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Occupational therapy evaluation of home environment of people with acquired brain injury. Case study focoused on facilitators and barriers according to the International Classification of Functioning, Disability and Health
Podzemná, Dorota ; Krulová, Anna (advisor) ; Uhlířová, Jaromíra (referee)
Home environment should be accesible, barrier free and safe for people with disabilities. There is one possibility how to achieve these conditions the possibility is to let an occupational therapist to assess your home environment. The main parts of occupational therapy are: evaluation of home environment, suggesting of reconstrucitons needed and recommendations about helping aids. Environment is according to the International Classification of Functioning, Disability and Health one of the factors which are very important. The main goal of this diploma thesis was to design new evaluation of home environment of people with acquired brain injury made according to the International Classification of Functioning, Disability and Health. Partial goals were: to identify barriers of home environment, to determine facilitators which are already existing and to suggest helping aids and reconstructions if it is necessary. All for achieving the best quality of self-sufficiency of client. Theoretical part is about acquired brain injury, International Classification of Functioning, Disability and Health, issues of evaluation of home environment and assessments which are already existing. Practical part describes the proces of creation of evaluation and intervetions in home environment. Both described by case...
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Monitoring of the Movement Function of the Upper Limb in a Patients with Acquired Brain Injury, using the Accelerometer from the Perspective of Occupational Therapist
Trpková, Jana ; Sládková, Petra (advisor) ; Krulová, Anna (referee)
This diploma thesis deals with monitoring the movement of the upper limbs in patients after acquired brain injury using an accelerometer. The diploma thesis is processed from the perspective of occupational therapy. The thesis is divided into the theoretical and practical part. The main objective of the theoretical part is to collect specialist literature about monitoring the movement of the upper limbs by accelerometer in rehabilitation, especially in the occupational therapy. The practical part of the thesis has three objectives. The first objective is to find out whether monitoring of the upper limbs using the accelerometer in patients after acquired brain injury will lead to an objective improvement of the activity of daily living (ADL) in the areas of eating, washing and dressing. The second objective is to find out whether monitoring of the upper limbs using the accelerometer in patients after acquired brain injury will lead to subjective improvement in the same ADLs, and the third objective is to compare whether objective and subjective improvement is related. The practical part was prepared in the form of pilot studies. Quantitative research was used, specifically the type of pre-experiment - One Group Pretest Posttest Design. The study included 14 patients after acquired brain injury. The...
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Monitoring of the Movement Function of the Upper Limb in a Patients with Acquired Brain Injury, using the Accelerometer from the Perspective of Occupational Therapist
Trpková, Jana ; Sládková, Petra (advisor) ; Krulová, Anna (referee)
This diploma thesis deals with monitoring the movement of the upper limbs in patients after acquired brain injury using an accelerometer. The diploma thesis is processed from the perspective of occupational therapy. The thesis is divided into the theoretical and practical part. The main objective of the theoretical part is to collect specialist literature about monitoring the movement of the upper limbs by accelerometer in rehabilitation, especially in the occupational therapy. The practical part of the thesis has three objectives. The first objective is to find out whether monitoring of the upper limbs using the accelerometer in patients after acquired brain injury will lead to an objective improvement of the activity of daily living (ADL) in the areas of eating, washing and dressing. The second objective is to find out whether monitoring of the upper limbs using the accelerometer in patients after acquired brain injury will lead to subjective improvement in the same ADLs, and the third objective is to compare whether objective and subjective improvement is related. The practical part was prepared in the form of pilot studies. Quantitative research was used, specifically the type of pre-experiment - One Group Pretest Posttest Design. The study included 14 patients after acquired brain injury. The...
