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Assessment of the Postural Stability Disorders in Hemiparetic Patients by Posturography
Bestová, Zuzana ; Švestková, Olga (advisor) ; Tichá, Marie (referee)
The aim of this thesis was to establish the criteria for the evaluation of disorders of postural stability in hemiparetic patients group using data obtained by using static posturography. We have created a group of 21 hemiparetic patients who were examined at the age of 40 - 55 years in the past, and the control group of 20 volunteers at the same age without any disorder of postural stability. Testing was carried out on the device Posturograph STP-03, which serves inter alia to assess the postural stability of individuals in quiet standing. First, subjects were examined in the standing on the broad base support and then in the standing on the narrow base of support (feet together). In each of these two cases, we performed measurements with eyes open and then eyes closed. The values of all standing parameters, which had been measured for hemiparetic patients by using static posturography in the past, were compared to the results measured in the control group of volunteers. Using non-parametric Mann-Whitney test, we have demonstrated that the parameters Way, Area, LAT and the AP have statistically significant distinction between the two groups of people pursued. Through non-parametric Wilcoxon signed-rank test for two related samples, we have also confirmed the influence of difficult standing conditions to...
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Functional assessment of motor activities of patients after brain damage before and after intensive rehabilitation intervention (with the goal to obtain restoration of upper arm physiological functions)
Sládková, Petra ; Švestková, Olga (advisor) ; Jeřábek, Jaroslav (referee) ; Süssová, Jana (referee)
Rehabilitation of patients after brain damage is an multidisciplinary, complex, intensive, long- term and individual process. Standardized functional instruments for the assessment of the degree of disability and functional abilities of patients are not usually used in rehabilitation in the Czech Republic. Often, motor disorder post brain damage results in hemiparesis and causes impairment of upper arm movement pattern. Movement ability of the upper arm is vital for self-sufficiency, activities of daily life and maintaining an independent family life. Special rehabilitation therapeutic techniques must involve the training of new activities including the mechanism of motor learning which is responsible for functional reorganization of the motor cortex regions, and the activation of reserve neurons for reparation. The aim of the study is to demonstrate that an accelerometer is a suitable instrumet for objective monitoring of impairment of the upper arm movement pattern. Another aim of the study is to demostrate if the FIM test (Functional Independence Measures) and Jebsen-Taylor (JT) test are appropriate instruments for detecting changes of the upper arm movement pattern after intensive, individual and multidisciplinary rehabilitation brain damage patients. Clinical study was undertaken with selected...
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Functional assessment of motor activities of patients after brain damage before and after intensive rehabilitation intervention (with the goal to obtain restoration of upper arm physiological functions)
Sládková, Petra ; Švestková, Olga (advisor) ; Jeřábek, Jaroslav (referee) ; Kozler, Petr (referee)
6 Abstract The rehabilitation of patients with brain damage is an interprofessional, complex, intensive, long-lasting and individually oriented process. One frequent consequence of brain damage is hemiparesis, which also causes a disorder of the upper extremity movement pattern. The movement ability of the upper extremity is essential for an individual's self-sufficiency, the performance of common daily activities, and thus for an independent life in a family setting. Special therapeutic rehabilitation approaches should involve the training of new activities, including the motor learning mechanism that activates brain plasticity. A functional reorganization of the motor cortex occurs along with the activation of reserve neurons and the replacement of damaged synapses. One of the aims of this work was to demonstrate, using objective function methods, the possibility of influencing the movement patterns of a paretic upper extremity by means of intensive interprofessional rehabilitation even several years after the brain damage. The second aim was to demonstrate that the monitoring of motor functions in patients after brain damage leads to improved motivation, thereby improving motor functions. A study was conducted among 55 selected patients after brain damage with central hemiparesis who participated in the...
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Assessment of the Postural Stability Disorders in Hemiparetic Patients by Posturography
Bestová, Zuzana ; Tichá, Marie (referee) ; Švestková, Olga (advisor)
The aim of this thesis was to establish the criteria for the evaluation of disorders of postural stability in hemiparetic patients group using data obtained by using static posturography. We have created a group of 21 hemiparetic patients who were examined at the age of 40 - 55 years in the past, and the control group of 20 volunteers at the same age without any disorder of postural stability. Testing was carried out on the device Posturograph STP-03, which serves inter alia to assess the postural stability of individuals in quiet standing. First, subjects were examined in the standing on the broad base support and then in the standing on the narrow base of support (feet together). In each of these two cases, we performed measurements with eyes open and then eyes closed. The values of all standing parameters, which had been measured for hemiparetic patients by using static posturography in the past, were compared to the results measured in the control group of volunteers. Using non-parametric Mann-Whitney test, we have demonstrated that the parameters Way, Area, LAT and the AP have statistically significant distinction between the two groups of people pursued. Through non-parametric Wilcoxon signed-rank test for two related samples, we have also confirmed the influence of difficult standing conditions to...
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