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Vestibular rehabilitation efect of patients with postural stability impairment
Ševčík, Marek ; Kučerová, Klára (advisor) ; Čakrt, Ondřej (referee)
Disorders of postural stability seriously impair the quality of life. Falls are more common in the elderly, where they can have very serious consequences. However, this issue does not always concern only seniors. These disorders can be caused by a number of reasons. The diploma thesis is devoted to postural stability in patients with vestibular disorders. The aim of the theoretical part of the work is to present comprehensive information on the control of postural stability, its disruption and the integration of sensory systems needed for its maintenance. Further chapters describe postural control assessment and rehabilitation options. The aim of the experimental part was to determine the effect of vestibular rehabilitation on postural control. The evaluation was carried out with the help of a static stabilometric platform Kistler®. 9 patients with postural stability disorder in the chronic stage participated in the research part. A total of 5 men and 4 women, aged from 35 to 78 years, on average 59 with SD ± 16 years, with peripheral (4), central (4) or combined (1) vestibular disorders were exposed to a 3- month rehabilitation program. Before starting the vestibular rehabilitation program, patients were examined for static stabilometry using the CTSIB and SLST tests. Every month, the...
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The use of biofeedback for stability training in patients with degenerative cerebellar disease
Stránská, Lenka ; Čakrt, Ondřej (advisor) ; Jeřábek, Jaroslav (referee)
The graduation thesis deals with the issue of balance disorders due to a cerebellar damage. It deals in detail with the treatment of patients suffering from degenerative cerebellar ataxia and with the use of biofeedback technologies as means of postural stability treatment. The aim of practical part of this work was to investigate the effectiveness of therapy using biofeedback for patients suffering from progressive ataxia due to cerebellar neurodegeneration. The research sample consisted of 8 patients. The patients underwent a total of 18 therapy sessions within a twelve-day rehabilitative program. The therapy contained a training of stability in various positions with the elimination of visual control. A device provided an additive information about head sways for the patients via a tongue electrotactile stimulation. The effects were assessed by means of posturography, functional clinical tests (BESTest, Dynamic Gait Index) and questionnaires (Activities-specific Balance Confidence Scale, Dizziness Handicap Inventory). Three assessments were performed: immediately before, immediately after, and 30 days after the rehabilitative program. A statistical analysis of the data showed significant improvement in all observed parameters. In addition, there was no loss of the benefits in the interval of 30...
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The effect of kinesthetic sensation on the postural control and balance abilities of individuals with visaul impairments
Richterová, Markéta ; Strnad, Pavel (advisor) ; Malá, Lucia (referee)
Thesis title: The effect of kinesthetic sensation on the postural control and balance abilities of individuals with visual impairments Objectives: Compose through the literature study appropriete balance programe for the individuals with visual impairments and measure its effect on their postural control and balance abilities. Methods: Ten visually impaired subjects, one subject with visual and vestibular impairment and one healthy subject took part in this study. Movement intervention was held once a week for eleven weeks, consisting of balance and coordination training, exercises for decreasing muscle imbalances and increasing body awareness and relaxation ability. The Footscan system was used for measuring the effect of movement intervention on the on the postural control and balance abilities of individuals with visual impairments. The testing was done before the beginning and after the finishing of all classes of movement intervention and the results of the pretest and posttest were compared with each other. Results: The movement intervention led to the improvement of postural control and balance abilities at five subjects from the total of nine subjects, who underwent pre and post testing. From the total of forty-eight carried out tests, the subjects noted improvement in twenty-two tests,...
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Slackline as a therapeutic possibility to influence postural stability
Komárková, Klára ; Čakrt, Ondřej (advisor) ; Pospíšilová, Mariana (referee)
Objectives: To summarize knowledge about a control of posture, a balance training and a testing on balance platform. I investigate in experimental part of my thesis if slackline training will affect stabilography and differences in quantitative parameters will be found in a training group or a control group. Hypothesis: A specific slackline training positively affects stability which was measured in posturographic selected tests done by the training group. Methods: We test postural stability in control (10 persons) and training (10 persons) group in selected tests of stability. We used a balance platform for testing. The data were statistically analysed. Results: 4 weeks of intense slackline training result in improvement of postural control. That is support by the data of stabilometric examination. The results were just below statistical significance (p > 0.05). Conclusion: The results testify that slacklining can improve postural control in healthy subjects. The results were on the boundary of statistical significance in our intervention group.
