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The evaluation of gait and balance tests in patients after vestibular schwannoma surgery
Chejnovská, Lucie ; Čakrt, Ondřej (advisor) ; Hrubá, Silvie (referee)
The thesis deals with the evaluation of gait and balance tests in patients after vestibular schwannoma surgery. The experimental part focuses on the evaluation of dynamics of walking tests during hospitalization of patients diagnosed with vestibular schwannoma. The aim of the experimental part is also to analyze statistically significant correlations between measurable parameters of vestibulo-ocular reflex and walking tests and to evaluate the correlation between the subjective scale of fall fear and the objective assessment of walking and dynamic postural stability. A total of 28 patients aged 33 to 68 (14 men and 14 women) were incuded in the research with diagnosed vestibular schwannoma. Measurements were performed three times in patients (before surgery, after surgery and before the end of hospitalization). After the surgery, in addition to standard rehabilitation, training with visual biofeedback was included using the interactive Homebalance system. Gait and balance assessments were performed throug the tests Timed Up and Go, Four Step Square Test and Functional Gait Assessment. Examinations were complemented by a questionnaire of subjective assessment of fear of falling Falls Efficacy Scale. Statistical analysis showed a significant correlation coefficient in the correlation of Four Step...
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Evaluation of the effect of rehabilitation using visual biofeedback for patients after vestibular schwannoma resection
Jandová, Nikola ; Čakrt, Ondřej (advisor) ; Chovanec, Martin (referee)
The aim of this thesis was to evaluate the effect of rehabilitation with visual biofeedback at acute stage after vestibular schwannoma surgery and to evaluate if preoperative intratympanic aplication of gentamicin has influence on vestibular compensation of standing stability. The study was attended by 20 patients (12 women and 8 men) in the age from 28 to 63 years. Eight patients had vestibular schwannoma diagnosed in their left side, twelve in the right side. Rehabilitation program using interactive rehabilitation system Homebalance took place from the 5th postoperative day until hospital discharge, daily 15 to 20 min. To evaluate of therapeutic intervention objectively the device Synapsys Posturography System was used. Stabilometric examination was done before operation of vestibular schwannoma, after operation and after termination of rehabilitation with visual biofeedback. Statistic analysis showed significant increase of mean values of measured parameters CoP (sway velocity CoP, length of trajectory of CoP, area of the confidence ellipse CoP) postoperatively compared to preoperative values. After termination of therapeutic intervention there was any significant decrease of values of parameters CoP compared to postoperative status. Between group of patients with preoperative aplication of...
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Home therapy of the patients after stroke with stability disorders with utilization of visual biofeedback and stabilometric platform
Lidová, Monika ; Tichá, Marie (advisor) ; Jeníček, Jakub (referee)
Authorˊs first name and surname: Monika Lidová Bachelor thesis supervizor: MUDr. Marie Tichá Oponent: Title of bachelor thesis: Home therapy of the patients after stroke with stability disorders With utilization visual biofeedback and stabilometric platform Abstract: The thesis deals with therapy of the patients after stroke with stability disorders in virtual reality. Stabilometric platform Nintendo Wii and program HomeBalance were used during the therapy and enable the visual biofeedback to the pacient. Another specification of this therapy is that the whole process was situated to home environment. The therapy lasted one month and every patient should exercise every day. Time of one exercise depended on the patient's skills. The patient's task was to change position of the center of pressure to the specific place. Every day the patient exercised identical therapeutic scene consisting of a balanced position sequence in the space, that the patient should have achieved. The success of the therapy was evaluated objectively by intrumentation (FootScan) and objective tests, but also by patients' subjective feeling. Berg Balance Scale, Timed Up and Go and Tinetti Performance Oriented Mobility Assessment were used as the objective tests. The monitored parameter for objective evaluation of the stabilometric...
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