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Using of SM system for people with spinal cord injury
Gabrielová, Aneta ; Vařeková, Jitka (advisor) ; Nováková, Pavlína (referee)
Title: Using of SM system for people with spinal cord injury Objectivities: The objective of this work was to choose and modify exercises suitable for people with spinal cord injury and to practice them in the Centrum Paraple. The next goal was to determine if the SM system is eligible as health exercise and compensation of all day sitting for people with spinal cord injury. The other objective was to compare results of people with spinal cord injury with results of healthy group to determine if they react the same or different. Methods: 8 probands, 3 women and 5 men, 5 quadriplegics and 3 paraplegics, with the average age 54, participated in ten 50 minutes lessons. Within the research the data was acquired with opening examination, opening questionnaire, final questionnaire and interview and observation during each lesson. The pain of the musculoskeletal system and its improvement, reactions of probands to SM system and subjective evaluation of muscle involvement while exercising was determined. Also, the control group of healthy woman was established, who completed one questionnaire, witch data was collated with the data of the last questionnaire for probands. Results: We successfully modified exercises of SM system for individuals with spinal cord injury. Each proband adopted the correct form of...
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Evaluation of the short-term effect of physiotherapeutic techniques on spasticity in patients with spinal cord injury
Špačková, Anežka ; Hlinková, Zuzana (advisor) ; Kříž, Jiří (referee)
The subject of this thesis is spasticity in individuals with spinal lesions. The aim is to evaluate and compare a short-term effect of selected physio-therapeutic methods on spasticity of lower limbs in spinal patients. Two methods of comparison were chosen - passive stretching and the Vojta's reflex therapy. The work consists of two parts. The theoretical part describes the problems of spinal lesions, central motoneuron syndrome and spasticity, including its pathophysiology and investigation and therapeutic approaches. The practical part contains an attempt to verify and subsequently compare the immediate antispastic effect of the chosen methods, which is an important prerequisite for the following active exercises as an inseparable part of a physiotherapeutic exercise unit. Clinical evaluation scales are used to evaluate spasticity, namely Modified Ashworth Scale (MAS) and Muscle Excitability Scale (MES). The results are then compared with other studies and literature. Keywords spinal lesions, quadriplegia, Modified Ashworth Scale, Muscle Excitability Scale, Vojta's method, stretching
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Effects of different physical activities on cardiovascular functions after spinal cord injury
Svobodná, Magdalena ; Honzátková, Lenka (advisor) ; Našincová, Zuzana (referee)
The impact on health, mental state and quality of life in people after spinal cord injury is enormous. Significant impairment occurs not only of sensorimotor functions. The autonomic nervous system is also disturbed to some extent, which is very closely related to the management of cardiovascular functions (and heart rate). The aim of this study is to evaluate the effect of different physical activities on heart rate in people after spinal cord injury. The study included 30 people in the chronic stage after spinal cord injury, which were divided into 3 groups according to the neurological level of the spinal cord lesion in tetraplegics (lesion C1-C8), paraplegics with high thoracic lesion (T1-T6), and paraplegics with lesion from T6 below. Each proband completed 4 exercise tests on sports simulators (rowing, kayaking and cross-country trainer and Rotren) and peak heart rate values (SFpeak) were measured after reaching the subjective maximum load (according to the Borg RPE scale). The values of SFpeak were then statistically processed, evaluated and compared - within groups between sports simulators and between groups. The results of the statistical processing show that the sports simulators are not different in terms of reaching the top SFpeak. Although differences between peak heart rate values...
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Neurophysiology of the urinary system after spinal cord injury.
Štěpánková, Kateřina ; Machová Urdzíková, Lucia (advisor) ; Horníková, Daniela (referee)
Spinal cord injury (SCI) is a devastating condition that is a result of trauma generated by traffic accident, violence or falling. However, SCI may not only be caused by trauma, but also by other diseases such as - virus infection, tumors etc.. Any SCI affects the ability of the spinal cord to transmit and receive information and their further processesing. The spinal cord injury itself is followed by other complications that seriously impair the quality of life of the patients. One of the main problems is the dysfunction of the urinary system, which then does not work properly, thereby make patient's life dificult on the health and social side. The aim of this thesis is to summarize pathophysiological consequences of SCI on urinary tract dysfunction. Keywords: neurophysiology, spinal cord injury, paraplegia, urinary tract
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Applying the DRUMS ALIVE program (drumming to gymnastic balls) for people after spinal cord injury
Ančerlová, Marie ; Daďová, Klára (advisor) ; Pavlová, Ilona (referee)
Title: Applying the DRUMS ALIVE program (drumming to gymnastic balls) for people after spinal cord injury Objectives: The aim of this thesis was to prepare and apply an exercise unit of the fitness program Drums Alive which would be adapted for individuals with spinal cord injury. Another aim was to find out individual reactions of the participants on the exercise. Methods: Exercise unit was applied in 2 women and 3 men (age 40-60 years). A questionnaire, observation and interview were used to assess clients' reactions on exercise and perceived benefit of the lesson on physical and psychological well-being. The benefits were viewed from the point of participants, instructor and sport therapist. Results: According to results we may suppose that exercise strengthen and release muscles and joints. It is pleasant and entertaining. It can serve as a mean of comprehensive rehabilitation and recondition. Keywords: DRUMS ALIVE, drumming, fitness, paraplegia, quadruplegia
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Behavioral testing of animals after experimental spinal cord injury.
