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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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The impacts of inappropriate footwear and physiotherapy strategies to correct selected disorders
MALÍNSKÁ, Veronika
The thesis consists of practical and theoretical part. The theoretical part focuses on the fundamental information on foot anatomy, kinesiology and the examination of walking process. In this part I have also included the negative effects of footwear and the description of apparatus I have worked with during the practical part of my work. I have determined two goals for my thesis. First goal is to search out possibilities of suitable physiotherapy for patients suffering from inappropriate footwear. Second goal is to suggest a training unit and create educational materials for these patients. In my research I have selected a group of five females aged 22 to 25 years, who are used to wear different kinds of footwear (common shoes, high heels, orthopaedic shoes, barefoot shoes, no shoes at all, etc.). I have design the therapeutic plan in a way the group sessions differentiate from each other in order to have more variety of exercises for the patients to choose from after the end of the therapy session. For home workout I have selected set of eight exercises, each to be done twenty times with three such sets per day. One set takes up about 5 to 10 minutes. My findings conclude that the exercises have positive effect on walking, body stability and weight distribution between feet. There was a significant improvement of walking kinesiology with proper forward rolling onto the ball of foot and big toe push off during the propulsive phase. The improvement occurred especially with high heels, orthopaedic shoes and common shoes. When checking out, patients had better weight distribution between feet, toes were more spread, all toes had contact with the floor ant there was also one case of partial flat feet improvement. The results of my work may be valuable for other physiotherapist in their clinical practice or for educational purposes. There is a leaflet attached that can be used as an educational material for patients, public or for parents of children for whom the proper development of foot is essential.
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Using biofeedback for patient with non-specific low back pain
Prokůpková, Eva ; Čakrt, Ondřej (advisor) ; Černý, Rudolf (referee)
The Diploma thesis titled "Using biofeedback for patients with non-specific low back pain" in theoretic part gives basic information about motor learning, biofeedback, low back pain and postural stability. In the research part, it deals with influence of postural stability- focused therapy (performed on Nintendo Wii Fit Plus device) on low back pain and postural stability. The work also deals with influence of added feedback on reduction low back pain, postural stability and realizing intrinsic feedback. We demonstrate that this therapy reduced low back pain but has no significant influence on postural stability. We also demonstrate that added feedback has positive effect on persistence of pain and affective part of the Short Form of McGill Pain Questionary, but it does not influence postural stability. On the contrary, absence of added feedback significantly influenced the postural stability. The added feedback does not influence awareness intrinsic feedback.
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The influence of music therapy on stability and reactibility of vertebrogenic patients as viewed by a physiotherapist Objectivisation by the posturography
Zajíčková, Jana ; Gerlichová, Markéta (advisor) ; Gueye, Tereza (referee)
The therapy of vertebral issues is nowadays (at the present time) an inherent part of the physiotherapist's work. The main aim of this study is to find out, if we are able to change stability and reactibility of patients with vertebral issues by using selected elements of musical therapy. As an ulterior aim I chose to evaluate respondent's subjective feelings about changes in their vertebral issues and to compare advantages and disadvantages of integrating musical therapy into therapeutical unit. In the theoretical part I am writing about musical therapy as a branch of science which is trying to find its place in our health care. I am also writing about postural motor skills, posturography as an objectiv evaluating method and about vertebral issues with its etiology. An important chapter in this theoretical part is about psychosomatics, which often causes back pain. For practical part of the theses I prepared 10 musical therapy sessions. Main aim of these sessions was to influent musculosceletal system, reactibility and stability of respondents. To evaluate objectively the results the posturography was used. Materials used to fulfill ulterior aims were taken by a questionnaire.
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Effect of cognitive task in postural sway of patiens with phobic postural vertigo
Urbanová, Lucie ; Čakrt, Ondřej (advisor) ; Truc, Michal (referee)
Diploma thesis "Effect of cognitive task in postural sway of patiens with phobic postural vertigo" in its theoretical part discusses physiology of balance system, its disorders and summarizes knowledge of phobic postural vertigo. In experimental section we analyzed postural stability of 5 patients with phobic postural vertigo, 5 patients with structural lesion of vestibular system and 5 healthy subjects with posturography during normal stence and while performing cognitive tasks - "Contact test", Verbal Fluency task and modified Stroop test. The goal of this study was to find out whether postural stability of subjects differs while performing cognitive tasks in comparison with normal stance. Powered by TCPDF (www.tcpdf.org)
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The influence of unilateral vestibular dysfunction on spatial orientation in patients after vestibular schwannoma surgery
Šponarová, Lenka ; Chovanec, Martin (referee) ; Čakrt, Ondřej (advisor)
The aim of this diploma thesis is to evaluate spatial orientation in the patients after vestibular schwannoma surgery. In the theoretical part, there are summarized the facts about vestibular system; there is described the clinical picture of unilateral vestibular dysfunction and the field of vestibular schwannoma and spatial orientation in general. In the practical part, we performed the investigation of the spatial orientation using the Blue Velvet Arena System and posturography using the platform Balance Master® System. The purpose of the practical part was to find out, whether unilateral vestibular dysfunction in patients after vestibular schwannoma surgery has the impact on spatial orientation and to what extent is the postural stability influenced in patients identified for surgery and in patients after vestibular schwannoma surgery. Powered by TCPDF (www.tcpdf.org)
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Affect of standing frames on measuring postural stability
Klimešová, Lenka ; Koťová, Markéta (referee) ; Horáková, Pavla (advisor)
This semestral thesis is focused on postural stability. The aim is to introduce standing frame Balance Trainer and haptic floor Wii Balance Board. The theoretical part describes the postural functions, posturography and subsequently standing frame Balance Trainer and stabilometric platform Wii Balance Board. It is also designed the measurement protocol for affect of standing frames on measuring postural stability on a group of subjects and the measurement is realized. From the collected data are calculated parameters which are statistically processed and the affect of standing frames on measuring postural stability is evaluated.
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Methods for the evaluation of postural stability
Nevěčná, Leona ; Janoušek, Oto (referee) ; Koťová, Markéta (advisor)
This study deals with methods for evaluation of postural stability. The main problem of posturography is lack of standardization in measurement and evaluation. There are presented some parameters affecting postural stability that are often taken into account. Those are parameters that might be changed while measuring, for example standing position, sampling duration or visual control. And others that are altered when evaluating is taking place, variability of those parameters, is much greater. Measurement protocol taking into account the most promising parameters was put together based on literary search. Changes in COP of ten subjects were measured with Wii Balance Board, according to the proposed measurement protocol. The data acquired from a particular subject were used to count values of parameters used in evaluation. After that the values were statistically analyzed. To compare each parameter, trajectory with good results according to other literature was chosen to pose as a reference. Final result is comparison firstly between importance of changes in parameters of measuring and secondly between success of detection of those changes of separate parameters.
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