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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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Interrater reliability of assessment set of clinical features of patients with multiple sclerosis
Marková, Pavla ; Řasová, Kamila (advisor) ; Novotná, Irena (referee)
Title: Interrater reliability of assessment set of clinical features of patients with multiple sclerosis Objectives: The aim of this thesis is to verify interrater reliability of the assessment set of clinical features of patients with multiple sclerosis which purpose is to evaluate sensitivly and comprehensivly the stage of the patients' clinical condition. Methods: According to the inclusion criteria, the patients with MS were selected by an independent neurologist who determined the EDSS score and duration of the disease. After, patients were evaluated by the assessment set by two independent physiotherapists. The assessment set of clinical features incluedes Low-Contrast Letter Acuity Test which tests contrast vision, Nine Hole Peg Test investiges fine motor skills, Timed 25 - Foot Walk evaluates walking speed over a distance of 7,5 m, Paced Auditory Serial Addition assesses cognitive function, Motricity Index tests muscle strength, Modified Ashworth Scale spasticity, Berg balance Scale equilibrium. Furthemore, the tests for evaluation of righting, equilibrium and protective reactions, the test evaluating knee hyperextension, the examination of dysdiadochokinesia and ataxia. Results: High interrater reliability was confirmed in all tests in the examinig set (ICC: 0,80 - 1), except for MAS...
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Comparison of the effects of several physiotherapeutic methods in patients with multiple sclerosis
Emmerová, Ivana ; Řasová, Kamila (advisor) ; Angelová, Gabriela (referee)
The aim: The aim of this work is to compare the effects of different physiotherapy techniques (Motor programs activating therapy, Manual physiotherapy correction, Vojta's reflex locomotion) in patients with multiple sclerosis. Another aim is to compare the effect of continuing therapy after completion of the therapeutic program. The last aim of the study is to compare the perception of the effect of a physical therapist and the patient himself. The Method: 34 ambulant patients with multiple sclerosis were randomly divided into three groups (Motor programs activating therapy, Manual physiotherapy correction, Vojta's reflex locomotion) and underwent during two months 20 therapies. They passed the therapy 2-3 times per week, length of one therapy was 60 minutes. Clinical examination and questionnaire survey was conducted before the start of therapy, immediately after the end of the therapy program, and one month after the end of the therapy program. Results: All groups showed improvement observed parameters, but there were not indicate the significant differences between groups. Some effect of therapeutic programs persists even after cessation of therapy. Perception of the effect by physiotherapist and patient is different. In the group MPAT evaluate patient outcomes better than a therapist. Groups...
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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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Interrater reliability of assessment set of clinical features of patients with multiple sclerosis
Marková, Pavla ; Řasová, Kamila (advisor) ; Novotná, Irena (referee)
Title: Interrater reliability of assessment set of clinical features of patients with multiple sclerosis Objectives: The aim of this thesis is to verify interrater reliability of the assessment set of clinical features of patients with multiple sclerosis which purpose is to evaluate sensitivly and comprehensivly the stage of the patients' clinical condition. Methods: According to the inclusion criteria, the patients with MS were selected by an independent neurologist who determined the EDSS score and duration of the disease. After, patients were evaluated by the assessment set by two independent physiotherapists. The assessment set of clinical features incluedes Low-Contrast Letter Acuity Test which tests contrast vision, Nine Hole Peg Test investiges fine motor skills, Timed 25 - Foot Walk evaluates walking speed over a distance of 7,5 m, Paced Auditory Serial Addition assesses cognitive function, Motricity Index tests muscle strength, Modified Ashworth Scale spasticity, Berg balance Scale equilibrium. Furthemore, the tests for evaluation of righting, equilibrium and protective reactions, the test evaluating knee hyperextension, the examination of dysdiadochokinesia and ataxia. Results: High interrater reliability was confirmed in all tests in the examinig set (ICC: 0,80 - 1), except for MAS...
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