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Botulinum toxin A treatment strategy in cerebral palsy in Czech Republic
Šupíková, Kateřina ; Jevič, Filip (advisor) ; Dyrhonová, Olga (referee)
Botulinum toxin A is a standard treatment of spasticity in cerebral palsy. Rules for its use and subsequent rehabilitation differ in the Czech Republic. Currently, there are no published guidelines for this treatment in the Czech Republic. The principle aim of this thesis is to explore the different strategies for the clinical use of botulinum toxin in Czech Republic. First, the background of this thesis is covering up-to-date information about cerebral palsy, its treatment and its modalities with the main focus on botulinum toxin use and subsequent rehabilitation. Lastly, the background explores the published guidelines for the botulinum toxin treatment in children with cerebral palsy. This thesis is focusing on qualitative research with seven medical doctors in the Czech Republic from eight neurologists in total, who are actively administering botulinum toxin to their patients with cerebral palsy. We are researching their criteria for indication, the strategies they are using when administering BTX, dosing, and the frequent complications they encounter. We also focus on their recommendation of rehabilitation. The outcome of this thesis is a qualitative analysis of the botulinum toxin A treatment strategies uncovering differences in the localization techniques, clinical Another outcome of this...
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The analysis of pressure distribution over the sole while standing and walking in heel spur patients, prior to therapy and following shock wave treatment
Komendová, Radka ; Jelen, Karel (advisor) ; Dyrhonová, Olga (referee)
The thesis "Analysis of the distribution of the sole pressures in standing position and in walking of person s with the diagnosis of calcar calcanei before and after extracorporeal shock wave therapy" is a theoretical-empirical case study. The theoretical part deals with kinesiology and function of foot, furthermore it attends to postural stability system, control, analysis of physiological walk and plantar distribution of pressures in standing position and in walk. Also, findings about heel spur and its treatment possibilities are worked up. The theoretical part ends with the summary of findings about extracorporeal shock wave therapy, advantages and disadvantages, indications and contraindications. The empirical part of the thesis is concemed with verifying the influence of extracorporeal shock wave therapy to standing position and walk of patients with the diagnosis calcar calcanei. The main object of the research was observing changes in the distribution of the sole pressures in standing position and walk of the patients with heel spur before and after extracorporeal shock wave herapy. Powered by TCPDF (www.tcpdf.org)
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Assessment of motor skills in children with osteogenesis imperfecta
Kašparová, Andrea ; Quittková, Adéla (advisor) ; Dyrhonová, Olga (referee)
Diplomová práce Hodnocení motorických dovedností dětí s OI Abstract The thesis deals with the assessment of motor skills and quality of life in children with osteogenesis imperfecta. The theoretical part summarizes aetiopathogenesis, clinical features, kinesiological abnormalities and the treatment strategies. A particular part describes therapeutic interventions during the various stages of childhood with an alignment to multidisciplinary cooperation. Furthermore, tests of motor skills and quality of life are presented. The practical part assesses the applicability of the BOT-2 for the evaluation of motor skills and PedsQL for the evaluation of the quality of life in children with OI. Moreover, the BOT-2 standardized test score evaluates and compares motor skills and quality of life in children with osteogenesis imperfecta to their peers. Contemporaneously, it investigates the effect of motor skills on the quality of life in children with OI. Based on the results the thesis confirms the hypothesis - worsened both gross motor skills and fine motor skills and the dependency of quality of life on the level of motor skills. The discussion part deals with the feasibility of BOT-2 and PedsQL for the assessment of children with OI, it comments the main limitations of children with OI, and based on up-to-date...
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Use of Electrical Stimulation in Physiotherapy of Perinatal Brachial Plexus Palsy
Přikrylová, Martina ; Dyrhonová, Olga (advisor) ; Demeková, Júlia (referee)
Perinatal brachial plexus palsy (PBPP) is the most common peripheral nerve injury for a newborn children. Theoretical part summarizes the following themes: brachial plexus anatomy, causes of a palsy, levels and types of peripheral nerve damage, treatment options and a summary of rehabilitation techniques that are used in a therapy. Practical part focuses on pathophysiology after a nerve injury and an indication of electrical stimulation (ES) of peripheral nerve palsies. A lot of studies regarding this topic have been published, nevertheless the question whether ES is safe and beneficial method that should be applied in a peripheral nerve palsies treatment still remains unanswered. According to the obtained results, electrical stimulation necessarily has to be divided into electrical muscle stimulation and electrical nerve stimulation, to add to this, we have to determine their apparent parameters. It seems like electrical muscle stimulation is not as beneficial as electrical nerve stimulation. On the other hand, a takeover in the treatment of peripheral nerve palsies may be an intraoperative electrical nerve stimulation. Thesis includes case report of a patient suffering from PBPP with an indication for an ES.
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Evaluation of treatment in scoliosis using software SCODIAC 2.3
Šonská, Kristýna ; Šafářová, Marcela (advisor) ; Dyrhonová, Olga (referee)
Although scoliosis is defined as a deviation of the spine in the frontal plane above 10ř according to Cobb, the spine is deformed in three planes. The chest is also affected at the same time. The most common type is idiopathic scoliosis, which has multifactorial etiopathogenesis. The thesis summarizes available information on kinesiology of the spine, classification of idiopathic scoliosis, its incidence, etiology, diagnostics, treatment and specific physiotherapeutic exercises. The practical part is devoted to assessing the symmetry of the patient's torso from the photographic documentation of the posture by SCODIAC 2.3. Indices evaluating hull asymmetry from the back or front (POTSI, ATSI) result from mathematical calculation. The smaller the number, the more symmetrical the posture. Correlation of POTSI index and Cobb angle is explored. 20 patients (18 girls and 2 boys) with idiopathic scoliosis up to 47ř according to Cobb aged between 7 to 18 years were selected for the study. All patients were subjected to anamnestic data collection, kinesiology analysis and a questionnaire. The results were statistically processed. SCODIAC software is one of the options offered to evaluate torso asymmetry and assess posture changes after therapy. It acts as a feedback for a physiotherapist and motivates...
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Changes in posturography in pediatric patients with cerebral palsy after therapy by active videogame Nintendo Wii and Vojta reflex locomotion
Kmínková, Helena ; Medunová, Kateřina (advisor) ; Dyrhonová, Olga (referee)
Aim: The aim of this study was to determine the impact of therapy by active videogame Nintendo Wii and by Vojta reflex locomotion on a static and dynamic postural control at a group of children with mild cerebral palsy. Methodology: 14 children (from 6 to 18 years old) were randomly divided into two groups. Both groups received both therapies (active videogame therapy and Vojta reflex locomotion) with a 6 months gap, but in an opposite order. Posturographic measures were obtained before the start of the therapy, after therapy and 8 weeks after the end of the therapy. Results: After both therapies, there was a significant increase in the COP sway velocity in the mCTSIB subtest on a firm surface with closed eyes and the COP sway velocity in the mCTSIB subtest was reduced on a foam surface with closed eyes. Further, after both therapies, there was a significant reduction in the time required to perform the turnabout in SQT test. Other tests (LOS, RWS, WA, TW) and subtests did not change significantly. There was not a significant difference between therapies, but in the post- therapy tests, VRL had a greater tendency to maintain its effect 8 weeks after therapy. Conclusion: Both therapies, Vojta reflex locomotion and active videogame Nintendo Wii, have an influence on a postural control of children...
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