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Influencing of spasticity by means of selective dorsal rhizotomy in patients infantile paralysis
Prajerová, Hana ; Kraus, Josef (advisor) ; Kobesová, Alena (referee)
A neurosurgical method of the selective posterior rhizotomy (SPR) is used for a treatment of spasticity. The aim of this study is to evaluate an effect of the SPR on the reduction of the spasticity and on functional abilities of patients with cerebral palsy. Five patients (four males and a female) aged from 12 to 21 years with a spastic quadruplegia were tested by an Ashworth scale, modified Ashworth scale, Peacock scale and Barthel index of ADL. An initial assessment was preformed one day before the SPR. First assessment of changes was conducted one week after the SPR. An repeated follow-up assessment was done three to four years after the SPR procedure. In one week after SPR assessment a reduction of spasticity of lower and upper limb muscles and reduction of clonus were seen. A last three-year assessment detected some return of spasticity on hip adductors, plantar and dorsal flexors muscles. However, the return of the hypertonus did not reach initial values of spasticity. Powered by TCPDF (www.tcpdf.org)
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Intensive hippotherapy in children diagnosed with infantile paralysis and its short-term and intermediate effect
Kopecká, Tereza ; Pivec, Martin (advisor) ; Kulichová, Jana (referee)
Hippotherapy belongs to the family of proprioceptive neuromuscular facilitation methods. It especially benefits the rehabilitation care of complex neurological patients. This paper theoretically examines the methodology of hippotherapy. Further, this paper examines an evaluative survey of 21 subjects after intensive hippotherapy who were initially diagnosed with cerebral palsy. The immediate, short and medium term effect of the therapy was exami-ned. For the evaluation the intercondylic index, Collis symptom and position reaction tests were used. The testing is complemented with a questionnaire filled in by parents with 11 pa-rameters, which included changes in the functions of knowledge and psyche of the child. The results show that there is a statistically significant improvement in all examined parameters after immediate and weekly therapy. Thus this method can be recommended as a possible approach to the therapy of children with cerebral palsy. Powered by TCPDF (www.tcpdf.org)
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Even you are able to work - with your voice.
POSKOČILOVÁ, Lenka
The Bachelor´s Diploma thesis deals with project "Even you can work with your voice!", which took place in Arpida, rehabilitation centre for disabled people in Budweis. Two adult clients became involved in the project, who were working in a local library and they had the use of a special voice control computers. The thesis consists of three parts - the theoretical part, research and appendices. The theoretical part of my thesis deals with basic terms of disability. The second chapter describes the physical disability especially focused on cerebral palsy, on its causes, forms and associative conditions speech disability and intellectual disability. Next, the thesis deals with education of physically disabled people, integration and inclusion are mentioned. I also pay attention to the importance of supporting disabled people in the workplace and the impact of legislation. I deal with personal assistance and the importance of ethical treatment of social workers with their clients. In the last chapter I describe the project "Even you can work with your voice!", the organisation "Polovina nebe" (Half of Heaven), which put the project into practice and the Arpida centre, where the project took place in the South Bohemian Region. The thesis aim is the evaluation of the project "Even you can work with your voice!" and the evaluation of information technologies application, which clients used for their work. I tried to find out, which benefits the realisation of the project provided. I want to gain the information about, how the organization emloyees were satisfied with provided service from the clients, who were involved in the project. For achieving the practical goal I used the qualitative survey. The data winning was made with the use of participant observation method and structured interviews. In view of the fact that I worked as a personal assistant who helped clients with their work content skills, I had the opportunity to watch, how the project has been naturally developing. I was a participant observer, then. The survey group was constituted by two clients, who were the direct participants of the project and Arpida centre employees, who used the offered service in the local library. From the results of the survey it is evident that the main goal of the project, to teach the target group to control a computer with their voice, could not be achieved, regarding to the clients´ degree in speech-language pathology, who were chosen for the realization of the project in Arpida centre. The next specific goals and benefits, which were defined at the beginning of the project, were achieved. As emerged from the survey, employees evaluated the provided services very positively, clients were fully knowledgeable in their work and they were willing to provide the required information and arrange things individually according to the emloyees´ needs. There are structured interviews included in an appendix part with open questions not only for the clients but for the employees of the centre, too. The exact written transcript of all the interviews with the employees of the centre is available in the next appendix. There is also mentioned a monthly account of workers and a personal assistant involved in the project. The monthly accounts belong to the necessary administration, which was regularly filled in at the end of the month. The thesis can be contribution to our society. It can show other people, that physically disabled people have the chance to get a good job and they can find their use at the open labour market. The thesis can provide a view on how the clients themselves describe their opportunity to work and become integrated.
