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Walking aids - review
Gazda, Ondřej ; Mašek, Petr (referee) ; Krejsa, Jiří (advisor)
This thesis is focused on walking aids. Exoskeletons an active (robotic) orthosis have achieved great development since its inception and have a large range of application. In this thesis I will focus on active orthosis that are intended for the disabled and the elderly. Described are the concepts of walking aids and recently implemented projects. Part of this thesis is an evaluation criteria proposal and evaluating of each concept according to these criteria. In the end the main developmental progress and problems yet to be overcome are summarized.
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Live-in personal assistance for people with quadriplegia
Pařízková, Kateřina ; Pavlová, Ilona (advisor) ; Čichoň, Rostislav (referee)
Author: Bc. Kateřina Pařízková Title: Live-in Personal Assistance for Individuals with Quadriplegia Objectives: The aim of the thesis is to find out if the live-in assistance described below would be in demand by quadriplegics in the Czech Republic and if there would be social service workers who would be interested to do the work following the British model. The outcome of this work could help to improve the quality of care for people with quadriplegia and quality of their life. Methods: In the research section, a quantitative research analysis is conducted using two surveys of their own design, one for individuals with quadriplegia and another for social service workers. This information will help ascertain whether individuals with quadriplegia in the Czech Republic currently avail themselves of personal assistant services and whether they would be receptive to adopting the widely utilized British Live-in system. The results are supplemented with data from social workers in the Czech Republic who provided information about their interest in performing Live-in assistance through a questionnaire survey. Results: The first survey involved 284 respondents aged 18-65 years. Within this survey, it was found that social service workers liked the mentioned position of Live-in assistant. They positively...
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The interference of muscular imbalance on people with spinal cord injury using method of Spiral stabilization
Turanská, Alexandra ; Vařeková, Jitka (advisor) ; Kovařovic, Vojtěch (referee)
Title: Influencing muscle imbalances in persons with transverse spinal cord injury using the spiral stabilization method Objectives: The main aim of this thesis was to investigate whether muscle imbalances in people with spinal cord lesions can be influenced by practicing the spiral stabilization method. Methods: Six wheelchair floorball players (5 male and 1 female), aged 36-52 years, with spinal cord lesions at the Th4-11 level (5 complete, 1 incomplete), 5 of whom had no previous experience with the spiral stabilization method, participated in the study. During the 3-month intervention, it was investigated whether the spiral stabilization method could be used to influence muscle imbalances in subjects with ML. Kinesiological assessment of muscle imbalances by faceting and palpation, sitting assessment using the Xsensor pressure mapping system, training diary and subjective assessment of the intervention by probands were used as data collection methods. All probands were provided with a video guide to follow during the study. Interest in practicing this method after the research was also surveyed. Results: Based on the results of the research, it can be said that the training of the spiral stabilization method had a positive effect on the influence of muscle imbalances and improvement of sitting...
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Muscle imbalance and its compensation in sporting paraplegics
ŠVEJDOVÁ, Karolína
The bachelor thesis deals with compensation of muscle imbalance in paraplegic athletes. In its theoretical part I deal with the basic anatomy of the spine and spinal chord, types of spinal chord injuries and complications in patients struggling with the results of spinal chord injuries. Further, the chapters are devoted to the options of sport activities in paraplegic patients, the choice of a correct wheelchair, and to the explanation of types of muscle imbalance and their compensational exercises. The main objective of my bachelor thesis is to find out about muscle imbalance in 3 paraplegics doing sports, to examine and create an individual compensatory plan for individual athletes that contains exercising with a therapist, but also an autotherapeutic exercise. It is a qualitative research where a part of the research group consists of 3 probands that are active athletes in a wheelchair. Each case study consists of an initial examination followed by 8 therapy sessions focused on individual muscle imbalance in each athlete. A final examination serves as the result of the case study. Based on the practical part results a positive effect is visible, when, after finishing the individual compensatory plan, in 2 probands reached a significant improvement. The last proband could not participate in the research due to the COVID 19 situation. This thesis can be used as educational material for physiotherapists, expert public or even general public interested in this issue
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Assessment methods used in prescribing and verifying the effect of physical activity in people after spinal cord injury
Šlauf, Milan ; Vařeková, Jitka (advisor) ; Křivánková, Markéta (referee)
Title: Assessment methods used in prescribing and verifying the effect of physical activity in people after spinal cord injury Objectives: The main aim of this work was to examine the prescription of physical activities in aftercare in individuals with spinal cord lesions by experts in spinal rehabilitation. The extent, forms and methods of prescribing physical activities and verifying the effect of this education were examined. Methods: Quantitative type of research using the research technique of the own design questionnaire. The questionnaire was focused on recommendations in rehabilitation and physical activity and subsequent control of physical activity. The research group consisted of 28 respondents (14 men and 14 women) - experts on spinal issues involved in the follow-up care of individuals with spinal cord injuries in various positions (11 physiotherapists, 9 occupational therapists, 5 movement therapists, 2 self-sufficiency instructors and 1 doctor). Results: Physical activity has an irreplaceable role in the follow-up care of patients with spinal cord lesions. All respondents (28) educate about the importance of physical activity. A large proportion of respondents (71 %) retrospectively check the performance of physical activities using various types of investigation forms. Respondents...
