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Case Study of Physiotherapy Treatment of a Patient after Total Knee Replacement
Hlomayi, Belinda Yeukai ; Pavlů, Dagmar (advisor) ; Lassner, Martin (referee)
Title: Case study of physiotherapeutic treatment of patient after total knee replacement. Aim of thesis: the aim of this thesis begins with an understanding of the human knee anatomically, followed by how its anatomy becomes functional by exploring the biomechanics and kinesiology aspects of the knee. This paper will further discuss on what leads to total knee replacement. Practically the aim of this thesis is to bring the knowledge acquired theoretically into practice as it explores the treatment process after total knee replacement surgery. Clinical findings: patient is a 57 year old man who was two days after total knee replacement surgery of the left knee. The need for replacement was due to bilateral gonarthrosis. He was able to walk with crutches with partial loading on the left leg. Patient present with very low mobility in the left knee and pain (normal two day after surgery). Methods: all methods applied through the therapy where based on literature or lectures from Charles University (Prague) Faculty of Physical Education and Sport. The methods mainly consisted of: soft tissue techniques, Post Isometric Relaxation, stretching and active strengthening exercises. The active exercise had variety and were tailored to the patient's abilities. The patient additionally received other...
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Craniofacial epithesis
Starčevská, Lenka ; Černý, Pavel (advisor) ; Pavlů, Dagmar (referee)
Title: Craniofacial epitheses Objectives: The purpose of the work is to make a comprehensive overview of information about craniofacial epitheses including indications, history, materials, description of manufacturing and new technologies used in epithetics, using a systematic search of available sources. Methods: The work uses the method of systematic search of published sources in available databases. Professional articles articles mainly from foreign production were used. Results: The result of the work describes indications for epitheses, such as tumors, traumatic changes and congenital anomalies. It also describes the history of craniofacial epitheses, materials used for manufacturing and retention systems. It contains a description of conventional manufacturing and also focuses on the improving digital technologies applied to manufacturing. The work can be useful for students of orthotics-prosthetics, for dental technician students and also workers meeting this issue. Keywords: craniofacial epitheses, anaplastology, facial defects, silicone prostheses, cad-cam, materials, retention of epitheses
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The influence of virtual reality on stabilization functions of patients after cerebrovascular accident with neglect syndrome
Sedláček, Jakub ; Pánek, David (advisor) ; Pavlů, Dagmar (referee)
Title: The influence of virtual reality on stabilization functions of patients after cerebrovascular accident with neglect syndrome. Objectives: The objective of this thesis was to clarify whether postural stability of patients after cerebrovascular accident with neglect syndrome significantly worsen as an after-effect of virtual reality exposure in comparison with healthy probands and patients after cerebrovascular accident without neglect syndrome. Methods: 28 probands took part in this research, specifically 10 patients after cerebrovascular accident with neglect syndrome, 6 patients after cerebrovascular accident without neglect syndrome, and 12 healthy probands. All patients had been tested with Catherine Bergego Scale to evaluate neglect syndrome before the measurement of postural stability itself. That measurement consisted of probands being tested with Timed Up and Go test and a part of Berg Balance Scale. Afterwards, they took 10 minutes of immersive virtual reality game. Immediately after that Timed Up and Go test and Berg Balance Scale were repeated. The data were processed with MySQL database using a HeidiSQL program. Results: This research suggests that after exposure to virtual reality, there is no difference in changes of postural stability of patients with neglect syndrome in...
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The usage of virtual reality in therapy of patients with neglect syndrome with consideration of a cybersickness risk
Macháčková, Tereza ; Pánek, David (advisor) ; Pavlů, Dagmar (referee)
Title: The usage of virtual reality in therapy of patients with neglect syndrome with consideration of a cybersickness risk. Objective: To find out if stroke patients with neglect syndrome tend to have higher risk of gaining cybersickness after using virtual reality compared to stroke patients without neglect syndrome and healthy population. Also, to find out if the severity of neglect syndrome has correlation with the severity of gained cybersickness. Afterwards to evaluate the trend of making games in virtual reality for treating neglect syndrome with consideration of a cybersickness risk. Methods: The experiment participants played game in virtual reality developed for treating neglect syndrome for ten minutes. During the game participants were seated and were playing using head movements. A HTC VIVE console was used to deliver the virtual reality game. Participants were divided into 3 groups: the group Zdraví (n = 12) without neurological impairment, the group CMP (n = 6) for stroke patients without neglect syndrome and the group Neglect (n = 10) for stroke patients with neglect syndrome (KF-NAP ≥ 1). Each proband had to fill Sickness Simulator Questionnaire which was used to detect cybersickness before and after playing the game in virtual reality. Collecting and sorting of the data was done...
