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Coordinated Rehabilitation in the Nursing Home
ZATLOUKALOVÁ, Taťána
The diploma thesis deals with the use of coordinated rehabilitation in a nursing home. The main goal of the thesis was to find out the possibilities and limits of providing coordinated rehabilitation in a nursing home from the perspective of members of a multidisciplinary team. In the theoretical part of the thesis, the basic concepts were defined. In the practical part, the main research question was answered: How do the members of the multidisciplinary team perceive the provision of coordinated rehabilitation in a nursing home? A qualitative research strategy, a questioning method and a semi-structured interview technique were chosen for the research survey. Data analysis was performed using elements of grounded theory. The research set consisting of 8 informants was selected through intentional selection and purposeful sampling. The research showed that the interviewed social workers are aware of coordinated rehabilitation, in contrast to the health and care workers, who perceive it only as medical rehabilitation. After clarifying the concept, these workers were also able to name and classify activities into individual components of coordinated rehabilitation. The research shows that informants perceive the improvement of care, provision of comprehensive care, effective cooperation of a multidisciplinary team, transmission of complete information about clients, provision of experts, education and expansion of the range of activities and therapies as possibilities for providing coordinated rehabilitation. As limits of the provision of coordinated rehabilitation, informants perceive the absence of legislative definition, which causes the lack of information about this concept, lack of funds and methodological procedures for coordinated rehabilitation, reluctance to cooperate, employee overload, lack of time and professional staff. The results of the research will serve as a basis for improving the quality of care provided using the concept of coordinated rehabilitation in a selected nursing home.
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Selected methods of therapeutic rehabilitation in spinal muscular atrophy
Nosková, Petra ; Ježková, Martina (advisor) ; Zounková, Irena (referee)
The bachelor's thesis "Selected methods of therapeutic rehabilitation in spinal muscular atrophy - a research paper" deals with the issue of a progressive neurodegenerative disorder in spinal muscular atrophy (SMA) with the focus on therapeutic rehabilitation. Due to the lack of causal treatment in the present time, therapeutic rehabilitation holds a crucial position. The main part of the thesis consists of a brief overview of the existing knowledge of the SMA disorder, the principles of prevention and therapy of the most frequent musculoskeletal difficulties of patients, as well as an overview of selected methods of therapeutic rehabilitation, appropriate in this disorder. The most frequent musculoskeletal difficulties of the SMA patients include: development of scoliosis, contractures and luxation of hip joint. In the overview of methods and concepts appropriate in patients with SMA, selected methods and concepts based predominantly on neurophysiologic principle and options for respiratory rehabilitation were listed. The thesis is supplemented with the casuistry of a patient with the third type of SMA.
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Therapy of spasticity with botulinum toxin and assessment of the effect by Tardieu Scale
Hochová, Anna ; Angerová, Yvona (advisor) ; Svěcená, Kateřina (referee)
Title: Therapy of spasticity with botulinum toxin and assessment of the effect by Tardieu Scale Abstract: This paper discusses paralysing effect of botulinum toxin which is used to treat spastic muscles in contemporary medicine. The paper focuses on spasticity in patients with disorder of the central nervous system caused most commonly by stroke. At first it deals with theoretical knowledge about physiology of movement, then describes active ingredient and explains the mechanism of its effect. It dedicates a lot of attention to follow-up rehabilitation as an integral part in the management of spasticity. This paper is based on two case histories. A practical part describes in detail patient's condition before and after application of botulinum toxin. A progress of the effect was assessed during periodic meetings. These instruments were used to assess: Tardieu Scale of spasticity and Frenchay arm test. In connection with the application of botulinum toxin is emphasized active co-operation of the patient. It is an essential precondition for positive results in the management of spasticity. Key words: spasticity Tardieu Scale upper motor neuron syndrome Frenchay arm test botulinum toxin kinesiotherapy occupational therapy
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The system of providing of medical and physiotherapeutic care for adult physically disabled people in the Czech Republic: The connection among medical and physiotherapeutic care, integration and the quality of life
Tomášková, Vladimíra ; Angelovská, Olga (advisor) ; Čabanová, Bohumila (referee)
The diploma thesis named "The system of providing of medical and physiotherapeutic care for adult physically disabled people in the Czech Republic: The connection among medical and physiotherapeutic care, integration and the quality of life" maps a particular kinds of medical and physiotherapeutic services provided (it includes for instance ambulatory physiotheraphy and bath medication) and offered by the system to the people with physical impairment. The data were obtained from qualitative interviews made with patients and also with specialists who works on in the field of medical-physiotherapeutic and social care. The autobiographical method was also used during 4 the research. Each kind of the care provided are valuated by patients - recipients of the care and and by specialists - persons who provide services. We esspecially focused on the number, availability, frequence and quality. We followed namely the possibility of getting and need of each kind of a medical-physiotherapeutic service: it's sequence and it's involvement to the possibility of the integration and the quality of life of the people with a physical impairment. Using the method of the tree of problems the data were organized and evaluated. There were identificated problematic parts of working of the whole system and outlined some...
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Design rehabilitačních pomůcek
Váňová, Anna
The thesis deals with the design of rehabilitation aids. The theoretical part, which explains the concept of rehabilitation and its classification with a regard to thera-peutic rehabilitation, is an important basis for the final design. The research fo-cused on therapeutic rehabilitation describes exercise aids available on the market that are used both for therapeutic and training purposes. Further, the thesis is concerned with the issue of balance exercises, their positive impact on the body and clinical indications. Besides, the ergonomic aspects of these aids are briefly mentioned too. The practical part of the thesis concentrates on the process of designing balance aids. The final design includes a visualization of 3D models and materials for functional models.
