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The Application of Robot-Assisted Therapy of Hand in Patients after Stroke in Chronic Phase: Follow-up Trial of Application of AMADEO Instrument
Oktábcová, Alice ; Uhlířová, Jaromíra (advisor) ; Kotková, Karla (referee)
Name: Alice Oktábcová Supervisor: Mgr. et Mgr. Jaromíra Uhlířová Oponent: ……………. Diploma thesis: The Application of Robot-Assisted Therapy of Hand after Stroke: Follow-Up Trial of Application of AMADEO Instrument Key words: stroke, robot-assisted therapy, Amadeo Instrument, follow-up study, upper extremity In recent years, western countries noted a gradual increase in stroke survivors. Stroke can cause motor activity impairment and also senzoric and cognitive disorders which lead into restriction of participation of activities of daily living and also reduction of social and community activities. Functional improvment of upper and lower extremity after stroke is a very complex proces which has to be solved in multidiscplinary and multifactorial approach in result of every stroke survivor to live in the most independent way as possible. Robot-assisted therapy for motor recovery could be a successful way to improve motor activity of stroke survivors. Amadeo Instrument is one of robot-assisted therapy for hand rehabilitation of stroke survivors. This instrument can be described as final effector without exoskeleton which allows functional motor therapy for fingers and also a motivational feedback. Amadeo therapy can be passive, assisted, active and also interactive. The aim of this thesis is to...
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Methods of a grip evaluation after reconstructive surgery of the spastic hand
Pechová, Petra ; Fialová, Ludmila (advisor) ; Kövári, Martina (referee)
The aim of the thesis was to find out which areas of life of people with hand spasticity may affect the performance of reconstructive surgery. Furthermore, to determine which specific factors involved in the function and dysfunction of the upper limb in people with upper motor neuron syndrome can affect the results of the intervention, and what are the relationships between these factors. The group consisted of 13 people with cerebral type of spasticity. Subjects were examined preoperatively, three months after the intervention, and five months after the intervention. Operations were performed in the wrist-hand and elbow region. Subjects were examined repeatedly by some sensory modality, goniometry, Frenchay arm test, Score for visual evaluation of functional task of the hand, The QuickDASH, modified Ashworth Scale, modified Barthel Index and each person was classified according to The Manual Ability Classification System. There was an elbow contracture release and an improvement in an active motion in the wrist as result of the intervention. The results showed a statistically significant difference in some test scores Frenchay arm test, Score for visual evaluation of functional task of the hand, The QuickDASH and the modified Barthel Index before and after intervention. In a group of people with...
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Throwing ability in human evolution
Struška, Michal ; Sládek, Vladimír (advisor) ; Hora, Martin (referee)
The aim of this thesis is to describe the origin of bone markers that characterize individuals who throw habitually and the usability of these markers in research of past populations. The thesis also summarizes knowledge of the origin and development of projectile weapons in Pleistocene. The effectiveness (accuracy and speed) of throw is probably related to differences in morphology of pectoral girdle, torso and hand. Therefore, a part of the text summarizes the morphology of pectoral girdle, torso and hand in the species H. erectus, which was probably the first group of hominins able to throw with effectiveness close to the one of anatomically modern humans. The development of projectile technology, which came after the adoption of effective throwing ability, is usually inferred from archaeological findings of spears and arrows. Various interpretations of archaeologically found weapons bring different conclusions regarding the usage of these weapons. The usage may be inferred from bone characteristics originating as consequences of moves that individual executes when manipulating weapons.
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Creation and Application of the grip test in patients after stroke
Filipová, Kateřina ; Svěcená, Kateřina (advisor) ; Svobodová, Tereza (referee)
The main aim of this bachelor's work was to create a grip test wich could be afterwards applied on patients after a stroke. An easy and time undemanding test was created whose evaluating standart is the number of achieved points. This test is used to find out the patient's functional condition in a grip area. It tests five kinds of grips. There evaluated stages of reaching, gripping, holding and releasing in each grip. The bachelor's work is divided into two parts: practical and theoretical. The theoretical part describes not only the impact of a stroke but olso the impact on the upper limb, hand and its functions and grips. It also describes testing and assessment. The practical part describes the time necessary to do the project, its realisation and application of the grip test on patients after stroke. This part also shows the results of testing. Key words: Stroke Assessment of hand grip Upper limb Grip test Grip
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Possible uses of Occupational Therapy in patients with painful shoulder syndrome
Pukovcová, Klára ; Svobodová, Tereza (advisor) ; Čábelková, Alžběta (referee)
This following thesis is focused on painful shoulder syndrome and possible treatments through occupational therapy. It serves as a summary of possible occupational therapy interventions for patients with painful shoulder syndrome. The main aim was to create a treatment method that occupational therapist can provide as part of a multidisciplinary team. The theoretical part includes anatomy and insights into kinesiology, causes, symptoms, testing and treatment options for painful shoulder syndrome. The main part of the thesis introduces potential treatment procedures which can be performed through the intervention of occupational therapy and brings a new perspective in terms of rehabilitation of the disease, since it was previously primarily viewed from a physiotherapists perspective, which is essential for the treatment of painful shoulder syndrome. The practical part contains two case studies performed on adult patients who suffered with painful shoulder syndrome, both show the course of therapy in individual patients. Occupational therapy methods were practiced on patients and are dealt with in the theoretical part of the work. The methods compliment physiotherapist intervenion and facilitate the patient's return to normal daily life. KEY WORDS: painful shoulder syndrome, shoulder joint, upper...
