|
|
Effects of proprioceptive neuromuscular facilitation on the upper limb function of people with C4-C5 spinal cord injury
Halamová, Adéla ; Zvelebilová, Pavlína (advisor) ; Melicharová, Hana (referee)
Title: Effects of proprioceptive neuromuscular facilitation on the upper limb function of people with C4-C5 spinal cord injury The main objective: The aim of the work was to find out what effect the use of the proprioceptive neuromuscular facilitation method will have on the function, muscle volume and ranges of movements of the upper limb in people who are affected by a spinal cord lesion in the C4 and C5 region. Furthermore, the work dealt with the subjective feeling of the patients, whether the upper extremity improved after the therapy and if it was possible to involve it more in ADL activities. Methods: 5 probands took part in the study - all men with an average age of 41 years. A total of 3 measurements were performed for the study participants - approx. 2 months before the start of the intervention, before the start of the therapy and after the end. Values such as the volume of the arm muscles in contraction, the range of motion of abduction in the shoulder joint and flexion in the elbow joint were recorded. Another measured subject was the forearm endurance test. Participants also filled out the SCIM form before and after graduation. Probands practiced the method of proprioceptive neuromuscular facilitation of the 1st diagonal in addition to their regular therapy. They were also instructed...
|
|
|
Influence of cervical spinal cord lesion on cardiovascular fitness
Machač, Stanislav ; Kolář, Pavel (advisor) ; Vilikus, Zdeněk (referee) ; Nováková, Marie (referee)
Traumatic damage to the cervical spinal cord has a dramatic impact on determinants affecting cardiovascular fitness. In tetraplegia, in addition to diminished skeletal muscle function, impaired sympathetic cardiovascular innervation together with a dysfunction of catecholamine release is typically present. Individuals with tetraplegia are at a high risk of long-term inactivity, which increasingly contributes to the development of common civilization diseases. The aim of the current dissertation project is to investigate the cardiovascular fitness in males with cervical spinal cord injury (n=20) as compared to able- bodied males (n=27). Both groups completed exercise testing on an arm-crank ergometer. Arterial blood pressure response to exercise, peak oxygen consumption and peak heart rate were the primary outcome variables. In the first part of the study, a graded maximal arm- crank ergometer test to the subjective exhaustion was performed for the inter-group peak exercise comparison. The peak power dramatically differs between the groups and could be an important confounding factor limiting the evaluation of a physiologic response related to the equivalent physical loading. Therefore, in the second part of the study, individuals of the control group completed a second graded arm-crank ergometer...
|
|
|
Case Study of Physiotherapy Treatment of a Patient with the Paraparesis.
Kissova, Hana ; Malá, Jitka (advisor) ; Hankovcová, Eva (referee)
Title Case Study of Physiotherapy Treatment of a Patient with Paraparesis Aim of the thesis The theoretical part brings general outlook and detailed information about diagnose of spinal cord injury. Practical part overviews a study case of a patient with traumatic spinal cord injury resulting in paraparesis. The study includes outcome and effect of the applied therapy. Method The protocol is based on two weeks therapeutical plan that was based on initial kinesiological examination. Therapy included maximal number of most appropriate techniques to reach maximal result of improvement. Result After two weeks of intensive rehabilitation patient showed a signs of improvement. Nevertheless, patient is 10 months after injury with slow progress of improvement. Two weeks is short time for significant improvement. The results were recorded not quantitatively according to standard testing, but the quality of the movement, fluency, comfort and the dexterity which patient obtained in this two weeks, are the main positive results. Keywords Paraparesis, Paraplegia, Spinal Cord Injury, Spinal Cord Lesion
|
|
|
Shoulder pain in tetraplegics and paraplegics
Hrůzová, Zuzana ; Hlinková, Zuzana (advisor) ; Gallusová, Veronika (referee)
The theme of this bachelor thesis is pain of shoulder girdle in tetraplegics and paraplegics. The bachelor thesis consists of teoretical and practical part. In the theoretical part of the thesis I present the findings about spinal cord lesions, anatomy and kinesiology of shoulder girdle. The aim of this bachelor thesis is to present causes of shoulder girdle pain in tetraplegics and paraplegics and options how to influence it with physiotherapy. In practical part I present case study of SCI patient with pain of shoulder girdle. The case study consists of entry and final examination and photo-documentation of therapy and wheelchair propulsion.
|
|
|
Condition training in patients after spinal cord injuries
Mandát, Marek ; Vařeková, Jitka (advisor) ; Prokešová, Eva (referee)
Title: Conductive training in individuals after spinal lesions Objectives: The aim of the bachelor thesis is the positive influence of fitness training plan for people with sleep lesions to improve their physical condition. The secondary aim is to examine the subjective attitudes of probands to the conditional program, according to Feldenkreis's satisfaction questionnaire supplemented with a written probanda assessment. Methods: In the framework of a quantitative and qualitative research, 4 probands were monitored in the form of case studies after a spinal lesion participating in a reconditioning stay at the Paraple Center. The average proband age was 45 years. In probands an initial examination was performed and a monthly training session with an instructor was carried out. To evaluate the effect, the following methods were used: observation, bodystat assessment by Bodystat and assessment of physical fitness on a rowing and cross-country trainer. Results: All proband monitors achieved a slight improvement in bodystat scores evaluated by the Bodystat instrument: decreasing body fat in percent and increasing the proportion of active body mass. These results confirmed physical fitness improvements with measured times on trainers. Conclusion: Monthly fitness training for 4 individuals with spinal...