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The use of co-ordinated rehabilitation concept in retirement home
KOLEVOVÁ, Tanja
This diploma thesis deals with co-ordinated rehabilitation and its use in retirement home specifically in the Center of social services Staroměstská in České Budějovice. It is important to use a co-ordinated rehabilitation concept for achievement of high service quality which means better life quality for pensioners. Co-operation within multidisciplinary team is essential during comprehensive rehabilitation for all persons. The goal of this diploma thesis was to found out how retirement home uses individual components of co-ordinated rehabilitation concept. The principal research question was: How much are employees of retirement home informed about co-ordinated rehabilitation concept? For research was chosen retirement home in the Center of social services Staroměstská in České Budějovice. There were eight employees of this institution participated in the research. It was used method of questioning and half-structured interview technique. Retirement home in the Center of social services Staroměstská uses all aspects of co-ordinated rehabilitation concept. Particularly they utilize medical rehabilitation and social rehabilitation. Most of workers is well-informed about co-ordinated rehabilitation concept. Some of them do not know certain terms. However after explaining of these terms they prove good knowledge of this issue. The employees have satisfactory overview not only about rehabilitation which is directly their scope of working activity but also about other components of co-ordinated rehabilitation. The workers are perfectly informed about medical rehabilitation. They are also mostly satisfied with co-operation in multidisciplinary team. This kind of co-operation takes place at any time of a need or during the meetings or at individual scheduling. The results of this diploma thesis may help to retirement home in the Center of social services Staroměstská in České Budějovice to evaluate the usage of co-ordinated rehabilitation during elderly care. It might also show the measure of co-operation of multidisciplinary team members. This diploma thesis may help to anybody who is interested in specific retirement home or in co-ordinated rehabilitation in general.
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Therapeutic rehabilitation in patients with juvenile idiopathic arthritis
Helebrantová, Soňa ; Zounková, Irena (advisor) ; Smolíková, Libuše (referee)
The juvenile idiopathic arthritis disease (JIA) is the most common chronic rheumatic disease in childhood and a significant cause of acquired disability in children and adolescents. Patients suffer from acute and chronic pain, reduced mobility, and stiffness in the joints, which leads to a limitation in physical activity. The bachelor thesis includes the latest information about JIA in connection with therapeutic rehabilitation- physiotherapy. It deals with the effect of the disease on the function of the musculoskeletal system, and the ways in which therapeutic rehabilitation can effect already developed disorders. The thesis consists of two sections. The first part is theoretical and includes information from the literature, with focus on information that has been published in Czech and foreign literature over the last 10 years. The second part is devoted to case report of a patient with JIA, including an examination, a course of rehabilitation and its effects on overall health. In the therapy there were used questionnaires about physical activity, such as C-HAQ, methods based on developmental kinesiology or kinesiotaping. The main benefit of the thesis is the analysis of all available therapeutic methods in patients with JIA. The emphasis is placed on medical rehabilitation - physiotherapy,...
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Therapy of spasticity with botulinum toxin and assessment of the effect by Tardieu Scale
Hochová, Anna ; Angerová, Yvona (advisor) ; Svěcená, Kateřina (referee)
Title: Therapy of spasticity with botulinum toxin and assessment of the effect by Tardieu Scale Abstract: This paper discusses paralysing effect of botulinum toxin which is used to treat spastic muscles in contemporary medicine. The paper focuses on spasticity in patients with disorder of the central nervous system caused most commonly by stroke. At first it deals with theoretical knowledge about physiology of movement, then describes active ingredient and explains the mechanism of its effect. It dedicates a lot of attention to follow-up rehabilitation as an integral part in the management of spasticity. This paper is based on two case histories. A practical part describes in detail patient's condition before and after application of botulinum toxin. A progress of the effect was assessed during periodic meetings. These instruments were used to assess: Tardieu Scale of spasticity and Frenchay arm test. In connection with the application of botulinum toxin is emphasized active co-operation of the patient. It is an essential precondition for positive results in the management of spasticity. Key words: spasticity Tardieu Scale upper motor neuron syndrome Frenchay arm test botulinum toxin kinesiotherapy occupational therapy
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The Interconnection of Components of the Coordinated Rehabilitation to Individuals after the Cerebrovascular Accident.
HEJZLAROVÁ, Petra
Cerebrovascular accident (CVA, stroke) is a disease that affects the central nervous system. Many people, even younger in age, have suffered the stroke, and especially in developed countries. For adults it falls into the most common causes of disability. Greater attention is now focused on medical rehabilitation, but all the elements of rehabilitation are important. The status after stroke results in physical, psychological and social consequences. Therefore, early and coordinated rehabilitation is important, since it increases the possibility of the person´s integration. The diploma thesis aims to describe particular components of coordinated rehabilitation granted to the patients after the CVA in the treatment and rehabilitation centre Chvaly. More specifically, the author tries to analyse the coherence of the individual components of coordinated rehabilitation. In the theoretical part, the author focuses at first on the definition of the CVA, follows up with a general treatise about the coordinated rehabilitation, and then she specifies coordinated rehabilitation for patients after the CVA, and briefly describes the facility under examination. To achieve the objective there has been used qualitative research, the method of questioning, the technique of a semistructured interview. The research sample includes people after the CVA, and the staff of the treatment and rehabilitation centre Chvaly, applying specific elements of rehabilitation. Research indicates that in the examined centre they use therapeutic and social elements, where the treatment dominates. The treatment center puts emphasis on self-sufficiency of a person after the CVA, working with the family and a multidisciplinary team, which is also perceived by the clients after the CVA. The results of the diploma thesis can serve as a feedback for the examined treatment centre, they can be used to improve the quality of coordinated rehabilitation. This work can be used as a source of information for people after the CVA and their families.
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