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Upper limb assessment in multiple sclerosis
Heřmánková, Barbora ; Řasová, Kamila (advisor) ; Sedláčková, Barbora (referee)
My thesis is focused on the possibilities of examination of upper limb function in patients with multiple sclerosis. It also details the interpretation of outcome measures. The work was part of an international study called Psychometric properties of Outcome Measures of upper limb function in multiple sclerosis which was aimed at creating a systematic review of outcome measures that provide reliable data. Given the high prevalence of functional upper limb dysfunction in patients with multiple sclerosis, their examination quality is a prerequisite for successful rehabilitation. The theoretical part of my work is occupied with the detailed description of each test which were evaluated through study to be relevant. From this perspective it tis really important that outcome measures are reliable, valid and responsive. These properties, called psychometric properties, were mentioned in my thesis.
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The use of HandTutor in occupational therapy with people after brain damage
Bartoňová, Eliška ; Oborná, Pavlína (advisor) ; Čábelková, Alžběta (referee)
This bachelor's thesis deals with the use of HandTutor technology in occupational therapy with people after brain damage. The theoretical part describes HandTutor technology, brain damage and subsequent occupational therapy intervention. HandTutor technology is presented as an active rehabilitating system of upper limb including diagnostic and therapeutic part. The practical part contains the aim of the thesis, research questions and the methodology of the research. In my research, the progress of therapies with HandTutor technology is presented by two case reports of people after brain damage. The result of the research is the record of the changes in the parameters measured by HandTutor technology. The changes are reflected in the charts and visual supplements. The conclusion summarises the responses of research questions describing also the problems which can occur while using this technology. This thesis serves as an introduction HandTutor technology, specifies its use in occupational therapy with people after brain damage and recommends futher research of the diagnostic data analysis in an objective evaluation. Key words: HandTutor occupational therapy brain damage upper limb objective evaluation
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The use of Mirror therapy in occupational therapy
Hoidekrová, Kristýna ; Lupienská, Natálie (advisor) ; Svěcená, Kateřina (referee)
The aim of this study was to develop occupational therapy manual Mirror therapy. In the Czech Republic, this method is almost never used, despite the excellent results of foreign studies. The method uses the visual perception received from the mirror, where you can see the reflection of moving upper limb. Through the visual pathway information is fed to the brain, where due to the plasticity of the brain leads to the creation of new income center. Efferent pathways, the output information led to the affected upper limb, which in most cases is not only to improve motor, but also sensitive components. An important advantage is the possibility of applying this therapy to a wide range of diagnoses, which can include neurological disorders, rheumatic diseases, post-surgical procedures such as amputation and transfer, the sensory re-education, reduction of pain. In the occupational therapy this method is mostly used to train the selective phase of grips, which are necessary for proper implementation of the activities of daily living (ADL). During the therapy we can use therapeutic aids as well but normal daily-used object are preferable. The big advantage is the possibility to use this therapy in the patient's home environment, hence the for education of occupational therapist is needed. The theoretical...
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Problem of painful shoulder in hemiparetics patients
Daumann, Pavla ; Muchová, Zuzana (advisor) ; Konvalinková, Romana (referee)
This bachelor thesis is focused on a painful hemiparetic shoulder as a frequently observed complication in patients suffering from stroke. Basic information about stroke, anatomy and kinematics of shoulder joint is included in a theoretical part of the thesis. The largest portion describes a pathogenesis of painful hemiparetic shoulder, its prevention and commonly used physiotherapeutic approaches. The practical part of the thesis consists of two case reports of patients with stroke suffering from painful hemiparetic shoulder. In both cases, a combination of physiotherapeutic approaches applied in ten cycles over a period of 4 to 6 weeks was used. To prove an effectiveness of the therapy, I used kinesiological assessment as well as a faces pain scale for an evaluation of shoulder pain. To assess a mobility of the shoulder, I used a goniometry and functional tests for upper limb. Results of the therapy are described in a discussion part of the thesis and indicate that the combination of physiotherapeutic approaches may decrease pain as well as improve the mobility of affected shoulder. These results should be confirmed in a larger patient population. Key words: stroke, hemiparesis, shoulder, pain, physiotherapy
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