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Dual-Task Program in Neurorehabilitation in Patients with Acquired Brain Injury
Burdová, Eliška ; Jeníček, Jakub (advisor) ; Krivošíková, Mária (referee)
This diploma thesis deals with the topic of the use of the dual task in neurorehabilitation in patients with aquired brain injury. Its main goal was to create a program using dual task procedures, which was subsequently applied in a cognitively focused daily rehabilitation stationary of the The Department of Rehabilitation Medicine of the General Hospital and the First Medical Faculty of Charles University. Another goal was to provide settings for using the conditions of the program, its evaluation and finding out whether it was applied to the patient to improve some of the ADL. The research part of the work is processed by the method of qualitative evaluation research through the elaboration of one case study and evaluation of the program by a decision evaluation model. Based on a comprehensive search, a therapeutic program was developed and evaluated. It includes three levels of primary motor tasks and secondary cognitive tasks divided according to specific cognitive functions. This is a pilot study to further investigate the effect of the use of the dual task in people with aquired brain injury. Key words: dual-task, cognitive-motor interference, neurorehabilitation, acquired brain injury
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Stimulation of swallowing within PNF concept in patients with acquired brain injury
Matys, Václav ; Slámová, Adéla (advisor) ; Fabičovic, Klaudia (referee)
BACHELOR THESIS ABSTRACT Name, surname: Václav Matys Supervisor: Ing. Adéla Slámová Consultant: Ing. Mgr. Jana Horynová Title: Stimulation of swallowing within PNF concept in pacient with acquired brain injury A swallowing disorder often occurs as a complication in acquired brain injury diagnosis. In more serious cases it can constitute even life-threatening condition, primarily due to the risk of aspiration and possilbe subsequent development of an inflammatory lung disease. This thesis deals with a possibility of therapeutic influencing of neurogenic dysphagia with utilization of elements of the concept of proprioceptive neuromuscular facilitation - PNF. Contrary to the fact that exercise on the PNF basis to influence dysphagia isn't used frequently in clinical practice, it represents highly effective and for the therapist easily managable method of therapy. The practical part contains a case history of patients with dysphagia, to whom the therapy on the PNF basis was applied. The goal of the bachelor thesis is to create an educative material for a community of experts, particularly physiotherapist as well as speech pathologists or occupational therapists, and thus support interdisciplinary cooperation in the care of dysphagia patients. The result of the thesis is a formation of the therapeutic procedure...
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The Design of Universal Models of Assistive Devices for Production Using a 3D Printing to Improve the Self-sufficiency of People with Acquired Brain Injury.
Gazdová, Klára ; Rodová, Zuzana (advisor) ; Angerová, Yvona (referee)
Author: Bc. Klára Gazdová Supervisor: Bc. Zuzana Rodová, M.Sc. Title: The Design of Universal Models of Assistive Devices for Production Using a 3D Printing to Improve the Self-sufficiency of People with Acquired Brain Injury Abstract: Background: Patients with acquired brain injury often need to be equipped with personalized compensatory aids to increase paretic upper limb involvement and self-sufficiency. One of technologies for production of aids is 3D printing, which is use abroad. Limit is professional and time consuming in preparation of 3D models of printing aids. Reducing this complexity is possible by creating universal 3D models that allow change dimensions of aid without professional intervention. Goal: Main goal is design universal 3D models of aids. Aids help patients engage paretic upper limb and increase self-sufficiency. Based on analysis, activities of daily living in patients with acquired brain injury were selected. Methodology: Author created Record Form data collection, guidelines were created to minimize subjectivity in acquisition of data from occupational therapists. Author collected data at Rehabilitation Institute Kladruby and ERGO Aktiv o.p.s. Record form was distributed to occupational therapists working with target group of patients, but models were created from...
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Quality of Life, Satisfaction with Life, Social Self-efficacy and People after Acquired Brain Injury.
