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Examination and therapy of balance of patients after stroke The use of Bobath concept elements in the therapy of stability impairment
Bulánová, Kateřina ; Matolínová, Vendula (advisor) ; Tichá, Monika (referee)
Title: Examination and therapy of balance of patients after stroke Subtitle: The use of Bobath concept elements in the therapy of stability impairment ABSTRACT: The bachelor's thesis deals with topic of balance of patients after stroke. It's divided into theorethical and practical part. In the theoretical part, balance is defined as a term and particular types of postural control are described. The theoretical part also involves overview of the best known tests used for examination component types of postural control. It summarizes basic rules of postural impairment therapy of patients after stroke. There is also described the Bobath concept as an option for therapeutical approach to patients with balance impairment, which is caused by stroke in case history. The practical part consists of two case studies. The goal of practical part was to verify an effect of therapy by using selected elements of Bobath concept in patients with balance impairment. The result was objectified with the use of BESTest scale. Key words: stroke, balance, Bobath concept, balance control, balance training, physiotherapy.
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Slackline as a therapeutic possibility to influence postural stability
Komárková, Klára ; Čakrt, Ondřej (advisor) ; Pospíšilová, Mariana (referee)
Objectives: To summarize knowledge about a control of posture, a balance training and a testing on balance platform. I investigate in experimental part of my thesis if slackline training will affect stabilography and differences in quantitative parameters will be found in a training group or a control group. Hypothesis: A specific slackline training positively affects stability which was measured in posturographic selected tests done by the training group. Methods: We test postural stability in control (10 persons) and training (10 persons) group in selected tests of stability. We used a balance platform for testing. The data were statistically analysed. Results: 4 weeks of intense slackline training result in improvement of postural control. That is support by the data of stabilometric examination. The results were just below statistical significance (p > 0.05). Conclusion: The results testify that slacklining can improve postural control in healthy subjects. The results were on the boundary of statistical significance in our intervention group.
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The use of biofeedback for stability training in patients with degenerative cerebellar disease
Stránská, Lenka ; Čakrt, Ondřej (advisor) ; Jeřábek, Jaroslav (referee)
The graduation thesis deals with the issue of balance disorders due to a cerebellar damage. It deals in detail with the treatment of patients suffering from degenerative cerebellar ataxia and with the use of biofeedback technologies as means of postural stability treatment. The aim of practical part of this work was to investigate the effectiveness of therapy using biofeedback for patients suffering from progressive ataxia due to cerebellar neurodegeneration. The research sample consisted of 8 patients. The patients underwent a total of 18 therapy sessions within a twelve-day rehabilitative program. The therapy contained a training of stability in various positions with the elimination of visual control. A device provided an additive information about head sways for the patients via a tongue electrotactile stimulation. The effects were assessed by means of posturography, functional clinical tests (BESTest, Dynamic Gait Index) and questionnaires (Activities-specific Balance Confidence Scale, Dizziness Handicap Inventory). Three assessments were performed: immediately before, immediately after, and 30 days after the rehabilitative program. A statistical analysis of the data showed significant improvement in all observed parameters. In addition, there was no loss of the benefits in the interval of 30...
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