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Design of Assistant Brake for Mechanical Wheelchair
Vaněk, Roman ; Osička, Karel (referee) ; Sedlák, Josef (advisor)
The goal of this diploma thesis was the design of an assistance brake for a mechanical invalid wheelchair. The theoretical part includes the sorting of wheelchairs and available technology of braking systems. In the practical part, there was prepared the design and testing of the assistance brake. In the final chapter, the technical-economic evaluation of the designed solution was discussed and compared with the existing technologies.
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Evaluation of wheelchair adjustments and their impact on proper propulsion pattern upper extremities and sitting posture in patients with spinal cord lesions
Dáňová, Petra ; Pfeiffer, Jan (advisor) ; Neuwirthová, Svatava (referee)
Title: Evaluation of wheelchair adjustments and their impact on proper propulsion pattern upper extremities and sitting posture in patients with spinal cord lesions. Objectives: The objective of this work was to evaluate the adjustments of wheelchair and to determine their impact on the work of the upper limbs and posture while sitting. This work was done on a group of patients with spinal lesions with their own wheelchairs. Another objective was to assess how education of proper propulsion pattern and form and type of a grip of handrim affects the correct propulsion pattern. Methods: In the group of 26 patients with spinal cord injuries in different levels of the spinal cord, I tested the adjusments of wheelchair, in particular the centre of gravity and maximum seat height from the ground. I also investigated what education on correct propulsion pattern the patients received, and observed any home-made adjustments to handrim, as well as patients' techniques of handrim grip. Finally, I examined how the subjects drove his/her wheelchair. During all the tests, I recorded video and photo documentation. The results were statistically evaluated using the Fisher test. Results: Despite the fact that only a small group was investigated, I showed the effect of wheelchair seatings on the correct posture. I...
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Influence of physiotherapist intervention on shoulder muscular imbalance and movement stereotype in users of mechanical wheelchair.
Kluska, Josef ; Čichoň, Rostislav (advisor) ; Šteffl, Michal (referee)
Title: Influence of physiotherapist intervention on shoulder muscular imbalance and movement stereotype in users of mechanical wheelchair. Objectives: The aim of the work is to find out to what extent a twelve-week strength training under the professional guidance of a physiotherapist can affect the users of mechanical wheelchairs (paraplegics) and their functional muscle tension in the shoulder area. Methods: This pilot multiple qualitative research took place from January to July 2021. Three paraplegics aged 39 to 46 participated voluntarily in the research. A kinesiological analysis was performed on each proband with an examination of the movement stereotype while riding a mechanical wheelchair. A diagnostic method with a tensiomyograph was performed for individual muscles of the shoulder girdle. Kinesological analysis and muscle measurements were performed before and after the intervention, which took place three times a week. Due to the unfavorable epidemic situation, it was carried out in the form of video transmission at home. The comparative method was used in the comparison section before and after the end of the physiotherapist's intervention during the training cycle of each proband. The obtained results were processed by the TMG 100 software, which meets the requirements for data...
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Consequences due to Inappropriate Movement Stereotype on a Wheelchair Described by an Occupational Therapist. Subtitle: Used Propulsive Mechanics in Paraplegics
Jarošová, Zuzana ; Hradilová, Iva (advisor) ; Rodová, Zuzana (referee)
This bachelor thesis is focused on consequences of an inappropriate movement stereotype while driving on a mechanical wheelchair. The examined population of clients suffered from paraplegia. The analysis of propulsion mechanics is the main goal of the bachelor thesis. The theoretical part of the thesis is focused on causes involved in the inappropriate propulsion pattern. The main investigated causes can be consequences of spinal lesion and inappropriate choice or setting of the mechanical wheelchair components. In case of the spinal lesion, we are focused on the height of the lesion with regard to the posture and propulsion. When speaking about the setting the wheelchair components, we are mainly interested in the appropriate components selection and components adjustment, especially the seat and backrests, which most affect the seat on the wheelchair. Tests, that can be used to examine the presence of painful states of client, are included in the thesis. The thesis also contains the possibilities of intervention from the occupational therapist's point of view. The theoretical knowledge of propulsion mechanics is used in the practical part, where the analysis of propulsion patterns (with use of video records) as well as the tests of painful states were performed. The conclusion of the thesis...
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Differential functional diagnosis, the indication of fixed backrest and it's effect on the prevention of pressure ulcers in patients after spinal cord injury
Benešová, Barbora ; Svěcená, Kateřina (advisor) ; Sládková, Petra (referee)
This study aims to evaluate the importance of proper back support for patients with spinal damage after long-term sitting in a mechanical wheelchair. The subject of this thesis was to analyze Czech and foreign literature and offer the most accurate and still missing information when selecting and compiling the selection of mechanical wheelchair seating unit. The thesis describes the differences between right and wrong sitting posture of mechanical wheelchair users. It analyzes the available information on the possibility of objective assessment, as well as trying to justify the importance of the support of the trunk on the resulting stability and functionality during activities of daily living. It refers to the most common secondary changes and their chaining caused by poor sitting posture. A subjective evaluation of the comfort of users sitting in mechanical wheelchairs in the form of a questionnaire was chosen to assess the urgency of the theme. The research carried out confirmed the hypotheses of clinical practice, which are included in the work. Based on the collected information, this work may allow occupational therapists, physiotherapists and doctors to more easily determine in a broader context whether an indication of the fixed backrest is appropriate and desirable (required) when dealing...
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Design of Assistant Brake for Mechanical Wheelchair
Vaněk, Roman ; Osička, Karel (referee) ; Sedlák, Josef (advisor)
The goal of this diploma thesis was the design of an assistance brake for a mechanical invalid wheelchair. The theoretical part includes the sorting of wheelchairs and available technology of braking systems. In the practical part, there was prepared the design and testing of the assistance brake. In the final chapter, the technical-economic evaluation of the designed solution was discussed and compared with the existing technologies.
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Evaluation of wheelchair adjustments and their impact on proper propulsion pattern upper extremities and sitting posture in patients with spinal cord lesions
Dáňová, Petra ; Pfeiffer, Jan (advisor) ; Neuwirthová, Svatava (referee)
Title: Evaluation of wheelchair adjustments and their impact on proper propulsion pattern upper extremities and sitting posture in patients with spinal cord lesions. Objectives: The objective of this work was to evaluate the adjustments of wheelchair and to determine their impact on the work of the upper limbs and posture while sitting. This work was done on a group of patients with spinal lesions with their own wheelchairs. Another objective was to assess how education of proper propulsion pattern and form and type of a grip of handrim affects the correct propulsion pattern. Methods: In the group of 26 patients with spinal cord injuries in different levels of the spinal cord, I tested the adjusments of wheelchair, in particular the centre of gravity and maximum seat height from the ground. I also investigated what education on correct propulsion pattern the patients received, and observed any home-made adjustments to handrim, as well as patients' techniques of handrim grip. Finally, I examined how the subjects drove his/her wheelchair. During all the tests, I recorded video and photo documentation. The results were statistically evaluated using the Fisher test. Results: Despite the fact that only a small group was investigated, I showed the effect of wheelchair seatings on the correct posture. I...
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