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Profile of Occupational Therapy of Clients with Acquired Brain Injuries in the non Profit Sector of Rehabilitation. Subtitle: Analysis of Factors Influencing the Results of Therapy
Hlavatá, Barbora ; Kotková, Karla (advisor) ; Krulová, Anna (referee)
BACHELOR THESIS ABSTRACT Name and surname: Barbora Hlavatá Supervisor: MUDr. Karla Kotková Opponent: Thesis title: Profile of Occupational Therapy of Clients with Acquired Brain Injuries in the non Profit Sector of Rehabilitation: Analysis of Factors Influencing the Results of Therapy Abstract: This bachelor thesis is divided into theoretical and practical parts. The theoretical part summarizes the knowledge regarding diseases belonging to the concept of acquired brain injuries and their clinical consequences. In addition, the system of rehabilitation of this target group and the status of non-governmental non-profit organizations in this system are described. The thesis provides an overview of the possibilities of occupational therapy intervention in the fourth and fifth phases of rehabilitation. The practical part of the thesis is a pilot study focusing on the following research question: "Which factors affect the success of occupational therapy in clients after brain injury?". The aim is to find factors that could influence the success of rehabilitation interventions in a particular organization. The examination of documents is the used method. Another aim of the practical part is to map out the situation of providing rehabilitation in non- profit organization in the Czech Republic. The female gender,...
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Coordinated rehabilitation and its implementation in organizations helping people after brain injury in České Budějovice
PRÁŠKOVÁ, Anna
This thesis concerns with the functioning of coordinated team co-operation in organizations which provide social services to persons after acquired brain injury. Due to the frequency of occurrence and its deadful impact, these injuries become one of the most serious diseases not only in the Czech Republic but in the world. A person who has suffered brain injury is struggling with a number of socio-economic changes. A precondition for achieving full social integration of this individual is to ensure timely care and cooperation of individual experts on the given case. Such cooperation among experts is often missing in interconnected organizations. This can cause slowdown of the process of integration of an individual back to their everyday life. Equally important is the cooperation with family members who have an irreplaceable influence on the rehabilitation. The thesis is divided into two parts - theoretical and research. The theoretical part focuses on the consequences of acquired brain injury as well as on the the possibilities of social security provided by the state. Also, much of the text concerns with the coordinated rehabilitation and multidisciplinary collaboration which has a significant impact on improving the quality of life of people after brain injury. The data collection was carried out with the help of the method of qualitative research strategy, the technique of semi-structured interview with social workers in organizations of the city of Ceske Budejovice who provide social services according to Act 108/2006 Coll., on social services, as amended. The research is aimed at finding out how the coordinated rehabilitation is implemented in social services working with persons after acquired brain injury and then to create a proposal to streamline the implementation of coordinated rehabilitation in these organizations. Following the objectives, two research questions were examined: Which experts are involved in coordinated rehabilitation in social services providing services to people after brain injury? How is the cooperation of the team working with people after brain injury implemented? The data was processed in Atlas.ti 7. The research was carried out within the successfully accepted project at the Faculty of Health and Social Sciences, called Coordinated rehabilitation of patients with brain injury (reg. No. GAJU 138/2016/S), funded by the Grant Agency of the University of South Bohemia. The research results show insufficient cooperation of experts in social services providing care to persons with acquired brain injury. In spite of an acute need of coordinated and multidisciplinary support to such persons, the organizations miss specific professionals or employ workers who carry out works of other professions without the necessary qualification. The time, organizational and financial demands of teamwork make it impossible to provide high-quality multidisciplinary care, which is an important precondition for reintegration of people with brain injury back into work and social life. Team multidisciplinary cooperation brings a lot of positives, on the other hand, it also encounters barriers, which need to be further discussed in order to come to suitable solutions that are not only in the interest of the client and his family, but also great for the whole multidisciplinary team.
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Occupational therapy for patients after the application botulinum toxin. Subtitle: Influencing of functional independence in adult patients after acquired brain injury
Sobelová, Veronika ; Rodová, Zuzana (advisor) ; Dědková, Miriama (referee)
This Master's thesis focuses on Occupational therapy for patients after application of botulinum toxin to upper limb. The aim of the thesis was to evaluate and compare a progress of functional independence in patients after acquired brain injury. There were twenty patients involved in the research, who were further divided into two groups and separated by ten people in each group. Both groups underwent the application of botulinum toxin whereas the experimental group A went through the occupational therapy. The control group had ordinary rehabilitation at home and without any occupational intervention for the duration of twelve week under guided self-rehabilitation contract of spastic paresis, so-called GSC. A programme of the group A included over the counter rehabilitation outpatient occupational therapy. The patients attended the course twice a week for the duration of four weeks. Afterwards, they received a home programme for the duration of eight weeks, during which they had two examinations at occupational therapy. All the participants were evaluated by Global Subjective Self-Assessment which is focused on spasticity. There were further evaluated according to Functional Independece Measure and modified Frenchay Arm Test. The experimental group with outpatient occupational therapy was...
