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Possibilities of use of questionnaire WHODAS 2.0, regarding physiotherapy of patients with diagnosis of Central Hemiparesis
Matiaško, Dušan ; Sládková, Petra (advisor) ; Rodová, Zuzana (referee)
Bachelor's Thesis Abstract Autor: Dušan Matiaško Supervisor: MUDr. Bc. Petra Sládková, Ph.D. Title: The possibilities of use of questionnaire WHODAS 2.0, regarding physiotherapy of patients with diagnosis of Central Hemiparesis This Bachelor's Thesis deals with the issue of subjective assessment of disability in patients with central hemiparesis. Objective testing cannot comprehensively capture an individual's overall experience stemming from his/her health condition. On the other hand, subjective evaluation using the WHODAS 2.0 questionnaire, provides specific information about the most problematic areas of their life as experienced by the individual. This allows the examiner to directly address these issues and achieve a better therapeutic effect. Alternatively, it may also lead to acknowledging that the appropriate solution lies within the expertise of other specialists. Objectives: The main objective of the thesis is to outline the impact of a rehabilitation program using the WHODAS 2.0 questionnaire in all its defined domains. A secondary goal, is to compare the use of the 12-item and 36-item versions of the WHODAS 2.0 questionnaire in relation to physiotherapy. A third objective is to create a short instructional video on the practical application of WHODAS 2.0. Methods: In the practical part,...
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Functional assessment of activities and participations according to the ICF in patients with central hemiparesis.
Marková, Kateřina ; Sládková, Petra (advisor) ; Angerová, Yvona (referee)
THESIS ABSTRACT Name, surame: Bc. Kateřina Marková Thesis supervisor: MUDr. Bc. Petra Sládková, Ph. D. Title of thesis: Functional assesment of activities and participations according to the International Classification of Functioning, Disability and Health in patients with central hemiparesis Abstract: Functional independence and social integration, which are the domains of occupational therapy, are essential for the successful rehabilitation of patients. The International Classification of Functioning, Disability and Health can provide a suitable framework for functional assessment, not only for occupational therapists. The main aim of this thesis is a determination of the functional picture of selected patients with central hemiparesis. The secondary objectives encompass firstly a verification of pre- established hypotheses, and secondly, an evaluation of the influence of the Day Hospital of the General University Hospital in Prague on the functional abilities of patients with central hemiparesis. Primary research methods comprise in particular a quantitative data analysis and comparison; however, a qualitative analysis of texts or description are also utilized. The research retrospectively evaluates the results of the assessment of activities and participation and environmental factors in patients with...
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Functional assessment of motor activities of patients after brain damage before and after intensive rehabilitation intervention (with the goal to obtain restoration of upper arm physiological functions)
Sládková, Petra ; Švestková, Olga (advisor) ; Jeřábek, Jaroslav (referee) ; Süssová, Jana (referee)
Rehabilitation of patients after brain damage is an multidisciplinary, complex, intensive, long- term and individual process. Standardized functional instruments for the assessment of the degree of disability and functional abilities of patients are not usually used in rehabilitation in the Czech Republic. Often, motor disorder post brain damage results in hemiparesis and causes impairment of upper arm movement pattern. Movement ability of the upper arm is vital for self-sufficiency, activities of daily life and maintaining an independent family life. Special rehabilitation therapeutic techniques must involve the training of new activities including the mechanism of motor learning which is responsible for functional reorganization of the motor cortex regions, and the activation of reserve neurons for reparation. The aim of the study is to demonstrate that an accelerometer is a suitable instrumet for objective monitoring of impairment of the upper arm movement pattern. Another aim of the study is to demostrate if the FIM test (Functional Independence Measures) and Jebsen-Taylor (JT) test are appropriate instruments for detecting changes of the upper arm movement pattern after intensive, individual and multidisciplinary rehabilitation brain damage patients. Clinical study was undertaken with selected...
