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Compensation of balance disoder in time in patients after vestibular schwannana resection
Hajná, Barbora ; Čakrt, Ondřej (advisor) ; Chovanec, Martin (referee)
Introduction: Disorders of balance and dizziness are characteristic symptoms in patients after vestibular schwannoma surgery and often have a negative impact on their quality of life. This thesis deals with impairment of postural stability particularly in patients at the long time period after surgery. The aim of this study is to observe the longitudinal development of vestibular compensation from acute postoperative period to time of several years after surgery. Another aim is to evaluate the short-term effect of vestibular rehabilitation in a long time period after surgical treatment, and to compare the results of measuring the subjective visual vertical, posturography, score of the Dizziness Handicap Inventory questionnaire, age and tumor size in these patients. Methods: Examined group consisted of 10 patients after resection of vestibular schwannoma (mean age 41.4 ± 12.1 years; 2 women and 8 men). All patients underwent intensive rehabilitation program in the acute phase after surgery. 7 patients did exercise with visual feedback, and 3 patients had conventional rehabilitation without visual feedback. In long time period after surgery all patients underwent one exercise unit with visual feedback. Patients underwent computerized posturography examination using force platform Balance Master® in...
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Postural stabilization and balance - theoretical background and definitions (literature review)
Uhlíková, Jana ; Rašev, Eugen (advisor) ; Maršáková, Kateřina (referee)
Title: Postural stabilization and balance - theoretical background and definitions (literature review) Objectives: The aim of this theses is to investigate the present situation of theoretical background of postural stabilization and balance and find out the differences between both of these phenomenons. The theses should summarize the current literature including the newest studies. Furthermore, it discusses the most used computerized measurements methods for assessing balance and postural control. Methods: The theses has character of literature review. It is divided into several parts. The beginning introduces the theoretical background. The descriptive and analytical chapter discuss the most used computerized measurement methods for assessing balance and postural control. The discussion summarizes the current situation and results of the theses. Results: The total amount of the 104 studies was found, but only 12 of them met the criteria of the theses. Currently the most used methods for assessing balance and postural control are the computerized dynamic posturography and the visual feedback posturography. In the published studies there were found several differences in the methods of posturography. Even, there was revealed ideological diversity in the authors' opinions and disunity in...
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Evaluation of selected postural stability parameters of diabetic patients
Mrázková, Lucie ; Zahálka, František (advisor) ; Strnad, Pavel (referee)
Title: Evaluation of selected postural stability parameters of diabetic patients Objectives: The main objective of this thesis is to describe the level of postural stability using the selected parameters in diabetes mellitus type 2 and to try to find a relationship between the severity of disease. We also want to compare the level of postural stability for such an illness with respect to the values of selected parameters of the healthy population. Methods: It is a descriptive study. The theoretical part was the basis of the processing problems of diabetes mellitus, with a focus on neuropathy. After that we evaluate data of selected parameters of postural stability in diabetes mellitus type 2. The second part involves the experiment, which refers to the evaluation of this issue in terms of posturographic analysis. A group of 30 type 2 diabetic patients were divided according to their diabetologist disease severity into 4 groups. A control group of healthy subjects included a sample of 7 probands. The patient group was composed of 18 men and 12 women, whose average age was 62.63 ± 15.55 years, average weight 91.17 ± 19.97 kg, who were subjected to measurement using a pressure plate FootScan (RScan International, Belgium). Results: We managed to prove, that subjects with diabetic neuropathy have...
