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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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Special Educational Intervention in Children with Specific Language Impairment in the Kindergarten
Vávrová, Miriam ; Klenková, Jiřina (advisor) ; Zemková, Jaroslava (referee)
This Masters thesis focuses on issues of Specific Language Impairment - SLI of children of pre-school age. It monitors and evaluates development of their communication and motor skills during their time in kindergarten. The theoretical part focuses on defining basic terms which relate to communication and communication disorder with the emphasis on SLI. The psychomotor and communicational development of child from birth to entering school is described too. Also how this all affected creating the Framework Educational Programme for preschool education. The aim of the empirical part was to observe four children with SLI during their attendance at a pre-school for children with specific needs. Speech and psychomotor development of these children and its changes in connection to their teachers' intervention was observed. Part of the research included interviews with children's parents and those are also evaluated. The survey was done by the qualitative method. We get four case histories. At the end was evaluated the aims of the survey and answered questions asked and summarized the results of my investigation.
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Objectification of disorders fine motor skills of the upper extremities in patients with hereditary neuropathies
Nývltová, Marcela ; Kobesová, Alena (advisor) ; Kraus, Josef (referee)
In the first part of the thesis Objectification of disorders of the fine motor skills of the upper extremities in the patients with hereditary neuropathies there are mentioned some brief informations about characteristics, classifications, clinical symptoms, deformities and testing of upper extremities, rehabilitation and treatment of CMT neuropathy. The practical part of this thesis is concerned with testing and evaluating of strength, fine motor skills and sensation of the upper extremities in the patients with CMT. For the measurement of the hand strenght the dynamometry and the functional muscle test are used. The Jebsen-Taylor test, the Nine-Hole Peg Test and the examination of static and dynamic handgrip rating are used. For the examination of the sensation the Nottingham Sensory Assessment is used. CMT neuropathy score and Overall Neuropathy Disability Scaleare are used for the classification of disability. The aim of this thesis is the comparison of the muscle strength and the function of the dominant and non-dominant hand. Partial aim of thesis is detection of the correlations between tests. According to the results CMT disease leads to the muscle strenght weakness and to worsening of the fine motor skills mainly of the dominant upper extremity. This may be the result of overwork weakness. For...
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Motor performance of pupils with attention deficit hyperactivity disorder (ADHD).
Otipková, Zuzana ; Lejčarová, Alena (advisor) ; Musálek, Martin (referee)
Title: Motor performance of pupils with attention deficit hyperactivity disorder (ADHD). Objectives: The aim of the work was to determine the level of fine and gross motor skills of upper extremities of the pupils with diagnosis ADHD at schools specialized on these pupils and compare it with the fine and gross motor skills of upper extremities of children without this diagnosis at common elementary school. Further work objective was to determine the level of gross motor skills of lower limbs and laterality of paired organs (hand - foot) within above mentioned groups of pupils. Methods: To determine the level of fine and gross motor skills of upper extremities, gross motor skills of lower limbs, laterality of the upper and lower extremities of the pupils with and without ADHD aged 9-11 years we used these types of tests: "Spiral", "Dotting test", "Beads" (the level of fine motor skills of the upper extremities); "Pack", "Small plate tapping", "Big plate tapping" (the level of gross motor skills of upper extremities); "Tapping the leg" (the level of gross motor skills of the lower limbs); "Typing out the Rhythm" (the laterality of the lower limbs); "Bell" and "Matches" (the laterality of the upper extremities). Results: The fine motor level of dominant hand was in the case of ADHD diagnosed pupils...
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Development of fine motor skills in preschool children with grafomotorics problems
Tůmová, Barbora ; Špačková, Klára (advisor) ; Francová, Veronika (referee)
This diploma thesis is focused on children with grafomotorics problems at preschool age, especially on inappropriate grip of handwriting tools. The target was to put together and implement in practice the intervention programme focused on fine motor skills development. Based on the results of testing tasks evaluating the degree of children grafomotorics skills the three significant groups were made. The first group (control group) was comprised of children without noticeable grafomotorics skills problems. The other two groups were comprised of children with grafomotorics skills problems (experimental groups). One of the experimental group was target of mentioned tranining programme for fine motor skills development. At the programme end all three significant groups were again examined by criterion-referenced test. The impact of intervention programme and its implementation in practice under everyday conditions of nursery school was discussed.
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Activities with the paper in education programs pre-primary education
Kučerová, Renáta ; Vodáková, Jitka (advisor) ; Reitmayer, Ladislav (referee)
Abstact The diploma thesis aims to develop the theme "Activities with the paper in education programs pre-primary education", evaluates the importance of these activities for development of fine motor skills and connections to general educational program for preschool education in the Czech Republic. Through survey the thesis examines the experiences of the kindergarten teachers with realization of activities with paper during their work with children and also current status of necessary equipment for this work in kindergarten. The practical section of this diploma thesis summarizes the experiences with realization of an annual project called "We form with paper", in mixed-age class of the kindergarten.
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Determination of fine motor skills in patients after traumatic brain injury with Purdue Pegboard
Kaňková, Hana ; Krivošíková, Mária (advisor) ; Rodová, Zuzana (referee)
of diploma thesis: Objective In the Czech republic there is no normative data for Purdue pegboard test in any reprezentative group of people. First goal of this diploma thesis is to determine basic normative data Purdue pegboard test in not representative sample of people with traumatic brain injury at the age of 22-40 years in chronic phase. Second goal is to determine clinical utility of Purdue pegboard test in this clinical population group of people. The Student t-test and ambiguity proportion was used to statistic analyse the hypothesis. As a graphic processing was choosen the linear equation with the image of the Gaussian curve. There are analysed 3 case studies about people with traumatic brain injury to accomplish second goal. There is no significant difference in Purdue pegboard test score in employed and unemployed people with traumatic brain injury, equally to women and men with traumatic brain injury. There is evidence, that age influence score of Purdue pegboard test in men with traumatic brain injury, but not in women with traumatic brain injury. There are presented basic norms of Purdue pegboard test in people with traumatic brain injury in standard and percentile scale in this thesis. Normative data in people with traumatic brain injury makes easier to work with this clinical...
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Effect of hyperbaric environment on fine motor skills
Les, Martin ; Vondrášek, David (advisor) ; Dvorský, Jaroslav (referee)
Title: Effect of hyperbaric environment on fine motor skills Objectives: The aim of study is to assess the changes fine motor skills due to hyperbaric environment in preparation for selected tests of fine motor skills. Methods: The first method was used empirically - research. Then the method chosen of compilation of the information obtained. The basic method to work was the experimental measurement method specially constructed tests on fine motor skills. All measured values were statistically processed as follows. Results: The results were formulated as a percentage, graphs and tables. Recording was carried out by recording the time data. Their percentage of the overall approach to the exercise time mastering fine motor skills in different environments. All results obtained were processed and evaluated. Keywords: depth intoxication, fine motor skills, hyperbaric environment, hyperbaric chambers, diving
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