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The assessment of the dynamic postural stability of female floorball players
Černá, Markéta ; Pavlů, Dagmar (advisor) ; Reckziegelová, Petra (referee)
Title: The assessment of the dynamic postural stability of female floorball players Objectives: The objective of this thesis is to assess the women's dynamic postural stability who are actively playing floorball at league level and subsequently compare the obtained data with controlled group that is not actively practicing any specific sport activity. Methods: There have been incorporated 48 women in this pilot study. The division into the groups was not randomized due to the specification of this survey, therefore it is a quota selection. The experimental group has been piled up of 24 monitored women who are professionally playing floorball on a league level min. 3 years. The control group incorporates 24 women who are practising sports only at a recreational level. In order to evaluate dynamic postural stability, the following device has been used from the company NeuroCom, specifically SmartTest System type and used test bateries: Limits of Stability, Motor Control Test, Senzory Organization Test, Adaptation Test, Rytmic Weight Shift, Unilateral Stance a Weight Bearing Squat. The evaluation of measured data was registred and compiled by original programme NeuroCom Balance Manager Software. The obtained measured results from both groups have been statistically evaluated as per statistical method...
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The effect of chosen manual techniques on static and dynamic postural stability in physiotherapy students
Hrmová, Jana ; Pavlů, Dagmar (advisor) ; Opatrná Novotná, Irena (referee)
Title: The effect of chosen manual techniques on static and dynamic postural stability in physiotherapy students. Aims: The main aim of this study is to assess the effect of chosen manual techniques on participants' static and dynamic postural stability. Summary: The study was done from May to December 2019. A total of 100 subjects aged 19-38years took part in the study. Participants were randomly divided into two groups - experimental and control. Postural stability was measured by the following tests: Star Excursion Balance test, Unipedal Stance test, Timed Up and Go test and Sit to Stand test. These standardised measurements were taken before intervention, after intervention and a week from intervention. Experimental group undertook the intervention by manual techniques, which took 20 minutes. Outcomes were written into recording sheets. Final data were processed using Microsoft Excel 2013, IBM SPSS Statistics V26 and TIBCO Statistica 13.3.0. To calculate differences, the following statistical methods were used: Shapiro-Wilk test, independent T-test and Mann-Whitney U test. To measure effect size, Cohen's d was used. The level of statistical significance was determined to α = 0,05. The clinical significance was assessed by these levels: d = 0,2-0,49 (small effect), d = 0,5-0,79 (medium effect),...
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Evaluation of the ability to dynamically stabilize and postural strategy of Czech female handball players
Pešková, Michaela ; Pavlů, Dagmar (advisor) ; Opatrná Novotná, Irena (referee)
Title: Evaluation of the ability to dynamically stabilize and postural strategy of Czech female handball players Author: Bc. Michaela Pešková Aim: The main objective of the diploma thesis is to investigate the difference of dynamic postural stability and its strategy between female handball players in the Czech republic and the group of women, who don't practise any sport. For the objectivization is used a dynamic posturography Smart EquiTest by NeuroCom company. Methods: The participants of this quantitative cross-sectional study are 44 women, divided into the experimental (24 handball players) and the control group (20unsporting women) in the age from 18 to 28 years old. Measurements of dynamic postural stability were performed on Smart EquiTest by Neurocom in the Kinesiological Laboratory at the department of the physiotherapy on Faculty of Physical Education and Sport of Charles University. The whole test battery contains 7 testing protocols. The measured data from z Neurocom Balance Manager Software were exported to Microsoft Excel 2016, where were used other statistical methods like Shapiro - Wilk test, Student's T-test, Mann - Whitney test and Cohen's d effect size.. Results: A statistically significant difference in favor of non-handball players was found of Limits of Stability, Sensory...