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Functional assessment of motor activities of patients after brain damage before and after intensive rehabilitation intervention (with the goal to obtain restoration of upper arm physiological functions)
Sládková, Petra ; Švestková, Olga (advisor) ; Jeřábek, Jaroslav (referee) ; Kozler, Petr (referee)
6 Abstract The rehabilitation of patients with brain damage is an interprofessional, complex, intensive, long-lasting and individually oriented process. One frequent consequence of brain damage is hemiparesis, which also causes a disorder of the upper extremity movement pattern. The movement ability of the upper extremity is essential for an individual's self-sufficiency, the performance of common daily activities, and thus for an independent life in a family setting. Special therapeutic rehabilitation approaches should involve the training of new activities, including the motor learning mechanism that activates brain plasticity. A functional reorganization of the motor cortex occurs along with the activation of reserve neurons and the replacement of damaged synapses. One of the aims of this work was to demonstrate, using objective function methods, the possibility of influencing the movement patterns of a paretic upper extremity by means of intensive interprofessional rehabilitation even several years after the brain damage. The second aim was to demonstrate that the monitoring of motor functions in patients after brain damage leads to improved motivation, thereby improving motor functions. A study was conducted among 55 selected patients after brain damage with central hemiparesis who participated in the...
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Overview of physiotherapeutic approaches in influencing fascia
Matoušek, David ; Hálková, Jindřiška (advisor) ; Konopáčová, Eva (referee)
bakalářské práce v AJ Author: David Matoušek Tutor: Mgr. Jindřiška Hálková Title: Overview of physiotherapeutic approaches in influencing fascia Abstract: In the theoretical part of the thesis is first described the fascia including: definition, embryology, histology, pathology and its connection with the management of postural stability. Physiotherapeutic approaches used to influence fascias are presented and briefly described. The practical part of the thesis deals with the influence of postural stability in three patients with central hemiparesis after the therapeutic influence of the fascial system by the Fascial Manipulation® method. For objective evaluation of the effect of therapy on postural stability, I used the Physiosensing platform from ©Sensing Future Technologies. As an additional monitored parameter, I chose the active range of motion (hereinafter referred to as aROM). Out of three patients, two experienced short-term improvements in the postural stability and aROM parameters while the third experienced long-term improvements. Keywords: fascia, physical therapy, fascial manipulation, postural stability, central hemiparesis
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Functional assessment of motor activities of patients after brain damage before and after intensive rehabilitation intervention (with the goal to obtain restoration of upper arm physiological functions)
Sládková, Petra ; Švestková, Olga (advisor) ; Jeřábek, Jaroslav (referee) ; Süssová, Jana (referee)
Rehabilitation of patients after brain damage is an multidisciplinary, complex, intensive, long- term and individual process. Standardized functional instruments for the assessment of the degree of disability and functional abilities of patients are not usually used in rehabilitation in the Czech Republic. Often, motor disorder post brain damage results in hemiparesis and causes impairment of upper arm movement pattern. Movement ability of the upper arm is vital for self-sufficiency, activities of daily life and maintaining an independent family life. Special rehabilitation therapeutic techniques must involve the training of new activities including the mechanism of motor learning which is responsible for functional reorganization of the motor cortex regions, and the activation of reserve neurons for reparation. The aim of the study is to demonstrate that an accelerometer is a suitable instrumet for objective monitoring of impairment of the upper arm movement pattern. Another aim of the study is to demostrate if the FIM test (Functional Independence Measures) and Jebsen-Taylor (JT) test are appropriate instruments for detecting changes of the upper arm movement pattern after intensive, individual and multidisciplinary rehabilitation brain damage patients. Clinical study was undertaken with selected...
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Functional assessment of motor activities of patients after brain damage before and after intensive rehabilitation intervention (with the goal to obtain restoration of upper arm physiological functions)
Sládková, Petra ; Švestková, Olga (advisor) ; Jeřábek, Jaroslav (referee) ; Kozler, Petr (referee)
6 Abstract The rehabilitation of patients with brain damage is an interprofessional, complex, intensive, long-lasting and individually oriented process. One frequent consequence of brain damage is hemiparesis, which also causes a disorder of the upper extremity movement pattern. The movement ability of the upper extremity is essential for an individual's self-sufficiency, the performance of common daily activities, and thus for an independent life in a family setting. Special therapeutic rehabilitation approaches should involve the training of new activities, including the motor learning mechanism that activates brain plasticity. A functional reorganization of the motor cortex occurs along with the activation of reserve neurons and the replacement of damaged synapses. One of the aims of this work was to demonstrate, using objective function methods, the possibility of influencing the movement patterns of a paretic upper extremity by means of intensive interprofessional rehabilitation even several years after the brain damage. The second aim was to demonstrate that the monitoring of motor functions in patients after brain damage leads to improved motivation, thereby improving motor functions. A study was conducted among 55 selected patients after brain damage with central hemiparesis who participated in the...
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