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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.
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Possibilities of influencing blood pressure in spinal cord injury patients during verticalization
Věchetová, Tereza ; Schreier, Bronislav (advisor) ; Slabý, Kryštof (referee)
Orthostatic hypotension is a common problem for individuals with spinal cord lesions, especially in the acute period after spinal cord injury. The first part of this study deals with the theoretical analysis of the pathophysiology of cardiovascular control after spinal cord injury, the definition of orthostatic hypotension and its inclusion within the classification of the syncopal conditions. An important part of the theoretical part is the management of orthostatic hypotension, which brings non-pharmacological therapeutic approaches, and marginally pharmacology, to decrease the severity of this condition. The experimental part focuses on testing of a group of probands with spinal cord injury (11 quadriplegics) on two different types of tilt tables according to the same protocol. The first tilt table is a standard; the second one is Erigo, tilt table with integrated robotic mechanism, which moves the legs to simulate walking. The parameters, such as blood pressure, heart rate, oxygen saturation, and the occurrence and severity of pre-synkopal symptoms, were compared. The study is based on the assumption that passive leg movement, which is mediated by the Erigo, will maintain venous return, cardiac output, and a significant drop in blood pressure and development of orthostatic hypotension,...
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Etiopathogenesis of the groin pain, diagnostics and therapy
Herlová, Simona ; Valouchová, Petra (advisor) ; Schreier, Bronislav (referee)
This theses sums up findings about etiopathogenesis of particular causes of groin pain, its diagnostics and its therapy. The work, for your easier orientation in it, is devided up into four groups described us: hip joint disorder, inguinal hernia, sportsman's injury and referred pain. The diagnostics part describes the examination for the motional stereotype of the hip joint and examination of the deep stabilizing muscles. Powered by TCPDF (www.tcpdf.org)
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The effect of unstable ankle bone on the stability of standing and walking
Schořová, Jitka ; Pelc, Tomáš (advisor) ; Schreier, Bronislav (referee)
The diploma thesis "The influence of chronic ankle instability on postural stability of standing position and gait" deals with the theme of the chronic ankle instability and its role in gait and maintaining the postural stability. In the theoretical partis summarised basic kinesiology of the ankle joint and gait analysis, which is esspecially focused on muscles cooperationand movements in ankle joint. Furthermore, there is gathered knowledge about chronic ankle instability etiology. In the research part were twenty active sportsmen chosen and were devided into two groups. The first group included ten subjects with chronic ankle instability. The second group included ten subjects as a control. The aim of this research was to evaluate the relation between chronic ankle instability and subject ́s movement in the ground, its gait cycle and the loading respons of the lower legs. For the measurement and the objectivisation of chosen parameters were used specific tasks on stabilometric platform the Balance Master® System and the FDM platform®. We suggested significant differencies between the two groups. Powered by TCPDF (www.tcpdf.org)
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Retrospective investigation of success shockwaves therapy for heel spurs
Baxová, Dana ; Schreier, Bronislav (advisor) ; Demeková, Júlia (referee)
This thesis deals with shock waves and examines the efficiency of shock wave therapy in the diagnosis of heel spurs. The thesis contains a summary of theoretical knowledge about the shock waves, their physical principles, history, description of the shock wave generators, action and its effect on the body. Aim of the thesis was to assess whether there was a significant change in mean values of pain by VAS (visual analogue scale of pain ) before and after shock wave therapy for heel spurs. Furthermore was examined whether the changes in mean values of pain by VAS after shock wave therapy in a group of patients who have completed previous other therapy and another group that has not completed previous therapy are different. Methods: Data collection for statistical processing was carried out during November and December 2012. The research group included 141 patients. Have been demonstrated changes in pain by VAS before and after shock wave therapy . Results: In our study we demonstrated that the shock wave therapy was a significant reduction in pain by VAS. Conclusion: Is appropriate and legitimate using shock wave therapy in the diagnosis of heel spurs .
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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.
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