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Prism adaptation treatment of spatial neglect
Vilimovský, Tomáš ; Harsa, Pavel (advisor) ; Dostálová, Veronika (referee) ; Habermannová, Markéta (referee)
Spatial neglect (SN) is a common cognitive disorder after brain injury. Spatial neglect impedes functional recovery, leading to reduced rehabilitation gains and slowed recovery. Prism adaptation treatment (PAT) is one of the promising interventions for SN albeit inconsistent results from previous studies. The main goal of this thesis was to implement PAT in into a highly intensive rehabilitation program and evaluate its effectiveness on reduction of SN symptoms and adverse effects of SN on rehabilitation outcomes. In our first study we carried out a comparison intervention (PAT vs. Sham) and aimed to evaluate the efficacy of PAT on visuospatial symptoms of SN in an inpatient rehabilitation setting that offered a highly intensive comprehensive brain injury rehabilitation program. The objective of the second study was to investigate whether integrating PAT into this rehabilitation program eliminates the negative impact of spatial neglect on functional and motor recovery. Although SN symptoms were reduced in both groups, we found no difference between the two groups in the degree of improvement. In addition, the average SN recovery rates were higher in the PAT group compared to Sham group, but this discrepancy did not reach statistical significance. Thus, the first study suggests that PAT may...
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Measuring scales as a part of modern nursing of a patient with brain injury.
MAROVÁ, Markéta
My diploma thesis deals with measuring scales, which are a part of modern nursing care of a patient with a brain injury. The aim of my work was to find out how nurses use measuring scales, to analyze difficult areas of the patient throughout the disease by using measuring scales, to observe in which way measuring scales help patients and in which way they help nurses. We laid down four investigative questions to fulfill these goals: In which way do the nurses work with measuring scales? Which are difficult areas of the patient with brain injury during his disease? In which way do the measuring scales help patients? In which way do these help nurses? The research part of my work was implemented in the form of quality approach through semi-structured approach and case study. The research sample consists of twenty probands - fifteen nurses meeting patients with brain injuries within their work and five patiens with brain injuries. Results of the research investigation show that nurses use measuring scales during their work nearly all the time of patients hospitalization. Majority of them already became acquainted with measuring scales during their studies, at least theoretically. These nurses would appreciate learning how to use them more practically. Superiors require using measuring scales by nurses. It is proved that nurses use very similar measuring scales at their departments with minor exceptions. Nurses responding in our research in majority of cases do not use special measuring scales for patients with brain injuries and their awareness of these is minimal. They agree Glasgow Coma Scale is considered to be the most important one. My research revealed minor deficiences in work with measuring scales. It also showed many problems which patients with brain injuries must deal with.The results of my research also show that measuring scales can help both nurses and patients in many ways.
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Training of cognitive function after brain injury with use of Test System Schuhfried
Macková, Lenka ; Oktábcová, Alice (advisor) ; Piťhová, Zuzana (referee)
1 Abstract: Brain injury is a heavy burden on our society and one of the consequences of brain injury is cognitive impairment. Cognitive functions are essential to self-sufficiency and participation in the life of man. The aim of this work is to describe the use of a computer program CogniPlus from Vienna Test System Schuhfried for the training of cognitive functions for patients after brain injury. The theoretical part provides information on the issues of brain injury and its consequences and describes cognitive functions and their disorders. Furthermore, this section describes the options for neurorehabilitation and neuropsychology and there's also described the role of occupational in training of cognitive functions. Conclusion The theoretical part focuses on the use of computer programs and their advantages and disadvantages, and lastly, there is a detailed description of the computer program CogniPlus. The practical part is focused on the possibility to use a computer program for training (CogniPlus) of cognitive function of patients after brain injury. The practical part contains two case studies. Each patient was conducted 10 training sessions on CogniPlus during two months - once and twice a week. Before and after of the therapy series, cognitive tests were performed on patients for evaluation of...
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Balance and the motor skills training through biofeetback
Roubková, Leona ; Janatová, Markéta (advisor) ; Vondřejcová, Kateřina (referee)
7 Name: Leona Roubková Supervizor: MUDr. Markéta Janatová Opponent: Title of the bachelor thesis: Balance and motor skills training through biofeedback. The Synapsys Posturography System and Nintendo Wii utilization in therapy of patients after brain injury. ABSTRACT The main theme of this thesis is the use of modern gaming console, the Nintendo Wii in therapy of patients after a brain injury. The work focuses mainly on training of postural stability platform with the Wii FitBalance Board. The author objectifies the results of therapy using posturography with the new equipment Synapsys Posturography System. The theoretical part describes the postural motor, its management, ontogenesis, but also its failure and the most common causes of these disorders. The author pays particular attention to the work mechanisms of injury and damage to the brain, which has a direct impact on the perception of body position and movement. A separate chapter summarizes the general knowledge about stroke and its effects and explains main problems of instrumentation in physiotherapy. The practical implementation includes the description of the therapy with the Nintendo game console, including the input and output examination through the new device Synapsys Posturography System. The main task in this section was an attempt to...
