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Physiotherapy for children threatened by the developing CP in the 1 year of life
ŠPIKOVÁ, Alžběta
In my bachelor thesis I have dealt with the problematic therapy of children with cerebral palsy. The aim has been defined as a presentation of therapeutic methods used at children endangered by cerebral palsy in the first year of life and the determination of the time aspect of the therapy. In the theoretical part I have dealt with the topic of psychomotor development of a child and the facts related to coming down with cerebral palsy, that includes its definition, causes of development, types and diagnosis. Since the most widely used method in the Czech Republic for children with cerebral palsy is Vojta´s reflex locomotion, the aim of the research part was to present this method in more detail and to find out experience with its use. The respondents were represented by 28 parents of children afflicted by cerebral palsy, who are treated in special diagnostic Center. This part of the work is methodologically based on the principles of qualitative research. Inquiry method has been used, employing semi-structured interview. The answers to questions demonstrate that an early diagnosis of the disease and an immediate institution of treatment is the main necessary condition for reaching optimal outcomes of the treatment. According to the research, the efficiency of the treatment also depends on its frequency, the expert guidance of professional physiotherapists for parents, their comprehension and conviction that the therapy will be successful. The investigation further showed that parents of children with cerebral palsy tried other therapeutic methods than Vojta´s reflex locomotion, but for lack of cooperation of the child, negligible results of other therapies or poor availability of their parents completed the application. The research findings also showed that improvement, which in practice Vojta´s reflex locomotion in their children diagnosed with cerebral palsy occurs, the main reason for this therapeutic method remain and will continue to apply.
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POSSIBILITIES OF REHABILITATION METHODS FOR CHILDREN WITH CEREBRAL PALSY, FOCUSING ON CANISTHERAPY AND HIPOTHERAPY.
STROLENÁ, Kristýna
This bachelor thesis has got the aim to define the possibilities of the rehabilitation methods in the children with the mild cerebral palsy, most of all the possibility of various supportive rehabilitation methods used up in these children. This thesis focuses mainly on the usage of canistherapy and hippotherapy belonging to these supportive methods of rehabilitation of children with mild cerebral palsy. Recently hippotherapy together with canistherapy have become more popular among the non-professional public, but mainly among the parents of afflicted children, particularly due to its positive effect on a client. In the theoretical part of this thesis there is a summary of the findings concerning the mild cerebral palsy in children and possible rehabilitation methods, possibly concepts which are mainly used up in this diagnosis. Further, there is a summary of the findings and more detail information about canistherapy and hippotherapy in this thesis. In the practical part of this thesis there are described the cases of individual children and further there is the description of the development and followingly revealing the impact of canistherapy and hippotherapy on the children suffering from mild cerebral palsy. The impact of hippotherapy was found out by means of the test evaluating hippotherapy (HHT), the evaluation of the muscle tension for the combination with the test evaluating hippotherapy (HHT) and a verbal scope of the feeling expressing the comfort. Canistherapy was evaluated by means of continuous observing my respondents. The objective of this thesis was to create a summary of various rehabilitation methods used in the children with diagnosed mild cerebral palsy and further to inform the parents and non-professional public about the course of canistherapy and hippotherapy. This thesis shall reveal a positive impact of these supportive rehabilitation methods and the sense of the coherent rehabilitation.
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Utilization of alternative and augmentative communication systems for children with cerebral palsy
UHLÍKOVÁ, Barbora
This thesis describes the use of alternative communication systems with children who suffer from cerebral palsy (CP) The introduction of the thesis briefly defines CP, its varieties and the causes of its outburst. I paid particular attention to defected communication skills of individuals with CP which negatively affect one's development. The overview of alternative and augmentative communication methods (AAC) focuses particularly on the methods aiming at compensation of impaired communication skills used in the Czech Republic. Second part of the paper contains case studies describing concrete situations with individual children. All the studies examine cases of clients with CP using the AAC. The goal of the paper is to define whether the use of AAC methods leads to an improvement of social relationships and learning skills. The research shows that the use of AAC systems positively affects social relationships and communication skills.