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The relationship between postural stability and physical activities
Gryc, Tomáš ; Zahálka, František (advisor) ; Janura, Miroslav (referee) ; Vavák, Miroslav (referee)
In the study "The relationship between postural stability and physical activities", we focused on determining the level of postural stability and the possibility of influencing by appropriate means of exercise intervention in people with increased physical activity and persons with physical limitations. Persons with increased physical activity were top players and players competing in various sports (football, handball, volleyball, golf) and those with physical limitations, patients suffering from diseases that have a negative impact on postural stability (Friedrich's ataxia, autosomal dominant spinocerebellar ataxia, Charlot-Marie- Tooth). Upright posture in stance and movement is a fundamental prerequisite for human bipedal locomotion. Postural stability is the ability to maintain an upright posture, which advises the motor and coordination skills, and its meaning is close to equilibrium abilities. Maintaining an upright posture is ensured by muscle activity, which is controlled by the central nervous system based on information from internal and external environment. Control of postural stability is the primary prerequisite for successful movement and as such it can be developed on the basis of appropriate physical activities. All methods of measuring static and dynamic postural stability can be...
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Objective examination of postural stability using stabilometric systems in patients after stroke
Ungrová, Dominika ; Tichá, Marie (advisor) ; Muchová, Renáta (referee)
This bachelor's work is concerned with the objective examination and assessment. For the assessment of therapy effect author has chosen apparatus Synapsys Posturography System. The theoretical part defines the basic concepts, especially stroke, impaired postural stability and posturography. The practical part describes the methodology and results of the research.The research sample of study consists of three patients who have had a stroke. In the practical part are compared the values measured in all patients. The recommendation and the final results of the study are summarized at the end of this work.
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The effekct of one training of postural stability in patiens with spinocerebellar ataxia
Filipovičová, Jana ; Pospíšilová, Mariana (advisor) ; Jevič, Filip (referee)
We followed the immediate effect of sensorimotor training on postural stability in patients with spinocerebellar ataxia (SCA). We have tried to explain the possible mechanisms of adaptation to change COP, motor learning and neuroplasticity in the field of neurodegenerative changes in the cerebellum. Research Methods: A total of 10 patients with spinocerebellar ataxia (6 men, 4 women) aged 34-71 years, with an average disease duration of 11.6 years participated in the measurement of postural stability. First, we measured the patients with SCA before and after a 15-minute sensorimotor-training exercise, then this group underwent another day of the same measurement without sensorimotor training. As a second control group of 10 healthy subjects served a similar age, who also underwent sensorimotor training. Then we compared the results of posturographic measurement. Results: In the group of SCA patients, sensorimotor training was found significantly lower values in the monitored parameters LENGTH (t stat = 3,537731 > t krit = 2,262157), VELOCITY (t stat = 3,537731 > t krit = 2,262157) and energy to sustain COP (t stat = 2,715085 > t krit = 2,262157), measured on a foam pad with eyes closed. Measurement without making sensorimotor training produced no significant improvement in the results of monitored...
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The effect of kinesiotaping on postural control of stance
Havlová, Michaela ; Bitnar, Petr (advisor) ; Čech, Zdeněk (referee)
Postural stability is necessary for all human activities. Management od postural control is provided especially by central nervous system. For management are essential afferent information from vestibular, visual and somatosensory system. Modification of any of these inputs could have influence postural stability. Changes of exteroceptive perception can be achieved by the application of kinesio tape. Kinesiotaping is currently very popular therapeutic method, which is attributed to the wide range of effects. In the theoretical part of this thesis are described these effects, including the results of scientific studies that are engaged in verify the effects. Experimental part of this thesis was focused on the objectification of any changes of postural stability after application of kinesio tape on dorsal and ventral side of the trunk in healthy individuals without injury or other disorders. For the examination were used two tests of Balance Master® System, the modified clinical test of sensory interaction on balance and the test limits of stability. The results were satistically evaluated at the level α = 0.05. Due to kinesio tape were observed no siginificant changes in the mean sway velocity of center of gravity. There were also found no significant changes of parameters that evaluate the transmission of...
