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The Application of Robot-Assisted Therapy of Hand in Patients after Stroke in Chronic Phase: Follow-up Trial of Application of AMADEO Instrument
Oktábcová, Alice ; Uhlířová, Jaromíra (advisor) ; Kotková, Karla (referee)
Name: Alice Oktábcová Supervisor: Mgr. et Mgr. Jaromíra Uhlířová Oponent: ……………. Diploma thesis: The Application of Robot-Assisted Therapy of Hand after Stroke: Follow-Up Trial of Application of AMADEO Instrument Key words: stroke, robot-assisted therapy, Amadeo Instrument, follow-up study, upper extremity In recent years, western countries noted a gradual increase in stroke survivors. Stroke can cause motor activity impairment and also senzoric and cognitive disorders which lead into restriction of participation of activities of daily living and also reduction of social and community activities. Functional improvment of upper and lower extremity after stroke is a very complex proces which has to be solved in multidiscplinary and multifactorial approach in result of every stroke survivor to live in the most independent way as possible. Robot-assisted therapy for motor recovery could be a successful way to improve motor activity of stroke survivors. Amadeo Instrument is one of robot-assisted therapy for hand rehabilitation of stroke survivors. This instrument can be described as final effector without exoskeleton which allows functional motor therapy for fingers and also a motivational feedback. Amadeo therapy can be passive, assisted, active and also interactive. The aim of this thesis is to...
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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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Occupational therapy treatment strategies in patients with upper limb peripheral nerve injury
Kořánová, Pavlína ; Humhej, Ivan (advisor) ; Kuželková, Anna (referee)
THESIS ABSTRACT Name, surname: Bc. Pavlína Kořánová Supervisor: MUDr. Ivan Humhej, PhD. Labor consultant: Bc. Olga Nováková, M. Sc. Thesis title: Occupational therapy treatment strategies in patients with upper limb peripheral nerve injury Thesis abstract: Peripheral nerve injuries of upper limb are often identified by sensory and motor control deficit. Limitations are most likely evident in their performance of activities of daily living (ADL), leisure and work activities. Significant neurogenic pain is a typically included and can cause poor quality of life. The result of injury is not only affecting the physical area, but also psychological and socio- economic aspects. Treatment is often time-consuming and there is an uncertain prognosis. The overview of the issue summarizes basic information, identification of specific peripheral nerve of upper limb (radial, median, ulnar) and their functional deficits. It also presents actual options of treatment, specially with an emphasis on occupational therapy. The purpose of this final thesis is to extend the knowledge and treatment options of evidence-based occupational therapy. The outputs represent an overview of occupational therapy treatment strategies in patients with upper limb peripheral nerve injury. Among the common effective occupational therapy's...
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Injuries from the chronic overload in climbers and prevention options - literature review
Hejtmánková, Veronika ; Pavlů, Dagmar (advisor) ; Vomáčková, Helena (referee)
Author: Veronika Hejtmánková Title: Injuries from the chronic overload in climbers and prevention options - literature review Objective: The aim of this thesis is to determine significant so-called biomechanic risk factors for upper extremity injuries from overload in climbers and prevention options to reduce these so-called biomechanic risk factors for upper extremity injuries from overload in climbers. Methods: This thesis is processed in form of literature review. 7 electronic databases (EBSCO, MEDLINE Complete, PEDro, PubMed, Scopus, SPORTDiscus with FullText, Web of Science) were searched using keywords. From primarily searched 1824 titles were chosen using inclusion and exclusion criteria 13 studies. Results: The most frequently addressed significant so-called biomechanic risk factor for upper extremity injury in climbers is the crimp grip. Other significant so-called biomechanic risk factors for upper extremity injury in climbers are isolated grip and dead point technique in two-handed dyno. Prevention options of these so-called biomechanic risk factors are slope grip, parallel grip, warm up with 100 cyclic climbing loads of upper extremities and in vertical jumps jump higher than is required by dead point technique. Keywords: Climbing, risk factor, overload injury, chronic injury, upper...
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Analysis of the movement of upper extremity during offensive stroke in female badminton players.
Prausová, Lucie ; Šorfová, Monika (advisor) ; Nováková, Tereza (referee)
Title: Analysis of the motion of dominant upper extremity during offensive stroke in badminton performed by elite female players Objectives: Objective of my master thesis is to analyse movement of a dominant upper extremity during offensive stroke in badminton and to point out possible risk factors for injuries and soft tissue overload problems in the region of the upper limb. Methods: The theoretical part deals with anatomical and kinesiological description of upper extremities. Then there is a description of the motion on the court and upper strokes in badminton and movements of upper extremity during the strokes. The practical part deals with measuring of rotations in shlouder joints and with analysis of motion of upper extremity during offensive stroke in badminton. It is focused on measuring the range of motion, angular velocity and angular acceleration in joints of dominant upper extremity. The Xsens MVN was used to record motion. Results: The results showed that the internal rotation in the shoulder joint on the dominant upper limb during active movement examination is reduced in elite female badminton players. When an offensive strike is played, the players come to the extreme inner rotation in the shoulder joint. Next we found out that the risky movement during the offensive stroke is...