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The role of miRNA in injury and regeneration of spinal cord tissue
Šprincl, Vojtěch ; Romanyuk, Natalyia (advisor) ; Mrózková, Petra (referee)
MicroRNAs are small non-coding RNA molecules of a length about 20-24 nucleotides, that regulate gene expression post-transcriptionally. They interfere mRNA molecules via base- pairing with complementary sequences. Recently it was shown that they play an important role in injury and regeneration of nervous tissue. The aim of this bachelor thesis is to describe possible role of miRNAs in central nervous system injury with focus on spinal cord injury.
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The use of virtual reality in combination with electrostimulation of spinal cord and its influence on individual with incomplete spinal cord injury
Svobodová, Anna ; Vařeková, Jitka (advisor) ; Šifta, Petr (referee)
Title: The use of virtual reality in combination with electrostimulation of spinal cord and its influence on individual with incomplete spinal cord injury. Objectives: The main aim of this work is to find out if virtual reality in form of terapheutic videos filmed in the first person perspective and in combination with electrostimulation of spinal-cord has influence on neurological state and subjective perception of young man with spinal-cord injury. Methods: A 25-year-old proband, with incomplete spinal cord lesion syndrome for 10 years, underwent this qualitative research (case study). Proband had been watching ten-minute-long therapeutic videos through VR headset in combination with electrostimulation on average 2-3 times per week over a period of 5 months. In order to record proband's neurological state ASIA Impairment Scale test was used. This test was carried out before, during and after the research. Proband's subjective feelings and pain were evaluated on a point scale: 0-10 and recorded in proband's diary. Results: Proband's sensitivity showed minor improvement. Input score of sensory subscores light touch on ASIA Impairment Scale test were 84 points and output score increased to 86 points. Input score of sensory subscores pin prick were 75 and output score increased to 78 points (of total...
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Experimental rat models in traumatic spinal cord injury research
Kloudová, Anna ; Machová Urdzíková, Lucia (advisor) ; Mrózková, Petra (referee)
A large number of spinal injuries that cause damage to the spinal cord occur every year. Such damage to spinal cord tissue leads to a number of dysfunctions that significantly reduce quality of life and therefore the development of effective therapies remains a very important issue. The use of animal models is considered the major tool of this research field, enabling the testing of new treatments as well as observing ongoing pathophysiological processes. Rats are the most frequently used animal model due to the many possible ways of creating a spinal cord lesion on them. The contusion model uses a computer-controlled device to simulate the spinal cord contusion and therefore is highly precise. However, a compression model seems to be the most suitable model for pathophysiological studying. Besides contusion it enables persistent compression to the spinal cord. Transection and hemisection methods are intended for axonal regeneration research, as only these models can reliably distinguish new growing fibers from the preserved ones. Less often photochemical and excitotoxic models are used. Lastly, dislocation and distraction of vertebrae or damage to the spinal cord using heat or cold can be carried out. Each of the models have their own unique features that make them optimal to use in different...
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Coping with sudden motility limitation and its implication - coping strategies among young people with spinal cord injury and with multiple sclerosis
Ottová, Monika ; Levínská, Markéta (advisor) ; Smetáčková, Irena (referee)
TITLE: Coping with sudden motility limitation and its implication - coping strategies among young people with spinal cord injury and with multiple sclerosis SUMMARY: This thesis is focused on process of adjustment of motility limitation, caused by spinal cord injury or by attack of multiple sclerosis, among young people. The motoric ability limitation affects their mobility as well as their social interaction, interests, plans and especially their independence. Thus, in age of gaining emancipation from nuclear family, they become dependant on their home-folks again. The theoretical part of the thesis acquaints with spinal cord injuries and multiple sclerosis from biological and psychosocial point of view, thereinafter it's engaged in coping generally and coping in relation to these two groups. Furthermore it's dealt with developmental periods characterization of adolescence and young adulthood, consequences of health turnover in self-concept in social context. The empirical part is based on semi-structured interviews with six young people (3 with spinal cord injury, 3 with multiple sclerosis). The important findings gained from interviews are presented in form of casuistries. On the basis of the interviews analysis it's demonstrated problematic domains, that are affected by motility limitation, and ways of...
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