with cerebral palsy. I describe physiotherapy of cerebral palsy patients with focus on reflexive locomotion in the special part of my bachelor thesis. The aim of my bachelor thesis is to summarize knowledge about cerebral palsy. Considering that one of the basic features of the treatment is physiotherapy, I devoted my attention to the most usually used methods in the treatment of cerebral palsy. The theoretical part is concerned with methods of reflex-locomotion (Vojtova metoda), of Redcord ? therapy and by the concept of Mr. and Mrs.Bobaths. In the practical part of my thesis I made a quality research, where I specified goals of my work, offered description of methodology, characteristics of a file, and I made three casuistries. A part of the casuistries were anamneistic data and making of preliminary and output exploration. These explorations included objective general assessment, establishing locomotive state according to professor Vojta, exploration of locomotive abilities and goniometric explorations too. All persons went through classification of spasticity according to Ashworth´s measures and exploration of shorten muscles was also done. Research was made in the ARPIDA centre in České Budějovice, it took three months (March, April and June/2013) ? investigation of one patient of all three took circa one month, in which 9 therapies were done. The aim of practical part is to bring physiotherapical plan for observed patients with cerebral palsy. Results show that short-termed treatment had positive effect on health state of all three observed patients. The most affected areas were stability, correction of axial organ, but hypertonus of muscles and empowerment of weakened muscles also became better. The bachelor thesis can be used as a source of information for orientation in the topic of cerebral palsy by students of physiotherapy, but can also serve as an educative material for patients between fifteen and thirty years of their age and by their parents. Thesis could also be an inspiration for physiotherapists, who could think about their own treatment therapies for patients with cerebral palsy with the usage of not so known method Redcord?.
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