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Effect of Handball Help project on positron of physically - disabled in a society
KLEMENT, Marek
At present our lives are very hasty, full of extremely ``fast things{\crqq} and we are unable to exclude the fact that anything can happen to anyone. Suddenly you can find yourself fastened in a wheel chair e.g. as a result of a car accident or a dive. Then it is important to have someone who will offer a helping hand. People are social beings. They are humanized and socialized within the human society. The same can be said about the disabled. Therefore their social position and recognition as well as their roles ranked in the society are very important. A crucial means in this situation is the system of compact convalescence.
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Possibility for client{\crq}s development of personality in stationary {\clqq}Úsměv`` for persons with mental and combined handicaps
DVOŘÁKOVÁ, Veronika
The care of individuals with mental and combined handicaps is so hard, that it is often necessary to place the individuals into the day centres. The client daily attend all therapies with simultaneous educating by social experiences, by the offer of interest and club{\crq}s activities. The aim of this work was to find out, what activities help to the clients of the stationary Úsměv for persons with mental and combined handicaps in Třebíč in the development of personality, motoric abilities, integrating into the society, activities that lead to the keeping and developing of intellectual powers and skills and so on. After I have acquainted with the problems I have decided to use the qualitative research. As the essential methods I have selected unconcerned observation, non-standard interview and the content data analysis of the medical and psychological documents. The main aim was to obtain the essential information on researched individuals in relation to their developments that depend on the stationary activities. The interviews were conducted with the researched individuals, employees, parents of the individuals and they are evaluated for each group. The target file was formed of 5 individuals from the stationary Úsměv for persons with mental and combined handicaps older than 15 years in Třebíč with DMO. On the basis of the pieces of knowledge I have created the hypothesis: {\clqq}Everyday, systematic and regular visits of the stationary client and usage of all activities it has offered can help to develop the personality, integrate the client into the society, obtain self-sufficiency, development of rough and fine motoric in the area of clients with mental and combined handicap and primarily with DMO.`` The results of my research confirmed that there doesn{\crq}t exist one concrete activity that would help in the client{\crq}s personality development but the complex of all activities provided by the stationary can help them and the regular contact with people out of the home environment can help with their integration into the society. Necessity of the long-term planning of the personality development of each client came out of the research and keeping of the detailed documentation about the development of their abilities and skills.
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Possibilities to use the canistherapy for children with special educational needs in the rehabilitation centre for people with disabilities of ARPIDA, o.s.
MEZEROVÁ, Jana
This bachelor thesis is focused on possibilities to use the canistherapy in the centre of ARPIDA, o.s. An aim of the research was to find out an effectiveness of the canistherapy for children with special educational needs in the context of a comprehensive rehabilitation system. To collect data, I chose following methods: a direct participant observation, an uncontrolled interview and a content analysis of the data collection. I led interviews with physiotherapists, a psychologist, a head of the day care centre and with parents of the children from the research sample. The observed sample consisted of four children with special educational needs aged 11, 14, 15 a 21 years. All the children attended the day care centre of ARPIDA, o.s. Children´s case studies, an actual course of the canistherapy including a picture file, expressions of individual experts including an evaluation of the effectiveness of the canistherapy at each child with the special educational needs, are recorded in the practical part of my bachelor thesis. The most effective method at the children with the cerebral palsy is an AAT method in the form of a positioning. The effectiveness of the canisterapy was recorded here mainly in the motor area. The most significant indicator of the effectiveness of the canistherapy at those children was releasing of their spastic muscles. Results of the observation then confirmed positive emotional moods of children during the canistherapy. At a child with ADHD syndrome the AAA method was used, through which it came, during the canistherapy, to an improvement of the ability to concentrate an attention and to an overall pacification. The effectiveness of the canistherapy was evident even in the area of the fine motor and communication abilities of children. I suppose that findings of the thesis can become a guidance and an inspiration for more frequent visits of future canistherapeutic teams, which will decide to work with children in the centre of ARPIDA.
