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Background innate reflex locomotion patterns of movement and ventilation in children patients with chronic respiratory diseases
Plešková, Jana ; Pohunek, Petr (advisor) ; Sedlák, Vratislav (referee) ; Homola, Lukáš (referee)
Reflex locomotion according to Professor Vojta (VRL) is based on the activation of complex motor patterns from certain defined positions with stimulation of the so-called trigger zones, located on the human's body. It is primarily used in patients with neurological deficits; however, it is currently also being used in internal medicine. It has been reported that VRL can indirectly affect breathing, however its use in paediatric patients with chronic respiratory disease has not yet been investigated. As part of this theses, a randomized controlled single-centre intervention study was conducted. Its aim was to evaluate the short-term effects of VRL on lung function in paediatric patients with cystic fibrosis (CF) with normal baseline spirometry. The effect of a 30minute VRL intervention was compared in a crossover design with the effect of positioning (without stimulation of trigger zones). The primary outcome was the change in global ventilation inhomogeneity, assessed by lung clearance index (LCI2.5) derived from nitrogen multiple breath washout test. Secondary outcomes included changes in regional ventilation inhomogeneity (indices of acinar [Sacin*Vt] and conductive airways [Scond*Vt] inhomogeneity) and spirometric parameters (inspiratory capacity, forced vital capacity, and forced expiratory...
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Physiotherapy impact on balance in multiple sclerosis
Bartušová, Tatiana ; Řasová, Kamila (advisor) ; Nováková, Tereza (referee)
Title: The effect of physiotherapy on balance in multiple sclerosis Objectives: The aim of this study is to compare efficacy between ambulatory individual physiotherapy and complex inpatient rehabilitation in people with multiple sclerosis on balance and subjective evaluation of general health. In ambulant program to compare effect of different physiotherapeutic methods (Motoric program activating therapy, Manual physiotherapy correction, Reflex Locomotion according to Vojta). Methods: A combined design of study. Ambulant program has randomised assessor blind design, in which subjects were divided into one of the three groups of ambulatory physiotherapy. A clinical study without control arm design is used in case of comparison between complex and ambulatory program. Results were analysed in 45 patients with multiple sclerosis (25 subjects of ambulatory program, 20 subjects of complex program). Subjects of the ambulatory program were divided into one of the three groups of ambulatory physiotherapy (Motoric program activating therapy, Manual physiotherapy correction, Reflex Locomotion according to Vojta), in which they absolved during two months 20 therapies (2-3 times per week, length 60 minutes). Subjects of complex program underwent complex inpatient rehabilitation with duration about 21 days. The...
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Effects of Vojta's reflex locomotion on lung function
Drábková, Lenka ; Smolíková, Libuše (advisor) ; Bitnar, Petr (referee)
Introduction: The aim of this thesis is to answer a question if it is possible to influence ventilation parameters with an application of Vojta's reflex locomotion, which is one of the neurophysiologic techniques. The thesis confronts actual knowledge and relation between respiratory and postural function of "respiratory" muscles and the diaphragm and possibility of its reflex affection. Methods: With a spirometry we assess the impact of short-time activation of Reflex locomotion on the lung functions in a group of 21 healthy subjects in age 18 - 33 years. The study evaluates the effect of activation in two situations. First, it is instantaneous effect of Vojta's method on lung function. Second situation is the assessment of the time duration of evoked effect of activation and make out, if the changes are seen also after 25 minutes over the end of Vojta's stimulation. Results: Based on the interpretation of the both monitored situations, we set up an observation that short time activation of Vojta's reflex therapy has an effect on respiratory mechanics and thus on the spirometric values. At the other side we realize that not all of the changes were significant and some of them were unadvisable. Moreover all of them had very short persistency, after 25 minute none of the observed changes of lung...
