|
|
Comparison of the effects of several physiotherapeutic methods in patients with multiple sclerosis
Emmerová, Ivana ; Řasová, Kamila (advisor) ; Angelová, Gabriela (referee)
The aim: The aim of this work is to compare the effects of different physiotherapy techniques (Motor programs activating therapy, Manual physiotherapy correction, Vojta's reflex locomotion) in patients with multiple sclerosis. Another aim is to compare the effect of continuing therapy after completion of the therapeutic program. The last aim of the study is to compare the perception of the effect of a physical therapist and the patient himself. The Method: 34 ambulant patients with multiple sclerosis were randomly divided into three groups (Motor programs activating therapy, Manual physiotherapy correction, Vojta's reflex locomotion) and underwent during two months 20 therapies. They passed the therapy 2-3 times per week, length of one therapy was 60 minutes. Clinical examination and questionnaire survey was conducted before the start of therapy, immediately after the end of the therapy program, and one month after the end of the therapy program. Results: All groups showed improvement observed parameters, but there were not indicate the significant differences between groups. Some effect of therapeutic programs persists even after cessation of therapy. Perception of the effect by physiotherapist and patient is different. In the group MPAT evaluate patient outcomes better than a therapist. Groups...
|
|
|
Physiotherapy impact on balance in multiple sclerosis
Bartušová, Tatiana ; Řasová, Kamila (advisor) ; Nováková, Tereza (referee)
Title: The effect of physiotherapy on balance in multiple sclerosis Objectives: The aim of this study is to compare efficacy between ambulatory individual physiotherapy and complex inpatient rehabilitation in people with multiple sclerosis on balance and subjective evaluation of general health. In ambulant program to compare effect of different physiotherapeutic methods (Motoric program activating therapy, Manual physiotherapy correction, Reflex Locomotion according to Vojta). Methods: A combined design of study. Ambulant program has randomised assessor blind design, in which subjects were divided into one of the three groups of ambulatory physiotherapy. A clinical study without control arm design is used in case of comparison between complex and ambulatory program. Results were analysed in 45 patients with multiple sclerosis (25 subjects of ambulatory program, 20 subjects of complex program). Subjects of the ambulatory program were divided into one of the three groups of ambulatory physiotherapy (Motoric program activating therapy, Manual physiotherapy correction, Reflex Locomotion according to Vojta), in which they absolved during two months 20 therapies (2-3 times per week, length 60 minutes). Subjects of complex program underwent complex inpatient rehabilitation with duration about 21 days. The...
|
|
|
Monitoring the impact of Vojta reflex locomotion on the activity of the muscles of the shoulder girdle in patients with subacromials impingement syndrome by surface electromyography
Myslivcová, Kateřina ; Valouchová, Petra (advisor) ; Slabý, Kryštof (referee)
This diploma thesis is focused on the observation of influence of Vojta's reflex locomotion on the activity of shoulder girdle's muscles at patients with the subacromial impingement syndrome. We examined ten patients with the subacromial impingement syndrome as well as twenty asymptomatic individuals. We evaluated the impact of just one Vojta's reflex locomotion therapy on the activity of muscles using the Method of the Surface Electromyography. At the same time we evaluated if the reaction on the therapy had some impact on measured values. The therapy always took at least time necessary to obtain any reaction of each of the individuals, although the maximum limit of the therapy was 32 minutes. The impact of Vojta's reflex locomotion therapy had not statistical importance with regard on changes of muscle activity after and before the therapy, with regard on the symmetry of muscle activity, as well as the difference of beginning of activation of every muscle before and after the therapy. The statistical importance was influenced just by the corporeal disposition of every measured individual, which was observed on the timing. The influence of the corporeal disposition on the average measured values with regard of the left - right side symmetry has no statistical importance. The statistical...
|
|
| |
|
|
Effects of Vojta's reflex locomotion on lung function
Drábková, Lenka ; Smolíková, Libuše (advisor) ; Bitnar, Petr (referee)
Introduction: The aim of this thesis is to answer a question if it is possible to influence ventilation parameters with an application of Vojta's reflex locomotion, which is one of the neurophysiologic techniques. The thesis confronts actual knowledge and relation between respiratory and postural function of "respiratory" muscles and the diaphragm and possibility of its reflex affection. Methods: With a spirometry we assess the impact of short-time activation of Reflex locomotion on the lung functions in a group of 21 healthy subjects in age 18 - 33 years. The study evaluates the effect of activation in two situations. First, it is instantaneous effect of Vojta's method on lung function. Second situation is the assessment of the time duration of evoked effect of activation and make out, if the changes are seen also after 25 minutes over the end of Vojta's stimulation. Results: Based on the interpretation of the both monitored situations, we set up an observation that short time activation of Vojta's reflex therapy has an effect on respiratory mechanics and thus on the spirometric values. At the other side we realize that not all of the changes were significant and some of them were unadvisable. Moreover all of them had very short persistency, after 25 minute none of the observed changes of lung...