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The Possibilities of Influencing the Neuropathic Pain via Virtual Reality in Incomplete Spinal Cord Injury Patients.
Hunčovský, Tomáš ; Pánek, David (advisor) ; Pavlů, Dagmar (referee)
Title: The Possibilities of Influencing the Neuropathic Pain via Virtual Reality in Incomplete Spinal Cord Injury Patients. Objectives: The goal of this thesis is to determine how a long-term exposure to virtual reality affects experiencing neuropathic pain in the case of patients with incomplete spinal cord lesions. Methods: The study included 8 probands (3 females and 5 males) aged from 30 to 64 years (average age 49.5 ± 12.0 years) from among the clients of a charitable trust "Centrum Paraple". At the entrance examination, the participants received a pair of VR BOX VR-X2 virtual reality headsets enabling viewing of two-dimensional (2D) videos in the three-dimensional (3D) format. Thereafter they were watching, in their home environment, varied therapeutic videos depicting "virtual walking" - human walking viewed from a first person perspective. After 3 months of therapeutic intervention, a follow-up examination was carried out to determine the effect of the therapy. The Neuropathy Pain Scale and the International Spinal Cord Injury Pain Basic Data Set were used to assess changes in the perception of neuropathic pain. The results were statistically processed by means of a paired t-test in the R program. To monitor objective changes in the somatosensory and motor nervous systems, the evoked...
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The assessment of the dynamic postural stability of tennis players
Váchová, Gabriela ; Pavlů, Dagmar (advisor) ; Reckziegelová, Petra (referee)
Title: The assessment of the dynamic postural stability of tennis players Objectives: The main aim of this thesis is to evaluate the dynamic postural stability of tennis players, who have been ranked in the Czech Republic and compare it with the dynamic postural stability the members of the population who do not play tennis. Another aim of this thesis is to evaluate the differences in the dynamic postural stability of male and female tennis players. Methods: This study is a quantitative cross-sectional study involving 24 participants playing tennis and 48 participants who do not play tennis. NeuroCom SMART EquiTest, which is located in the Kinesiological Laboratory of Charles University, Faculty of Physical Education and Sport, was used for the measurement and evaluation of the dynamic postural stability. Seven tests were chosen for this study: The Motor Control Test, The Sensory Organization Test, The Limits of Stability, The Adaptation Test, The Rhythmic Weight Shift, The Unilateral Stance, and The Weight Bearing. The obtained data was processed by the Neurocom Balance Manager Software and Shapiro-Wilk Test, Student's t-test, Mann-Whitney Test and Cohen's d (the effect size) were used for the analysis of the data. Results: Only a small amount of statistically significant data was found so we...
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EEG analysis of gait on an unstable surface
Hons, Pavel ; Pánek, David (advisor) ; Pavlů, Dagmar (referee)
1 Abstract Title: EEG analysis of gait on an unstable surface Objectives: The aim of the thesis was comparison of changes of electrical activity of intercerebral brain structures using the programme sLORETA between 1) the state of rest and walk on slackline, 2) the state of rest and walk on groundline and 3) between the state of rest and projection of first-person virtual reality of walking on slackline; to find out which intracerebral areas are activated during these activities. Methods: 10 healthy participants took part in the test, 6 males and 4 females, between 18 and 30 years of age, 24 years of age on average. The experiment consisted of EEG gauging at rest with open/closed eyes (5 minutes each) and three other consequent parts in random order: 1. walk on slackline (2 minutes), 2. walk on groundline imitating walk on slackline (2 minutes), 3. watching a video with the first-person virtual reality projection of walking on slackline in basic position (2 minutes). During the whole experiment the brain activity was monitored and recorded by Wireless EEG Nicolet, EEG hat Waveguard Connect with 19 electrodes was used for collecting data by scalp EEG. The record was consequently assessed by sLORETA programme which created projection of active brain parts in 3D Talairach atlas. Results: Statistically...
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