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Physiotherapy as a part of rehabilitation in patients after severe demage of brain
Neradová, Martina ; Pitrmanová, Věra (advisor) ; Brožová, Kamila (referee)
OF THE BACHELOR THESIS Name: Martina Neradová Supervisor: Mgr . Věra Pitrmanová Opponent of the work : Title of the thesis: Physiotherapy as a part of rehabilitation in patients after severe demage of brain Abstract of the thesis: This thesis deals with patients after severe brain damage, particularly in the most represented diagnosis of stroke and brain damage as a result of cranial trauma. The thesis highlights the important role of rehabilitation and through physiotherapy interventions I am trying to promote the concept of comprehensive rehabilitation. In the theoretical section I briefly summarize the problems of stroke and cranial trauma, further I deal with the role of physiotherapy in the context of a comprehensive rehabilitation and outline a list of the most frequently used methods in physiotherapy of patients after severe brain damage. The practical part of the thesis is focused on the specific problem of the patient, pain of a hemiparetic shoulder, which restricts the patient not only functional but also during other therapies. As a part of the current physiotherapy I have applied the current therapy through the electrotherapeutical device Rebox and watched the intensity of pain of the hemiparetic shoulder and the effect on the function of the upper limb. Key words: brain injury, stroke,...
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The Motivation of Spouses to stay together after a Brain Injury
Vaněčková, Anna ; Kulišťák, Petr (advisor) ; Šulová, Lenka (referee)
This diploma work deals with the situation of married couples, people who suffered a brain damage. After a brain damage many various mental changes of grave importance may appear apart from the physical consequences. These consequences affect not only the person that suffered the brain damage but also his closest mainly his partner and affect also the quality of their marriage. The theoretical part of the diploma work deals primarily with the importance of the marriage from the sociological and the psychological point of view as well. Further the work focuses on the brain damage itself and its consequences. The attention is further drawn to the impact of such situation on the husband or wife of a person after brain damage. Following part deals with the motivations for marriage. The empirical part of the work focuses on qualitative research based on eight individual in-depth interviews with husbands/wives of a person after a brain damage. The main goal of the work is to map the motivation of a husband/wife of the individual after a brain damage for remaining in marriage and identify other factors connected with this motivation.
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A design of software applicable in occupational therapy A design, realization and evaluation of a PC program for shopping practice for people with cognitive deficits
Rohlenová, Eva ; Rodová, Zuzana (advisor) ; Svobodová, Tereza (referee)
The main goal of this thesis was to design a computer program applicable in occupational therapy in cognitive rehabilitation. I designed a PC program focused on shopping practice. Its main advantages are: the absence of any charges, the possibility of using it on an ordinary PC and the accessibility via the Internet. The designed program, named Trénink nakupování (~Shopping training), had been implemented in a beta version. Afterwards, it was tested and evaluated with a questionnaire by five stroke patients. The results show that all patients evaluated the program very positively and they believe in its benefits for the rehabilitation. The theoretical part describes cognitive training and shopping from the perspective of an occupational therapist. Four PC training programs focused on shopping training are described. Other sections provide detailed information about the designed program. The practical part consists of testing, the evaluation of questionnaires and suggesting ways to improve the program in the future. Key words: cognitive rehabilitation, cognitive training, iADL, shopping, program design, computer-assisted training, PC program, brain injury Powered by TCPDF (www.tcpdf.org)
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Using means of physical therapy to influence spasticity from the physiotherapist 's point of view
Bouzková, Gabriela Natálie ; Sládková, Petra (advisor) ; Matolínová, Vendula (referee)
The theme of the bachelor thesis is using means of physical therapy to influence spasticity from the physiotherapeutist's point of view. Theoretical part describes upper motor neuron syndrome and spasticity as one of its symptoms. Further it states methods of evaluation and options of influence of spasticity including latest research methods. Separate chapter is dedicated to the physical therapy, its impact on human organism and means used to treat spasticity. In the practical part the influence of cryotherapy on spasticity of upper limb of two patients after brain injury is examined. Efficiency is measured by Tardieu scale and goniometry. Main contribution of the thesis lies in gathering and analyzing of present findings, mainly on the field of physical therapy. The practical part then confirms positive effect of cryotherapy but recommends further research. Key words: spasticity, upper motor neuron syndrome, brain injury, physical therapy, cryotherapy
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Monitoring of the nervous system of patients with craniocerebral injury - Nurse's role
VANIŠOVÁ, Štěpánka
This theoretical thesis focuses on monitoring of nervous system of patients with craniocerebral injury and the nurse´s role in the problem. Its aim was to provide a general and comprehensive overview of craniocerebral injury and also the monitoring options of nervous system of patients with this particular injury, and to map out the nurse´s role in monitoring of nervous system of patients with craniocerebral injury. In order to achieve the objectives, the method of review and data synthesis was employed. The sources for the thesis were sought out through professional foreign databases, internet browsers and with the help of catalogues and databases of libraries. It was drawn from professional literature, both domestic and foreign, in electronic and printed form. Owing to the development of technologies, new monitoring techniques of nervous system appear in clinical practice. Such techniques are somewhere considered standard, elsewhere they are only being introduced or there has been no experience with such techniques at all. The nurses working with patients with craniocerebral injury should have sufficient information on this problem. Unfortunately, literature dealing with this issue and intended for nurses is scarce in domestic sources. Thus the theses might at least partially serve as a study material both for nurses and students. In the thesis, patophysiology of craniocerebral disease is clarified as well as current most often applied methods of monitoring of nervous system of patients with craniocerebral injury, both abroad and in our country. In the next part of the thesis, the individual monitoring methods are supplemented by information used especially by the nurses working with patients with craniocerebral injury in Intensive Care Units.
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