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The effect of gait training with a prosthesis on stability and parameters in patients with thigh amputation
Tučková, Tereza ; Smékal, David (advisor) ; Kálal, Jan (referee)
Diploma thesis "Effect of gait school with prosthesis on stability and walking parameters of patients after transfemoral amputation deals with problems of patients after transfemoral amputation due to vascular etiology. It mentions elementary knowledge of rehabilitation after amputation of lower extremity. Furthermore, there are described main complications that amputation brings into the patient ́s life: pain associated with amputation, skin complications and psychological hardships. Emphasis is laid on gait and gait practice for patients with amputation. I further deal with deviations commonly observed on gait of these patients and with factors influencing the gait, including the influence of particular parts of the prosthesis on patients ́ gait. The practical part is dedicated to comparison of two different approaches to gait practice. The effect of these approaches is evaluated on the basis of results of two groups of patients. The results were gathered by examination on force plate, measurement of gait velocity, examination of gait cadence and evaluation of patients ́s gait videos. Furthermore, I use functional tests: LCI - 5, ABIS - R, ABC scale and PEQ. All of these examinations were performed at the beginning and in the end of patients ́ stay at the Clinic of rehabilitation in Hradec Králové. The...
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Basal metabolic rate, dietary intervention and nutrients producing nociceptive pain in individuals with spinal cord injury
Chaloupková, Eva ; Heller, Jan (advisor) ; Bartůňková, Staša (referee) ; Kálal, Jan (referee)
Title: Basal metabolism and nutritional intervention for people with spinal cord injuries Objectives: The main objective of this work was empirical research of case evaluation studies (n = 3), where we analyzed: the relationship between energy expenditure (basal metabolism) and energy intake for people diagnosed with spinal cord injury (SCI). The secondary objective was to determine whether the changes in macronutrient distribution and daily energy intake would result in a decrease in body weight and body fat for individual probands. The pilot study in our work was focused on the overview of variable basal metabolism (BM) values for people with SCI. Methods: In our work, we used the method of indirect calorimetry to measure BM and together with the value of working metabolism we determined in the nutritional intervention (n. i.) the ideal energy intake for our probands. We observed primarily measurable changes in the amount of fat and muscle tissue. Results: We have found that, in keeping with the prescribed n. i. rules, all probands achieved to reduce their body weight. The average body weight loss for probands was 0.29 ± 0.02 kg per week. BM values in our pilot study were 15 to 61% lower for our probands (n = 15) and did not correlate with the height of SCI. Key words: spinal cord injury (SCI),...
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Current physiotherapeutic approaches to the treatment of phantom pain after amputations
Posekaná, Pavlína ; Demeková, Júlia (advisor) ; Kálal, Jan (referee)
This bachelor thesis is carried out in the form of research with the aim to summarize phantom limb pain issues in physiotherapeutic practice. The general part describes the causes of phantom pain origin in central and peripheral nervous system and summarizes facts about amputation as a surgical intervention, it's classification and possible complications. It also summarizes all familiar pharmacological and nonpharmacological medical approaches used for phantom limb pain treatment. The main part is focused on three currently most effective methods used to treat phantom limb pain in physiotherapy - mirror therapy, virtual reality and transcutaneous electrical nerve stimulation. Next part of this thesis is two case interpretations of patients with lower limb amputation. Both patients undertake six weeks of mirror therapy and they described it's effect as positive. The efficiency has been evaluated according to a questionnaire.
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Performance measuring of individuals with physical handicap
Vít, Ondřej ; Kálal, Jan (advisor) ; Radvanský, Jiří (referee)
The thesis is focused on the measurement of the energy consumption during the locomotion of the mobility disabled (riding a wheelchair a walking with 2 point support - crutch). The probands were handicapped by partial amputation of lower limb based on the vascular cause which represents approximately 90 percent of all amputations done in the Czech Republic. The thesis also presents a brief classification of amputations according to the extent of the separation, the history of amputations and the main etiologic factors leading to amputation. In the result section the measured data are discussed. In the last part of the thesis, the conclusions are discussed and compared to information available from similar studies. Powered by TCPDF (www.tcpdf.org)
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Incidence and management of muscle imbalances in physically active and inactive populations: Objective rehabilitation solutions for populations with nonspecific back pain
Šmejkal, Jiří ; Zeman, Václav (advisor) ; Topolčan, Ondřej (referee) ; Kálal, Jan (referee)
v anglickém jazyce: Incidence and management of muscle imbalances in physically active and inactive populations: Objective rehabilitation solutions for populations with nonspecific back pain Summary Totally 258 patients with chronic low back pain aged 51,5 +8,4 years were treated for three weeks in the Rehabilitation Centre focused on lumbar back pain. We observed incidence of muscle dysbalances and accomplished their exact objectiveness using the Tergumed system. We tried to compare and solve their mutual influence during the rehabilitation treatment. We compared differences between physically active and physically inactive population, the impact of total motivation,age and other factors on the improvement of strenght, motion, dysbalances and total pain relief.Significant improvement of movement and muscle strenght p <0,001 were documented on the Tergumed in three weeks.The physically active population and patients motivated.by using the Tergumed preferred active exercises to passive therapy. We also observed improvement in finger-floor distance and reduction of pain, documented by the visual analogue scale, decrease in body weight and cholesterol level (p <0,001). In three- week observation nor significant changes in muscle dysbalance, neither their differences according to sex,age ,chronical...
