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Ultrasound imaging of fascia in a context of motor developement
Kuldová, Ivana ; Quittková, Adéla (advisor) ; Smetanová, Jana (referee)
This diploma thesis is a pilot study for research of deep fascia of children with spastic cerebral palsy. It focuses on designing a protocol for sonographic evaluation of a deep fascia thickness in children and verifying it in practice. The theoretical of the thesis introduces recent findings on the structure, thickness, development, and aging of the fascial system. It also contains facts about cerebral palsy - particularly its spastic form and its influence on muscle tissue morphology. Additionally, it describes the principle of musculoskeletal ultrasound examination, with a target on the fascial system and muscle tissue. Methodology: The observational cross-sectional study included 39 children (25 boys and 14 girls). The children were divided by age into four groups: 0-3 years, 3-6 years, 6-12 years, and 12-18 years. The thickness was sonographically measured with highfrequency probe on the fascia brachii anterior and posterior, the fascia antebrachii anterior and posterior, the fascia cruris anterior and posterior and the fascia lata. Results: Based on the collected data, a low positive correlation was found between the thickness of the deep fascia in children and age (p=0,042; Spearman's rho 0,09). There was no influence of limb dominance on the thickness of the deep fascia (p=0,856) and either...
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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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Evaluation of posturography after Vojta therapy and active video game in children with cerebral palsy
Quittková, Adéla ; Medunová, Kateřina (advisor) ; Pospíšilová, Mariana (referee)
Aim: The aim of this thesis is to evaluate and compare the effect of therapy Vojta method (VRL) and active videogames Nintendo Wii at children with mild celebral palsy. Methodology: The research sample included eight patients with cerebral palsy. Patients were divided into two groups. In the first phase of the research, one group underwent therapy VRL, one group received treatment Nintendo Wii. In the second phase, the group exchanged (each patient underwent both types of therapy). There were posturography measurements parameters at the beginning and at the end of each phase on the Balance Master instrument. Results: The effect of therapy Vojta method was observed in tests Limits Of Stability, Rhytmic Weight Shift and Walk Across, but the resulting values were not statistically significant. After treatment with the use of Nintendo Wii the significant change was detected in test Rhytmic Weight Shift. The difference in the effect of therapy was observed in Test Limits of Stability and Rhytmic Weight Shift. Conclusion: It appears that VRL therapy has an effect on the speed component of motor performance, while therapy with Nintendo Wii affects the lateral shifting of the weight in patients with cerebral palsy.
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