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Clinical findings and diagnosis of vestibular lesions in patiens with vestibular schwannomem
Kalitová, Petra ; Langmeier, Miloš (advisor) ; Šlapák, Ivo (referee) ; Kozler, Petr (referee)
Summary: The aim of our study was diagnosis and rehabilitation of vestibular loss in patients with vestibular schwannoma. In the first part we focused on analysis of a group of patients before resection of vestibular schwannoma, mainly on evaluation of gain of posturography and on optimalisation of diagnostic algorithm of vestibular pathology. Throughout the second experiment, we studied if rehabilitation of postural gait with visual biofeedback will speed up vestibular compensation in patients after resection of vestibular schwannoma. The group consisted of 44 patients, who underwent surgical removal of vestibular schwannoma. Before surgery each patient underwent clinical vestibular examination, electronystagmographic recordings and posturography. In the second part of the study 17 patients from previous group were chosen. These patients underwent rehabilitation and rehabilitation with biofeedback. For evaluation was used independent samples T-test and cross-tabulation. A great number of variables were reduced by factor analysis. For statistical analysis of the group with rehabilitation was used nonparametric Wilcoxon signed rank test. Statistical analysis revealed that the most typical parameter for vestibular pathology is the time of the step quick turn test, which is a part of posturography. We proved...
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Effect of deep foot massage on postural stability in patients with spinocerebellar ataxia
Hlaváčková, Tereza ; Pospíšilová, Mariana (advisor) ; Čech, Zdeněk (referee)
Introduction: Spinocerebellar ataxia (SCA) is currently defined as a group of diseases with progressive cerebellar syndrome, which manifests distinctively by ataxic stance and gait. In patients with SCA, deterioration of postural control occurs due to changes of pathophysiological degenerative nervous system. Control of postural stability is significantly influenced by somatosensory afferentation of soft tissue of foot. The work objective is to determine the effect of deep foot massage on postural stability in the group of patients and to compare obtained results with experiments without deep foot massage. Methods: Seven patients of the Clinic Rehabilitation at the Faculty Hospital, Prague Motol (average age 51.9 ± 13.9 years, 5 men, and 2 women) with SCA and clinical signs of cerebellar ataxia were participated in this study. All patients were examined using posturography before and after application of deep foot massage. Measurements were conducted on a firm surface, foam pad with open and closed eyes. Length of COP trajectory, COP area and COP velocity were measured. Results: Significantly lower values of the length and COP velocity were found on the foam pad with closed eyes, when the deep foot massage was applied. Experiments without applications of the deep foot massage did not show any...
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Options of using physiotherapy at patients with amputation of their lower limb
ROŽNOVJÁKOVÁ, Tereza
This bachelor deals with the possibilities of the use of physiotherapy at patients with amputation of the leg. The loss of the lower limb has a major influence on change in postural stability. Despite the prosthetic equipment patient has impaired proprioception, which is reflected to the pathological walk with compensatory mechanism. We are trying to return a person to normal life with minimal disabilities using specific physiotherapy methods with adequate training and stability. In the theoretical part there is a summary description of amputation and its influence on postural stability, further I deal with protetics options, where I am closely describing the use of functional and posturograf tests. In the end I deal with physiotherapeutics prosthetic equipment and methods applied in practice. The aim of the practical part is to assess the changes in postural stability with the use of the instruments with a biological feedback and to map out the qualitative and quantitative parameters of walking of patients with lower limb amputations. For the practical part have been selected qualitative research, which includes case reports of two patients with transfemoral amputations and one transtibial of the lower limb. Both input and output examination includes a complete analysis of kinesiologic, functional tests with posturography examination of postural stability. Each patient attended 10 individual therapies to increase the stability. The results were compared between input and output of tests. All patient's postural stability has been positively affected with a slight improvement in posture. Despite the regular therapy we didn't suceed to change the pathological components. This state can be caused by the prothesis, which was by all patients described as unsatisfing. Bachelor thesis may be used by students of physiotherapy for extension of their knowledge, or they can apply the knowledge during their practice. It can also be used as educational material for patients who are interested in the issue.
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