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Family with a handicapped child
MATUSZKOVÁ, Michaela
An author is following up families with a handicapped child in her bachelor thesis. It is focused on physical disability with a diagnosis called the Cerebral Palsy. In the first part of the thesis the keywords are explained. They are connected with a theme like a regulation, standardization, a defect, a disability and a handicap. The most significant part of the thesis is going to be the main facts about a diagnosis. The second part of this thesis is going to be about the families which have children with this diagnosis. Specifically, an author will be discovering the problems which are typical for these families. And will be discovering families´ attitudes to their disabled children. Mainly if the attitudes are the same in each family or they are different. And when the families need to help who can help them. An author will mention some important organizations and association which can help these families. An author will be cooperating with the associations called DEMKA and ALKA. Both of these associations take place in Příbram.
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Coordinated rehabilitation segments used in a selected group of individuals with DMO (combined disability) in center ARPIDA in České Budějovice
PYKALOVÁ, Jana
The thesis focuses on coordinated rehabilitation components, which are used at individuals with cerebral palsy (combined disability) in a concrete non state medical institution in České Budějovice. Cerebral palsy is the most frequent neurodevelopmental disease, wherein the health disability may occur in one or more fields. We can find crucial factor in care of individuals with handicap in coordinated rehabilitation, which is currently perceived as an interdisciplinary field seeking the fastest and widest participation of personal with disabilities in all usual activies of society with the use of medical, educational, social and labour resources. A prerequisite for success is a multidisciplinary team (circular support), which consists of experts and parents of individuals with disabilities. The thesis contains theoretical background, where health disbility, coordinated rehabilitation and cerebral palsy is mentioned, at which the occurrence, forms, associated disorders and treatment are described. A separate chapter is devoted to families of individuals with health disability, where I mentioned the reaction of parents on the birth of a child with a disability, the impact of disability on the family and family support. Furthermore I focus on social services for handicapped people and to ARPIDA centre, where my research took place. In the research section there is defined the aim of the thesis, which was to chart a coordinated rehabilitation components, which are used at individuals with cerebral palsy (combined disability) in ARPIDA centre in České Budějovice. The partial target of my thesis was also to compare the usage of coordinated rehabilitation components at individuals under 15 years of age and at individuals over 15 years. According to target of the work there were developed three hypotheses. Thesis research was conducted through quantitative research. To obtain the data, I used the method of questioning. The sample was comprised of individuals with cerebral palsy (combined disability), who attend the centre ARPIDA, while the questionnaires were filled out by their parents. The research undertaken within the thesis, which was supported by rehearsed literature, confirmed the third hypothesis of more often usuage of Vojta reflex locomotion method at individuals with cerebral palsy in the centre ARPIDA compared to individual therapeutic physical training. The remaining two hypotheses were disproved. Statistical survey also shows that care for people with cerebral palsy is a long-term care, where interconnection of services within the coordinated rehabilitation is needed. In the group of individuals under 15 years of age and over 15 years it has been used different coordinated rehabilitation components, this is associated with cerebral palsy, disorders, age and other factors. Problematic remains the job placement of individuals with disabilities, who remain at home without further stimulation possibility. Care and services in the centre ARPIDA were assessed positively. The results and conclusions of the thesis will be used as a feedback centre ARPIDA to map the coordinated rehabilitation components and further to the clearing of needs of single coordinated rehabilitation components in a group of individuals under 15 years of age and over 15 years.
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SOCIAL ASPECTS OF FAMILLIES WITH CHILDREN WITH CEREBRAL PALSY
PECLOVÁ, Eva
The issue of families with diagnosis of cerebral palsy and their effects on social conditions, coping with maintaining the existing standard life quality of families and their children with this diagnosis with the assistance of the state and other non-governmental organizations, associations and other institutions has become a central issue of this thesis. While it is in the present period attached to great importance to this issue, a lot of things to improve the state including social support, but still this is not care at such a level as would be required. Reserve are mainly in cooperation government, school and primary school and family information's about possibilities, which can use to provide them.
