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Possibilities of Bimanual Training of Upper Limb Coordination with People after Brain Damage with Hemiparesis
Burajová, Patricie ; Rejtarová, Anna (advisor) ; Rotbartová, Eliška (referee)
This bachelor thesis deals with the topic of selected bimanual training with people after brain damage with hemiparesis. The bachelor thesis is both theoretical and practical. In the theoretical part are presented the most common causes of brain damage that lead to hemiparesis. Then selected unimanual approaches are described, which focus mainly on the paretic upper limb in therapy. They are followed by bimanual approaches, which emphasize the coordination and involvement of both upper limbs. The unimanual ones are Constraint-induced movement therapy, Robotic Assisted Therapy, Functional Electrostimulation, and Proprioceptive Neuromuscular Facilitation. Bimanual approaches include the HABIT method, COMbined modified constraint induced movement therapy and bimanual intensive training, Mirror therapy, Bilateral isokinematic training, and Task-Oriented bilateral training. The practical part contains a created set of model bimanual activities, which include a total of 13 activities, from personal and instrumental everyday activities. The set was used with 6 patients after suffering a stroke for 3 weeks of therapy. During these three weeks, the patients performed selected model activities from the created set. Each patient underwent an initial and then final examination and evaluation with selected...
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Bilateral Upper Limb Training in Patients with Central Hemiparesis
Rejtarová, Anna ; Uhlířová, Jaromíra (advisor) ; Marková, Olga (referee)
Background: Bilateral training is an intervention used in patients with hemiparesis. This training is based on the movement of both (bi) sides (lateral) of the body simultaneously. There exist a lot of articles focused on specific methods of bilateral training. However, the used terminology is inconsistent. The aim of this thesis is to describe the neurophysiological background of bimanual and bilateral methods, review and clear out the used terminology, and describe the different techniques included in bilateral training. Methods: Relevant literature was searched in PubMed, ScienceDirect and OVID Evidence Based Reviews. The inclusion criteria were the availability of fulltext, publication date after 1980, English language and a connection with medicine. The searched keywords were bimanual or bilateral training, metod and therapy. Results: From 1021 articles, only 132 articles meet the inclusion criteria. Five main rehabilitation interventions are used in practice: a) cooperative activity of both arms, b) synchronous movement of both arms c) Mirror therapy, d) an activity, where the impaired hand assists the paretic hand and d) robotic therapy or therapy with mechanical devices. The neurophysiological background is based on a) modulation of interhemispherical inhibition, b) increased motor control of...
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