|
|
|
Verification of the effects of Vojta's reflex locomation in patients with peripheral paresis of the facial nerve
Dvořák, Martin ; Valouchová, Petra (advisor) ; Horáček, Ondřej (referee)
This thesis summes up findings concerning the pathogenesis, clinical picture, diagnostic, and the therapy of peripheral paresis of the facial nerve, with accent on physiotherapeutical methods of treatment of such disorder. Here is also a description of Polyelectromyography that could become one possibility how to objectively judge the differences in the activation of mimical muscles in patients diagnosed with peripheral paresis of the facial nerve during various kinds of mimical movements. The practical part is concerned with and is talking about the use and application of my knowledge of the theory in practice with providing therapy to my patients suffering from peripheral paresis of the facial nerve by applying Vojta's reflex locomotion. The immediate effect of the therapy is here objectively and in detail analysed and described. Powered by TCPDF (www.tcpdf.org)
|
|
|
Influence of deep stabilizing system on obstructive lung disease
LUKŠÍKOVÁ, Klára
This Bachelor Thesis tries to solve the question whether the activation of the deep stabilization system has got any provable influence on obstructive lung diseases. It is based on clinical experience that points to a positive influence of the deep stabilization system on respiration. The aim of this thesis is a spirometric observation of resting breathing and respiratory rhythm which come about after the activation of the deep stabilization system when Vojta reflex locomotion method has been used to arouse this system. The theoretical part briefly summarizes findings about respiratory physiology and kinesiology; it deals with pathophysiology and pathokinesiology of obstructive air passages with a focus on asthma bronchiale. One of the chapters deals with spirometric examinations. Then there is a description of the deep stabilization system from the point of view of the influence on respiratory functions and a possibility of his activation through Vojta reflex locomotion. For the practical part of the thesis I chose qualitative strategies of research. Acquired data were based on 5 case interpretations which included anamnestic information and kinesiologic analysis of probands suffering from obstructive lung diseases. The main part of the research was built up on spirometric measuring of resting breathing, observation of changes in respiratory rhythm and changes in time proportions between inhalations and exhalations during three different situations. In the first situation there were no interventions in proband's breathing. In the second situation the proband was measured in the position of decentration. The third situation involved measuring after the activation of the deep stabilization system through Vojta reflex locomotion. The analogue scale of subjective perception of respiratory state was also included in the research. Evaluated data of the spiriometric measurements of resting breathing did not bring anticipated results. A positive result was recorded only at the changes of respiratory rhythm and a subjective perception of easier breathing was proved after the stimulation of Vojta reflex locomotion. The respiratory rhythm changes were dependent on postural situations. In the position of decentration the number of breaths increased, on the contrary the number of breaths decreased after the stimulation of Vojta reflex locomotion. When observing the subjective perception of respiratory state there was a shift on the analogue scale to a better position by 23.18 mm after the stimulation of Vojta reflex locomotion. Results in measurements of the time proportions between inhalations and exhalations were highly disparate.
|
|
|
Physiotherapy for children threatened by the developing CP in the 1 year of life
ŠPIKOVÁ, Alžběta
In my bachelor thesis I have dealt with the problematic therapy of children with cerebral palsy. The aim has been defined as a presentation of therapeutic methods used at children endangered by cerebral palsy in the first year of life and the determination of the time aspect of the therapy. In the theoretical part I have dealt with the topic of psychomotor development of a child and the facts related to coming down with cerebral palsy, that includes its definition, causes of development, types and diagnosis. Since the most widely used method in the Czech Republic for children with cerebral palsy is Vojta´s reflex locomotion, the aim of the research part was to present this method in more detail and to find out experience with its use. The respondents were represented by 28 parents of children afflicted by cerebral palsy, who are treated in special diagnostic Center. This part of the work is methodologically based on the principles of qualitative research. Inquiry method has been used, employing semi-structured interview. The answers to questions demonstrate that an early diagnosis of the disease and an immediate institution of treatment is the main necessary condition for reaching optimal outcomes of the treatment. According to the research, the efficiency of the treatment also depends on its frequency, the expert guidance of professional physiotherapists for parents, their comprehension and conviction that the therapy will be successful. The investigation further showed that parents of children with cerebral palsy tried other therapeutic methods than Vojta´s reflex locomotion, but for lack of cooperation of the child, negligible results of other therapies or poor availability of their parents completed the application. The research findings also showed that improvement, which in practice Vojta´s reflex locomotion in their children diagnosed with cerebral palsy occurs, the main reason for this therapeutic method remain and will continue to apply.
|
guest ::
