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The use of dual task training in rehabilitation of patients after acquired brain injury
Hanzlíková, Kateřina ; Krivošíková, Mária (advisor) ; Klimošová, Sylva (referee)
Title: The use of dual task training in rehabilitation of patients after acquired brain injury Abscract: Patients after acquired brain damage may have a range of cognitive, motor, psychological, phatic, or sensory difficulties. These impairments impact the individual's performance in personal and instrumental activities of everyday live. Simultaneously, patients may lose functions that were previously automatic, such as the ability to maintain postural control. Therefore, they need to make more effort to consciously control movement and because of this, the ability to perform two tasks at the same time is reduced. However, the conditions of a normal day require simultaneous execution of multiple interactions. The cognitively oriented Day Care Centre of The Department of Rehabilitation Medicine of the General Hospital and the First Medical Faculty of Charles University includes a dual task program for patients after acquired brain injury, which focuses on training of cognitive and motor functions. The theoretical part of this thesis is addressing the issue of dual task paradigm. The aim of the practical part is to evaluate the effect of this 4week intensive program on cognitive, motor functions and self-sufficiency of individuals after acquired brain injury. To determine the effect of the dual task program,...
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Dual-task training in physiotherapy of people with multiple sclerosis
Kollmerová, Denisa ; Novotná, Klára (advisor) ; Kulich, Václav (referee)
Title: Dual-task training in physiotherapy of people with multiple sclerosis Abstract: This bachelor's thesis focuses on the use of dual-task elements for patients with multiple sclerosis. The thesis is based on theoretical-practical approach. The main goal is to apply therapy involving dual-task for patients with various conditions of multiple sclerosis and to describe five selected dual-task exercices for each patient with photos attached. A secondary goal is to map out dual-task difficulties in a larger sample of patients. The theoretical part is focusing on multiple sclerosis and dual-tasking. The practical part describes the implementation of physiotherapeutic intervention with dual-task elements through case studies of 3 patients with varying degrees of neurological disability, targeted to improve the subjective perception of dual-task and reduce deficits detected within kinesiological analysis, selected functional tests and questionnaires. The outcome assessment predominantly demonstrated improvements in specific tests (some even clinically significant), although in some items, patient's performance or perception remained unchanged or deteriorated. In the feedback questionnaire, patients mostly evaluated this type of intervention positively. For each patient, five selected dual-task exercices were...
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Dual-Task Program in Neurorehabilitation in Patients with Acquired Brain Injury
Burdová, Eliška ; Jeníček, Jakub (advisor) ; Krivošíková, Mária (referee)
This diploma thesis deals with the topic of the use of the dual task in neurorehabilitation in patients with aquired brain injury. Its main goal was to create a program using dual task procedures, which was subsequently applied in a cognitively focused daily rehabilitation stationary of the The Department of Rehabilitation Medicine of the General Hospital and the First Medical Faculty of Charles University. Another goal was to provide settings for using the conditions of the program, its evaluation and finding out whether it was applied to the patient to improve some of the ADL. The research part of the work is processed by the method of qualitative evaluation research through the elaboration of one case study and evaluation of the program by a decision evaluation model. Based on a comprehensive search, a therapeutic program was developed and evaluated. It includes three levels of primary motor tasks and secondary cognitive tasks divided according to specific cognitive functions. This is a pilot study to further investigate the effect of the use of the dual task in people with aquired brain injury. Key words: dual-task, cognitive-motor interference, neurorehabilitation, acquired brain injury
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Evaluation of therapy cognitive and motor functions with technical equipment
Arimiyawu, Lenka ; Gerlichová, Markéta (advisor) ; Janatová, Markéta (referee)
The thesis evaluates the effect of four-week home therapy using stabilometric platform Nintendo Wii Balance Board and tablet with integrated software HomeBalance in patients with brain injury. Software HomeBalance has been developed for the treatment of balance disorders and cognitive function. Manipulating the platform and the tablet may also develop grip and handling abilities of hand, both will be evaluated in this work as well. The theoretical part describes new trends in rehabilitation of cognitive-motor interference, dual-task therapy and therapy using technological equipments. Methods: A total of 9 subjects underwent four weeks of therapy using a therapeutic set HomeBalance. The control group of 12 subjects received therapy without any technological equipment. Patients participated in the initial examination, home therapy and final examination. As an evaluation of the therapy Mini-BESTest, Timed Up and Go test, Montreal cognitive assessment, 9- hole peg test, and also two games from HomeBalance software and questionnaire assessing satisfaction with therapy have been used. Results: After treatment the whole group improved in only two tests evaluated: in Mini- BESTest and the time of diagnostic scene in HomeBalance software. The research group had statistically better results in both tests...
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