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Effect of visual reeducation on increasing functional visual capacity of adults with visual impairment
Růžičková, Kamila
The presented work concentrates on the topic of special education and rehabilitation of weak-stghted and low-vision adults. It focuses especially on development and current structure of special aid and support, which makes increasing functional visual capacity easier in situaions where visual abilities deteriorated during adult age or old age. After comparing situations in other European countries, this work goes on to point out needs and possibilities for future development of this area in the Czech Republic. Concrete attention is focused on one area of comprehrehensive sight re-education: the development o f functional visual performance with use of special optical aids and other means, whose optimal operation is achieved by means o f amended educational and rehabilitation programme. The core o f the thesis is the topic o f increasing reading competence and reading performance. The aim of the research part of the thesis is to contribute to the existing knowledge about creating and optimizing educational-rehabilitation programme using modem tyflopedic rehabilitation and tyflotechnical means. The structure of the program is tied with modern conceptions used in andragogics as well as in mentioned subjects. The presented research also has an evaluating function. Effectiveness of the experimental programme is...
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Motional activity of people with elephantiasis
Štiková, Barbora ; Hošková, Blanka (advisor) ; Majorová, Simona (referee)
T~pic: Motional activity of people with elephantiasis. Goal of the thesis: To evaluate and compare the impact of motional activity on elephantiasis ofarms and legs. Methods: The thesis was worked out as a case study. Sixteen patients participating at lymphodrainage filled the generic questionnaire SF-36. Six people with physical problems were observed during their regular motional activity during six months. The source ofadditional data were taken from the standard medical documentation. The data were evaluated through defmed evaluation criteria and through standard statistical methods. Rusults: The motional activity has positive impact on reduction of elephantiasis and is a part of complex treatment. The active approach of the patient is essential for the success of the whole therapy. The motional activity in a group had a very positive psychical impact on the patients. Heterogeneity of the group - with regards to the intensity and seriousness ofthe disease- stimulated itself and other people's cognition and gave impuls and motivation for the motional activity. Key words: elephantiasis, motional activity, anthropometry
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Evaluation of food and diet in disease phenylketonuria
Čermáková, Venuše ; Faměra, Oldřich (advisor) ; Renata, Renata (referee)
This diploma thesis pursues the hypothesis, that strict abiding or failures in low protein diet are deciding about the health of patients with phenylketonuria. The goal of the thesis was to evaluate the composition of the diet for selected set of patients from the dietological and nutritious point of view in dependence on individual health condition, to compare the values with the diet of healthy people and to evaluate the availability of special healthcare and nutrition for phenylketonuria patients.
The summary of literature gives informations about phenylketonuria, causes of its origin, metabolism of phenylalanin, diagnostics, possibilities of treatment, risks
of repercussion of not treating, impact of nutrition composition of patients' health and dietological recommendations.
For assessment of the bilance of nutrients and energy in the diet of phenylketonuria patients a group of 10 people was selected with different age, sex and dietary level, 5 people with phenylketonuria a 5 healthy persons. For each person a detailed weekly diet was setup and nutritious intake was evaluated, observed was daily intake of Phe, protein, fat, carbohydrate and energy. For persons with phenylketonuria the nutritious was evaluated
in two steps, with and without usage of medical agent. The values of the patients were compared with healthy persons.
From the results a necessity of using medical amino acid agents was derived, in other case there is a risk of serious deficit of protein intake, for some also of fat and energy.
A complicated situation arises for women with phenylketonuria, who plan pregnancy.
The research implies necessity of strict adherence to low protein diet before conception and frequent monitoring of Phe blood values during pregnancy.
The diet must be compiled cautiosly with considering the individual state of patiens,
a thorough education from childhood to adulthood is recommended. The situation would be simplified with a better approach of the state in the area of compensation the costs for foods, but also additional support for phenylketonuria patiens, to improve especially the availability of special foods for low protein diet and treatment possibility.
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Effect of visual reeducation on increasing functional visual capacity of adults with visual impairment
Růžičková, Kamila ; Jesenský, Ján (advisor) ; Květoňová, Lea (referee) ; Ludíková, Libuše (referee)
The presented work concentrates on the topic of special education and rehabilitation of weak-stghted and low-vision adults. It focuses especially on development and current structure of special aid and support, which makes increasing functional visual capacity easier in situaions where visual abilities deteriorated during adult age or old age. After comparing situations in other European countries, this work goes on to point out needs and possibilities for future development of this area in the Czech Republic. Concrete attention is focused on one area of comprehrehensive sight re-education: the development o f functional visual performance with use of special optical aids and other means, whose optimal operation is achieved by means o f amended educational and rehabilitation programme. The core o f the thesis is the topic o f increasing reading competence and reading performance. The aim of the research part of the thesis is to contribute to the existing knowledge about creating and optimizing educational-rehabilitation programme using modem tyflopedic rehabilitation and tyflotechnical means. The structure of the program is tied with modern conceptions used in andragogics as well as in mentioned subjects. The presented research also has an evaluating function. Effectiveness of the experimental programme is...
