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The Influence of Virtual Reality on Psychosomatic State of Patients with Spinal Cord Injury
Nosková, Kateřina ; Pánek, David (advisor) ; Maršáková, Kateřina (referee)
The Aim of the Study: The aim of this diploma thesis is to capture the change of clinical state of patients with spinal cord injury while watching videos of virtual reality fot three 3 months using ASIA assessment. The goal is to determine the effect of the change of clinical state on the patient's quality of life while using SQUALA and on their imagery ability (WIAQ) while a therapeutic video of virtual reality is regularly played through virtual reality headset. Methods: The research was conducted with 7 probands (n=7, 5 males, 2 females) aged between 31 and 61 years (the average age of 49,6 years), which regular visitors of Centrum Paraple, o. p. s. The propands who participated in research suffer with incomplete spinal lesion. Before any intervention the probands were assessed by ASIA, standardised assessment to estimate neurological level of spinal lesion by assigning the number of motor and sensitive points in each segment. The assessment was conducted by proffessional and specificly trained staff of Centrum Paraple, o. p. s. Furthermore the probands completed the psychological questionnaires to evaluate their quality of life (SQUALA) and imagery ability of the movement (WIAQ) in the pacient with spinal cord injury. As in the beginnig, so in the end of the research the ASIA was conducted once...
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Case Study of Physiotherapy Treatment of a Patient with the Diagnosis of multiple sclerosis
Nosková, Kateřina ; Neuwirthová, Svatava (advisor) ; Vobořilová, Lenka (referee)
Name: Case study of physiotherapy treatment of a patient with the diagnosis of multiple sclerosis Summary: Bachelor thesis deals with the topic of multiple sclerosis, when the main aim of this work is to precisely introduce and reveal the run of this disease. The theoretical part consists of the definition of the disease, specifics of etiology, symptoms, run and possible treatments. Single treatment methods are aimed on patient's perception of his/her body or single stimulations with his/her own senses. The inseparable part of the therapy is the mental condition of the patient. The practical part considers case report of patient L. S. involving incoming assessment, description of chosen single therapies, out coming assessment, evaluation of the treatment at the end of the therapy and conclusion. The undividable part of the work is the proposal of long and short-term plan of therapy. Key words: multiple sclerosis, physiotherapy, rehabilitation, relapse, remission, paresis, myelin
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The specifics of CT and MR examination in children
NOSKOVÁ, Kateřina
The bachelor's work deals with specifics of examining children by mean of computed tomography (CT) and magnetic resonance imaging (MRI). Radiological imaging methods CT and MRI are irreplaceable for exact diagnostics of all kinds of diseases and form an integral part of modern paediatric radiology. What is important is not only technological equipment of high quality and specific procedures, but also a professional approach of the medical staff that carry out an intervention. The goal of the work is the provision of basic information about CT and MRI methods, the accent being on child patients, and the description of the course of the above-mentioned examinations in children. Another goal is to analyze specifics of individual examinations. The staff should act professionally as working with children requires a fair amount of patience and understanding. The capability to explain, as easily and effectively as possible, to the parents and the child how the examination will go on is no less important. The examination must be carried out as quickly as possible and the chosen examining method must bring a result of sufficient quality. While being examined, the patient is required to stay at rest in bed, which is a frequent problem in little patients. The theoretical part is divided into a few chapters. Individual chapters describe individual imaging methods and their advantages and disadvantages. Furthermore, there is an overview of contrast agents there, their classification and possible undesirable effects. A chapter on paediatric anaesthesiology is not missing either the knowledge of this area is often very important, especially when examining children under 5 years of age, claustrophobic patients or very restive children. The aim of the practical part of the work was to evaluate the information the parents have on the examination that was indicated to their child (CT/MRI). To that end, a questionnaire was developed, which was available at the Clinic of Paediatrics of the Motol Teaching Hospital (Clinic of Imaging Methods) and in the Brno Teaching Hospital (Clinic of Paediatric Radiology) and contained 25 questions in all. Answers to the questions could have been marked with a cross, elsewhere free answers were possible. Furthermore, data on the number of children examined by means of CT and MRI methods at clinics of paediatrics existing with hospitals having special paediatric radiodiagnostic departments (Motol Teaching Hospital Clinic of Imaging Methods and Brno Teaching Hospital Clinic of Paediatric Radiology) between 2010 and June 2015 was analysed. The data analysed was divided into a few age categories, as per specific needs of the child. The analysis of the data should have helped answer research questions to what extent the parents were informed of the course of the examination of their child and whether the number of children examined by means of CT and MRI methods was increasing. In order to answer the research questions, data from the clinics of paediatrics having special paediatric radiological departments (Motol Teaching Hospital Clinic of Imaging Methods and Brno Teaching Hospital Clinic of Paediatric Radiology) was utilized, as well as the completed questionnaires. The chapter "Results" shows, with the help of graphs, answers to the questions from the questionnaire investigation and the data acquired in the Motol Teaching Hospital (Clinic of Imaging Methods) and the Brno Teaching Hospital (Clinic of Paediatric Radiology). In the chapter "Discussion", the results of the questionnaire investigation and the data acquired are evaluated. The work and its results can be utilized by other radiodiagnostic departments, or they can serve as supplementary material or material of advice for parents and students.
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