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Assessment of muscle activity by surface electromyography in reflex locomotion according to Vojta
Pochmanová, Lucie ; Nováková, Tereza (advisor) ; Martínek, Milan (referee)
Title: Assessment of muscle activity by surface electromyography in reflex locomotion according to Vojta Objectives: The aim of this thesis is to summarize the existing knowledge on the objectification of the effects of Vojta reflex stimulation. It is also aimed to verify whether there is a higher muscle activity in selected muscles (m. rectus abdominis, m. biceps brachii, m. tibialis anterior) during Vojta chest zone stimulation compared to placebo stimulation. Subsequently, the mean muscle activity relating to maximum voluntary contraction (MVC) for all selected muscles during stimulation was compared. Furthermore, muscle activity related to MVC in the first and last minute without stimulation was also recorded with surface electromyography (sEMG) and was later assessed. Methods: The sample consisted of female university students in the age range of 18-26 years. Muscle activity measurements were performed on a Trigno Delsys instrument with EMGworks Acquisition software. The MVC of selected muscles was measured for each subject, and also the other researchers whose studies were running in parallel with this work were performed. EMG signal measurements were performed not only during placebo stimulation and stimulation according to Vojta, but also in the first and last minute without any...
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Effectiveness of co-operation of physiotherapy and speech therapy in school-age children with cerebral palsy
KASPEROVÁ, Eliška
This Bachelor thesis focuses on a co-operation of physiotherapy and speech therapy in school-age children with cerebral palsy (CP). In the first part CP is described as an illness - its forms, origin and impaired communication ability of these children. Next is the description of basic methods used in physiotherapy. In speech therapy I mentioned important factors of working with these children. The next section is dedicated to a practical part of the thesis, which is a quality research formulated by case studies. The research file is comprised of three children suffering CP - two girls and a boy, all three attending the Kaňka citizens' counselling centre. I gathered all the information using an entry kinesiological analysis, aspection, insight into their medical documentation and results given by their speech therapist. The first goal of my work was to describe diagnostic and therapeutic procedures used in physiotherapy and speech therapy in school-age children with CP. The second goal was to describe the differences in effectivity between a speech therapy following a physiotherapeutic care and speech therapy conducted in isolation. Every patient from my research file underwent seven therapies - entry kinesiological analysis, two speech therapy interventions with no previous physiotherapy and four different physiotherapies followed by a speech therapy intervention. The results were assessed based on my observation and a speech therapist evaluation. I myself view these therapies as successful ones, because my work showed that a co-operation of physiotherapy and speech therapy is very important, and it has its positive results. For example, the children's sitting poses were improved during speech therapy, their face expressions were more relaxed, their breathing in speech therapy exercises improved or their phonation time was extended.
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Changes in posturography in pediatric patients with cerebral palsy after therapy by active videogame Nintendo Wii and Vojta reflex locomotion
Kmínková, Helena ; Medunová, Kateřina (advisor) ; Dyrhonová, Olga (referee)
Aim: The aim of this study was to determine the impact of therapy by active videogame Nintendo Wii and by Vojta reflex locomotion on a static and dynamic postural control at a group of children with mild cerebral palsy. Methodology: 14 children (from 6 to 18 years old) were randomly divided into two groups. Both groups received both therapies (active videogame therapy and Vojta reflex locomotion) with a 6 months gap, but in an opposite order. Posturographic measures were obtained before the start of the therapy, after therapy and 8 weeks after the end of the therapy. Results: After both therapies, there was a significant increase in the COP sway velocity in the mCTSIB subtest on a firm surface with closed eyes and the COP sway velocity in the mCTSIB subtest was reduced on a foam surface with closed eyes. Further, after both therapies, there was a significant reduction in the time required to perform the turnabout in SQT test. Other tests (LOS, RWS, WA, TW) and subtests did not change significantly. There was not a significant difference between therapies, but in the post- therapy tests, VRL had a greater tendency to maintain its effect 8 weeks after therapy. Conclusion: Both therapies, Vojta reflex locomotion and active videogame Nintendo Wii, have an influence on a postural control of children...
