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Effect of intensive hippotherapy and intensive physiotherapy on a range of motion in a hip articulatio in children with spastic cerebral palsy
Veselá, Adéla ; Maříková, Kateřina (advisor) ; Nerandžič, Zoran (referee)
1 Abstract This bachelor thesis consists of a theoretical and practical part. The theoretical part deals with the description of the clinical picture of cerebral palsy, its diagnosis and the possibilities of rehabilitation in our country, where for the purposes of this particular work are described in detail hyporehabilitation and the TheraSuit method. It also introduces the anatomy and kinesiology of the hip joint. The practical part is devoted to the examination of the range of movements of the hip joint in 16 probands divided into 2 groups according to the therapeutic approach. The selected therapeutic approaches for this work were TheraSuit space suit therapies and hippotherapy. A total of 2 examinations were performed, entry and exit, on the 1st and 6th day of therapy, during which the ranges of all movements in the hip joint were measured using a goniometer and at the same time 2 standardized tests for hip spasticity were assessed. The aim of the study was to evaluate whether weekly intensive rehabilitation has an effect on the change in the range of motion in the hip joint and, if so, which of the above methods has this effect greater. The results show that patients undergoing hyporehabilitation stay show larger ranges of movements in the hip joints after a week of intensive therapy than patients...
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Use of alternative methods of treatment of chronic pain
MAŘÍKOVÁ, Kateřina
The bachelor thesis consists of a theoretical part and a practical part. The objective of this bachelor thesis is to map out the use of alternative ways of pain treatment in patients and the use of alternative ways of chronic pain treatment from the nurse´s perspective. The theoretical part defines the term pain, its division and evaluation. Further, alternative methods of chronic pain treatment are bein presented, such as acupressure, acupuncture or also herbalism, heat and cold treatment, and homeopathy. The practical part uses qualitative research using interviews from the pain relief department nurses and patients suffering from chronic pain. The research file consisted of 10 patients and 8 nurses. Interviews were being carried out personally in departments, but also via video conferences. These video conferences were being recorded and then transcribed word for word. Analysis was carried out using the in-hand coding method (a pen and paper) and an interpretation-of-cards method. Further, they were divided into categories and sub-categories. The practical part is focused on whether patients suffering from chronic pain use alternative methods, whether these methods have helped and what alternatives they used. In the nurses, questions are being directed towards their experience with alternative treatment, whether they use such treatment methods, whether they recommed them or not. The whole thesis points to people´s awareness of alternative treatment. The interviews prove that patients suffering from chronic pain use pharmacological treatment most often in traditional medicine, as well as infusion therapy and medication application into their spinal canal. Out of the alternative methods, patients use acupuncture, acupressure, massage, herbs, heat and cold treatment most often. A few patients use homeopathy. Some patients have not been introduced to alternative treatment and they do not use these methods. Most patients who do not use alternative methods have stated they would like to try these methods if offered. Nurses have stated that they know alternative methods and they do not object. Most nurses even recommend these methods to patients, most often methods such as massage, tiling, acupuncture and acupressure. Most nurses state that they do not prefer any treatment, they state combining of both methods is best. The output of this bachelor thesis will be creating an information leaflet on alternative ways of chronic pain treatment for patients suffering this problem.
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