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Changes in lower limb muscle aktivity during walking in hemiparetics after application of botulinum toxin
RICHTROVÁ, Eliška
This bachelor thesis deals with influence of botulinum toxin and for walking in hemiparetic patient (spastic hemiparesis after stroke). In the theoretical part, the problem of stroke an one of the very common diseases that cause central hemiparesis is approached from the beginning. Further, spasticity and its treatment are described here. The last part deals with the issue of hemiparetic gait and its rehabilitation. The main goal of the work was to record possible changes in gait parameters during the application of botulinum toxin A, which is applied every 3 months. The research involved 2 probands from regional spasticity center of the Hospital of Czech Budweis a.s., with central hemiparesis after stroke. They underwent entrance (2-3 weeks after application botulinum toxin) and exit examinations (1-2 weeks before application botulinum toxin), which consisted of kinesiological examination, examination of spastic paresis hip dysplasia according to the procedure J.M. Graciese, selected clinical gait tests (TUG, 2MWT), EMG examination and postural stability test (WBS). The whole measurements were performed to see, if any changes during the action of botulinum toxin could be objectifield, either clinically or by surface EMG. The obtained results were quite individual, bit despire a very small group of proband, it was possible to follow certain trends influence botulinum toxin. Surface electromyography has proven to be a suitable tool for monitoring muscle activity, but for future similar studies,will be need many more probands and repeat measurements to be include.
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Orthotic options of paretic limbs in patients after a cerebrovascular stroke
Fuksová, Barbora ; Černý, Pavel (advisor) ; Šolc, Zdeněk (referee)
Title: Orthotic options of paretic limbs in patients after a cerebrovascular stroke Objectives: The main goal of the thesis is to introduce a medical reader to the orthotic options of paretic limbs in patients after a cerebrovascular stroke in the context of a comprehensive multidisciplinary approach. Methods: In my thesis, I have used the methods of systematic research of accessible books, online sources, published studies, and proceedings of Czech or even foreign conferences. Further materials used in the thesis comprise presentations and notes from certified trainings for physiotherapists, professional internships in rehabilitation or orthotics departments, and from personal consultations with experts from fields of orthotics, neurophysiotherapy, robot-assisted rehabilitation and multidisciplinary team management. Results: The thesis offers a comprehensive overview of rehabilitation care in patients after stroke together with an overview of orthotic options of paretic limbs in patients with permanent effects, e. g. spastic paresis, post stroke shoulder pain or joint instability. The thesis could be useful for all members of a multidisciplinary neurorehabilitation team and it should lead to improvement of awareness about orthotic options and to better understanding of the work of an orthotics...
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The Effect of Pelvic Stabilizing Muscles Activation in Redcord on the Gait in Patients after Brain Damage
Kasanová, Barbora ; Drábová, Zuzana (advisor) ; Průšková, Kateřina (referee)
The title of work: The Effect of Pelvic Stabilizing Muscles Activation in Redcord on the Gait in Patients after Brain Damage Abstract: This bachelor thesis focuses on wrong gait stereotype after acquired brain damage. It aims on finding a way how to affect it by therapy of pelvic stabilizers. For this intention the Neurac method has been chosen. It uses a sling exercise system called Redcord. The theoretical part of this thesis concerns brain damage in general and especially traumatic and ischaemic laesion. It also describes pathologic gait stereotype issue which is very common in these patients. Furthermore, a description of the Neurac method and the Redcord is involved. There are several current studies mentioned as well. In the practical part there are described all used methods, basic research questions, methodology and description of participant patients. This part also includes case studies and results of therapy after doing special Neurac Testing, standard gait tests and visual comparison of gait before and after intervention using videorecording. Key words: Redcord, Neurac, stroke, brain injury, hemiplegic gait, pathologic gait, pelvic stabilizers
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