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Neurorehabilitation after brain injury. Therapeutic possibilities.
Angerová, Yvona ; Lippertová-Grünerová, Marcela (advisor) ; Jeřábek, Jaroslav (referee) ; Kozler, Petr (referee)
Neurorehabilitation is a multidisciplinary rehabilitation process used in patients with neurological diseases. These patients have not only movement disorders but also cognitive and neurobehavioral problems as well as aphasias. Their rehabilitation is a long term process and the results are often unsatisfactory. Neuroplasticity - physiological basis for neurorehabilitation induces functional restitution or recovery after secondary brain damage. Various neuroprotective substances (e.g. erythropoietin - EPO) are tested to empower mechanisms of plasticity after brain injury. Preclinical studies testing efficacy of those substances in animal brain damage models are essential to prepare clinical trials. The aim of the study was to reveal the influence of EPO combined with rehabilitation on functional outcomes after global cerebral hypoxia. FIM (Functional independence measure) test was used for functional evaluation and Meilli test for visual memory of the patients who attended special program for rehabilitation in clinical part. Patients who came earlier had better prognosis than patients who came later. In experimental part three-months old male Wistar albino rats were exposed to hypobaric hypoxia for 60 minutes in an experimental chamber, simulating an altitude of 8000 m. Half of the animals received...
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The Influence of Virtual Reality on Psychosomatic State of Patients with Spinal Cord Injury
Nosková, Kateřina ; Pánek, David (advisor) ; Maršáková, Kateřina (referee)
The Aim of the Study: The aim of this diploma thesis is to capture the change of clinical state of patients with spinal cord injury while watching videos of virtual reality fot three 3 months using ASIA assessment. The goal is to determine the effect of the change of clinical state on the patient's quality of life while using SQUALA and on their imagery ability (WIAQ) while a therapeutic video of virtual reality is regularly played through virtual reality headset. Methods: The research was conducted with 7 probands (n=7, 5 males, 2 females) aged between 31 and 61 years (the average age of 49,6 years), which regular visitors of Centrum Paraple, o. p. s. The propands who participated in research suffer with incomplete spinal lesion. Before any intervention the probands were assessed by ASIA, standardised assessment to estimate neurological level of spinal lesion by assigning the number of motor and sensitive points in each segment. The assessment was conducted by proffessional and specificly trained staff of Centrum Paraple, o. p. s. Furthermore the probands completed the psychological questionnaires to evaluate their quality of life (SQUALA) and imagery ability of the movement (WIAQ) in the pacient with spinal cord injury. As in the beginnig, so in the end of the research the ASIA was conducted once...
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Hand Tutor therapy and its effect on band function in patients with multiple sclerosis
Kulíšková, Kamila ; Uhlířová, Jaromíra (advisor) ; Novotná, Klára (referee)
Introduction: Multiple sclerosis is a chronic autoimmune neurodegenerative affection of the central nervous system with various neurological symptoms. Disability of upper extremities with other symptoms leads to impaired ability to work and ADL-activities of daily living. The purpose of the pilot study was to evaluate the effect of hand training with the Hand Tutor® rehabilitation system. Methods: The study involved 9 probands, completed 6 probands (2 females and 4 males) at an average age of 36 (SD 4), with a mean disease duration of 13 years (SD 4). Patients received a series of 10 Hand Tutor® therapies, 1-2 times a week. The effect of the therapy was evaluated using the Nine Hole Peg Test (9HPT), the Modified Frenchay Scale and the subjective evaluation of the probands. Results: Before the therapies, the average performance in the 9HPT test was 85 seconds and 83 points in the Modified Frenchay scale. After the therapies, the average 9HPT performance was 67 seconds and 86 points in the Modified Frenchay scale. According to the subjective evaluation of probands, the therapy had a positive effect on the tremor of the upper limb and on the use of the upper limb in the ADL. Conclusion: Therapy with a special rehabilitation system provides patients with MS with more intensive hand training using...
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Current Trends in Physiotherapy in Patients with Brain Damage in the Early Stage of the Disease
Hlobilová, Magdaléna ; Gueye, Tereza (advisor) ; Michalčinová, Klaudia (referee)
Author: Magdaléna Hlobilová
Tutor: MUDr. Tereza Gueye
Opponent:
Title of bachelor thesis: Current Trends in Physiotherapy in Patients with Brain Damage in the Early Stage of the Disease Abstract:
This bachelor thesis deals with current trends in physiotherapy in patients with brain damage in the early stage of the disease. The aim of this thesis is to gather information about commonly used and unconventional methods in physiotherapy after stroke and to evaluate some of the methods in practice.
The thesis is divided into theoretical and practical part. The theoretical part summarizes the knowledge about stroke and then includes methods that are used in physiotherapy in patients after stroke. These methods consist of conventional and unconventional approaches in physiotherapy. The practical part includes the thesis aim, methodology and three case studies of patients after stroke. The therapy is focused on the use of the Homebalance system, Mirror therapy and the Armeo®Spring device. Each of the patients underwent one of therapies mentioned above. In the practical part the usability of these therapies is also evaluated.
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Current Trends in Physiotherapy in Patients with Brain Damage in the Early Stage of the Disease
Hlobilová, Magdaléna ; Gueye, Tereza (advisor) ; Drábová, Zuzana (referee)
bakalářské práce Author: Magdaléna Hlobilová
Tutor: MUDr. Tereza Gueye
Opponent:
Title of bachelor thesis: Current Trends in Physiotherapy in Patients with Brain Damage in the Early Stage of the Disease Abstract: This bachelor thesis deals with current trends in physiotherapy in patients with brain damage in the early stage of the disease. The aim of this thesis is to gather information about commonly used and unconventional methods in physiotherapy after stroke and to evaluate some of the methods in practice.
