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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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