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The application of electro tactile stimulation of tongue for rehabilitation in patients with balance disorders
Gitschinská, Eva ; Čakrt, Ondřej (advisor) ; Paulasová - Schwabová, Jaroslava (referee)
Diploma the 'is deals wi th the research of effect of biofeedback in the form of electrotactile stimulation of tongue in the patients with balance disorders eaused by the cerebellar lesion. For the therapeutic program 4 patients with cerebellar ataxia at the age of38 - 74 years were chosen. Subjects have partieipated in the therapeutic program with the application of biofeedback, they were training postural stability while visual control was excluded and they were using electrotacti le signal on the tongue for orientation. I used neurological tests BESTest and Dynamic Oait Index, questionnaire The Activities- Specific Balance Confidence (ABC) Scale, Dizziness I Tandicap Inventory (D ll) a Visual Analogue Scale (VAS), and examination by stati posturography for evaluation of postural stability in the patients. I supposed that therapy by biofeedback in the form of electrotactile stimulation of tongue improves postural stability in the patients with balance disorders caused by cerebellar lesion. Powered by TCPDF (www.tcpdf.org)
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Assessment of the effect of CDP training in patient after lower extremity amputation
Čermáková, Kamila ; Vomáčková, Helena (advisor) ; Nováková, Tereza (referee)
Title: Assessment of the effect of CDP training in patient after lower extremity amputation Objectives: The aim of this diploma thesis is to describe the influence of the individually set training programme on the computerized dynamic posturography (CDP) NeuroCom Smart EquiTest System (further referred to as EquiTest) independent of traditional therapeutic exercises in the patient after unilateral transfemoral amputation of the lower limb and to monitor the effect of this training on postural behaviour, ability of functional mobility and balance, frequency of falls and balance confidence in an individual after amputation. Methods: This is an experimental pilot case study that monitors the effect of an individually designed five-week training programme (with a frequency of exercises 2 times a week) on the EquiTest in one patient after unilateral transfemoral amputation of the lower limb. Examination of postural functions was performed by the EquiTest using SOT, MCT, and LOS tests. The ability of functional mobility and balance was tested using the functional Timed up and go test (TUG). The frequency of falls was detected from the proband's medical history. The balance confidence was determined using the Activities specific balance confidence scale (ABC). All measurements were made in two terms, i.e....
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Function of Vestibular System in Patients after Cochlear Implantation
Bárta, Martin ; Čakrt, Ondřej (advisor) ; Jeřábek, Jaroslav (referee)
Theoretical part of the thesis summarizes state of art in the field of interaction of sound stimuli with the vestibular system and balance control. Further it summarizes the effect of cochlear implantation on the peripheral vestibular structures and on the stance stability. Cochlear implantation is effective way of hearing rehabilitation. Nevertheless surgery in the region of the inner ear results in reduction of function of the peripheral vestibular structures on the implanted side. The functional deficit of the peripheral vestibular system induced by the surgery is well tolerated by patients and quickly spontaneously subside. Sound available to the patients after implantation is one of the important modalities needed for balance control. In patients with balance deficit was found higher reliance on hearing when maintaining stable stance. Some sounds can reduce postural sway. Namely listening to the broadband noise (such as white and pink) results in reduction of postural sway. The balance control also relies on the ability to localize sound source. Information about position of sound source can be utilized as point of reference for driving balance reactions. Experimental part of the thesis quantifies changes in stance stability in patients with cochlear implants using stabilometry. The...
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Energy cost of slacklining
Klaus, Jan ; Baláš, Jiří (advisor) ; Hráský, Pavel (referee)
Title Energy expenditure of slackline walking Objectives The aim of this study was to investigate the energy expenditure of slacklining in intermediate and advanced slackliners. Methods In this observatory study, 19 slackliners (10 intermediate, of which 7 men and 3 women, 9 advanced, of which 7 men and 2 women) completed experimental energy expenditure measurement of slacklining using indirect colorimetry. The MetaMax 3B metabolic analyzer (Cortex Biophysik, Germany) was used to determine respiratory parameters and the heart rate monitor (Polar Electro OY, Finland) was used to determine the heart rate (HR). Comparative statistical tools were used in the data analysis. Results Relative energy expenditure of 0,471 kJ·min-1 ·kg-1 was found in intermediate slackliners and 0,377 kJ·min-1 ·kg-1 in advanced slackliners in walking on a 10 m long slackline at a constant speed of 15 m·min-1 . In the static standing on slackline, the relative energy expenditure was found to be 0.368 kJ·min-1 ·kg-1 in intermediate slackliners and 0.289 kJ·min-1 ·kg-1 in advanced slackliners. The weighted arithmetic mean for HR in men and women walking on the slackline at 15 m·min-1 was at 67.3% of the predicted HRmax (220 - age for men, 226 - age for women). The MET value in the advanced group (n = 10) was set at 5.15, and in...
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The Effect of Thermotherapy on Postural Stability assessed via NeuroCom SMART Equitest
Šupolík, Pavel ; Nováková, Tereza (advisor) ; Vomáčková, Helena (referee)
Title: The Effect of Thermotherapy on Postural Stability assessed via NeuroCom SMART Equitest Objective: The aim of this study is ti determine whether a one-time application of positive or negative thermotherapy has a positive or negative effect on the postural stability and/or balance in a sample of healthy young adults. The tool for achieving this goal will be statistical analysis of the results of the computerized dynamic posturography before and after application of thermotherapy. And futher a comparison with the results of the control examination. Methods: In this study we have used one-time application of positive and negative thermotherapy in the form of water immersion. A total of ten women and ten men with average age 24 years (sd = 2,18), average height 174,45 centimeters (sd = 7,72) and average weight 78,10 kilograms (sd = 18,10) took part in our study. We assessed postural stability via the NeuroCom SMART Equitest test battery. The assessment was carried out without the use of head tracker accessory. We tested each participant three times in three different days. During each day one condition was applied. Conditions consisted of positive thermotherapy (temperature of 40 řC), cryotherapy (temperature of 4 řC) and control condition. Within each session two examination were made, divided...
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