National Repository of Grey Literature 40 records found  1 - 10nextend  jump to record: Search took 0.00 seconds. 
Occupational therapy intervention in patients after vestibular schwannoma surgery
Havlíková, Darina ; Táborská, Silvie (advisor) ; Jeřábek, Jaroslav (referee)
Title: Occupational therapy intervention in patients after vestibular schwannoma surgery Abstract: Vestibular schwannoma is a benign tumor of the vestibulocochlear nerve and contains about 8-10% of all intracranial tumors. With an incidence of approximately 1 new case per 100,000 population, it is a rare disease that, although we can now successfully treat, can without an early diagnosis and treatment have debilitating consequences. The main manifestations of schwannomas include hearing loss, tinnitus, vetigo, balance disorders and significantly reduced quality of life. This thesis mainly focuses on the rehabilitation of patients after VS resection. These patients most commonly visit rehabilitation facilities for balance impairment, postoperative paresis n. facialis or deteriorated orientation. Attention is also specifically paid to occupational therapy intervention. The theoretical part approaches the issue of vestibular schwannomas generally, it describes the symptoms and options of treatment. A large part is also devoted to rehabilitation. This work founds a basis for the creation of a clinical practice guideline focused on the rehabilitation of patients after resection of VS. The last section then contains a summary of the intervention for occupational therapy. This paper responds to the absence of...
Occupational therapy intervention in patients after vestibular schwannoma surgery
Havlíková, Darina ; Táborská, Silvie (advisor) ; Jeřábek, Jaroslav (referee)
Title: Occupational therapy intervention in patients after vestibular schwannoma surgery Abstract: Vestibular schwannoma is a benign tumor of the vestibulocochlear nerve and contains about 8-10% of all intracranial tumors. With an incidence of approximately 1 new case per 100,000 population, it is a rare disease that, although we can now successfully treat, can without an early diagnosis and treatment have debilitating consequences. The main manifestations of schwannomas include hearing loss, tinnitus, vetigo, balance disorders and significantly reduced quality of life. This thesis mainly focuses on the rehabilitation of patients after VS resection. These patients most commonly visit rehabilitation facilities for balance impairment, postoperative paresis n. facialis or deteriorated orientation. Attention is also specifically paid to occupational therapy intervention. The theoretical part approaches the issue of vestibular schwannomas generally, it describes the symptoms and options of treatment. A large part is also devoted to rehabilitation. This work founds a basis for the creation of a clinical practice guideline focused on the rehabilitation of patients after resection of VS. The last section then contains a summary of the intervention for occupational therapy. This paper responds to the absence of...
Vestibular and postural biomarkers in spinocerebellar ataxias and peripheral vestibular lesions
Danková, Michaela ; Jeřábek, Jaroslav (advisor) ; Roth, Jan (referee) ; Sivák, Štefan (referee)
Vestibular and postural biomarkers in spinocerebellar ataxias and peripheral vestibular lesions Abstract Vestibular dysfunction can be a part of clinical impairment in spinocerebellar ataxias. Together with cerebellar symptoms, it can lead to imbalance and also to impairment of dynamic visual acuity (DVA) in these patients. The aim of the work was to objectify the involvement of the vestibulo-ocular reflex in patients with SCA using modern diagnostic methods. At first the innovative method of video head impulse test (vHIT) was introduced in patients after vestibular schwannoma surgery, in whom a clearly defined vestibular impairment is present. We investigated DVA in SCA patients, the degree of the DVA impairment correlated proportionally with the impairment of vestibular function measured by vHIT. The best predictive values for DVA impairment were obtained by using a model that combined impairment of vestibulo-ocular reflex measured by vHIT and degree of cerebellar dysfunction according to SARA (scale for assessment and rating of ataxia). The research also aimed at the verification of postural stability disorders in patients with SCA using posturography. Standard posturographic parameters (area, sway path and mean velocity of Centre of foot Pressure - CoP) did not allow to distinguish between individual...
The use of biofeedback for stability training in patients with degenerative cerebellar disease
Stránská, Lenka ; Čakrt, Ondřej (advisor) ; Jeřábek, Jaroslav (referee)
The graduation thesis deals with the issue of balance disorders due to a cerebellar damage. It deals in detail with the treatment of patients suffering from degenerative cerebellar ataxia and with the use of biofeedback technologies as means of postural stability treatment. The aim of practical part of this work was to investigate the effectiveness of therapy using biofeedback for patients suffering from progressive ataxia due to cerebellar neurodegeneration. The research sample consisted of 8 patients. The patients underwent a total of 18 therapy sessions within a twelve-day rehabilitative program. The therapy contained a training of stability in various positions with the elimination of visual control. A device provided an additive information about head sways for the patients via a tongue electrotactile stimulation. The effects were assessed by means of posturography, functional clinical tests (BESTest, Dynamic Gait Index) and questionnaires (Activities-specific Balance Confidence Scale, Dizziness Handicap Inventory). Three assessments were performed: immediately before, immediately after, and 30 days after the rehabilitative program. A statistical analysis of the data showed significant improvement in all observed parameters. In addition, there was no loss of the benefits in the interval of 30...