The thesis is divided into theoretical and practical part. The theoretical part summarizes the knowledge about stroke and then includes methods that are used in physiotherapy in patients after stroke. These methods consist of conventional and unconventional approaches in physiotherapy. The practical part includes the thesis aim, methodology and two case studies of patients after stroke. One of the patients was using a stabilometric platform Homebalance and the other one has therapy with system Armeo®Spring. In the practical part, there is also evaluation of use of these therapies in practice.
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Occupational therapy within interprofessional collaboration in community - based rehabilitation for people after brain damage
Ptaková, Silvie ; Krulová, Anna (advisor) ; Rodová, Zuzana (referee)
As a result of rapid development in Emergency Medicine and Intensive Care the patients with brain damage have better chances of surviving than they had in the past. However the survivors need to deal with severe loss of function and consequences resulting from that. An excellent primary care for patients who suffer from strok is provided in Czech Republic, the rehabilitation on the other hand is insufficient. The main problem is an absence of continuity of care which leads to aneffective outcomes and increase of total costs of treatment The purpose of this diploma theses was to evaluate the possibilities of occupational therapist of interprofessional collaboration in community based rehabilitation - in client's home environment. There are several categories of brain damage including acquired brain injury, genetic brain disorders and brain damage acquired during labor. The goal was to detect basic deficient fields. Results of this thesis based on knowledge from foreign literature as well as own experiencis in the team. Results might be used as basis for designed guidelines to improve situation. One client with degenerative brain disorder and five with acquired brain injury which live in home environment were selected. Three months long therapy was provided to them, occupational therapist as case...
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Aftercare of patients with brain damage
OLIVOVÁ, Tereza
This thesis is focused on the problematics of aftercare in patients with brain damage. The thesis has an informative character and its aim is to introduce the problematics to the readers and give them valuable advices. This topic has come to the fore of the interest of the professional and general public especially in recent years. Partly because numbers of brain damage especially those of the traumas are increasing, but also because of the development of acute medicine, which is nowadays at a very high level, there is an increase in the number of patients who survive brain damage. However, the problem is a large quantity of these patients have permanent consequences, and they and their closest neighbors have to deal with. These permanent consequences are manifested as cognitive impairment, impairment of sensory functions, physical disability and changes in behavior and emotions. Following care in patients with brain damage is a major problem in our country. We see the problem especially in the continuity and availability of care for locally available services and rehabilitation care for these individuals. The continuity of care after the patient is released from the acute bed is very low and sometimes chaotic. To obtain the necessary informations for thesis and to achieve the goals, it was necessary to study a large amount of professional literature. Used sources are specialized Czech and foreign literature, professional journals and articles searched in professional databases. This thesis should show the possible problems of patient aftercare with brain damage. The results of the thesis can be used as a subsidy to professional conferences, seminars or courses to deal with the issue. The thesis could increase public interest about this topic.
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The Application of Robot-Assisted Therapy in Patients after Brain Injury in the Acute Phase. Subtitle: With Application of PABLO Instrument.
Gašparová, Pavlína ; Oktábcová, Alice (advisor) ; Marková, Olga (referee)
BACHELOR THESIS ABSTRACT Name, Surname: Pavlína Gašparová Thesis supervisor: Mgr. Alice Oktábcová Thesis opponent: Title of the Bachelor Thesis: The Application of Robot-Assisted Therapy in Patients after Brain Injury in the Acute Phase: With Application of PABLO Instrument Abstract: Brain vascular diseases are the second most common cause of hospitalization in the Czech Republic. As a result of their effect, the upper limb may suffer from typical motor and sensory disorders which reduce independence and self-reliance of the patient. To enhance motor disorders, robot-assisted therapy has been used within the framework of rehabilitation in the last few years. One of the robotic devices working on the basis of virtual reality is, for example, Pablo® System, which enables intensive training of repetitive movements of the upper limb and hand grip strenght or the pinch force. The objective of this work is to discover the effects of three-week intensive rehabilitation of paretic upper limb using the robotic device Pablo® System with three selected probands in an acute phase of stroke. Evaluation of the effects of the device was made using Dynamometer Jamarâ (hand grip strenght), goniometer (active ranges of upper limb motion), modified Frenchay arm test (functional motor activity of upper limbs) and Functional...
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Use orthosis for adults with spastic upper extremity after stroke
Fialová, Tereza ; Rodová, Zuzana (advisor) ; Angerová, Yvona (referee)
The submitted diploma thesis shows overview of the problem using upper extremity orthoses for adult with spasticity after the stroke. The aim of the thesis is to explore possibilities of using orthoses at different stages of the spasticity development. The theoretical part includes main information about the important point from central motoneuron disorder, it means spasticity. There is information about materials, production, availability and usability in various types of orthoses. Main part of the theoretical section shows research studies and available literature, which interprets using kinds of orthoses in various time when the spasticity was developed. The theoretical part follows the practical part. In the practical part are demonstrated available possibilities of using orthoses for interference spasticity in the upper extremity. For the practical part were chosen three groups of patients and each group of patients represents one case study. In the thesis are represented patients in acute, subacute and chronic stadium after the stroke. In each stadium were used different kind of orthoses: neoprene brace for acute, static-progressive for subacute and static thermoplastic for the chronic stadium. The measurement neuromuscular parameters were conducted according to Five steps clinical...
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