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The Instrumental Stimulation of the Superficial and Deep Sensation in Upper Limb Therapy by Clients with Acquired Brain Injury
Strubinská, Šárka ; Slepičková, Veronika (advisor) ; Kuželková, Anna (referee)
OF THE BACHELOR THESIS Title: The Instrumental Stimulation of the Superficial and Deep Sensation in Upper Limb Therapy by Clients with Acquired Brain Injury Abstract: The bachelor thesis deals with the device SaeboStim Micro and its use within sensory therapy of the upper extremity that is experienced by people with acquired brain injury. The device uses a so called sensory electrical stimulation (without muscle contraction) that affects different dysfunctions, besides sensation. In the theoretical part is summarized the knowledge about acquired brain injury (traumatic and nontraumatic) and its consequences, further knowledge about sensation and its impairments and the principles and possibilities of sensory assessments. In this part it is also possible to find information about rehabilitation for people with acquired brain injury and about SaeboStim Micro. The aim of this thesis was to determine the efficiency of the SaeboStim Micro device in therapy of sensation of the upper extremity of three people with acquired brain injury in the chronic stage. The partial goal of the thesis was to map the experience with the use of SaeboStim Micro and the prevalence of this device in the Czech Republic by means of a questionnaire intended for occupational therapists. In the practical part there are three...
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Grasp evaluation in patients after stroke
Pomyjová, Šárka ; Krivošíková, Mária (advisor) ; Rybářová, Kateřina (referee)
Title of diploma thesis: Grasps evaluation in patients after a stroke Objective: The main goal of the pilot study was to determine minimal clinically important difference in selected tests focusing on improvement in the grasps of patients in the chronic phase post stroke. The main hypothesis was set to prove that the differences between the initial and final assessments based on the Modified Frenchay Scale characterizes patients' improvement more accurately than the Score for visual evaluation of functional task of the hand. Methods: The research group consisted of 40 participants (26 men and 14 women) all in the post stroke chronic phase who were selected based on the criteria for inclusion in the research. Data was collected at the Department of Rehabilitation Medicine and the First Faculty of Medicine. Using video documentation of the Modified Frenchay Scale used during both the initial and final assessment, the test itself was then analysed. A 3rd subtest was also used to evaluate the Score for visual evaluation of functional task of the hand. Using the Spearman correlation coefficient, the statistically significant level was established (p <0,05) followed by calculating the critical value of the Spearman correlation coefficient (rsp (0,05,40) = 0,264), and thus verifying the hypothesis. Results: The...
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Occupational therapy practise guidelines in patients with functional upper limb impairment after stroke in subacute phase
Miczová, Sára ; Dědková, Miriama (advisor) ; Krivošíková, Mária (referee)
Author's name: Bc. Sára Miczová Supervisor:: Mgr. Miriama Dědková, DiS Opponent: Thesis title: Occupational therapy practise guidelines in patients with functional upper limb impairment after stroke in subacute phase To be able to provide occupational therapy intervention of high quality the occupatioal therpaists should rely on relevant standards of clinical care and clinical guidelines. (Švestková, 2018). Occupational therapists as well as other members of the interdisciplinar team provide professional care to the patients recovering from stroke. Those patients often have to deal with upper limb impairment which leads to decrese of quality of life. Relevant studies focused on this topic were searched via key words in PubMed, Web of Science and OVID Evidence Based Medicine Reviews databasis. The criterias of selection were: public access to the content, english language which were mainly focused on stroke patients rehabilitation. The suggestion of guideline was created based on methods accepted by department. The occupational therapist as well as physiotherapeutist of early rehabilitation were included in the process of creating the guideline using the GRADE programme for it. Only 48 out of 4054 studies were used, these were divided into two cathegories, one being the cathegory of assessment, the...
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Efficiency of Robot-assisted Therapy through the Device Armeo Spring in Patients after Stroke in Acute Phase of Early Rehabilitation
Bocanová, Renata ; Oktábcová, Alice (advisor) ; Uhlířová, Jaromíra (referee)
This diploma thesis deals with the issue of robotic-assisted therapy, namely with the mechanical exoskeleton robotic device Armeo Spring, and it is focused on an acute stroke population. The aim of this study is to evaluate the efficiency of a robotic-assisted therapy using Armeo Spring device and to compare it with the efficiency of a common individual occupational therapy focused on improving motor function of upper extremity of patients with the acute stroke. There were 19 patients involved in the research, who were hospitalized in early rehabilitation acute beds. They were selected on the basis of entry criteria and further divided into two groups. An experimental group included 10 participants (n=10), a control group included 9 participants (n=9). The patients in the experimental group using Armeo Spring device underwent four to five 30-minutes therapies per week for three week period, the control group underwent the same amount of individual occupational therapies focused on improving motor function of a paretic upper limp. Each participant, evaluated before and after the intervention, underwent the total number of 12 therapy sessions. In the face of the determined hypothesis, following methods were used to evaluate the sample of patients: Function Independence Measure (FIM) for evaluating...
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