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Effectiveness of antispastic electrical stimulation in pediatric patients with cerebral palsy
Kurelová, Martina ; Demeková, Júlia (advisor) ; Havrda, Prokop (referee)
This thesis is focused on the issue of electrotherapy with an antispastic effect. Specifically, it deals with Hufschmidt currents and their effectiveness in reducing spasticity of the triceps surae muscle in patients with the spastic form of cerebral palsy (CP). The overview of theoretical findings includes information on cerebral palsy and spasticity, findings from new research on their frequency, diagnosis and treatment. In the last chapter of the theoretical part, findings on electrotherapy with antispastic effects in the Czech Republic and abroad are presented. In the practical part, a series of case studies of patients in whom the effect of Hufschmidt currents was examined is presented. The work was attended by 9 pediatric patients with a diagnosis of spastic CP, to whom Hufschmidt currents were applied a total of 6 times. The effectiveness of this type of currents is determined by performing a 10-meter walking test, Timed Up and Go test and examination of spasticity in 5 steps according to Gracies, and then comparing the numbers before and after the electrotherapy series. The result of this work was the confirmation of the positive effect of antispastic currents according to Hufschmidt on the reduction of muscle spasticity in 7 patients, on the acceleration of walking in the 10-meter walking...
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Changes in foot arch form in hemodialysis patients
Havrda, Prokop ; Bitnar, Petr (advisor) ; Katolický, Jakub (referee)
Chronic renal failure and dialysis treatment affect the musculoskeletal system and functional capacity patients. This work assesses the effect with a focus on changes in the structure and function of the foot. The theoretical part deals with the issue of chronic renal failure and dialysis treatment. It presents evidence of the influence of some internal diseases on the foot, in order to better understand the changes taking place in the examined probands. It describes pathological changes, that affect functional capacity of the examined probands. The practical part assesses the effect of chronic renal failure and dialysis treatment on the height of longitudinal foot arch, gait stereotype and postural stability of 30 patients from the dialysis center Fresenius Medical Care - DS, s.r.o. and FN Motol.
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