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Speech therapy for people with acquired brain injury
Ondrejková, Monika ; Klenková, Jiřina (advisor) ; Kopečný, Petr (referee)
This thesis deals with speech therapy for people with acquired brain injury. The theoretical part consists of three chapters that acquaint readers with the theoretical framework necessary to understand the range of problems examined. It approximates the issue of origin and effects of this disease and refers to attitude in therapy that can be realized to people with this impairment. The research part of the work puts a goal to analyze the possibilities of speech therapy of selected persons with aphasia. The resulting data agree on the fact that for effective speech therapy is necessary on the one hand an individual approach but also motivation of patient is very important. The thesis also includes creating a custom set of exercises which has confirmed the effectivness of the development of cognitive functions in persons with aphasia. The empirical part is based on the qualitative research which was realized by techniques of participant observing, interviewing, questionnaire survey, analysing progress and outcomes of activities, documentation and literature.
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Verification of psychometric characteristics of the Multiple Errands Test method in patients with brain damage
Jarošová, Kateřina ; Krámská, Lenka (advisor) ; Höschlová, Eva (referee)
The thesis deals with the issue of executive functions in patients with acquired brain injury and possibilies of executive deficit detection in real life circumstances. The thesis is divided into theoretical and empirical part.The theoretical part consists of three chapters. In the first chapterthe definition, localization and different disorders of executive functions are mentioned. The second chapter presents some neuropsychological methods suitable for executive functions assessment and their limits. In the final chapter the Multiple Errands Test method and its various modifications are introduced. The main purpose of the empirical part was to evaluate the ability of the Multiple Errands Test method - hospital version (MET - HV) to detect deficits in executive functions related to daily life functioning. The research group consisted of patients with acquired brain injury (N = 20) and neurologically healthy adults (N = 20) hospitalized in the Rehabilitation Center Kladruby. The results proved the ability of the method MET - HV to distinguish well between patients with acquired brain damage and healthy adults. The second hypothesis concerning the ability of the method to distinguish between patients with frontal and nonfrontal injury wasn't confirmed. Another purpose of the empirical part was to...
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The therapy of emotional and behavioral problems after acquired brain injury
Piťhová, Zuzana ; Kulišťák, Petr (advisor) ; Hrachovinová, Tamara (referee)
The changes in emotivity and behavior are common after acquired brain injury, which complicates the readaptation of an individual to his environment. Compared to cognitive problems, these changes are not so greatly regarded because their complexity requires care in the context of its special neuropsychological treatment. The objective of the theoretical part of this thesis was to elucidate the issue of acquired brain injury and summarize current knowledge and experience in the field of therapeutic work with this specific group of people. The aim of the empirical part of this thesis was to design an appropriate educationally based preventive program that would focus on the experience of personality change after ABI. The goal of this program was to provide patients with information about the usual consequences of ABI and to provide a place to share the problems they experience. The effectiveness of this program was measured via the European Brain Injury Questionnaire (EBIQ) and the Zung Self-rating Depression Scale (ZSDS). The results were compared in the experimental group (N=30) before and after the completion of the program and in the control group (N=30). In the group that undertook the intervention, the EBIQ-P showed significant improvement in the subscale Physical. The ZSDS results showed...
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Quality of Life, Satisfaction with Life, Social Self-efficacy and People after Acquired Brain Injury.
Lišková, Kateřina ; Šivicová, Gabriela (advisor) ; Kebza, Vladimír (referee)
This thesis is focused on quality of life theme, satisfaction with life topic and social self- efficacy subject, with emphasizing of the acquired brain injury context and specific and unique brain injury consequences. Thesis is based on theoretical fundament of all mentioned concepts, but mainly there are actual quantitative data and results of quality of life, satisfaction with life and social self-efficacy and other-efficacy in the framework of acquired brain injury research sample in Czech Republic. Not only description of quality of different life parts subjective perception, but also search of possible relationships strength between quality of life and social efficacy has been probed. All of these has been used in application of lots of standardized and also new questionnaire and methods. Keywords: acquired brain injury, quality of life, satisfaction with life, social self-efficacy, social other- efficacy
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