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The effect of individual telerehabilitation on functional mobility and balance in patients with multiple sclerosis
Staníčková, Barbora ; Novotná, Klára (advisor) ; Opatrná Novotná, Irena (referee)
Title: The effect of individual telerehabilitation on functional mobility and balance in patients with multiple sclerosis Objectives: The aim of the thesis is to verify the usefulness of telerehabilitation in influencing balance disorders of people with multiple sclerosis and to describe the effect of telerehabilitation on balance disorders and functional mobility in patients with multiple sclerosis. The theoretical part aims to describe the current trends in telerehabilitation and therapy of balance disorders in patients with multiple sclerosis in the Czech Republic and abroad. Methods: The research group consisted of 20 probands with multiple sclerosis, who subjectively perceived balance disorders. The group was divided into control and experimental group in a ratio of 1:1. The experimental group underwent an online twelve-week training course conducted in the form of the individual telerehabilitation (twice per week, 45 minutes each intervention). The training included strength and balance exercises supplemented by the Homebalance device. The control group underwent a twelve-week routine rehabilitation care, where patients underwent at least one individual physiotherapy and homework instruction. The initial and final examinations that all subjects underwent included functional tests: One-leg...
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Combined group exercise in patients with multiple sclerosis
Staníčková, Barbora ; Novotná, Klára (advisor) ; Kejhová, Eva (referee)
Title: Combined group exercise in patients with multiple sclerosis Abstract: The bachelor thesis is dealing with the effect of the combined group exercise on mobility and balance disorders in patients with multiple sclerosis. The primary aim of the study is to describe the effect of group exercise based on the combination of aerobic and balance exercises with the use of Homebalance system on balance and mobility in patients with multiple sclerosis. The secondary goal is to observe the impact of the exercise on the specific symptoms of multiple sclerosis (fatigue, reduced quality of life, cognitive disorders, balance and walking disorders). The thesis consists of a theoretical and a practical part. The theoretical part is focused on the description of multiple sclerosis and methods of its treatment with the focus on physiotherapy and physical activity. The practical part compares the results from the initial and final examination by using tables and graphs. For the evaluation of walk, the functional tests were chosen: Timed Up and Go (TUG), Timed Up and Go (TUG) + cognitive task. The balance was evaluated by One-leg stance test and the Limity Stability test using the Balance Master system. For the evaluation of accompanying symptoms of multiple sclerosis, standardized questionnaires were chosen (MSNQ, MFIS,...
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Effect of Balance Training on Balance and Walking in Patients with Multiple Sclerosis
Hendrychová, Jiřina ; Novotná, Klára (advisor) ; Pavlů, Dagmar (referee)
Title: Effect of Balance Training on Balance and Walking in Patients with Multiple Sclerosis Objectives: Main aim of this master thesis is to assess the effect of four-week sensorimotor stimulation therapy and four-week balance training with Homebalance® in Multiple Sclerosis patients with balance disorders. Also to assess how effective these techniques are, if they are performed without any other therapy. And at the end compare them between each other. Methods: The research was conducted with 20 subjects divided in two groups of ten. These two groups differed in their balance programme. First group underwent four- week sensorimotor stimulation therapy twice a week for an hour. Second group trained at home with Homebalance® for four weeks 15-20 minutes a day. Everyone has been measured before and after therapies with Timed 25-foot walk (T25FW), Timed Up-and-Go Test (TUG) and TUG cognitive, Mini-BESTest and Berg Balance Scale, they also filled in short balance questionnaire, 12-Item Multiple Sclerosis Walking Scale (MSWS-12) and Falls Efficacy Scale-International (FES-I). Data analysis was provided by Shapiro-Wilk test, Student t-test, Wilcoxon signed-rank test and Mann-Whitney U test according to data distribution. Results: The average EDSS score in people with Homebalance® therapy was 3,8 (± 1,53)...
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Combined group exercise in patients with multiple sclerosis
Staníčková, Barbora ; Novotná, Klára (advisor) ; Kejhová, Eva (referee)
Title: Combined group exercise in patients with multiple sclerosis Abstract: The bachelor thesis is dealing with the effect of the combined group exercise on mobility and balance disorders in patients with multiple sclerosis. The primary aim of the study is to describe the effect of group exercise based on the combination of aerobic and balance exercises with the use of Homebalance system on balance and mobility in patients with multiple sclerosis. The secondary goal is to observe the impact of the exercise on the specific symptoms of multiple sclerosis (fatigue, reduced quality of life, cognitive disorders, balance and walking disorders). The thesis consists of a theoretical and a practical part. The theoretical part is focused on the description of multiple sclerosis and methods of its treatment with the focus on physiotherapy and physical activity. The practical part compares the results from the initial and final examination by using tables and graphs. For the evaluation of walk, the functional tests were chosen: Timed Up and Go (TUG), Timed Up and Go (TUG) + cognitive task. The balance was evaluated by One-leg stance test and the Limity Stability test using the Balance Master system. For the evaluation of accompanying symptoms of multiple sclerosis, standardized questionnaires were chosen (MSNQ, MFIS,...
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Current Trends in Physiotherapy in Patients with Brain Damage in the Early Stage of the Disease
Hlobilová, Magdaléna ; Gueye, Tereza (advisor) ; Michalčinová, Klaudia (referee)
Author: Magdaléna Hlobilová
Tutor: MUDr. Tereza Gueye
Opponent:
Title of bachelor thesis: Current Trends in Physiotherapy in Patients with Brain Damage in the Early Stage of the Disease Abstract:
This bachelor thesis deals with current trends in physiotherapy in patients with brain damage in the early stage of the disease. The aim of this thesis is to gather information about commonly used and unconventional methods in physiotherapy after stroke and to evaluate some of the methods in practice.