Lišková, Kateřina ; Šivicová, Gabriela (advisor) ; Kebza, Vladimír (referee)
This thesis is focused on quality of life theme, satisfaction with life topic and social self- efficacy subject, with emphasizing of the acquired brain injury context and specific and unique brain injury consequences. Thesis is based on theoretical fundament of all mentioned concepts, but mainly there are actual quantitative data and results of quality of life, satisfaction with life and social self-efficacy and other-efficacy in the framework of acquired brain injury research sample in Czech Republic. Not only description of quality of different life parts subjective perception, but also search of possible relationships strength between quality of life and social efficacy has been probed. All of these has been used in application of lots of standardized and also new questionnaire and methods. Keywords: acquired brain injury, quality of life, satisfaction with life, social self-efficacy, social other- efficacy
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The therapy of emotional and behavioral problems after acquired brain injury
Piťhová, Zuzana ; Kulišťák, Petr (advisor) ; Hrachovinová, Tamara (referee)
The changes in emotivity and behavior are common after acquired brain injury, which complicates the readaptation of an individual to his environment. Compared to cognitive problems, these changes are not so greatly regarded because their complexity requires care in the context of its special neuropsychological treatment. The objective of the theoretical part of this thesis was to elucidate the issue of acquired brain injury and summarize current knowledge and experience in the field of therapeutic work with this specific group of people. The aim of the empirical part of this thesis was to design an appropriate educationally based preventive program that would focus on the experience of personality change after ABI. The goal of this program was to provide patients with information about the usual consequences of ABI and to provide a place to share the problems they experience. The effectiveness of this program was measured via the European Brain Injury Questionnaire (EBIQ) and the Zung Self-rating Depression Scale (ZSDS). The results were compared in the experimental group (N=30) before and after the completion of the program and in the control group (N=30). In the group that undertook the intervention, the EBIQ-P showed significant improvement in the subscale Physical. The ZSDS results showed...
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Memory Training Strategy for Patients after Acquired Brain Damage
Řápková, Veronika ; Krivošíková, Mária (advisor) ; Frydrychová, Zuzana (referee)
BACHELOR THESIS ABSTRACT Name, Surname: Veronika Řápková Supervisor: Bc. Mária Krivošíková, M.Sc. Title: Memory Training Strategy for Patients after Acquired Brain Damage Abstract: This bachelor's thesis is focused on the training of memory strategies for patients after acquired brain damage. Acquired brain damage affects all components of the body. In the cognitive area memory disorders are most common which is reflected in the lives of individuals. Memory strategies can help people with memory problems live a self-sufficient and independent life. The thesis is divided into a theoretical and a practical part. The theoretical part focuses on acquired brain damage, memory and memory strategies. The practical part is processed in the form of two therapeutic case reports, which describe the history of patient, examination results, the course of therapies and the conclusion with recommendations. The frequency of therapies was determined twice a week for 45 minutes for eight weeks. The therapy included a daily home exercise lasting 45 minutes. Therapies focused on memory strategies that patients used or wanted to use. The aim of this bachelor thesis is to determine the most commonly used memory strategies in selected patients and to describe their training in occupational therapy. The working hypothesis was that...
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The Instrumental Stimulation of the Superficial and Deep Sensation in Upper Limb Therapy by Clients with Acquired Brain Injury
Strubinská, Šárka ; Slepičková, Veronika (advisor) ; Kuželková, Anna (referee)
OF THE BACHELOR THESIS Title: The Instrumental Stimulation of the Superficial and Deep Sensation in Upper Limb Therapy by Clients with Acquired Brain Injury Abstract: The bachelor thesis deals with the device SaeboStim Micro and its use within sensory therapy of the upper extremity that is experienced by people with acquired brain injury. The device uses a so called sensory electrical stimulation (without muscle contraction) that affects different dysfunctions, besides sensation. In the theoretical part is summarized the knowledge about acquired brain injury (traumatic and nontraumatic) and its consequences, further knowledge about sensation and its impairments and the principles and possibilities of sensory assessments. In this part it is also possible to find information about rehabilitation for people with acquired brain injury and about SaeboStim Micro. The aim of this thesis was to determine the efficiency of the SaeboStim Micro device in therapy of sensation of the upper extremity of three people with acquired brain injury in the chronic stage. The partial goal of the thesis was to map the experience with the use of SaeboStim Micro and the prevalence of this device in the Czech Republic by means of a questionnaire intended for occupational therapists. In the practical part there are three...