Biofeedback in patients with balance disorders
Čakrt, Ondřej ; Jeřábek, Jaroslav (advisor) ; Syka, Josef (referee) ; Hlavačka, František (referee)
This dissertation is providing evidence that rehabilitation with biofeedback improves postural stability in patients with poor balance. We used two methods of biofeedback during the rehabilitation of the patient groups, visual control and electrotactile stimulation of the tongue. The thesis is based on the body of five scientific publications. The introduction is explaining how postural stability is controlled and how this is assessed by posturografic examination. Discussed also is neurorehabilitation using biofeedback, in patients with poor balance. Throughout the first experiment, we studied the effect of rehabilitation using visual feedback in patients during the early postoperative period after resection of vestibular schwannoma. The results showed stability adaptation is accelerated, using visual biofeedback in patients who have early postoperative rehabilitation, when compared to patients who did not use biofeedback during the postoperative rehabilitation. In the second experiment, we focused on assessing the subjective visual vertical in patients with defined postural deformity - idiopathic scoliosis. Our results showed that patients with idiopathic scoliosis (IS) have an abnormal perception of subjective visual vertical when compared to age matched healthy individuals. This finding supports the...
Evaluation of development of cortical excitability in spinal cord injured patients using transcranial magnetic stimulation
Kříž, Jiří ; Kolář, Pavel (advisor) ; Jeřábek, Jaroslav (referee) ; Jech, Robert (referee)
In Ph.D. thesis we focused on monitoring and evaluation of changes in motor cortical excitability of patients after spinal cord injury. Explanation of motor cortex reaction on spinal function disorder could be useful in various therapeutic interventions. Seventeen spinal cord injured (SCI) patients (neurological level of injury from C3 to L3, AIS A-D) at the age from 18 to 63 (average 30.1) and 10 controls participated on the study. Neurological examination was performed according ASIA classification, evaluation of motor function of muscles was greatly important. Changes in primary motor cortical excitability were studied using paired-pulse transcranial magnetic stimulation (p-TMS). The paired pulses were applied at interstimulus intervals (ISI) of 2 ms and 15 ms while motor evoked potentials (MEP) were recorded in the biceps brachii (Bic), the abductor pollicis brevis (APB) and the tibialis anterior (TA) muscles. All patients underwent two examinations in first four months after SCI with month interval. Ten patients underwent third examination 2-3 years after injury. The study revealed a significant decrease in cortical excitability in the first weeks after SCI concerning the representation of both affected muscles and spared muscles rostral to the lesion. In motor-incompletely injured patients, but not in...
The use of technical means to assess the impact of rehabilitation for upper limb movement
Svozílková, Pavlína ; Hána, Karel (advisor) ; Jeřábek, Jaroslav (referee)
The goal of this thesis was determine whether we can to use an inertial system for measuring the activity of the upper limb signs of paresis in the rehabilitation of people after brain damage with a diverse range of upper limbs functional damage, and demonstrating the expected increase in this activity. One way to obtain objective information about the activity of the upper limb signs of paresis is the use of inertial systems. 21 people who went to therapy on the Department of Rehabilitation Medicine First Faculty of Medicine Charles University in Prague and General University Hospital in Prague were measured. Each of them suffered brain damage more than a year ago and also had impaired upper limb mobility. The behavior of the upper limb signs of paresis were evaluated from data obtained by inertial system and by Jebsen-Taylor test. Inertial units were located on the left and right wrist and left side at the waist. An inertial system measurement was carry out at home about 12 hours a day for 4 weeks, when the persons responsible for training specified exercises. Jebsen-Taylor test was conducted at the beginning of the study, as the initial measurement, and after 4 weeks, as the output measurement. The obtained data were statistically evaluated by Wilcoxon paired test. By comparing the average...
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...
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...
Eye Movement Metrics in the Differentiation of Parkinsonian Syndromes.
Bonnet, Cecilia ; Růžička, Evžen (advisor) ; Rokyta, Richard (referee) ; Jeřábek, Jaroslav (referee)
Eye Movement Metrics in the Differentiation of Parkinsonian Syndromes Cecilia Bonnet, MD Summary of thesis submitted for the degree of Ph.D., Charles University, Prague 2017 In this thesis we investigated conjugate and dis-conjugate eye movements (EM) in Parkinson's disease (PD) and other parkinsonian syndromes aiming to characterize and differentiate some aspects of their oculomotricity using infrared video-oculography. First of all we published a practical review for medical students and clinicians describing clinical examination of eye movements, and interpretation of principal findings. Then we examined principal saccadic eye movements and smooth pursuit in the horizontal and vertical directions with video-oculography in a large group of healthy subjects, aiming to help new oculomotor laboratories in the constitution of their own norms. We conclude that age influence EM metrics but not gender or education level. The latency of saccades and the error rate of antisaccaes increases, while the velocity and gain diminishes with age. Saccades should be investigated in the horizontal and vertical plane because they are influenced by the direction of the target, resulting in a right/left and up/down asymmetry. In a third project we focused on a frequent complain of PD patients, namely blurred near vision and...

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See also: similar author names
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14 JEŘÁBEK, Jan
8 JEŘÁBEK, Jiří
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15 Jeřábek, Jakub
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4 Jeřábek, Jan Lucián
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