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Effectiveness of co-operation of physiotherapy and speech therapy in school-age children with cerebral palsy
KASPEROVÁ, Eliška
This Bachelor thesis focuses on a co-operation of physiotherapy and speech therapy in school-age children with cerebral palsy (CP). In the first part CP is described as an illness - its forms, origin and impaired communication ability of these children. Next is the description of basic methods used in physiotherapy. In speech therapy I mentioned important factors of working with these children. The next section is dedicated to a practical part of the thesis, which is a quality research formulated by case studies. The research file is comprised of three children suffering CP - two girls and a boy, all three attending the Kaňka citizens' counselling centre. I gathered all the information using an entry kinesiological analysis, aspection, insight into their medical documentation and results given by their speech therapist. The first goal of my work was to describe diagnostic and therapeutic procedures used in physiotherapy and speech therapy in school-age children with CP. The second goal was to describe the differences in effectivity between a speech therapy following a physiotherapeutic care and speech therapy conducted in isolation. Every patient from my research file underwent seven therapies - entry kinesiological analysis, two speech therapy interventions with no previous physiotherapy and four different physiotherapies followed by a speech therapy intervention. The results were assessed based on my observation and a speech therapist evaluation. I myself view these therapies as successful ones, because my work showed that a co-operation of physiotherapy and speech therapy is very important, and it has its positive results. For example, the children's sitting poses were improved during speech therapy, their face expressions were more relaxed, their breathing in speech therapy exercises improved or their phonation time was extended.
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Changes in posturography in pediatric patients with cerebral palsy after therapy by active videogame Nintendo Wii and Vojta reflex locomotion
Kmínková, Helena ; Medunová, Kateřina (advisor) ; Dyrhonová, Olga (referee)
Aim: The aim of this study was to determine the impact of therapy by active videogame Nintendo Wii and by Vojta reflex locomotion on a static and dynamic postural control at a group of children with mild cerebral palsy. Methodology: 14 children (from 6 to 18 years old) were randomly divided into two groups. Both groups received both therapies (active videogame therapy and Vojta reflex locomotion) with a 6 months gap, but in an opposite order. Posturographic measures were obtained before the start of the therapy, after therapy and 8 weeks after the end of the therapy. Results: After both therapies, there was a significant increase in the COP sway velocity in the mCTSIB subtest on a firm surface with closed eyes and the COP sway velocity in the mCTSIB subtest was reduced on a foam surface with closed eyes. Further, after both therapies, there was a significant reduction in the time required to perform the turnabout in SQT test. Other tests (LOS, RWS, WA, TW) and subtests did not change significantly. There was not a significant difference between therapies, but in the post- therapy tests, VRL had a greater tendency to maintain its effect 8 weeks after therapy. Conclusion: Both therapies, Vojta reflex locomotion and active videogame Nintendo Wii, have an influence on a postural control of children...
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Changes of the fine and gross motor functions at patients with cerebral palsy after therapy by Nintendo Wii and Reflex Locomotion according Vojta
Píšťková, Marie ; Medunová, Kateřina (advisor) ; Kraus, Josef (referee)
Aim: The aim of this study is to assess benefits of therapy by Vojta method and by using the active videogame Nintendo Wii. The manual dexterity and gross motor function were evaluated. Methodology: The study was attended by 14 children aged 6 - 18 years. They were divided into two equal groups. The Vojta method was applied for the first group and exercising with Nintendo Wii for the second group. Each therapy took 30 days. After a 6 months break the two groups were changed. During those 6 months no targeted physiotherapy was done. The manual dexterity and gross motor functions were measured before and after the therapy and 8 weeks after finishing the therapy. The Box and Block test and the Nine Hole Peg test were used for assessment of manual dexterity and GMFM was used for testing of gross motor function. The children completed the PACES questionnaire after each of the interventions. Results: Statistics showed a significant change in the manual dexterity over the time when the Box and Block test was used. A difference between the two types of therapy has not been proven. Results of the Nine Hole Peg test were not statistically significant, neither in time nor when comparing the therapies. GMFM was not statistically significant either. The PACES did not show any difference between the therapies....
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Influencing the gait pattern in patients after stroke employing Vojta reflex locomotion
Makarova, Yaroslava ; Brožová, Kamila (advisor) ; Jeníček, Jakub (referee)
The title of the thesis: Influencing the gait pattern in patients after stroke employing Vojta reflex locomotion Abstract: This bachelor thesis provides insight into Vojta reflex locomotion method and it's influence on gait quality amongst patients after stroke. Vojta reflex locomotion method is used quite rarely amongst such patients, yet it's field of application is expanding continuously. Use of this method makes it possible to affect complex and almost inaccessible muscular interactivities amongst patients suffering from central paresis, so it can positively affect gait or other parameters necessary for patient's locomotion. In this thesis two patients were studied. Both of them had completed eight forty-minute sessions of therapy during one month. Therapy was performed in two coordination complexes - reflex creeping and reflex rolling. The results were evaluated using certain tests, such as Timed Up and Go test, Rivermead visual gait assessment and Footscan gait analysis. Both patients had experienced certain stability improvements during kinesiological examination. Key words: Vojta reflex locomotion, stroke, gait, Footscan, neuroplasticity
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