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Hippotherapy as a supportive method of treatment in children with Joubert's and other hypotonic syndrome
Martínková, Dominika ; Bartoňová, Miroslava (advisor) ; Hájková, Vanda (referee)
1 Abstract The subject of this thesis is hippotherapy as a supportive treatment method in children with Joubert syndrome and other hypotonic syndromes. In theoretical part is described Joubert syndrome in connection with education of students with special needs including legislation. In response to education of a child with disability there is further described therapy and basic therapeutic approaches that are often used concurrently with hippotherapy. Next part of thesis is focused on Joubert syndrome in terms of origin, causes, symptoms and diagnosis of the disease. With regards to research investigation in empiric part of the thesis there are further described specific educational approaches of individual with Joubert syndrome and other hypotonic syndromes. Theoretical part also comprises closer characteristics of hippotherapy as a possible supportive treatment method in terms of legislation, healthcare and social aspects. In empiric part there were used several methods of data collection within the qualitative research, these were analysis of studied literature, involved observation, case study, document analysis, narrative dialog with parent, discussion with hippotherapist and questionnaire submitted to parents of children attending hippotherapy. Key words: hippotherapy, Joubert syndrome, hypotonia,...
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Problems of nursing care for a child with spinal muscular atrophy
BUBALOVÁ, Petra
Spinal muscular atrophy (SMA) is a hereditary disease characterized by progressive loss of -motoneurons of the spinal front corners, the consequence of which atrofizaci of muscles occurs. As a result, children become disabled and infirm dependent on the help and care of others at an early age. This is a relatively rare disease, the prevalence is about 1: 6,000 children. Spinal muscular atrophy is divided into 4 types according to its severity and time of onset of symptoms. Despite significant longtime research, it has failed to find a drug that could cure this disease so far. To the present date, there are only methods that slow the progression. The survey also contained 4 research questions, namely: What are the principles of treating a child with spinal muscular atrophy ? What are the most common problems in the care of a child with spinal muscular atrophy ? Are parents adequately educated on the issue of child with spinal muscular atrophy ? What impact has the presence of a child with spinal muscular atrophy in his family? Qualitative research was used in the implementation of the empirical part . Two qualitative methods were used to collect the data, a semi-structured interview and a hidden observation of the participant . Interviews were conducted with 3 research files, with 11 general nurses from the České Budejovice Hospital and University Hospital Motol, 7 mothers of children with I and II. type SMA of a summer camp for children with SMA and with 5 personal assistants. This thesis should help nurses and the public to gain awareness of the disease of Spinal Muscular Atrophy. It refers to all aspects of care of such a sick child, with which their parents daily struggle. Caring for a child with SMA is very difficult for their caregivers and requires considerable restrictions for the whole family. Information observed during the research were presented at a seminar for nurses in the České Budejovice Hospital in January 2015.
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Physical therapy facilities in Down syndrome
ŠULOVÁ, Eva
This bachelor thesis deals with the possibilities of influencing locomotor skills of children with Down syndrome by physiotherapy. In the theoretical part two key phenomena involved in the postural behavior of these persons are mentioned, which are low muscle tone (hypotonia) and laxicita ligament, caused by the presence of abnormal collagen type VI. These two genetically conditioned phenomena, according to the cited literature, are associated with impaired muscle cocontraction, with inadequate equilibrium reactions and faulty proprioceptive feedback for posture and locomotion. The research group consisted of three children of preschool and younger school age diagnosed with Down syndrome. Using the qualitative research method, information obtained from medical history and kinesiologic examination were recorded. In all 3 patients, poor posture was described, deficit of postural stability in upright standing, dynamic balance and deep and superficial sensation deficits were found. Therefore the therapy included elements of exercise in developmental series, sensomotoric exercises and equilibrium reactions training, exercises on a ball, working with physical schema, proprioceptive and exteroceptive stimulations, exercises to promote psychomotor development (exercise to music, according to pictures of animals), functional taping and breathing exercises. After completion of three-month individual therapy, postural stability in upright posture (in 1 patient), dynamic balance (in 3 patients), the quality of step cycle (in 2 patients) and the quality of posture (in 3 patients) were affected. In all the children the postural finding was affected by the change of the function of lower blade fixators. The therapy was limited by a lower level of cooperation caused by the mental handicap of children with DS. In this study, the positive effect of physiotherapy in the mentioned qualities on postural and locomotion skills in children with Down syndrome has been proved.
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Bolesti zad jako civilizační onemocnění z pohledu fyzioterapie
KREJČOVÁ, Miluše
This work tell about problems with back pain and informations of patients. Look at the treraphy process and physiotherapist ´s effect with theraphy movement body and work with people mention then they can come to know what is right and what is wrong moving of ordinary day for their movement system. The main destination is preventation of the back pain. Know the right and wrong movement and movement´s habit is main of the preventation of the back pain and the best preventationly precaution is keeping this. Know of theory is mainstay of good therapy. The main destination of this work is getting better and describe to during and a cause the rise of back pain. The destinations were determine with help qualitative research presentation in this work.
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