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Influence of spasticity in patients with multiple sclerosis using method of electrical stimulation according to Jantsch
Pokorná, Anna ; Kövári, Martina (advisor) ; Kříž, Jiří (referee)
The electrical stimulation (ES) according to Jantsch was created with a primary aim to reduce spasticity, however its impact has been neither proved nor disproved by any study. Therefore, the aim of the thesis is to find out if this type of the ES can reduce spasticity of m. triceps surae within the patients with multiple sclerosis (MS). Apart from the spasticity, there was as well observed the influence of the ES on an active movement performed by the antagonists of spastic muscle and the walking speed. Fifteen probands participated in our pilot controlled non- randomized study, probands were divided into two groups - first with the application of the ES (STIM) and second without the application of the ES (NOSTIM) during the hospitalization. We used the concept of Jean-Michel Graciese - Five-step clinical assessment in spastic paresis during the examination process. From this protocol, we choose Tardieu scale to measure spasticity, examination to measure active range of motion and 10MWT. Furthermore, TUG was added. The measurements took place on the 1st, 4th and 8th day of the hospitalization. The intragroup difference was evaluated by the ANOVA for repetitive measures with Fisher's post- hoc test and the level of importance p=0.05. From acquired data it follows that the ES according to Jantsch...
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The use of Electrotherapy to Influence Spasticity in Patients after Stroke
Pokorná, Anna ; Jeníček, Jakub (advisor) ; Tichá, Monika (referee)
Title: The use of electrotherapy to influence spasticity in patients after stroke Abstract: The theme of bachelor thesis is the use of electrotherapy to influence spasticity in pacients after stroke. The thesis is divided into two parts - theoretical and practical. In the theoretical part there is described the issue concerning stroke, regulation of muscles tention and spasticity. Mostly there is stated performed research of accessible literary sources on the theme electrotherapy with antispastic effect. These findings come out mostly of the results of foreign studies, which are being mutually compared. Pratical part contains of two case reports of patients, who suffered a stroke and spasticity m. triceps surae has occured in them. On the concrete muscle the stimulation according to Janstch is being applicated for five days. The impact on spasticity is being observed, the spasticity had been examined by using the scale Five-step clinical assessment according to Gracies before the first therapy and instantly after the fifth therapy. Further the changes of parameters, which are desribed by the stated scale, had been observed. The aim of the thesis is to summarize and enrich the issue at the same time and on the basis of the results of own therapy to evaluate the impact of electrotherapy. Key words: stroke,...
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Influence of spasticity in patients with multiple sclerosis using method of electrical stimulation according to Jantsch
Pokorná, Anna ; Kövári, Martina (advisor) ; Kříž, Jiří (referee)
The electrical stimulation (ES) according to Jantsch was created with a primary aim to reduce spasticity, however its impact has been neither proved nor disproved by any study. Therefore, the aim of the thesis is to find out if this type of the ES can reduce spasticity of m. triceps surae within the patients with multiple sclerosis (MS). Apart from the spasticity, there was as well observed the influence of the ES on an active movement performed by the antagonists of spastic muscle and the walking speed. Fifteen probands participated in our pilot controlled non- randomized study, probands were divided into two groups - first with the application of the ES (STIM) and second without the application of the ES (NOSTIM) during the hospitalization. We used the concept of Jean-Michel Graciese - Five-step clinical assessment in spastic paresis during the examination process. From this protocol, we choose Tardieu scale to measure spasticity, examination to measure active range of motion and 10MWT. Furthermore, TUG was added. The measurements took place on the 1st, 4th and 8th day of the hospitalization. The intragroup difference was evaluated by the ANOVA for repetitive measures with Fisher's post- hoc test and the level of importance p=0.05. From acquired data it follows that the ES according to Jantsch...
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The use of Electrotherapy to Influence Spasticity in Patients after Stroke
Pokorná, Anna ; Jeníček, Jakub (advisor) ; Tichá, Monika (referee)
Title: The use of electrotherapy to influence spasticity in patients after stroke Abstract: The theme of bachelor thesis is the use of electrotherapy to influence spasticity in pacients after stroke. The thesis is divided into two parts - theoretical and practical. In the theoretical part there is described the issue concerning stroke, regulation of muscles tention and spasticity. Mostly there is stated performed research of accessible literary sources on the theme electrotherapy with antispastic effect. These findings come out mostly of the results of foreign studies, which are being mutually compared. Pratical part contains of two case reports of patients, who suffered a stroke and spasticity m. triceps surae has occured in them. On the concrete muscle the stimulation according to Janstch is being applicated for five days. The impact on spasticity is being observed, the spasticity had been examined by using the scale Five-step clinical assessment according to Gracies before the first therapy and instantly after the fifth therapy. Further the changes of parameters, which are desribed by the stated scale, had been observed. The aim of the thesis is to summarize and enrich the issue at the same time and on the basis of the results of own therapy to evaluate the impact of electrotherapy. Key words: stroke,...
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