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Effect of Balance Training on Balance and Walking in Patients with Multiple Sclerosis
Hendrychová, Jiřina ; Novotná, Klára (advisor) ; Pavlů, Dagmar (referee)
Title: Effect of Balance Training on Balance and Walking in Patients with Multiple Sclerosis Objectives: Main aim of this master thesis is to assess the effect of four-week sensorimotor stimulation therapy and four-week balance training with Homebalance® in Multiple Sclerosis patients with balance disorders. Also to assess how effective these techniques are, if they are performed without any other therapy. And at the end compare them between each other. Methods: The research was conducted with 20 subjects divided in two groups of ten. These two groups differed in their balance programme. First group underwent four- week sensorimotor stimulation therapy twice a week for an hour. Second group trained at home with Homebalance® for four weeks 15-20 minutes a day. Everyone has been measured before and after therapies with Timed 25-foot walk (T25FW), Timed Up-and-Go Test (TUG) and TUG cognitive, Mini-BESTest and Berg Balance Scale, they also filled in short balance questionnaire, 12-Item Multiple Sclerosis Walking Scale (MSWS-12) and Falls Efficacy Scale-International (FES-I). Data analysis was provided by Shapiro-Wilk test, Student t-test, Wilcoxon signed-rank test and Mann-Whitney U test according to data distribution. Results: The average EDSS score in people with Homebalance® therapy was 3,8 (± 1,53)...
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Influence of walking disorder on possibilites of activities in patients with Multiple sclerosis
Hendrychová, Jiřina ; Novotná, Klára (advisor) ; Kövári, Martina (referee)
The thesis deals with negative effect of gait impairment in people with multiple sclerosis (MS) on activities of everyday life (work activities, social activities, personal activities). First part of thesis (theoretical) describes multiple sclerosis disease with typical syndromes and treatment options (especially rehabilitation treatment options). This part also contains description of International Classification of Function, Disability and Health (ICF) as a new tool for rehabilitation assessment. Then process of ICF of evaluation of ICF in relation to MS is mentioned. Second practical part of thesis contains subjective evaluation of activities (using questionnaire) and objective gait performance assessments (Timed 25 foot walk test, The 2 minute walk test) in group of 156 people with MS. Results of all assessments are described and in discussion compared with similar foreign studies. Discussion part includes recommendation on how these results can influence rehabilitation process in people with MS. Practical part of thesis is illustrated by a case study describing one of MS patients.
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