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Basal metabolic rate, dietary intervention and nutrients producing nociceptive pain in individuals with spinal cord injury
Chaloupková, Eva ; Heller, Jan (advisor) ; Bartůňková, Staša (referee) ; Kálal, Jan (referee)
Title: Basal metabolism and nutritional intervention for people with spinal cord injuries Objectives: The main objective of this work was empirical research of case evaluation studies (n = 3), where we analyzed: the relationship between energy expenditure (basal metabolism) and energy intake for people diagnosed with spinal cord injury (SCI). The secondary objective was to determine whether the changes in macronutrient distribution and daily energy intake would result in a decrease in body weight and body fat for individual probands. The pilot study in our work was focused on the overview of variable basal metabolism (BM) values for people with SCI. Methods: In our work, we used the method of indirect calorimetry to measure BM and together with the value of working metabolism we determined in the nutritional intervention (n. i.) the ideal energy intake for our probands. We observed primarily measurable changes in the amount of fat and muscle tissue. Results: We have found that, in keeping with the prescribed n. i. rules, all probands achieved to reduce their body weight. The average body weight loss for probands was 0.29 ± 0.02 kg per week. BM values in our pilot study were 15 to 61% lower for our probands (n = 15) and did not correlate with the height of SCI. Key words: spinal cord injury (SCI),...
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Basal metabolic rate, dietary intervention and nutrients producing nociceptive pain in individuals with spinal cord injury
Chaloupková, Eva ; Heller, Jan (advisor) ; Bartůňková, Staša (referee) ; Kálal, Jan (referee)
Title: Basal metabolism and nutritional intervention for people with spinal cord injuries Objectives: The main objective of this work was empirical research of case evaluation studies (n = 3), where we analyzed: the relationship between energy expenditure (basal metabolism) and energy intake for people diagnosed with spinal cord injury (SCI). The secondary objective was to determine whether the changes in macronutrient distribution and daily energy intake would result in a decrease in body weight and body fat for individual probands. The pilot study in our work was focused on the overview of variable basal metabolism (BM) values for people with SCI. Methods: In our work, we used the method of indirect calorimetry to measure BM and together with the value of working metabolism we determined in the nutritional intervention (n. i.) the ideal energy intake for our probands. We observed primarily measurable changes in the amount of fat and muscle tissue. Results: We have found that, in keeping with the prescribed n. i. rules, all probands achieved to reduce their body weight. The average body weight loss for probands was 0.29 ± 0.02 kg per week. BM values in our pilot study were 15 to 61% lower for our probands (n = 15) and did not correlate with the height of SCI. Key words: spinal cord injury (SCI),...
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The Effect of Adapted Exercise Programs on Musculoskeletal System of Lower Limb Amputees
Sobotková, Ivona ; Hošková, Blanka (advisor) ; Pyšný, Ladislav (referee) ; Kálal, Jan (referee)
The subject of this dissertation was the creation of the adapted exercise program for unilateral transfemoral amputees and its verification in practice. The content of this program was chosen based on the practical experience and theoretical background in the field of anatomy, kinesiology, rehabilitation, lower- limb amputations and Motion Capture technologies. The four-month intervention program was designed as an adapted corrective exercise aimed at the major muscle groups influencing the posture, especially the position of the pelvic segment, which is the dominant element in the kinematic chain. The aim of this project was to ascertain whether this intervention can affect the pelvic tilt (in frontal and sagittal plane) of unilateral transfemoral amputees and so improve their quality of life. This was a project based on combination of quantitative and qualitative research methods. The measurement of the size of angles determining the pelvic tilt by Qualisys optoelectronic system was the essence of the quantitative part of the research. Qualitative data were collected through semi-structured in-depth interviews from persons who completed whole project. This research is by its nature and focus characterized as a set of case reports and as a pilot study, proof of concept respectively. 10 unilateral...
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