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Evaluation of sensation in hands area in patients with multiple sclerosis
Veverková, Helena ; Nováková, Tereza (advisor) ; Řasová, Kamila (referee)
Title: Evaluation of sensation in hands area in patients with multiple sclerosis Objective: Summarize findings about multiple sclerosis and sensation in the hands area. Find suitable testing methods and use them to evaluate the quality of deep sensation in the hands area in patients with multiple sclerosis. Method: With help of selected tests to evaluate the quality of deep sensation in the fingers and palms area in selected probands with multiple sclerosis. Compare the results depending on the current spasticity and condition of the patient. Results: There were founded, that in people with multiple sclerosis the quality of vibrating and discriminating sensation and stereognosis in the hands area is reduced. The quality of statesthesia, kinesthesia, vibrating and discriminating sensation isn't directly linearly dependent on the current spasticity. The quality of stereognosis is directly linearly dependent on the current spasticity. Keywords: sensation, multiple sclerosis, spasticity
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Effect of hippotherapy at clients with sclerosis multiplex
Hrbasová, Hana ; Leontovyčová, Jana (advisor) ; Dvořáčková, Hana (referee)
Hipotherapy is a complex therapy, broaden and recently very sought after rehabilitation method, which is being more and more recognized by experts for its broaden scene. It is a complex therapy thanks to involving medicine, psychology, pedagogy and also a social sphere. That's why is this method indicated at many different levels of disablement. It's being used with pacients with children's cerebral palsy, diverse level of cerebral dysfunction and multiple sclerosis. And it's the therapy's effect on multiple sclerosis that this thesis paper discusses. It also applies to brain and spinal traumas, scoliosis, back pain, orthopedic defects, cardiovascular disease, degenerative muscle disease, obesity, as well as it provides help at emotional and mental aspect, e.g. children with behavioral disorders and many others. At hipotherapy is being used a three dimensional (multidimensional) horse motion. Horse's spine moves up - down, forward - backward, right - left. Imitating a mechanisms of human walking, which leads to relaxation of spasticity. Impulses are transmitted onto back which brings interaction of impeller and back muscles, stand up pose, and posture interference. All this brings a walking improvements, movements coordination, balance and consolidation of a flabby muscles. Each horse has a different nature...
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Medical Aids and Equipment for Children with Cerebral Palsy
Čapková, Tereza ; Čichoň, Rostislav (advisor) ; Půlpán, Rudolf (referee)
Title of the thesis: Medical Aids and Equipment for Children with Cerebral Palsy. The thesis' aims: The main goal of the thesis is to convey a well-structured description of the use, benefits and types of currently available medical aids employed in the treatment of children with cerebral palsy. Another cardinal aim is to complexly abridge the issue of how the condition originates, manifests itself, develops, and explore the alternatives for its treatment. Method used: Besides technical bibliography, in-depth surveys that included first- person interviews and personal encounters with a number of professionals as well as patients have been used. Results and conclusions: Various medical aids play a crucial role in the affected child's life, lessen his dependence, improve his motor skills, raise his life standard and help him in his quotidian activities and communication. Key-words: orthotics, adjuvatics, calceotics, cerebral palsy in children, spasticity, neurology.
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Case study of physical therapy care of patient after ischemic stroke
Čížková, Michaela ; Hnátová, Iva (advisor) ; Hankovcová, Eva (referee)
Title: Case study of physiotherapy treatment of a patient after the ischemic stroke Objectives: The main aim of this study was to verify my ability to work with the patient, his examination, making conclusions, proposed treatment and its subsequent implementation. Other aim was mapping of the literature on the subject. Methods: The first part of my bachelor thesis is theoretical and it is aimed on stroke. There are described anatomy of cerebral artery, knowledge about stroke, its clinical symptoms and treatment options in this part. The description of spasticity with its influence on therapy and its treatment and the techniques used in physiotherapy are also there. The Brocca aphasia is described in the last section. The second part is the case report of a patient P. V. with diagnosis: ischemic stroke with dextral symptomatology. This special part is based on two weeks' work with the patient in the hospital (Ústřední vojenská nemocnice - Vojenská fakultní nemocnice Praha). This work lasted from 9th January 2012 to 3rd February 2012. The thesis includes: the entrance examination, the short-term and the long-term treatment plan, the descriptions of therapeutic units, the final examination, the comparison of the entrance and final examination and evulation of the therapy effect. The therapy was...
