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Hand training in people with multiple sclerosis in home enviroment
Boudová, Alžběta ; Novotná, Klára (advisor) ; Klimošová, Sylva (referee)
BACHELOR THESIS ABSTRACT Name, Surname: Alžběta Boudová Supervisor: Mgr. Klára Novotná, Ph.D. Consultant: Mgr. Eliška Rotbartová Title: The practice of a hand functioning in patients suffering from multiple sclerosis at their home environment Abstract: The bachelor thesis focuses on the training of hand function in patients with multiple sclerosis in the home environment. Multiple sclerosis is an autoimmune disease leading to demyelination of nerve fibres and their subsequent loss. The aim of the bachelor thesis is to compare the feasibility and effect of different types of therapies aimed at improving upper limb function in people with multiple sclerosis. The types of therapy include conventional outpatient occupational therapy intervention, outpatient intervention with elements of music therapy, telerehabilitation occupational therapy intervention, telerehabilitation intervention with elements of music therapy. The bachelor thesis contains a practical part and a theoretical part. The theoretical part describes the disease multiple sclerosis, risk factors, clinical picture, forms of the disease and treatment options. It also deals with the function of the upper limb and the possibilities of assessment, the possibilities of training hand function are mentioned. Methods of telerehabilitation and music...
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Use of the Feldenkrais Method in the occupational therapy
Švábenická, Michaela ; Sládková, Petra (advisor) ; Klimošová, Sylva (referee)
BACHELOR THESIS ABSTRACT Name, surname: Michaela Švábenická Thesis supervisor: MUDr. Bc. Petra Sládková, Ph.D. Bachelor thesis title: Use of the Feldenkrais Method in the occupational therapy Abstract of the bachelor thesis: The Feldenkrais Method (FM) intervention uses body awareness and movement to induce a process of active learning aimed at achieving functional independence and a desired level of quality of life for the individual. The same is also the interest of occupational therapy, which focuses specifically on issues of self-sufficiency and the ability to participate in activities that are meaningful to the individual. FM has a wide range of applications, can be applied to people of different ages, with different types and stages of disability and can be described as a non-invasive method of neuromodulation. However, the use of FM by occupational therapists has not yet been recorded in the Czech Republic. The aim of this thesis is to investigate how FM can help patients from the perspective of occupational therapy and to describe it professionally through a review and suggestion of selected FM elements useful in occupational therapy and their application in a heterogeneous group of patients. This is a qualitative research based on the voluntary participation of four diagnostically different...
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The effect of Iyengar yoga practice on patients with multiple sclerosis
Vodičková, Jitka ; Ježková, Martina (advisor) ; Klimošová, Sylva (referee)
Bibliographical record VODIČKOVÁ, Jitka. The effect of Iyengar yoga practise on patients with multiple sclerosis. Prague: Charles University, 2nd Faculty of Medicine, Department of Rehabilitation and Sports Medicine, 2022. 220 p. Supervisor Mgr. Martina Ježková. Abstract This longitudinal clinical study examines the overall impact of Iyengar yoga practice on patients with multiple sclerosis rated 5.5-7.5 on the EDSS scale. The theoretical part outlines the issues of multiple sclerosis. Then the basic principles of yoga are introduced, and the various modifications of the postures used in yoga therapy in our study are described and illustrated. The paper outlines the mechanisms by which yoga can influence individual symptoms of multiple sclerosis. The practical part consists of case reports of five patients who attended Iyengar yoga sessions for three months and were followed up for a total of seven months. The aim was to clarify how the condition of patients with multiple sclerosis develops with the restriction or complete cessation of physical activity, what effect the practice of Iyengar yoga has on the patients and whether this effect persists for two months after the cessation of the practice. The second part focuses on the comparison of the change in the observed parameters in different patients with...
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The Role of Occupational Therapy in Duchenne Muscular Dystrophy
Janatová, Adéla ; Rodová, Zuzana (advisor) ; Klimošová, Sylva (referee)
Author of bachelor thesis: Adéla Janatová Thesis supervisor: Bc. Zuzana Rodová, M.Sc. Title of bachelor thesis: The Role of Occupational Therapy in Duchenne Muscular Dystrophy Abstract of bachelor thesis: Duchenne Muscular Dystrophy is the most common childhood neuromuscular disease and is characterised by progressive symmetrical muscular weakness of the girdle and trunk muscles. This disease is linked to the X chromosome and therefore affects mostly males. This progressive muscular disease gradually leads to limited mobility and high dependence in activities of daily living. Boys with Duchenne Muscular Dystrophy need constant care based on a multidisciplinary approach. Around age 10, because of the progression of the disease, they lose the ability to walk independently and they become dependent on a wheelchair. In the second decade of their lives the weakness spreads to the upper limbs, their lung capacity decreases, and cardiac abnormalities begin to appear. Individuals with Duchenne Muscular Dystrophy have a life expectancy of about 35 years. The goal of this bachelor thesis is to describe the role of occupational therapy in Duchenne Muscular Dystrophy and to show its irreplaceability. The theoretical part of this bachelor thesis describes the general issues concerning the prevalence of the...
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The Inter-rater Reliability of the Nine Hole Peg Test in Patients with Multiple Sclerosis
Rotbartová, Eliška ; Rybářová, Kateřina (advisor) ; Klimošová, Sylva (referee)
Author: Bc. Eliška Rotbartová Supervisor: Mgr. Kateřina Rybářová Title: The Inter-rater Reliability of the Nine Hole Peg Test in Patients with Multiple Sclerosis Abstract: Introduction: The Nine Hole Peg Test (NHPT) is used by occupational therapist as a standardized tool which evaluates fine motor skills and manual dexterity. The aim of this thesis was to establish the inter-rater reliability and variability of the results of the NHPT administered according to the Czech extended version of the manual in patients with multiple sclerosis (MS). Methods: 33 probands with MS (27 females, 6 males) were tested by NHPT. Video recordings taken during testing were analyzed by two independent raters. Pearson correlation coefficient was used for statistical data processing. Recording sheets from the testing were analyzed in order to determine invalidated trials for each subtest and reasons for the invalidation. Results: A very high positive correlation was established for inter-rater reliability (0,999902 to 0,999965) and variability of the results (0,999902 to 0,999965). The invalidation of trials was most frequent in the 2nd trial of the dominant hand (24.24% of 33 trials). The least frequent was in the 3rd trial of the non-dominant hand (6.06%). The most frequent reasons for invalidation of trials were:...
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Body Scheme Perception Evaluation in Stroke Patients
Šímová, Klára ; Rejtarová, Anna (advisor) ; Klimošová, Sylva (referee)
Title: Body Scheme Perception Evaluation in Stroke Patients Abstract: This theoretical thesis provides a comprehensive view of the area of body perception disorders in occupational therapy practice with emphasis on the diagnosis of this disorder in patients after a stroke. The introduction describes the issue of stroke, body scheme, including its disorders, the effects of these disorders and the possibilities of occupational therapy intervention. The main part of the work consists of outputs containing an overview of diagnostic methods created on the basis of a systematic search. The result of this overview is a table that summarizes the basic characteristics of the detected diagnostic tools. The work also includes a one-way translation by Catherine Bergego Scale - specifically a functional evaluation of personal (peripersonal and extrapersonal) neglect and a self-assessment questionnaire revealing anosognosia in neglect. Key words: body scheme perception disorders stroke occupational therapy evaluation
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