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Possibilities of application fitness in physioteraphy in patients with spinal lesion
ŠEVECOVÁ, Zuzana
The number of persons who suffered spinal cord injuries, as well of physical therapists who are interested in exercising in a fitness centre and in other fitness activities. This fact results in integration of these activities into physical therapy programmes and therapeutic stays intended for persons with spinal cord lesion. Incorporation of fitness activities into physical therapy programmes is common particulary in the USA. The aim of this thesis was to study the influence and contribution of fitness activities for muscle disbalances in the area of the torso and for the posture with patients suffering from spinal cord lesion and futher to identify the possibilities of incorporating fitness activities into physical therapy programmes for wheelchair bound persons. With respect to the aim of thesis defined in this manner, I have summarized the fact on spinal cord lesions in relation to torso muscle disbalances with spinal cord lesion in the theoretical part of the theses. Subsequently, I have tried to collest the existing facts on fitness, including the definition of fitness, the importance of physical activities and muscle strengthening for wheelchair bound persons. I have also focused on basic principles, terms and exercises and I have analysed its incorporation into the exercise programmes for wheelchair bound persons. In the practical part of the thesis, I have used the qualitative casuistic-based research method. The research was carried out in the Rehafit Physical Therapy Centre in Prague. Two test persons were selected: a man and a woman with diagnosed spinal cord lesion. The woman has been diagnosed with Th11-12 paraplegia, the man has been diagnosed with C4-5 tetraplegia. Both patients with spinal cord lesion are of similar age and suffered the spinal cord injury approximately at the same time. With the observed patients, there has been an influence of muscle disbalance detected in the area of torso, inprovement of posture and stability of seated positions, increase of muscle power, as well as improvement of overall physical conditions. The results of the research show that incorporation of fitness activities into physical therapy programmes in the period following the period of termination of the intensive physical tehrapy has a undeniable imporatnce for patients with spinal cord lesion, particularly for affecting the posture and muscle disbalnces.
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Analgetic Effect of Pulsed Magnetic Field and Non-Invasive Laser Therapy in Patients with Chronic Low Back Pain
Seidlová, Petra ; Šifta, Petr (referee) ; Stupka, Martin (advisor)
Objective: The aim of this thesis is to evaluate the analgesic effect of two methods of physical therapy (magnetic therapy, laser therapy) in patients with chronic low back pain various etiologies. I would also like to know whether it is more beneficial for the patient application of physics treatment in the morning or evening, and whether the analgesic effect of these treatments physical therapy depends on the layer of subcutaneous fat and personality type of the patient. Method: Eighteen patients with chronic low back pain were randomly divided into 4 groups (morning / evening magnetic, morning / evening laser). After 3 weeks they 10x been applied magnetic or laser. Application procedures took place between 7.00 to 10.00 o'clock on the morning group and between 16.00 to 19.00 o'clock on the evening of the group. Before starting the study, patients signed informed consent, completed Questionnaire patient questionnaire Oswestry Low Back Pain, was with them, a test according to Petrie and measured layer of skin fold at the site of pain. During the study, probands filled value VAS-I at regular intervals. After completion of therapy, patients again completed a questionnaire Oswestry Low Back Pain. Keywords: pain, chronic pain, lumbar and sacral spine, analgesic effect magnetic pulse, non-invasive laser therapy...
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Sexual life of people with Parkinson's disease and their partners
Kotková, Petra ; Weiss, Petr (advisor) ; Šivicová, Gabriela (referee)
The rigorous thesis deal with the topic of sexual life of people suffering from the Parkinson's disease (PD) and their partners. The theoretical part contains basic information about PD and the results of researches on sexuality of people with this illness and their partners, focusing on the agents that influence PD. The empirical part comprises of a research project implemented on a set of 103 people with PD and 84 partners of the people with PD. In order to describe the specifics of the patients' and partners sexual lives, four sets of questions were designed (separate for men and women), containing a questionnaire on sociodemographic features, psychological (BDI-II, STAI) and sexuological questionnaires.The acquired data was statistically elaborated by means of the programme SPSS. Results of the sexuological questionnaires (GRISS, FSFI, SFŽ3, SFM, IIEF) show a decrease in sexual functions and a presence of sexual dysfunctions connected with PD. With the help of regressive models, it was elicited that in case of men with this illness, the most influential agent on their sexual life is depression and subjectively scoring the illness, in case of women the agent of depression and anxiety. In the sampling of partners of women with PD there was no deterioration of the sexual functions. In the sampling of...