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CASE STUDY OF PHYSIOTHERAPY TREATMENT OF A PATIENT AFTER STROKE
Nechvátalová, Vendula ; Novotná, Irena (advisor) ; Křížková, Štěpánka (referee)
CASE STUDY OF PHYSIOTHERAPY TREATMENT OF A PATIENT AFTER STROKE Objectives: Theoretical analysis of after stroke anamnesis and elaboration of physiotherapy procedures. Methods: This bachelor thesis was done with the patient's consent within practice at Regional hospital Kladno at the Rehabilitation Department from January 6th to January 31st 2014. The thesis is divided into two main parts - theoretical and special part. The theoretical part includes basic characteristics of the illness, ethiopathogenesis, incidence, diagnostics, treatment and options of physiotherapy methods. The special part contains the after stroke patient's case concept, processes and the effects of his therapy. Results: Patient's condition, daily activities, movements, spatial orientation, muscular strength and physical condition have improved after the therapy. Keywords: Ischemic stroke, rehabilitation after stroke, hemiparesis, spasticity, physiotherapy.
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Standardized examinations of spasticity in physiotherapy
Špačková, Anežka ; Tichá, Monika (advisor) ; Jeníček, Jakub (referee)
Title: Standardized examinations of spasticity in physiotherapy Abstract: This bachelor's thesis is aimed at giving an overview of the most commonly used standardized examinations of spasticity in physiotherapy and their comparison. It deals mainly with the best known methods of examinations that are used in practice. The thesis is divided into two parts - theoretical and practical. In the theoretical part, muscle tone and its regulation and spasticity as one of the upper motor neurone syndrome symptoms are specified. Moreover, the methods of examination (Ashworth scale and its modifications, Tardieu scale and five-step clinical assessment of spastic paresis according to Gracies) are presented and described in detail there. The practical part contains two case reports of patients after a cerebrovascular accident. Examinations and evaluations of spasticity, including Modified Frenchay scale or walk tests, which are described in the theoretical part, are applied to patients. The main contribution of this thesis is to create a comprehensive comparison of standardized examinations of spasticity through studies and my personal experience. Key words: spasticity, upper motor neurone syndrome, examinations and evaluations of spasticity, rating scales, Modified Frenchay scale, walk tests, five-step clinical...
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Case study of physiotherapeutic care of a patient after ischemic stroke
Jindráková, Eliška ; Lorencová, Kateřina (advisor) ; Hlavičková, Růžena (referee)
Title: Case study of physiotherapeutic care of a patient after ischemic stroke Objectives: To evaluate a case study of a patient after ischemic stroke and create a theoretical basis for the given area applying academic literature. Summary: This paper concerns the area of stroke and is divided into two parts. The general part involves the characteristics of stroke, its division, symptoms, risk factors, prognosis and diagnostic methods. Further, it talks about individual phases of the healing process, applied physiotherapeutic approaches and information about additional care after hospitalization. The special part is a detailed case study of a patient after ischemic stroke. This part was created based on a practise in the Military University Hospital in Prague during 6th - 31st January 2014, which allowed me to lead my own therapeutic units with a patient under professional surveillance. Keywords: stroke, neurorehabilitation, spasticity, physiotherapy methods
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Influence of spasticity in patients with multiple sclerosis using method of electrical stimulation according to Jantsch
Pokorná, Anna ; Kövári, Martina (advisor) ; Kříž, Jiří (referee)
The electrical stimulation (ES) according to Jantsch was created with a primary aim to reduce spasticity, however its impact has been neither proved nor disproved by any study. Therefore, the aim of the thesis is to find out if this type of the ES can reduce spasticity of m. triceps surae within the patients with multiple sclerosis (MS). Apart from the spasticity, there was as well observed the influence of the ES on an active movement performed by the antagonists of spastic muscle and the walking speed. Fifteen probands participated in our pilot controlled non- randomized study, probands were divided into two groups - first with the application of the ES (STIM) and second without the application of the ES (NOSTIM) during the hospitalization. We used the concept of Jean-Michel Graciese - Five-step clinical assessment in spastic paresis during the examination process. From this protocol, we choose Tardieu scale to measure spasticity, examination to measure active range of motion and 10MWT. Furthermore, TUG was added. The measurements took place on the 1st, 4th and 8th day of the hospitalization. The intragroup difference was evaluated by the ANOVA for repetitive measures with Fisher's post- hoc test and the level of importance p=0.05. From acquired data it follows that the ES according to Jantsch...
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