The thesis is divided into theoretical and practical part. The theoretical part summarizes the knowledge about stroke and then includes methods that are used in physiotherapy in patients after stroke. These methods consist of conventional and unconventional approaches in physiotherapy. The practical part includes the thesis aim, methodology and three case studies of patients after stroke. The therapy is focused on the use of the Homebalance system, Mirror therapy and the Armeo®Spring device. Each of the patients underwent one of therapies mentioned above. In the practical part the usability of these therapies is also evaluated.
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Current Trends in Physiotherapy in Patients with Brain Damage in the Early Stage of the Disease
Hlobilová, Magdaléna ; Gueye, Tereza (advisor) ; Drábová, Zuzana (referee)
bakalářské práce Author: Magdaléna Hlobilová
Tutor: MUDr. Tereza Gueye
Opponent:
Title of bachelor thesis: Current Trends in Physiotherapy in Patients with Brain Damage in the Early Stage of the Disease Abstract: This bachelor thesis deals with current trends in physiotherapy in patients with brain damage in the early stage of the disease. The aim of this thesis is to gather information about commonly used and unconventional methods in physiotherapy after stroke and to evaluate some of the methods in practice.
The thesis is divided into theoretical and practical part. The theoretical part summarizes the knowledge about stroke and then includes methods that are used in physiotherapy in patients after stroke. These methods consist of conventional and unconventional approaches in physiotherapy. The practical part includes the thesis aim, methodology and two case studies of patients after stroke. One of the patients was using a stabilometric platform Homebalance and the other one has therapy with system Armeo®Spring. In the practical part, there is also evaluation of use of these therapies in practice.
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Effect of physiotherapy on the mobility of patients with diagnosis of multiple sclerosis
ŽITNÁ, Petra
The presented bachelor thesis summarizes basic current knowledge about multiple sclerosis. It aims to research possibilities of affecting the mobility of patients with multiple sclerosis (MS) offered by contemporary physiotherapy. The theoretical part deals with general anatomy of CNS and especially the etiology, forms, clinical symptoms, diagnosis and symptomatic treatment of MS. There are summarized current possibilities of physiotherapy used during attack and remission periods of MS. The research part contains four case studies dealing with patients with relapsing-remitting form of MS. There were carried out kinesiological measurements before the beginning of therapy and after its finish. The measurements contained case history, basic neurological examination, measurements using standardized balance and gait tests and posturography. All these kinesiological examinations were supplemented by descriptions of short-term physiotherapeutic plan, course of therapy and suggestion of a long-term plan. In conclusion there are presented results of the research and overall evaluation of the therapy. The therapies were based on using the interactive system Homebalance developed by Nintendo company to practice stability in combination with my own self-designed conventional therapy using mobilization of peripheral leg joints, exercises on balance platforms and sensorimotor stimulations. The chosen therapy had positive effects on postural confidence of all involved patients as it was proven by output measurements of postural stability and balance tests as well. The chosen therapy positively influenced mobility of the patients as it was recognized by gait tests which showed slight increase of walking speed.
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Sitting balance in stroke patients. Objective evaluation of stabilisation mechanism exercises.
Chábová, Marianna ; Tichá, Marie (advisor) ; Břízová, Marie (referee)
Author: Marianna Chábová Tutor: MUDr. Marie Tichá Opponent: Title of bachelor thesis: Sitting balance in stroke patients - objective evaluation of stabilisation mechanism exercises Abstract: This bachelor thesis deals with the topic of sitting balance in stroke patients and objective evaluation of stabilization mechanism exercises. Sitting balance in stroke patients is one of the important goals in rehabilitation which leads to patient self-reliance development, standing balance and firm locomotion. The theoretical part of this thesis describes the stroke and subsequent sitting balance in stroke patients. There is also an introduction to the diagnosis of the sitting balance methods used in the practical part - Sitting Balance Score test and HomeBalance device. The practical part of the thesis examines four patients after stroke divided into 2 groups. The first group takes 10 therapies focussed on the sitting balance using the HomeBalance device, each of them 15 minutes long. The second group take no therapy using this device. All patients got through the same diagnosis of the sitting balance using the tests mentioned above at the beginning and at the end of the experiment. The testing results have confirmed an improvement of the sitting balance in patients who have undergone the HomeBalance therapy and...
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Evaluation of therapy cognitive and motor functions with technical equipment
Arimiyawu, Lenka ; Gerlichová, Markéta (advisor) ; Janatová, Markéta (referee)
The thesis evaluates the effect of four-week home therapy using stabilometric platform Nintendo Wii Balance Board and tablet with integrated software HomeBalance in patients with brain injury. Software HomeBalance has been developed for the treatment of balance disorders and cognitive function. Manipulating the platform and the tablet may also develop grip and handling abilities of hand, both will be evaluated in this work as well. The theoretical part describes new trends in rehabilitation of cognitive-motor interference, dual-task therapy and therapy using technological equipments. Methods: A total of 9 subjects underwent four weeks of therapy using a therapeutic set HomeBalance. The control group of 12 subjects received therapy without any technological equipment. Patients participated in the initial examination, home therapy and final examination. As an evaluation of the therapy Mini-BESTest, Timed Up and Go test, Montreal cognitive assessment, 9- hole peg test, and also two games from HomeBalance software and questionnaire assessing satisfaction with therapy have been used. Results: After treatment the whole group improved in only two tests evaluated: in Mini- BESTest and the time of diagnostic scene in HomeBalance software. The research group had statistically better results in both tests...
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