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Gait disorders in Patients with Parkinson's disease
Bulová, Hana ; Zárubová, Kateřina (advisor) ; Valouchová, Petra (referee)
This bachelor thesis deals with problems of the Parkinson's disease (PD). It is an incurable neurodegenerative disorder which is caused by degeneration of pigment cells producing dopamine in the substantia nigra. The lack of dopamine impairs regulating activities of the basal ganglia. That leads to manifestation of the typical symptoms of PD. Knowledge survey briefly describes symptoms, diagnostics and treatment for this disease. This paper focuses on neurolocomotor process, movement control and especially gait disorders which occurs in patients with Parkinson's disease. Problems with walking develops subsequently, progressively limiting patients in their daily activities. Because current medications providing little relieve, physiotherapy plays an important role in ameliorating these symptoms. This thesis describes various physiotherapeutic approaches. It emphasizes necessity of regular exercising which is absolutely essential to slow the progression of the disease and its debilitating effects. Practical part of this work focuses on the efficacy of the therapy on one patient. This man has the typical PD symptoms and freezing and hesitation often happens to him. He has no cognitive deficit which may hinder his ability to cooperate with therapist. This part also evaluate impact of the therapy based patient's...
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Gait disorders in hereditary neuropathy
Linhartová, Petra ; Horáček, Ondřej (advisor) ; Truc, Michal (referee)
Hereditary motor sensory neuropathy (CMT) exhibits characteristic symptoms, i.e. specific gait impairment. Little detailed information has been written on the gait analysis of this disease. The aim of this work was to collect information about gait disorders in patients with CMT, to perform a threedimensional gait analysis and prove the effectiveness of rehabilitation. There was a detailed kinesiological analysis, muscle strength test and Coda Motion System gait analysis done on one patient. The patient has visited rehabilitation for 12 weeks and after, the whole spectrum of examinations were repeated. Within the framework of the gate analysis there were the joint ranges in flexion-extension of the hip, knee and ankle evaluated and compared with the normal gait. After undergoing rehabilitation there was subjective improvement in the quality of walking and objective improvement compared to the initial examination's findings. This acknowledges the results of the kinesiological analysis, muscle strength test and Coda Motion System gait analysis. Results of this work provide an overview of the patterns of gait disorders in CMT and support the importance and effectiveness of rehabilitation in improving gait quality in CMT patients. Powered by TCPDF (www.tcpdf.org)
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Effect of open and closed loop cueing on gait function in Parkinson disease.
Almathami, Saad Hassan ; Nováková, Tereza (advisor) ; Vomáčková, Helena (referee)
The objective of this study is to evaluate the effectiveness of opened and closed loop cueing intervention on Parkinson disease patients gait function focusing on the temporal and spatial parameters of gait and to define the most effective cueing approach for different gait parameters and finally to examine the closed loop feedback system for regular usage in regular physiotherapy clinics or patients own homes. A 37 clinical trial including 1014 patients were investigated to reach an answer for this review questions. Results reveled that both open and closed cueing intervention has a positive effect on gait spatial, temporal gait parameters and capable to reduce the number of freezes in Parkinson diseases patients. Auditory cueing strategies had a superior effect on patient speed of gait with higher rhythm of cues and better overall gait function during dual tasking. Visual cues showed better effect on stride length and stride frequency. The close loop feedback system of cues still built on complex machinery segments which make it difficult to be used as regular intervention in physiotherapy clinics and patients own homes. As an overall cueing intervention found to be significantly effective as locomotive therapeutic approach on gait functionality, but each intervention procedure and methodology...
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Influence of deep brain stimulation on postural stability in patients with Parkinson disease
Zelenková, Jana ; Kobesová, Alena (advisor) ; Zárubová, Kateřina (referee)
Parkinson's disease is a neurodegenerative disease of the basal ganglia. Its main symptoms are rigidity, tremor, bradykinesia, hypokinesia and postural instability. One possible way how to infuence diseases is neurosurgical treatment - deep brain stimulation. The principle is the implantation of electrodes in the basal ganglia and modulation of activity of the basal ganglia circuits due to electrical stimulation. Stimulation affects the motor symptoms of Parkinson's disease. This thesis deals with the influence of deep brain stimulation on postural stability in patients with Parkinson's disease.
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Gait disorders in Patients with Parkinson's disease
Bulová, Hana ; Zárubová, Kateřina (advisor) ; Valouchová, Petra (referee)
This bachelor thesis deals with problems of the Parkinson's disease (PD). It is an incurable neurodegenerative disorder which is caused by degeneration of pigment cells producing dopamine in the substantia nigra. The lack of dopamine impairs regulating activities of the basal ganglia. That leads to manifestation of the typical symptoms of PD. Knowledge survey briefly describes symptoms, diagnostics and treatment for this disease. This paper focuses on neurolocomotor process, movement control and especially gait disorders which occurs in patients with Parkinson's disease. Problems with walking develops subsequently, progressively limiting patients in their daily activities. Because current medications providing little relieve, physiotherapy plays an important role in ameliorating these symptoms. This thesis describes various physiotherapeutic approaches. It emphasizes necessity of regular exercising which is absolutely essential to slow the progression of the disease and its debilitating effects. Practical part of this work focuses on the efficacy of the therapy on one patient. This man has the typical PD symptoms and freezing and hesitation often happens to him. He has no cognitive deficit which may hinder his ability to cooperate with therapist. This part also evaluate impact of the therapy based patient's...
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Gait disorders in hereditary neuropathy
Linhartová, Petra ; Horáček, Ondřej (advisor) ; Truc, Michal (referee)
Hereditary motor sensory neuropathy (CMT) exhibits characteristic symptoms, i.e. specific gait impairment. Little detailed information has been written on the gait analysis of this disease. The aim of this work was to collect information about gait disorders in patients with CMT, to perform a threedimensional gait analysis and prove the effectiveness of rehabilitation. There was a detailed kinesiological analysis, muscle strength test and Coda Motion System gait analysis done on one patient. The patient has visited rehabilitation for 12 weeks and after, the whole spectrum of examinations were repeated. Within the framework of the gate analysis there were the joint ranges in flexion-extension of the hip, knee and ankle evaluated and compared with the normal gait. After undergoing rehabilitation there was subjective improvement in the quality of walking and objective improvement compared to the initial examination's findings. This acknowledges the results of the kinesiological analysis, muscle strength test and Coda Motion System gait analysis. Results of this work provide an overview of the patterns of gait disorders in CMT and support the importance and effectiveness of rehabilitation in improving gait quality in CMT patients. Powered by TCPDF (www.tcpdf.org)
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