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A Combined handicapped children´s parents´ opinions about the level of current care for these children
PŘIBYLOVÁ, Markéta
This thesis deals with the views of parents of children with multiple disabilities for current care and assistance from the state. In the theoretical part of the description of the types of multiple disability, we will pay the education of children with disabilities, comprehensive rehabilitation, allowances for handicapped, and foundations that help financial means living with disabilities easier. In the practical part, through a questionnaire survey, we will try to describe the views of parents on assistance from the state, and how satisfied they are with the education of their children with disabilities.
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Analysis of Human Resources Single Mothers with Disabled Chidren (cerebral palsy) in České Budějovice
STEJSKALOVÁ, Tereza
Firstly this bachelor thesis analyses human resources of single mother with a disabled child who is suffering from cerebral palsy in České Budějovice. And secondly it analyses what is the role of social relationships during the time of father's leaving from a family with a disabled child and the importance of relationships for satisfying basic needs. Thesis consists of two main parts theoretical and practical. First part is processing the topic of single-parent family, coping stress situations (birth of a disabled child and father´s leaving from family) and the importance of social relationships for social functioning of single mothers. The second part deals with practical research and its interpretation on the topic of using human resources of single mothers.
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Traditional and nontraditional compensatory requisites
KRATOŠKA, Václav
The thesis deals with the operating of computers by disabled people and its solution. The division of disabled people,integration, working opportunities of disabled people and financing of the tools is analysed at the beginning of the thesis. Furthermore, the thesis deals with the description of thirteen selected compensatory tools for disabled people and it also deals with testing of three compensatory tools which are available. Testing took place in rehabilitation centre in Kladruby and in ARPIDA centre in České Budějovice. Ten patients were tested. The result of the thesis is a brochure with the parameters of the selected tools. The recommendation for the disabled patients we worked with is also included.
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Physiotherapy for people with cerebral palsy from 15 to 30 years old
ŠKOPKOVÁ, Eva
For my bachelor thesis I chose topic Physiotherapy of Persons between fifteen and thirty Years of Age Suffering Cerebral Palsy. Number of patients with this disorder is still increasing, but since 50s of the 20th century neonatal care began to become better. Thanks to this improvement in medical care number of saved newborns, who would have earlier died because of the consequences of prematureness or diseases, is now higher. These children are often disabled by cerebral palsy. Cerebral palsy is an untreatable disease, whose displays can be influenced only by a well chosen therapy. Bachelor thesis has two basic parts. The first one is theoretical, which is divided into a general and special part. In the general part, I focused on the sum of theoretical knowledge about cerebral palsy, I paid attention to the characteristics of the disease, incidence, etiology, pathological anatomy and to the classification of cerebral palsy. Then I focused on the diseases associated with cerebral palsy. I describe physiotherapy of cerebral palsy patients with focus on reflexive locomotion in the special part of my bachelor thesis. The aim of my bachelor thesis is to summarize knowledge about cerebral palsy. Considering that one of the basic features of the treatment is physiotherapy, I devoted my attention to the most usually used methods in the treatment of cerebral palsy. The theoretical part is concerned with methods of reflex-locomotion (Vojtova metoda), of Redcord ? therapy and by the concept of Mr. and Mrs.Bobaths. In the practical part of my thesis I made a quality research, where I specified goals of my work, offered description of methodology, characteristics of a file, and I made three casuistries. A part of the casuistries were anamneistic data and making of preliminary and output exploration. These explorations included objective general assessment, establishing locomotive state according to professor Vojta, exploration of locomotive abilities and goniometric explorations too. All persons went through classification of spasticity according to Ashworth´s measures and exploration of shorten muscles was also done. Research was made in the ARPIDA centre in České Budějovice, it took three months (March, April and June/2013) ? investigation of one patient of all three took circa one month, in which 9 therapies were done. The aim of practical part is to bring physiotherapical plan for observed patients with cerebral palsy. Results show that short-termed treatment had positive effect on health state of all three observed patients. The most affected areas were stability, correction of axial organ, but hypertonus of muscles and empowerment of weakened muscles also became better. The bachelor thesis can be used as a source of information for orientation in the topic of cerebral palsy by students of physiotherapy, but can also serve as an educative material for patients between fifteen and thirty years of their age and by their parents. Thesis could also be an inspiration for physiotherapists, who could think about their own treatment therapies for patients with cerebral palsy with the usage of not so known method Redcord?.
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