|
|
Insight to European Physiotherapy Education systems: How choice of Alma Mater affect Quality of Life and Quality of Education of Physiotherapy Students
Schramlová, Michaela ; Řasová, Kamila (advisor) ; Špaňhelová, Šárka (referee)
Objective: The objective of this study is to describe and compare the current educational systems and selective modalities related to mental health, sleep quality, nutritional habits a physical activity of physiotherapy students in Europe. Methodology: A cross-sectional, descriptive study processing two questionnaires is used with one dedicated to university representatives and the other to physiotherapy students. Results: Although 75% of students rated their quality of life positively and 47% were satisfied with their mental health, 65% showed higher levels of stress and 50.5% describe dan impaired sleep quality. The minimum physical activity of 150 minutes weekly was described by 78.9% of students, within which 67% engage in strengthening twice a week. Students with a higher stress load/worse psychological health also showed worse sleep quality and lower amount of physical activity, women were significantly worse off. In terms of physical activity and sleep quality, students from Finland and Kosovo achieved the best results, while students from Italy, Greece, and Portugal achieved the worst. Students from Italy indicated the greatest dissatisfaction with the organization of the study system and communication between teachers and have the lowest number of taught techniques (15/33), while in Kosovo...
|
|
|
Validiation of walking tests in patients with coxarthrosis
Suljakovićová, Sabina ; Špaňhelová, Šárka (advisor) ; Smolíková, Libuše (referee)
Práce posuzuje možnosti využití chůzových testů u pacientů s koxartrózou. Na skupině třiceti pacientů se třetím stupněm koxartrózy kyčelního kloubu bylo provedeno měření pěti různých testů: dotazník Harris Hip Score, Timed Up And Go Test (TUG), Ten Meter Walk Test - desetimetrový test chůze (10MWT), Two Minute Walk Test - dvouminutový test chůze (2MWT) a Six Minute Walk Test - šestiminutový test chůze (6MWT). Následně byly porovnány výsledky jednotlivých testů a zjištěny jejich specifické výpovědní vlastnosti. Cílem studie bylo zjistit jejich vzájemné souvislosti, limity v použití, případně navrhnout jejich úpravu a doporučit cílové skupiny pacientů pro jednotlivé druhy testů. Během měření a při zpracování studie byly zjištěny statisticky významné skutečnosti, pomocí kterých by bylo možné zpřesnit hodnocení kvality terapie a zvýšit efektivitu vyšetřování pacientů s koxartrózou. Byla prokázána shodná výpovědní hodnota testu 2MWT ve srovnání s delšími testy (6MWT) a také výhody provedení testu TUG, jako zdroje doplňujících informací k vyšetření pomocí dotazníku Harris a běžných chůzových testů.
|
|
|
Clinical evaluation of postural balance functions in patients with chronic obstructive pulmonary disease
Hrdý, Tomáš ; Smolíková, Libuše (advisor) ; Špaňhelová, Šárka (referee)
Introduction: Chronic obstructive pulmonary disease (COPD) is one of the most common chronic respiratory diseases. Impairments in exercise capacity, kinesiology and skeletal muscle function are well established in these patients. Recently presented data also suggests impairments in postural balance and increased risk of falls in patients with COPD. The aim of this study is to examine postural balance functions in a group of patients and compare the results with a control group. Methods: Twelve patients (the average age 65,6 ± 7,1, 5 women, 7 men) with COPD hospitalized at the Pulmonary Clinic at the Faculty Hospital, Prague Motol and 10 healthy control subjects (the average age 58,6 ± 5,2, 7 women, 3 men) participated in this study. Participants were measured by The Activities-specific Balance Confidence Scale (ABC) and The Balance Evaluation Systems Test (BESTest). Results: COPD patients scored significantly worse (0,0099, p < 0,05) on the ABC scale total score compared to healthy controls, 78,38 ± 21,14 for COPD versus 97,78 ± 3,88 for controls. The total score and the six subsystem categories score of the BESTest were lower in COPD patients, but not significantly, compared to controls. Conclusion: Patients with COPD showed a lower degree of balance confidence and postural balance functions....
|
|
|
Options of electrical stimulation of paretic muscles in patients withh spinal cord injury
Dvořáková, Klára ; Schreier, Bronislav (advisor) ; Špaňhelová, Šárka (referee)
Electrostimulation of neuro-muscular tissue is one of the elementary treating methods in physiotherapy. One of the areas of its use is rehabilitation of patients with spinal cord injury. As there doesnt exist enough resources written in czech language, I settled down to the goal of present the overview and options of its use in those patients. As completing this text, I came out of my knowledges drawn through the studies on 2nd Faculty of Medicine Charles University, specialized publications available in czech language and not least from specialized articles, case studies and literature of worldwide authors, because those are majority of informations aviable about this problematics. This work stays from parts about spinal cord with its injuries and elecrtostimulation and its practical use. Big portion of the work deals with usage of electrostimulation to improve the quality of life of spinal patients. Especially in prevention of pressure ulcers, respiratory diseases and osteoporosis. Last chapters are specially devouted to functional electrostimulation of upper and lower limb.
