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Effect of biofeedback on stability, coordination and activation of the patients after spine stabilisation with the use of Hunova Movendo posturographic device
Získalová, Karolína ; Sládková, Petra (advisor) ; Malá, Michaela (referee)
6 ABSTRACT Title: Effect of biofeedback on stability, coordination and activation of patients after spi- nal stabilization using Hunova Movendo posturographic device Aims: The aim of this thesis was to introduce the Hunova Movendo posturographic de- vice and to validate its benefits in increasing stability by comparing outcome measures. The secondary aim was to evaluate the therapy from the probands' perspective. Methods. First, all selected probands underwent an initial interview and an initial postural stability examination using the Hunova Movendo device, which measured changes in body position values. The training intervention with visual feedback was conducted for a total of six weeks, specifically every Monday, Wednesday and Friday. In the third week of training, a follow-up examination was conducted to assess the improvement or deteri- oration of the results, and also to motivate all probands. At the end of the six-week inter- vention, an exit examination was conducted and probands were given a five-question subjective questionnaire to complete. The effectiveness of the treatment was compared through the entry and exit examination data from the first and last week of the interven- tion. Results: At the end of the six-week program using proprioceptive training with visual feedback on the Hunova...
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Driving Simulator and Its Use in the Rehabilitation of People with Acquired Brain Injury
Strubinská, Šárka ; König, Jan (advisor) ; Nováková, Olga (referee)
DIPLOMA THESIS ABSTRACT Name, surname: Bc. Šárka Strubinská Supervisor: Mgr. Jan König Consultant: Mgr. Eliška Burdová, Mgr. Bc. Jitka Bonková Sýkorová Title: Driving Simulator and Its Use in the Rehabilitation of People with Acquired Brain Injury Abstract: The diploma thesis describes the utilization of a driving simulator for manual control in the rehabilitation of individuals with acquired brain injury. The main objective of this thesis is to determine the feasibility of using a driving simulator and its potential to increase the likelihood of returning to driving by clients with acquired brain injury in the chronic stage. The first sub-objective is to investigate the influence of driving simulator training on attention and the potential to increase the likelihood of returning to driving by clients with acquired brain injury in the chronic stage. The second sub-objective is to determine whether the proposed set of tests is appropriately designed as a criterion for inclusion in the driving simulator research. The theoretical part summarizes the knowledge about acquired brain injury and its consequences, cognitive functions, impairments, car driving, and legislative regulations or possibilities for driving skills testing. Furthermore, this section provides information about rehabilitation by acquired brain...
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Case study of physiotherapy treatment of a patient after a pertrochanteric fracture of the proximal right femur
Abdelgawad, Asem Mohamed Aly Khalil ; Maršáková, Kateřina (advisor) ; Vomáčková, Helena (referee)
Title: A case-study of physiotherapy treatment of a patient after a pertrochanteric fracture of the proximal right femur. Thesis aim: This thesis aimed to evaluate the impact of physiotherapy approach provided to a patient who was diagnosed with a pertrochanteric fracture of the proximal right femur. The theoretical knowledge of the anatomical, etiological, and kinesiological basis of the pertrochanteric fracture, with further discussing the related physiotherapeutic approaches will be noted in the first part of the current thesis. Moreover, a second part will handle the practical physiotherapeutic approach to a patient who suffered from proximal right femur pertrochanteric fracture. Clinical findings: This case study is evaluating the condition of a 74-year-old patient who underwent an osteosynthesis surgical procedure after experiencing a per trochanteric fracture of proximal right femur. The assessment took place 7 days post-surgery and illustrated a significant limitation of ROM on the operated side along with several musculoskeletal defects. Methods: All methods and procedures mentioned in the current thesis were in adherence to the literature suggested by Charles University in Prague, Faculty of Physical Education and Sports. Results: After 11 sessions of physical therapy there was a...
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Behind the front line, Rehabilitation during Covid-19 pandemic
Novotná, Klára ; Vaněk, Miroslav (advisor) ; Wohlmuth Markupová, Jana (referee)
The thesis is based on 13 oral history interviews the impact of the Covid-19 pandemic on the health care sector (specifically rehabilitation medicine and physical medicine). Narrators are health care professionals who are part of multidisciplinary rehabilitation care in different positions and can therefore reflect the pandemic from different perspectives. In addition to the impact on the professional life, the thesis also describe the subjectively perceived impact on the narrators' personal lives. The interviews were recorded in early 2022, after 2 years of living with the pandemic, when strict restrictions were still in place. The thesis provides testimonies of the lived experience of the pandemic among health workers behind the so-called 'frontline', who have not received as much attention in the media. It also compares the experiences of the narrators in the context of Czech realities and compares them with the results of similar international studies on pandemics among health professionals.
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Analysis of processing Rehawalk data in patients after stroke
Řiháková, Emma ; Oplatková, Lenka (advisor) ; Pintarová, Sylva (referee)
Diploma thesis entitled "Analysis of Gait data utilizing the Rehawalk treadmill in post- stroke patients," is focused on investigating the gait parameters of individuals who have suffered a stroke and subsequently undergone analysis on the Zebris Rehawalk treadmill. This study specifically examines temporal and spatial parameters, including step length, anteroposterior Center of Pressure (COP) position, and lateral COP symmetry. The theoretical section of the thesis provides an in-depth discussion on stroke causes, clinical effects, and rehabilitation interventions. Furthermore, it provides an overview of the Zebris Rehawalk treadmill, employed for both analytical and therapeutic purposes, along with a delineation of its specifications. The central objective of this research was to determine how the aforementioned gait parameters evolve over time among post-stroke patients. The resulting values indicate the effectiveness of post-stroke gait therapy, which is an important component of independence and autonomy. The study includes participants who have experienced a stroke, the experimental cohort (n=24; females=5, males=19), as well as a control group, healthy individuals (n=47; females=32, males=15). The control cohort was utilized solely for the purpose of result comparison concerning...
