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Physiotherapeutic procedures in paraplegics after spinal cord lesion
Dušková, Tereza ; Vacek, Jan (advisor) ; Mende, Karel (referee)
Rehabilitation of patients with spinal cord injury begins immediately after the accident. Before begining a particular therapy, a specific neurological examination according to ASIA (American Spinal Injury Association) protocol is required, which allows to determine the level and severity of neurological damage. Specific rehabilitation procedures and methods are used to minimalize the neurological and functional deficits that occur after spinal cord injury. Procedures that are used include procedures from rehabilitation nursing, pasive and active movements, methods based on neurophysiology, techniques from breathing therapy, manipulative therapy, exercises with apparatus (MotoMed, Lokomat), FES, IMF-therapy, verticalisation, relaxation techniques, physical therapy and other. The goal of therapeutic rehabilitation in acute, subacute and chronic phase of spinal cord injury is maximal restoration of function, best use of remnant muscle potential and the formation of alternative mechanisms to reach the highest level of self-sufficiency and quality of life.
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Instability of cervical spine and physiotherapy
Kupec, Karel ; Herbenová, Alena (advisor) ; Mende, Karel (referee)
In the first and the second chapter I described the region of cervical spine in anatomical and kineziological views. After that I cleared schedule instability a described structures, which are participated on origin of instability. I followed there 3 structures supported stability (Panjabi's subsystems). In another chapter are described muscles and their major influence on stability. In chapter about diagnosis are described examination of cervical spine and special tests on instability. Finally there are therapy and it mainly points to deep muscle system, which in coordinating with superficial muscle system support right stability.
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