|
|
| |
|
|
Spinal programme in Europeans countries
Strapková, Zuzana ; Špaňhelová, Šárka (advisor) ; Gocalová, Lucie (referee)
The aim of this work was to summarize the care for patients with spinal cord injury (SCI) in selected countries in Europe and the comparison among them including the Czech Republic. METHODOLOGY: Included information search in the bibliographic database www.pubmed.org and in a search engine www. google.com, information gained from questionnaires and web sites of spinal centers as well as a personal visit to a spinal centre in Glasgow. CONCLUSION: In 9 of the 10 selected countries, there exists comprehensive multidisciplinary care for patients with SCI. We can find four types of spinal centers in the selected countries. First a large centre, fully equipped and independent on other hospital care, with a comprehensive care including multidisciplinary care with a vocational therapy, a driving course, a surgical treatment of secondary complications and a special unit for sexual disorders and obstetrics (UK, Spain, Switzerland, Germany, Ireland). The second type is the spinal unit as a hospital department also with a multidisciplinary team (Italy, UK, Spain, Germany, France, Ireland). In both types of spinal centers the patients stay from initial time after the injury until discharge and then they visit outpatient department for follow up rehabilitation. The third type is a rehabilitation center cooperating with a...
|
|
|
Effect of exercise with Flexibar in paraplegics
Dušková, Tereza ; Hlinková, Zuzana (advisor) ; Špaňhelová, Šárka (referee)
The aim of this study was to demonstrate that exercise with a oscillatory poles FLEXI- BAR ® for paraplegics has a positive effect on strength, the force endurance, stability and proprioception. The theoretical starting point is the supposed positive effects of vibration training on the human body. The training was attended by 14 subjects, who thirty minutes a day for four weeks, doing exercises with Flexi-Bar ® as a single methodical series of exercises. The effect of therapy was evaluated by hand-grip test, inclination test, a modified 6- MWT test and a test of target point. The hypotheses were confirmed, the results of all tests was statistically significant.
|
|
| |
|
|
Physiological movements of the spine during locomotion
Dvořák, Jan ; Šafářová, Marcela (advisor) ; Špaňhelová, Šárka (referee)
Bibliographical record DVOŘÁK, J. Physiological movements of the spine during locomotion. Prague: Charles University, 2nd Faculty of Medicine, Department of Rehabilitation and Sports Medicine 2021. 75 p. Thesis supervisor PhDr. Marcela Šafářová, Ph.D. Abstract The diploma thesis Physiological movements of the spine during locomotion deals with the relationship between locomotion, spatiotemporal properties of gait and spinal movements. The theoretical part of the work summarizes the knowledge about the phylogenetic and ontogenetic development of the spine. The paper discusses the influences that affect the motility of the spine from intrauterine development to old age. The main part of the theoretical part is devoted to an overview of studies examining the movements of the spine during human locomotion. The experimental part was performed by testing a group of younger (24.6 ± 3.6 years) and older adults (43.5 ± 4.6 years). Both groups consisted of 8 women and 8 men. A total of 32 volunteers were tested. Otto's spine distance, thoracic spine rotation, 95% COP standing, and spatiotemporal gait data were measured using a Zebris Rehawalk FDM-T. Thereafter, therapy was applied to the chest to affect the dynamics of movement. Finally, control measurements of all olunteers were performed. Statistical data...
|
|
|
Vojta reflex locomotion impact to the locomotor system of the patients with spinal cord
Kohutová, Veronika ; Špaňhelová, Šárka (advisor) ; Hyšperská, Veronika (referee)
The aim of this thesis was to evaluate the Vojta method therapy impact to the muscles function of the upper limbs of patients with tetraplegia. This is a pilot study, which was attended by five probands. To objectify the results, the method of surface electromyography was adopted. EMG activity of 14 muscles of the upper limbs and shoulder girdle during selected movements before and after therapy was recorded. The choice of therapeutic positions and activation zones was individual. Although a few muscles show significant changes, statistically considerable influence of the therapy cannot be confirmed from the obtained results. But from the point of view of clinical observation and patients 'subjective feelings an obvious difference can be seen. Therefore, it may be in the future advantageous to monitor the impact of Vojta method to locomotor system through clinical methods such as functional tests, tests of independence, range of motion or kinematic analysis.
|
guest ::