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Influencing the gait pattern in patients after stroke employing Vojta reflex locomotion
Makarova, Yaroslava ; Brožová, Kamila (advisor) ; Jeníček, Jakub (referee)
The title of the thesis: Influencing the gait pattern in patients after stroke employing Vojta reflex locomotion Abstract: This bachelor thesis provides insight into Vojta reflex locomotion method and it's influence on gait quality amongst patients after stroke. Vojta reflex locomotion method is used quite rarely amongst such patients, yet it's field of application is expanding continuously. Use of this method makes it possible to affect complex and almost inaccessible muscular interactivities amongst patients suffering from central paresis, so it can positively affect gait or other parameters necessary for patient's locomotion. In this thesis two patients were studied. Both of them had completed eight forty-minute sessions of therapy during one month. Therapy was performed in two coordination complexes - reflex creeping and reflex rolling. The results were evaluated using certain tests, such as Timed Up and Go test, Rivermead visual gait assessment and Footscan gait analysis. Both patients had experienced certain stability improvements during kinesiological examination. Key words: Vojta reflex locomotion, stroke, gait, Footscan, neuroplasticity
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Verification of the effects of Vojta's reflex locomation in patients with peripheral paresis of the facial nerve
Dvořák, Martin ; Valouchová, Petra (advisor) ; Horáček, Ondřej (referee)
This thesis summes up findings concerning the pathogenesis, clinical picture, diagnostic, and the therapy of peripheral paresis of the facial nerve, with accent on physiotherapeutical methods of treatment of such disorder. Here is also a description of Polyelectromyography that could become one possibility how to objectively judge the differences in the activation of mimical muscles in patients diagnosed with peripheral paresis of the facial nerve during various kinds of mimical movements. The practical part is concerned with and is talking about the use and application of my knowledge of the theory in practice with providing therapy to my patients suffering from peripheral paresis of the facial nerve by applying Vojta's reflex locomotion. The immediate effect of the therapy is here objectively and in detail analysed and described. Powered by TCPDF (www.tcpdf.org)
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Influence of deep stabilizing system on obstructive lung disease
LUKŠÍKOVÁ, Klára
This Bachelor Thesis tries to solve the question whether the activation of the deep stabilization system has got any provable influence on obstructive lung diseases. It is based on clinical experience that points to a positive influence of the deep stabilization system on respiration. The aim of this thesis is a spirometric observation of resting breathing and respiratory rhythm which come about after the activation of the deep stabilization system when Vojta reflex locomotion method has been used to arouse this system. The theoretical part briefly summarizes findings about respiratory physiology and kinesiology; it deals with pathophysiology and pathokinesiology of obstructive air passages with a focus on asthma bronchiale. One of the chapters deals with spirometric examinations. Then there is a description of the deep stabilization system from the point of view of the influence on respiratory functions and a possibility of his activation through Vojta reflex locomotion. For the practical part of the thesis I chose qualitative strategies of research. Acquired data were based on 5 case interpretations which included anamnestic information and kinesiologic analysis of probands suffering from obstructive lung diseases. The main part of the research was built up on spirometric measuring of resting breathing, observation of changes in respiratory rhythm and changes in time proportions between inhalations and exhalations during three different situations. In the first situation there were no interventions in proband's breathing. In the second situation the proband was measured in the position of decentration. The third situation involved measuring after the activation of the deep stabilization system through Vojta reflex locomotion. The analogue scale of subjective perception of respiratory state was also included in the research. Evaluated data of the spiriometric measurements of resting breathing did not bring anticipated results. A positive result was recorded only at the changes of respiratory rhythm and a subjective perception of easier breathing was proved after the stimulation of Vojta reflex locomotion. The respiratory rhythm changes were dependent on postural situations. In the position of decentration the number of breaths increased, on the contrary the number of breaths decreased after the stimulation of Vojta reflex locomotion. When observing the subjective perception of respiratory state there was a shift on the analogue scale to a better position by 23.18 mm after the stimulation of Vojta reflex locomotion. Results in measurements of the time proportions between inhalations and exhalations were highly disparate.
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