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Methods of a grip evaluation after reconstructive surgery of the spastic hand
Pechová, Petra ; Fialová, Ludmila (advisor) ; Kövári, Martina (referee)
The aim of the thesis was to find out which areas of life of people with hand spasticity may affect the performance of reconstructive surgery. Furthermore, to determine which specific factors involved in the function and dysfunction of the upper limb in people with upper motor neuron syndrome can affect the results of the intervention, and what are the relationships between these factors. The group consisted of 13 people with cerebral type of spasticity. Subjects were examined preoperatively, three months after the intervention, and five months after the intervention. Operations were performed in the wrist-hand and elbow region. Subjects were examined repeatedly by some sensory modality, goniometry, Frenchay arm test, Score for visual evaluation of functional task of the hand, The QuickDASH, modified Ashworth Scale, modified Barthel Index and each person was classified according to The Manual Ability Classification System. There was an elbow contracture release and an improvement in an active motion in the wrist as result of the intervention. The results showed a statistically significant difference in some test scores Frenchay arm test, Score for visual evaluation of functional task of the hand, The QuickDASH and the modified Barthel Index before and after intervention. In a group of people with...
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The intervention of occupational therapy in patients with impaired hand function after surgery
Neradová, Kateřina ; Oktábcová, Alice (advisor) ; Čábelková, Alžběta (referee)
This bachelor's thesis deals with the surgical treatment of patients with hand impaired function and subsequent intervention of occupational therapy, and the patients who underwent this treatment. Thesis is divided into two parts-theoretical and practical. The theoretical part describes the function of the hand and the possibilities for its disorders. Subsequently, thesis describes the principles of surgical treatment of various diseases and hand injuries that impair its function. Another part relates to intervention of occupational therapist in patients who underwent surgical treatment of hand. The practical part contains two casuistries, methodology and processed results and discussion. The first casuistry deals with patient with carpal tunnel syndrome solved by surgery. The second casuistry deals with a patient with finger's flexor injury on the left upper limp. During processing has been found that occupational therapy is integral to rehabilitation after hand surgery. Occupational therapy helps to improve the function of the hand grip and the coordination of movement and it is important for gaining the greatest possible self- sufficiency of patients after surgical treatment of hand. At most workplaces, dealing with hand surgery, occupational therapy, however, is not part of rehabilitation,...
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Developmental coordination disorder - literature review
Kosová, Blanka ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Title: Developmental coordination disorder - literature review Objectives: The theoretical part talks about developmental coordination disorder, its diagnosis, investigations, etiology and division during the different ages of the child. The practical part compares the studies relating to atypical development of motor skills in children with developmental coordination disorder. In diploma thesis was often used shortcut CKP and DCD, depending on the source from which it was drawn. DCD is the English equivalent of the shortcut CKP. Methods: This diploma thesis has both descriptively - analytical character. It will be treated as a literature review. Results: On the basis of the researched literary sources, this thesis provides a comprehensive picture on the topic of developmental coordination disorder. This thesis evaluated the atypical motor skills in school and preschool age children with developmental coordination disorder from the perspective of different authors. It has been found, which diagnostic procedures are used and which difficulties are most limiting for the children. Keywords: developmental coordination disorder, fine motor skills, hand function, gross motor skills
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Handwriting in patient after stroke
Veselková, Eliška ; Krivošíková, Mária (advisor) ; Gerlichová, Markéta (referee)
The thesis deals with with handwriting in adult patients after stroke. The main aim is to design and evaluate a therapeutic program for stroke patients focused on hand function and handwriting. The secondary aims are to translate Handwirting Assessment Battery for Adults into the Czech language by the method of back translation and to determine patient satisfaction with the program. The theoretical part of the thesis briefly summarizes the issue of stroke. General knowledge about handwriting is followed by a summary of handwriting difficulties of stroke patients. The theoretical part is concluded by available handwriting examinations and different ways of occupational therapy intervention. The practical part of the thesis was a case study. Five patients participated in the four- week therapeutic program. The designed program includes task-specific training and Constraint Induced Movement Therapy (CIMT) elements. The tools of the Jebsen Taylor Hand Function Test, the Frenchay Arm Test and Score for Visual Evaluation of Functional Task of the Hand were used to assess the effect of the program on hand function. The practical part mentions the back translation of the handwriting tool Handwriting Assessment Battery for Adults, which was used to evaluate the effect of the program on handwriting...
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Methods of a grip evaluation after reconstructive surgery of the spastic hand
Pechová, Petra ; Fialová, Ludmila (advisor) ; Kövári, Martina (referee)
The aim of the thesis was to find out which areas of life of people with hand spasticity may affect the performance of reconstructive surgery. Furthermore, to determine which specific factors involved in the function and dysfunction of the upper limb in people with upper motor neuron syndrome can affect the results of the intervention, and what are the relationships between these factors. The group consisted of 13 people with cerebral type of spasticity. Subjects were examined preoperatively, three months after the intervention, and five months after the intervention. Operations were performed in the wrist-hand and elbow region. Subjects were examined repeatedly by some sensory modality, goniometry, Frenchay arm test, Score for visual evaluation of functional task of the hand, The QuickDASH, modified Ashworth Scale, modified Barthel Index and each person was classified according to The Manual Ability Classification System. There was an elbow contracture release and an improvement in an active motion in the wrist as result of the intervention. The results showed a statistically significant difference in some test scores Frenchay arm test, Score for visual evaluation of functional task of the hand, The QuickDASH and the modified Barthel Index before and after intervention. In a group of people with...
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Developmental coordination disorder - literature review
Kosová, Blanka ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Title: Developmental coordination disorder - literature review Objectives: The theoretical part talks about developmental coordination disorder, its diagnosis, investigations, etiology and division during the different ages of the child. The practical part compares the studies relating to atypical development of motor skills in children with developmental coordination disorder. In diploma thesis was often used shortcut CKP and DCD, depending on the source from which it was drawn. DCD is the English equivalent of the shortcut CKP. Methods: This diploma thesis has both descriptively - analytical character. It will be treated as a literature review. Results: On the basis of the researched literary sources, this thesis provides a comprehensive picture on the topic of developmental coordination disorder. This thesis evaluated the atypical motor skills in school and preschool age children with developmental coordination disorder from the perspective of different authors. It has been found, which diagnostic procedures are used and which difficulties are most limiting for the children. Keywords: developmental coordination disorder, fine motor skills, hand function, gross motor skills
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The intervention of occupational therapy in patients with impaired hand function after surgery
Neradová, Kateřina ; Oktábcová, Alice (advisor) ; Čábelková, Alžběta (referee)
This bachelor's thesis deals with the surgical treatment of patients with hand impaired function and subsequent intervention of occupational therapy, and the patients who underwent this treatment. Thesis is divided into two parts-theoretical and practical. The theoretical part describes the function of the hand and the possibilities for its disorders. Subsequently, thesis describes the principles of surgical treatment of various diseases and hand injuries that impair its function. Another part relates to intervention of occupational therapist in patients who underwent surgical treatment of hand. The practical part contains two casuistries, methodology and processed results and discussion. The first casuistry deals with patient with carpal tunnel syndrome solved by surgery. The second casuistry deals with a patient with finger's flexor injury on the left upper limp. During processing has been found that occupational therapy is integral to rehabilitation after hand surgery. Occupational therapy helps to improve the function of the hand grip and the coordination of movement and it is important for gaining the greatest possible self- sufficiency of patients after surgical treatment of hand. At most workplaces, dealing with hand surgery, occupational therapy, however, is not part of rehabilitation,...
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