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Effectiveness of antispastic electrical stimulation in pediatric patients with cerebral palsy
Kurelová, Martina ; Demeková, Júlia (advisor) ; Havrda, Prokop (referee)
This thesis is focused on the issue of electrotherapy with an antispastic effect. Specifically, it deals with Hufschmidt currents and their effectiveness in reducing spasticity of the triceps surae muscle in patients with the spastic form of cerebral palsy (CP). The overview of theoretical findings includes information on cerebral palsy and spasticity, findings from new research on their frequency, diagnosis and treatment. In the last chapter of the theoretical part, findings on electrotherapy with antispastic effects in the Czech Republic and abroad are presented. In the practical part, a series of case studies of patients in whom the effect of Hufschmidt currents was examined is presented. The work was attended by 9 pediatric patients with a diagnosis of spastic CP, to whom Hufschmidt currents were applied a total of 6 times. The effectiveness of this type of currents is determined by performing a 10-meter walking test, Timed Up and Go test and examination of spasticity in 5 steps according to Gracies, and then comparing the numbers before and after the electrotherapy series. The result of this work was the confirmation of the positive effect of antispastic currents according to Hufschmidt on the reduction of muscle spasticity in 7 patients, on the acceleration of walking in the 10-meter walking...
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Use of electrostimulation according to Jantsche and Hufschmidt to influence triceps surae muscle spasticity and walking speed in patients with multiple sclerosis
Tichá, Simona ; Demeková, Júlia (advisor) ; Hojková, Klára (referee)
This thesis focuses on comparing the effectiveness of two types of electrostimulations, specifically electrostimulation according to Hufschmidt and Jantsche, in reducing m. triceps surae spasticity and influencing walking speed in patients with multiple sclerosis (MS). The aim of the thesis is to determine which type of electrostimulation is more suitable for patients with MS. The topic was chosen based on two previous theses that examined the effects of these electrostimulations individually. The theoretical part provides basic information about MS, explains the pathophysiology of spasticity and the possible influence of spinal mechanisms on it, describes the examination of spastic patients, and summarizes the possibilities of electrotherapy treatment. The practical part compares the effects of both types of electrostimulations in patients with MS who were partially randomly divided into two groups of three and evaluates short-term and long-term results using the "Five step clinical assessment in spastic paresis" examination and the subjective perception of walking questionnaire MSWS-12 (Multiple Sclerosis Walking Scale). The results of the thesis do not show significant differences in the effects of both electrostimulations. The most significant improvements in both groups were observed in the...
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