|
|
|
Effects of different physical activities on cardiovascular functions after spinal cord injury
Svobodná, Magdalena ; Honzátková, Lenka (advisor) ; Našincová, Zuzana (referee)
The impact on health, mental state and quality of life in people after spinal cord injury is enormous. Significant impairment occurs not only of sensorimotor functions. The autonomic nervous system is also disturbed to some extent, which is very closely related to the management of cardiovascular functions (and heart rate). The aim of this study is to evaluate the effect of different physical activities on heart rate in people after spinal cord injury. The study included 30 people in the chronic stage after spinal cord injury, which were divided into 3 groups according to the neurological level of the spinal cord lesion in tetraplegics (lesion C1-C8), paraplegics with high thoracic lesion (T1-T6), and paraplegics with lesion from T6 below. Each proband completed 4 exercise tests on sports simulators (rowing, kayaking and cross-country trainer and Rotren) and peak heart rate values (SFpeak) were measured after reaching the subjective maximum load (according to the Borg RPE scale). The values of SFpeak were then statistically processed, evaluated and compared - within groups between sports simulators and between groups. The results of the statistical processing show that the sports simulators are not different in terms of reaching the top SFpeak. Although differences between peak heart rate values...
|
|
|
Visual neurorehabilitation by the incomplete spinal cord injury patients
Polák, Alois ; Pánek, David (advisor) ; Pavlů, Dagmar (referee)
The aim of the study: The aim of this work is to find out the possibilities to influence the clinical state of the patients suffering with incomplete spinal cord lesion syndrome with the help of a therapeutic video played through a virtual reality helmet. Methods: The research was conducted with 22 probands (15 males and 7 females) aged between 27 and 76 years (the average age of 55±14 years) from the client of Rehabilitation Centre Kladruby. The probands were divided into two homogenised groups with the same number of members. The control group received a standard rehabilitation programme set by the Rehabilitation Centre. The research group followed the same plan but in addition to this, they were given helmets, and a video with virtual reality was played daily on the total of 30 occasions. The clinical state before conducting the research and after was evaluated using the standard test ASIA impairment scale where the observed transformation was the total of motoric points for the lower limbs. Initial and final examination was conducted by professional and highly trained staff at Kladruby, always doctors. The variance between the initial and the final examination results and the length of stay at the centre were used to set the relative transformation of the clinical state in comparison with the...
|
|
|
Influence of cervical spinal cord lesion on cardiovascular fitness
Machač, Stanislav ; Kolář, Pavel (advisor) ; Vilikus, Zdeněk (referee) ; Nováková, Marie (referee)
Traumatic damage to the cervical spinal cord has a dramatic impact on determinants affecting cardiovascular fitness. In tetraplegia, in addition to diminished skeletal muscle function, impaired sympathetic cardiovascular innervation together with a dysfunction of catecholamine release is typically present. Individuals with tetraplegia are at a high risk of long-term inactivity, which increasingly contributes to the development of common civilization diseases. The aim of the current dissertation project is to investigate the cardiovascular fitness in males with cervical spinal cord injury (n=20) as compared to able- bodied males (n=27). Both groups completed exercise testing on an arm-crank ergometer. Arterial blood pressure response to exercise, peak oxygen consumption and peak heart rate were the primary outcome variables. In the first part of the study, a graded maximal arm- crank ergometer test to the subjective exhaustion was performed for the inter-group peak exercise comparison. The peak power dramatically differs between the groups and could be an important confounding factor limiting the evaluation of a physiologic response related to the equivalent physical loading. Therefore, in the second part of the study, individuals of the control group completed a second graded arm-crank ergometer...
|
|
|
Monitoring the activation of selected muscle groups of clients with spinal cord injury
Krátký, Jakub ; Jelen, Karel (advisor) ; Šorfová, Monika (referee)
KRATKY, Jakub. Monitoring the activation of selected muscle groups of clients with spinal cord injuries. Prague: Charles University, Faculty of Physical Education and Sport, 2013. 82 pages. Supervisor Doc. PaedDr. Karel Jelen, CSc The aim of this thesis is to monitor the activation of selected muscle groups (musculus deltoideus pars anterior, musculus deltoideus pars posterior, musculus triceps brachii caput laterale and musculus trapezius pars descendus) during double poling ergometry. Nine subjects with different spinal cord lesions volunteered to participate in the study. The surface electromyography is used to detect the musculus activation. The monitoring of four muscle groups is devided into three phases. Firstly, all the participants double-poled for one minute at moderate intensity according to the Borg scale. Each participant underwent a 10-minute intervention to correct the posture. In the last phase the volunteers exercised again for one minute at moderate intensity. The aim of the intervention is to decrease muscle activation of musculus deltoideus pars anterior and musculus trapezius pars descendus (muscles with a tendency to hypertonia during wheelchair propulsion and activity of daily living) and to increase muscle activation of musculus deltoideus pars posterior and musculus triceps...
|
|
| |
guest ::
