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Current physiotherapeutic approaches to the treatment of phantom pain after amputations
Posekaná, Pavlína ; Demeková, Júlia (advisor) ; Kálal, Jan (referee)
This bachelor thesis is carried out in the form of research with the aim to summarize phantom limb pain issues in physiotherapeutic practice. The general part describes the causes of phantom pain origin in central and peripheral nervous system and summarizes facts about amputation as a surgical intervention, it's classification and possible complications. It also summarizes all familiar pharmacological and nonpharmacological medical approaches used for phantom limb pain treatment. The main part is focused on three currently most effective methods used to treat phantom limb pain in physiotherapy - mirror therapy, virtual reality and transcutaneous electrical nerve stimulation. Next part of this thesis is two case interpretations of patients with lower limb amputation. Both patients undertake six weeks of mirror therapy and they described it's effect as positive. The efficiency has been evaluated according to a questionnaire.
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Use of Mirror therapy in patients after brain injury from the viewpoint of Occupational therapist
Vyhnálková, Lenka ; Rodová, Zuzana (advisor) ; Angerová, Yvona (referee)
The purpose of this Master thesis was to evaluate the effects of the Mirror program on upper- limb motor recovery, self-sufficiency and active range of wrist movement in patients after brain injury. It was included sixteen participants within maximal four months after stroke. Patients were separated into experimental and control group, both with eight members. Experimental group underwent Mirror therapy. Both group participated in a standard rehabilitation program included Physiotherapy, Occupational therapy, physical therapy and movement practice on device. Experimental group patients additionally participated in Mirror therapy program for 30 mins, four times a week, for three weeks. The Fugl-Meyer Assessment, Functional Independence Measure and goniometric measurement of active movement were used to assess recovery of upper-limb movement. Mirror therapy improve upper-limb motor recovery in patients after brain injury. This research demonstrates it with significant difference between both groups, where the experimental group have improved (0,02). I have also proved Mirror therapy, when included in occupational therapy, improves the self-sufficiency of people with neurological deficit. Comparing the data from Functional Independence Measurement, I found the difference between groups statistically...
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Current physiotherapeutic approaches to the treatment of phantom pain after amputations
Posekaná, Pavlína ; Demeková, Júlia (advisor) ; Kálal, Jan (referee)
This bachelor thesis is carried out in the form of research with the aim to summarize phantom limb pain issues in physiotherapeutic practice. The general part describes the causes of phantom pain origin in central and peripheral nervous system and summarizes facts about amputation as a surgical intervention, it's classification and possible complications. It also summarizes all familiar pharmacological and nonpharmacological medical approaches used for phantom limb pain treatment. The main part is focused on three currently most effective methods used to treat phantom limb pain in physiotherapy - mirror therapy, virtual reality and transcutaneous electrical nerve stimulation. Next part of this thesis is two case interpretations of patients with lower limb amputation. Both patients undertake six weeks of mirror therapy and they described it's effect as positive. The efficiency has been evaluated according to a questionnaire.
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The Use of Mirror therapy in patients after stroke
Kovář, Jan ; Senohrábková, Eva (advisor) ; Drábová, Zuzana (referee)
BACHELOR THESIS ABSTRACT Title of bachelor thesis:The Use of Mirror therapy in patients after stroke Abstract: The topic of my bachelor thesis consisting of theoretical and practical parts relates to Mirror therapy and its use in patients after stroke from the physiotherapeutical point of view. The theoretical part is conceived as a review of the background art. I summarize present information concerning stroke and describe certain methods and concepts which have proved to be useful in the therapy of stroke patients. The Mirror therapy principle consists in observation of the unaffected limb in a mirror being vertically attached to the sagittal axis of the patient's body. Movements performed by the unaffected limb give illusion these are likewise performed by the impaired limb. While watching the reflection in the mirror, the mirror neurons system is activated. The system thereafter provokes activation of motor and somatosenzory areas of the cerebral hemispheres controlling the affected limb. Central nervous system effectively uses reparation neuroplasticity and provides both motor and senzory function improvement. In the Mirror therapy chapter, I focus on the principles of the method as well as on its therapeutic effects and ways of application. Results of present studies evaluating Mirror therapy efficacy...
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