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Sexual life in Parkinson's disease
Kotková, Petra ; Šivicová, Gabriela (referee) ; Weiss, Petr (advisor)
The diploma thesis deal with the topic of sexual life of people suffering from the Parkinson's disease (PD). The theoretical part contains basic information about PD and the results of researches on sexuality of people with this illness, focusing on the agents that infl uence PD. The empirical part comprises of a research project implemented on a set of 103 people with PD. In order to describe the specifi cs of the patients' sexual lives, two sets of questions were designed (separate for men and women), containing a questionnaire on sociodemographic features, psychological (BDI-II, STAI) and sexuological questionnaires. The acquired data was statistically elaborated by means of the programme SPSS. Results of the sexuological questionnaires (GRISS, FSFI, SFŽ3, SFM, IIEF) show a decrease in sexual functions and a presence of sexual dysfunctions connected with PD. With the help of regressive models, it was elicited that in case of men with this illness, the most infl uential agent on their sexual life is depression and subjectively scoring the illness, in case of women the agent of depression and anxiety.
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Specification of conditions necessary for the function of a coordinator of comprehensive rehabilitation services for with disabilities at regional and local levels
Nitková, Petra ; Holda, Dalibor (advisor) ; Čulík, Štefan (referee)
Ucelená rehabilitace je úzce provázaná s osobami se zdravotním postižením. Vstoupila do života společnosti, do mého života v rovině pracovní i osobní. Je předmětem politických aktů a nejvýznamnějším prostředkem integrace těchto osob. Zatímco jiné prostředky staví člověka s postižením do pozice závislého a bezmocného, rehabilitace jej zbavuje zátěží a umožňuje mu rozvinout jeho potenciál. Předmětem rehabilitace je celý člověk a jeho vzájemné vztahy k prostředí. Zahrnuje soubory opatření, která vstupují do nepříznivé životní situace člověka, svými prostředky a nástroji se snaží zmobilizovat potenciál této osoby, pozitivně ovlivnit jeho kvalitu života a zároveň tím tak přispět k integraci do společnosti. Když mluvíme o tomto pojetí rehabilitace, je třeba zdůraznit také její znaky, bez kterých by se nemohla realizovat. Mezi nejdůležitější lze zařadit koordinaci, dále provázanost, cílenost, návaznost. Koordinace ucelené rehabilitace je v našich současných podmínkách, vzhledem k rozdělení do více resortů, problematická. I přes několikaleté snahy o legislativní úpravu a zakotvení se doposud toto úsilí nepodařilo zrealizovat. Česká republika přijala na základě některých dokumentů opatření, která mají za cíl podporu a rozvoj této oblasti. Vznik funkce koordinátora ucelené rehabilitace je jedním z nich. Tato...
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Psychiatric vocational rehabilitation programs for persons with severe mental illness
Farbiaková, Iva ; Probstová, Václava (advisor) ; Stuchlík, Jan (referee)
Práce se zabývá problematikou pracovního uplatnění a pracovní rehabilitace osob s duševním onemocněním. Cílem práce je popis bariér, které brání pracovnímu uplatnění těchto osob a popis pracovně rehabilitačních programů, jejichž prostřednictvím (nejen) mohou být bariéry překonány. Snažím se blíže zmapovat současnou situaci v poskytování podpory v práci lidem s duševním onemocněním v Praze a rovněž pokusit se o zachycení možných překážek, s kterými se lidé s duševním onemocněním (uživatelé pražských komunitních služeb) při snaze pracovního uplatnění setkávají. Problematika pracovního uplatnění osob s duševním onemocněním si v současné době zasluhuje pozornost. Práce je důležitá součást života každého člověka, neméně to platí pro osoby s duševním onemocněním, které jsou jedni z nejvíce ohrožených skupin sociálním vyloučením. Duševní onemocnění velmi často ústí ve výrazný handicap především v sociální oblasti, jehož důsledkem je mj. nezaměstnanost. Míra nezaměstnanosti u osob s dlouhodobým duševním onemocněním je obvykle udávána mezi 70-90%, v závislosti na závažnosti duševního onemocnění. Tyto statistiky jsou obzvláště alarmující vzhledem k faktu, že práce (ve smyslu placené práce na otevřeném pracovním trhu) je považována za nej důležitější prvek, který pozitivně ovlivňuje duševní zdraví a který vede k...
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