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Importance of a dog as an assistance - case study
EMMEROVÁ, Hana
Bachelor thesis is processed for the purpose of public information about use and importance of assistance dogs for children clients. It is divided into two parts, in the theoretic part are some terms related to assistance dog, rehabilitation and disabled man defined. The practical part is trying to find importance of assistance dogs for the development and treatment of children with disabilities in the form of case study.
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Posibilities of Physiotherapeutic interventions in children with cerebral palsy
OHNISKOVÁ, Adéla
Physical therapy plays an important part in the process of treatment of this disorder. Which in this case for life. The objective of my thesis was to sum up theoretical knowledge and information on CCP and on physical therapy of children suffering from CCP. The first task was to set up an overview of options and alternatives of physical therapy for children with CCP. The other task was to work out case reports of two children with the CCP diagnosis. Then a therapy plan, based on the knowledge from the theoretical part and on the patient´s examination, was made up. A combination of therapy techniques was proposed (the Reflection Method of Locomotion {--} a method developed by M.D. Vaclav Vojta, Proprioceptive Neuromuscular Facilitation (PNF), Basal programmes and sub programmes) suitable for a client with regard to his current state, his needs and abilities. The results showed that combination of methods in therapy is beneficial for a positive influence of motoric skills of a child, improvement of motion in particular joints and for a positive mental condition of a patient This thesis might be used as a set of helpful information for physiotherapists in clinical practice, who deal with CCP, and also as a guide for parents of children with the diagnosis of children cerebral palsy.
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Influence of combined disability of children looked after the ARPIDA center on lifestyles of their families.
ČÍŽKOVÁ, Zdeňka
This diploma thesis deals with the care of a child with combined handicaps in the family. I investigated how the lifestyle of a family caring for a child with combined handicaps is affected. A sub-task was to explore this issue in a family caring for a child with combined handicaps who is a client of a nongovernmental non-profit facility, the centre ARPIDA, o.s., in České Budějovice. I used qualitative research methods in my diploma thesis. The chosen technique was a semi standardized interview with the parents and siblings of children with combined handicaps in care at the centre ARPIDA, o.s. A content analysis of data from individual client documentation from the centre ARPIDA, o.s., was used as a complementary technique. Based on these materials, I created five case studies of clients with combined handicaps. The theoretical part describes the important concepts and situations that are related to this issue. Particular attention then focuses on individual means of a comprehensive rehabilitation system which offer a comprehensive interdisciplinary care to families caring for a child with disabilities. In the practical part, I analyse the interviews carried out with the parents of children with combined handicaps. In particular, I examined their views of the changes that they arose in connection with the birth and care of a child with disabilities. I also had interviews with the healthy siblings of the children with disabilities. Thanks to these interviews, I gained interesting insights on this issue from the perspective of other family members. In conclusion, I state that the lifestyle of the parents and siblings of a child with combined handicaps is significantly affected by the birth of a disabled child. The parents often lose the opportunity to follow their professional careers and there is sometimes a negative impact on their health. They feel insufficiently appreciated by the state for their burdensome care for a child with combined handicaps. Due to this fact, healthy siblings become more mature and more sensitive individuals who are aware of critical life values. Based on the research part of my thesis, I defined three hypotheses in the end. Hypothesis 1: The parents are adversely affected in their health due to long care for a child with combined handicaps. Hypothesis 2: The most important quality in the care of a child with disabilities is patience. Hypothesis 3: Nongovernmental non-profit organizations are an important source of assistance to families with a child with disabilities in its natural environment. The diploma thesis should highlight the importance and unsubstitutability of families caring for a child with combined handicaps. This thesis may serve to professionals and students focusing on this issue, but also the parents of children with combined handicaps as their feedback.
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