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Electrotactile sensory substitution in patients with degenerative cerebellar ataxia
Svojítková, Tereza ; Čakrt, Ondřej (advisor) ; Paulasová - Schwabová, Jaroslava (referee)
Introduction: Biofeedback based on sensory substitution is a new method to treat patients with postural disorders. BrainPort provides tongue electrotactile stimulation. This innovative technique was developed for vestibular dysfunction of peripheral origin. Primarily for patients who had no benefits from conventional rehabilitation. Tongue electrotactile stimulation seems to be useful for central vestibula dysfunction as well. We are dealing with effect of BrainPort in therapy of degenerative cerebellar ataxia. We are interested in whether the effects persist for one month after the rehabilitation program. Methods: The methods are applied in 6 patients with degenerative cerebellar ataxia, verified by clinical testing, posturography, and genetic testing or verification of cerebellar lesions by MRI. Patients underwent an 12-day intensive rehabilitation program with BrainPort. Treatment was carried out 2 times a day. Patients were learning appropriate postural corrections to maintain signal in the middle of the tongue. To assess the effect of therapy we used posturography, standardized clinical tests - BESTest, Dynamic Gait Index (DGI) and standardized questionnaires - The Activities-Specific Balance Confidence Scale (ABC) and Dizzines Inventroy Handicap (DHI). The examination was performed before...
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Effects of vestibular rehabilitation in elderly people with balance disorders
Benešová, Klára ; Slámová, Adéla (advisor) ; Jeřábek, Jaroslav (referee)
BACHELOR THESIS ABSTRACT Author: Klára Benešová Supervisor: Ing. Bc. Adéla Slámová Title: Effects of vestibular rehabilitation in elderly people with balance disorders Abstract: The bachelor's thesis deals with the influence of the vestibular rehabilitation on the postural stability of seniors who have balance disorders. Vestibular rehabilitation has an unmissable place in this issue, as it is able to ensure the preservation of the quality of life of the elderly without the need for subsequent hospitalization. This statement is based on the fact that vestibular rehabilitation serves as a prevention against falls and increases the overall fitness of the elderly. The practical part of the bachelor's thesis deals with case studies of three patients and the application of vestibular training to these patients. The main components of this training are elements of visual motor skills, eye-hand coordination, movement planning and balance training. The main methods of data collection are the PhysioSensing Stability Platform, the 10 Meter Walk Test and the Timed Up and Go Test. The aim of the bachelor's thesis focuses on several areas. First goal is to create a design for the examination. Furthermore, the aim of the thesis is to create an exercise unit which includes elements of vestibular training and to apply this...
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Compensation of balance disoder in time in patients after vestibular schwannana resection
Hajná, Barbora ; Čakrt, Ondřej (advisor) ; Chovanec, Martin (referee)
Introduction: Disorders of balance and dizziness are characteristic symptoms in patients after vestibular schwannoma surgery and often have a negative impact on their quality of life. This thesis deals with impairment of postural stability particularly in patients at the long time period after surgery. The aim of this study is to observe the longitudinal development of vestibular compensation from acute postoperative period to time of several years after surgery. Another aim is to evaluate the short-term effect of vestibular rehabilitation in a long time period after surgical treatment, and to compare the results of measuring the subjective visual vertical, posturography, score of the Dizziness Handicap Inventory questionnaire, age and tumor size in these patients. Methods: Examined group consisted of 10 patients after resection of vestibular schwannoma (mean age 41.4 ± 12.1 years; 2 women and 8 men). All patients underwent intensive rehabilitation program in the acute phase after surgery. 7 patients did exercise with visual feedback, and 3 patients had conventional rehabilitation without visual feedback. In long time period after surgery all patients underwent one exercise unit with visual feedback. Patients underwent computerized posturography examination using force platform Balance Master® in...
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Electrotactile sensory substitution in patients with degenerative cerebellar ataxia
Svojítková, Tereza ; Čakrt, Ondřej (advisor) ; Paulasová - Schwabová, Jaroslava (referee)
Introduction: Biofeedback based on sensory substitution is a new method to treat patients with postural disorders. BrainPort provides tongue electrotactile stimulation. This innovative technique was developed for vestibular dysfunction of peripheral origin. Primarily for patients who had no benefits from conventional rehabilitation. Tongue electrotactile stimulation seems to be useful for central vestibula dysfunction as well. We are dealing with effect of BrainPort in therapy of degenerative cerebellar ataxia. We are interested in whether the effects persist for one month after the rehabilitation program. Methods: The methods are applied in 6 patients with degenerative cerebellar ataxia, verified by clinical testing, posturography, and genetic testing or verification of cerebellar lesions by MRI. Patients underwent an 12-day intensive rehabilitation program with BrainPort. Treatment was carried out 2 times a day. Patients were learning appropriate postural corrections to maintain signal in the middle of the tongue. To assess the effect of therapy we used posturography, standardized clinical tests - BESTest, Dynamic Gait Index (DGI) and standardized questionnaires - The Activities-Specific Balance Confidence Scale (ABC) and Dizzines Inventroy Handicap (DHI). The examination was performed before...
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