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Basal metabolic rate, dietary intervention and nutrients producing nociceptive pain in individuals with spinal cord injury
Chaloupková, Eva ; Heller, Jan (advisor) ; Bartůňková, Staša (referee) ; Kálal, Jan (referee)
Title: Basal metabolism and nutritional intervention for people with spinal cord injuries Objectives: The main objective of this work was empirical research of case evaluation studies (n = 3), where we analyzed: the relationship between energy expenditure (basal metabolism) and energy intake for people diagnosed with spinal cord injury (SCI). The secondary objective was to determine whether the changes in macronutrient distribution and daily energy intake would result in a decrease in body weight and body fat for individual probands. The pilot study in our work was focused on the overview of variable basal metabolism (BM) values for people with SCI. Methods: In our work, we used the method of indirect calorimetry to measure BM and together with the value of working metabolism we determined in the nutritional intervention (n. i.) the ideal energy intake for our probands. We observed primarily measurable changes in the amount of fat and muscle tissue. Results: We have found that, in keeping with the prescribed n. i. rules, all probands achieved to reduce their body weight. The average body weight loss for probands was 0.29 ± 0.02 kg per week. BM values in our pilot study were 15 to 61% lower for our probands (n = 15) and did not correlate with the height of SCI. Key words: spinal cord injury (SCI),...
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Possibilities of using aquatic therapy for patients after spinal cord injury
Černá, Alžběta ; Demeková, Júlia (advisor) ; Kříž, Jiří (referee)
The thesis deals with patients after spinal cord injury (SCI) focused on their health problems and possibilities of using aquatic therapy, that can participate in the program of comprehensive rehabilitation. General section summarizes the classification of patients after SCI, the properties of the aquatic environment and the physiological reactions of the organism in the aquatic environment. It also focuses on the issue of sitting of paraplegics and current methods of assessment in clinical practice. The special part contains a case of a patient after SCI at the level of Th8-Th10, an example of a therapeutic unit in the pool aimed at improving the quality of sitting. I also contains results of two functional tests that assess sitting of the patient before and after a twoweek rehabilitation intervention in Centrum Paraple. Powered by TCPDF (www.tcpdf.org)
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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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The evaluation of functional sitting stability of paraplegics
Melicharová, Hana ; Nováková, Tereza (advisor) ; Vláčilová, Ivana (referee)
Title: The evaluation of functional sitting stability of paraplegics Objectives: The aim of this work is to evaluate the functional stability of paraplegics sitting through tests. Another objective is to determine what is the effect of fourteen days rehabilitation intervention on the sitting patients. Methods: Designed experiment was processed by the form of quantitative research. There were 10 pacients with spinal cord injuries, especially paraplegics included - 5 men and 5 women. The history was detected with the main emphasis on assessment ASIA score. Measurement of unsupported upright sitting was done thanks to the Plantograf V09. It records the current pressure distribution and movement of the center of pressure (COP). Functional T - shirt test was evaluated by using a stopwatch. Probands responded two questions about their current condition after rehabilitation after the output measuring. The therapist rating was included in the results. All data were further processed in Microsoft Office Excel 2007. Results: Measurements confirmed the reliability of both used tests. The t-shirt test can be used as an objective method of assessing functional stability of sitting. Test of unsupported upright sitting measured by Plantografu is also usable. It would be appropriate to set the measuring apparatus...
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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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How dogs can affect physical aktivity of the people with disability
Neubergová, Kristýna ; Migdauová, Alena (advisor) ; Prajerová, Květa (referee)
Title: A dog's impact on the physical activity of persons with a spinal cord injury using orthopaedic wheelchairs Objective: The aim of this thesis is to demonstrate that having had a spinal cord injury, those owning a dog have more physical activity than persons with the same injury who do not own a dog. A secondary objective was to research whether individuals with a spinal cord injury owning a dog get enough daily physical activity as recommended by the World Health Organization. Methods: Qualitative research method was employed for the purpose of this thesis. The data were collected using a semi-structured interview "PARA-SCI." Physical activity was measured by an accelerometer ActiGraph GT3X+ which every participant received in order to measure his or her physical activity. Each participant's physical activity was measured for three weeks. Then, a subjective measurement of the participants' physical activity was conducted by means of a personal interview PARA-SCI. During the interview, each participant's activity was recorded into the PARA-SCI sheets. Next, objective data from the accelerometers were compared with the subjective data from the semi-structured personal interviews PARA-SCI. The focus group for this research was comprised of individuals having had a spinal cord injury. Results:...
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The physical activity of dog-owning persons with a spinal cord injury
Neubergová, Kristýna ; Daďová, Klára (advisor) ; Pavlová, Ilona (referee)
Title: The physical activity of dog-owning persons with a spinal cord injury. Objective: The aim of this thesis is to find out the level of physical activity of persons with a spinal-cord injury who own a dog. This work employs both subjective and objective methods of analysis. A secondary objective is to find out whether dog-owning individuals with a spinal cord injury get enough daily physical activity as recommended by the Canadian Physical Activity Guidelines for Adults with Spinal Injury. Method: The research was conducted using a combined qualitative-quantitative method. The sample comprised of five men aged 29-66 years with spinal cord injury (4 quadriplegic and 1 paraplegic). The physical activity was subjectively measured by a semi-structured interview "PARA-SCI." Objective measurement of the physical activity was conducted using an accelerometer ActiGraph GT3X+. Each participant's physical activity was measured for three three days. Results: The average objective physical activity of the participants was 2166.3 minutes, while the average PARA-SCI result was 1558.8 minutes. The difference between these two results is not statistically significant. The participants fulfilled the levels of physical activity as prescribed by the aforementioned guidelines. Keywords: Paraplegia, quadruplegia,...
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The BanalFatal program in spinal cord injury prevention.
Pokorný, Václav ; Vařeková, Jitka (advisor) ; Půlpán, David (referee)
Title: The BanalFatal program in spinal cord injury prevention Objectives: The main objective of this diploma thesis is to examine the subjective impressions of participants after the completion of this program (lesson) so that it is possible to assess the emotional impact of the program and its impact on the further behavior of children. Methods: A quantitative strategy was used for the research part of the thesis. For the purposes of the research, two original questionnaires were created. 6 primary schools were contacted, in which the BanalFatal program previously took place. The questionnaire, aimed at school prevention methodologists, was filled in by all addressed school staff, but only in 4 school facilities, it was possible to interview school pupils. Thus, 6 school prevention methodologists and 164 pupils from 4 selected primary schools (Prague 11, 4, Litoměřice, Dačice) were interviewed. The questionnaire for prevention methodologists contains closed, semi-closed, and open questions. The questionnaire for pupils was created in the form of a survey and contained only closed questions. Results: All school methodologists presume that attending the BanalFatal lecture will have a certain effect on students' change in behavior during risky activities. "Certainly yes" was stated by 1 and "rather...
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