Freislebenová, Hana ; Machová Urdzíková, Lucia (advisor) ; Kriška, Ján (referee)
Spinal cord injury is one of the most serious injury that leads to a decrease in the quality of life both physically and mentally. Although there is currently no effective treatment, great efforts are being made to develop new treatments. The effectiveness of experimental treatment is verified by behavioral tests performed on animal models, where rats are the most suitable ones for this type of injury. Behavioral tests are divided into several groups depending on what the testing is focused on. Locomotor tests examine the function of a locomotive apparatus, motor tests are used to determine the function of skeletal muscles not primarily involved in locomotion, sensory and motor tests test the functionality of sensory and motor apparatus and their interconnection, sensory tests are designed to test responses to sensory stimuli. Electrophysiological tests and functional magnetic resonance imaging are part of a series of special tests that use artificially induced electrical stimuli to measure muscle activity. This thesis is focused on detailed description of selected behavioral tests, their functionality and comparison of their advantages and disadvantages.
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The influence of posture on grip strength in patients with spinal cord injury
Krátká, Monika ; Hlinková, Zuzana (advisor) ; Kříž, Jiří (referee)
This master's thesis deal with the ability to maintain trunk stability in paraplegic patients in the relation to the functional skills of upper extremity. Its aim is to determine the extent to which posture influences grip strength in these persons. It consists of two parts. The first part includes introduction of the spinal cord injury and findings of the mechanisms and functional significance of the torso in relation to posture and everyday activities. Further, it presents the possibilities of utilization and different ways of measurement of grip strength in clinical practice. In the second part, the results of the measurement of grip strength in paraplegic persons in three different positions - lying on the back and in two different sitting positions - are analyzed. The measurements were undertaken using a dynamometer. It was measured twice, always after one week period. All patients attend the standard therapy provided by the Spinal Unit in the University Hospital in Motol, where they have been also hospitalized in that time. The results refer to certain dependency of gripstrength of upper extremity to posture in paraplegic persons. This was proved within the comparison of values from sitting position with back support and without back support. In the first named position were reached higher...
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Methods evaluating obesity degree in sunbjects with spinal cord injury
Drahovzalová, Markéta ; Daďová, Klára (advisor) ; Píglová, Tereza (referee)
Name: Methods evaluating obesity degree in subjects with spinal cord injury The aim of the thesis: The aim of this work is to evaulate the degree of obesity in individuals after spinal cord injury using BMI for ordinary population, BMI adjusted for individuals after spinal cord injury and a percentage of body fat. Metodology: This is an empirical-theoretical work comparing the number of obese individuals after spinal cord injury with the use of different evaluation methods. 200 subjects after spinal cord injury (141 men, 59 women) were enrolled to the reasearch. The percentage of body fat was assessed using the BODYSAT 1500 device. BMI was calculated from body height and weight of the individuals. Results: The processing and subsequent evaluation of the measured data according to different methods found that more than half of the subjects fall into the category of overweight or obesity. In gender comparison, it was found that the majority of male subjecs are overweight or obese. On the other hand, most of the female subjects showed normal weight. It has also been found that paraplegics are more affected by obesity than subjects with tetraplegia (tetraparase). Comparison of percent body fat with adjusted BMI and BMI for the general population showed a better correlation of percent body fat with...
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First aid provided by persons after spine and spinal cord injury
Zachoval, Jakub ; Malá, Michaela (advisor) ; Majorová, Simona (referee)
Name: First aid provided by persons after spine and spinal cord injury The aim of the work: The aim of my bachelor thesis is to find out the practical possibilities of first aid in people after spine and spinal cord injury. Next task was to find out if the people tied to a wheelchair are able to provide first aid with sufficient quality. Methodology of the work: I have used three methods of data collection. The first method to identify personal history and basic theoretical knowledge in monitored group was an survey inquiry. The second method was an uncontrolled conversation to which I found additional information. The third method of data collection was observation, where I followed the practical possibilities, procedures and first aid technique in solving selected life threatening situations in individuals. Results of the work: Based on observations, I have found that all probands are able to evaluate the state of consciousness, to pass through the airways, and are able to provide first aid for strangulation by a foreign object and stopping breathing of the child within 1 year. I also found that probes with lesion height to Th7 are able to place the adult patient in a stabilized position and, if necessary, to initiate the resuscitation of an individual who is unconscious and does not breathe...
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