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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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Attitude to rehabilitation and exercise in people with multiple sclerosis
Šmejkalová, Barbora ; Novotná, Klára (advisor) ; Slámová, Adéla (referee)
BACHELOR THESIS ABSTRACT Author: Barbora Šmejkalová Supervisor: Mgr. Klára Novotná, Ph.D. Consultant: Ing. Karolína Jakovcová Title: Attitude to Rehabilitation and Exercise in People with Multiple Sclerosis Abstract: The bachelor thesis adresses the attitude of patients with multiple sclerosis to rehabilitation and exercise. This bachelor thesis consists of theoretical and practical parts. The theoretical part includes a brief description of this disease and describes several possibilities of physiotherapy of multiple sclerosis. It also discusses the motivation of patients to exercise and appropriate physical activities. The practical part is based on a questionnaire survey conducted on the basis of a completed study in the MS Center at the Department of Neurology of the First Faculty of Medicine and General University Hospital in Prague. Data obtained from the rehabilitation questionnaire and the Godin-Shephard Leisure-Time Physical Activity questionnaire are processed in the form of tables and graphs. The aim of this work is to find out the patients' attitude to rehabilitation and exercise. I was interested in what motivates patients to physical activity and exercise, or what limits or prevents it. I also focused on monitoring the relation of demographic parameters to physical activities. The results...
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Rehabilitation of Cognitive Functions by Patients with Multiple Sclerosis
Chmelařová, Dana ; Beran, Jiří (advisor) ; Fiedler, Jiří (referee) ; Miňhová, Jana (referee)
Objectives: The purpose of the current study was to evaluate whether a 12-week neuropsychological rehabilitation program has a positive effect on the improvement of cognitive functions and what methods can be used to measure this effect. Furthermore, this study intended to verify the effect of the chosen training plan on the resulting state of cognitive functions, in particular with regard to the frequency and duration of the plan. Methodology: Forty-three patients diagnosed with MS were randomized into an experimental condition or the control group. The experimental condition included 26 patients (22 women and 4 men), whole the control group consisted of 17 patients (12 women and 5 men). All of these patients had a cognitive defect that was assessed at the beginning of the study and monitored using the neuropsychological tests after the participation in the training program. Participants in the experimental group received their rehabilitation of cognitive functions using a PC training program, which they completed in their home environments (30 minutes/4 times per week, for 8 consecutive weeks). Overall, there were 32 training sessions on predetermined days with a specific detailed training plan. The control group received no training. The neuropsychological tests used at the beginning and the...
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Interrater reliability of assessment set of clinical features of patients with multiple sclerosis
Marková, Pavla ; Řasová, Kamila (advisor) ; Novotná, Irena (referee)
Title: Interrater reliability of assessment set of clinical features of patients with multiple sclerosis Objectives: The aim of this thesis is to verify interrater reliability of the assessment set of clinical features of patients with multiple sclerosis which purpose is to evaluate sensitivly and comprehensivly the stage of the patients' clinical condition. Methods: According to the inclusion criteria, the patients with MS were selected by an independent neurologist who determined the EDSS score and duration of the disease. After, patients were evaluated by the assessment set by two independent physiotherapists. The assessment set of clinical features incluedes Low-Contrast Letter Acuity Test which tests contrast vision, Nine Hole Peg Test investiges fine motor skills, Timed 25 - Foot Walk evaluates walking speed over a distance of 7,5 m, Paced Auditory Serial Addition assesses cognitive function, Motricity Index tests muscle strength, Modified Ashworth Scale spasticity, Berg balance Scale equilibrium. Furthemore, the tests for evaluation of righting, equilibrium and protective reactions, the test evaluating knee hyperextension, the examination of dysdiadochokinesia and ataxia. Results: High interrater reliability was confirmed in all tests in the examinig set (ICC: 0,80 - 1), except for MAS...
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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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Effect Multiple Sclerosis on activities of daily living
Němečková, Jana ; Nikodemová, Hana (advisor) ; Křivková, Jana (referee)
Bibliografický záznam NĚMEČKOVÁ, Jana. Vliv roztroušené sklerózy na aktivity denního života. Praha: Univerzita Karlova, 2. Lékařská fakulta, Ústav ošetřovatelství, 2016. 87 s., přílohy. Vedoucí bakalářské práce PhDr. Hana Nikodemová Abstract In my Bachelor thesis I examine the impact of Multiple sclerosis on a daily life activities. The intention is to present an overview of knowledge of the disease itself and map its impact on the activities of a normal day. The work is divided into theoretical and practical part. The introduction of the theoretical part is devoted to reasons of my decision to describe this topic, I define the aim of the work and the working hypotheses, subsequently there is described the disease itself in tabular form by each areas, such as the characteristics of the disease, duration of disease, diagnosis, treatment etc. Then I pay attention to daily life activities and needs of the patient. In the practical part is performed quantitative research through a questionnaire survey of patients from a specialized center for the treatment of demyelinating diseases in the Department of Neurology at the Motol University Hospital. The obtained data are presented in tabular and graphical reports. Keywords multiple sclerosis , activities of daily living, the impact of disease, attack, human needs
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Coping with sudden motility limitation and its implication - coping strategies among young people with spinal cord injury and with multiple sclerosis
Ottová, Monika ; Levínská, Markéta (advisor) ; Smetáčková, Irena (referee)
TITLE: Coping with sudden motility limitation and its implication - coping strategies among young people with spinal cord injury and with multiple sclerosis SUMMARY: This thesis is focused on process of adjustment of motility limitation, caused by spinal cord injury or by attack of multiple sclerosis, among young people. The motoric ability limitation affects their mobility as well as their social interaction, interests, plans and especially their independence. Thus, in age of gaining emancipation from nuclear family, they become dependant on their home-folks again. The theoretical part of the thesis acquaints with spinal cord injuries and multiple sclerosis from biological and psychosocial point of view, thereinafter it's engaged in coping generally and coping in relation to these two groups. Furthermore it's dealt with developmental periods characterization of adolescence and young adulthood, consequences of health turnover in self-concept in social context. The empirical part is based on semi-structured interviews with six young people (3 with spinal cord injury, 3 with multiple sclerosis). The important findings gained from interviews are presented in form of casuistries. On the basis of the interviews analysis it's demonstrated problematic domains, that are affected by motility limitation, and ways of...
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Activity in a prepartum and postpartum period with patient suffering from miltiple sclerosis
Řeháková, Anna ; Pavlasová, Lenka (advisor) ; Ehler, Edvard (referee)
An activity in a prepartum and postpartum period with patients suffering from multiple sclerosis The theme of the bachelor thesis is an activity in a prepartum and postpartum period with patients suffering from multiple sclerosis. In the theoretical part, the multiple sclerosis itself is characterized with all its main features. The second part of the theoretics is focused on the relation between MS and pregnancy. The practical part works with the hypothesis that the health state improves during pregnancy, but unfortunatelly worsens after the birth, considering the brest-feeding. The goal of this work is to confirm this hypothesis. To conclude, the hypothesis was confirmed, except the fact that brest-feeding has a significant influence. Key words: multiple sclerosis, pregnancy, childbirth, brest-feeding, disease activity, attack, relapse, disability Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.
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