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Pilot Testing of Usability "Action Research Arm Test (ARAT)" in Persons after Acquired Brain Injury
Hysková, Ludmila ; Nováková, Olga (advisor) ; Rybářová, Kateřina (referee)
BACHELOR THESIS ABSTRACT Name, Surname: Ludmila Hysková Supervisor: Bc. Olga Nováková M.Sc. Title: Pilot Testing of Usability "Action Research Arm Test (ARAT)" in Persons after Acquired Brain Injury Abstract: The bachelor thesis is focused on use of the Action Research Arm Test (ARAT) tool in person after acquired brain injury. The often problem in this population may be decreased or impaired function of upper limbs, which is what the ARAT is dealing with. The aim of the thesis is assessment of the tool and its characteristics. Theoretical part describes different types of brain injury, primarily stroke and their consequences. A chapter about grips and their pathologies follows. Grips are the dominant part of the ARAT testing. The second half of the theoretical part describes testing in occupational therapy and importace of standardised tool. The ARAT is further described in detail. Other tools for testing upper limb function, are briefly described in the conclusion. The practical part deals with pilot testing of the ARAT with the 8 patients. Short case studies of all patients are presented and the results of the individual subtests and total score of ARAT. These results are compared with each other between the patients. In conclusion of practical part is assessment of the ARAT in predertmined areas....
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The Proposal and Implementation Assistive Devices for Patients with Acquired Brain Injury Using 3D Printer
Gazdová, Klára ; Rodová, Zuzana (advisor) ; Sýkorová, Jitka (referee)
BAKALÁŘSKÉ PRÁCE Jméno, příjmení: Klára Gazdová Vedoucí práce: Bc. Zuzana Rodová, M.Sc. Title: The Proposal and Implementation Assistive Devices for Patients with Acquired Brain Injury Using 3D Printer Abstract: Background: Acquired brain injury cause disability, which influences human self-sufficiency. Self-sufficiency can be increased by assistive devices. 3D printing technology seems to be appropriate alternative for creating tailor-made compensatory aids. Foreign organizations are forming the trend. Goal formulation: The main goal is to create tailor-made assistive devices for patients with acquired brain injury using a 3D printer. The partial goal is an assessment of the financial and technical demands of the technology for ordinary occupational therapy practice. Methodology: For five patients with acquired brain injury was created a tailor-made compensatory aid as a part of the bachelor's thesis and printed using 3D printing. The aids were focused on activities of daily living that the patients were not able to perform without the aid. Results: Six self-feeding aids have been created. One aid had to be redone after testing. One patient needed a soft aid that 3D printing cannot produce. The created aids allowed four patients to engage the paretic upper limb in self-feeding. Conclusion: 3D...
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Comparison of instruments for determination of individual goals in occupational therapy in patients with acquired brain injury
Česáková, Kamila ; Slepičková, Veronika (advisor) ; Vavříková, Marianna (referee)
BACHELOR THESIS ABSTRACT Name, Surname: Kamila Česáková Thesis supervisor: Mgr. Veronika Slepičková Thesis opponent: Title of the Bachelor Thesis: Comparison of Instruments for Determination of Individual Goals in Occupational Therapy in Patients with Acquired Brain Injury Abstract: The bachelor thesis deals with the use of three selected instruments for setting individual goals in patients with acquired brain injury. The aim of this work is to map the course of application of each instrument and their comparison in selected areas. Furthermore, the thesis focuses on the use of the instruments in patients depending on various consequences of acquired brain injury. The theoretical part describes various types of acquired brain injury, their consequences and possibilities of rehabilitation. Then the recommended course of application of individual instruments is described. The practical part describes the course of application of individual instruments in concrete clients. There is always an aphasic client and a client without aphasia for each instrument. This section also includes a subsequent evaluation and comparison of selected instruments in different areas, as well as various recommendations regarding their application. Key words: individual goal setting, acquired brain injury, occupational therapy,...
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