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Case Study of Physiotherapy Treatment of a Patient Diagnosed with Systemic Sclerosis
Zálešák, Ondřej ; Novotná, Irena (advisor) ; Vincová, Gabriela (referee)
Author: Ondřej Zálešák Title: Case study of physiotherapeutic treatment of a patient diagnosed with systemic sclerosis Objectives: The objective of this bachelor thesis is processing of theoretical knowledge about systemic sclerosis and subsequent utilization of said knowledge to create a case study of physiotherapeutic treatment of a patient with this diagnosis. Methods: The methods used in the practical part of this thesis are based on the bachelors physiotherapy programme of UK FTVS. Results: The assessment of the effect of therapy indicates, that the overall condition of the pacient was moderately improved, thus fulfilling the set goals partially. Keywords: physiotherapy, rehabilitation, rheumatology, systemic disease, systemic scleroderma
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Pain in patients with multiple sclerosis
Paulů, Kateřina ; Novotná, Klára (advisor) ; Staníčková, Barbora (referee)
The bachelor thesis deals with the topic of pain in patients with multiple sclerosis. The aim of the thesis is to map the prevalence of pain among patients with multiple sclerosis, its localization, time course, triggering factors, type, character, intensity and some other aspects pain through a shortened Czech form of the standardized questionnaire of McGill University. The thesis consists of theoretical and practical part. The theoretical part deals with the issue of pain in general, but also focuses on the individual types of pain that are characteristic of multiple sclerosis. The practical part relies on data collection by means of a questionnaire survey that focuses on mapping the prevalence of pain, its location, haracter, duration, intensity and other possible related factors. To collect data, I used a shorter form of the Czech version of the standardized McGill University questionnaire. The questionnaire survey was carried out with patients of the Centre for Demyelinating Diseases, Department of Neurology 1. LF UK and VFN in Prague, who were given a paper questionnaire. The information I obtained was processed into graphs and tables. The results showed that pain is present in 60 % of respondents with multiple sclerosis, most often localized in the spine and lower limbs. The intensity of...
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Application of virtual reality in upper limb therapy in patients after a stroke
Hnátková, Marie ; Machač, Stanislav (advisor) ; Šembera, Martin (referee)
The theoretical part of the thesis deals with stroke from the medical and physiotherapeutic point of view with respect to movement deficit of the paretic upper limb. Specifically, the diagnosis of the disease, therapy and incidence including risk factors are mentioned. The practical part deals with 7 case reports of patients who underwent rehabilitation using virtual reality 2-3 times a week over the course of 8 weeks. The aim of these case studies is to determine the influence and evaluate the effectiveness of virtual reality therapy on functional deficit of the upper limb in different patients after stroke. The purpose is also to monitor practical aspects of therapy of specific patients after stroke, which will be taken into account in cooperation with the developers for future improvement of rehabilitation systems using VR. The Frenchay arm test, the modified Frenchay scale and the Visual Assessment Score of the Hand Functional Task are used to objectify the function of the upper limb. The evaluation is complemented by the quality of life questionnaires EQ-5D-3L and Short Form-36. The measurement further evaluates the momentum of the paretic upper limb, in particular the joint extent and the rate of spasticity using the modified Ashworth scale. All examinations are performed both at the initial...
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Insight to European Physiotherapy Education systems: How choice of Alma Mater affect Quality of Life and Quality of Education of Physiotherapy Students
Schramlová, Michaela ; Řasová, Kamila (advisor) ; Špaňhelová, Šárka (referee)
Objective: The objective of this study is to describe and compare the current educational systems and selective modalities related to mental health, sleep quality, nutritional habits a physical activity of physiotherapy students in Europe. Methodology: A cross-sectional, descriptive study processing two questionnaires is used with one dedicated to university representatives and the other to physiotherapy students. Results: Although 75% of students rated their quality of life positively and 47% were satisfied with their mental health, 65% showed higher levels of stress and 50.5% describe dan impaired sleep quality. The minimum physical activity of 150 minutes weekly was described by 78.9% of students, within which 67% engage in strengthening twice a week. Students with a higher stress load/worse psychological health also showed worse sleep quality and lower amount of physical activity, women were significantly worse off. In terms of physical activity and sleep quality, students from Finland and Kosovo achieved the best results, while students from Italy, Greece, and Portugal achieved the worst. Students from Italy indicated the greatest dissatisfaction with the organization of the study system and communication between teachers and have the lowest number of taught techniques (15/33), while in Kosovo...
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Botulinum toxin A treatment strategy in cerebral palsy in Czech Republic
Šupíková, Kateřina ; Jevič, Filip (advisor) ; Dyrhonová, Olga (referee)
Botulinum toxin A is a standard treatment of spasticity in cerebral palsy. Rules for its use and subsequent rehabilitation differ in the Czech Republic. Currently, there are no published guidelines for this treatment in the Czech Republic. The principle aim of this thesis is to explore the different strategies for the clinical use of botulinum toxin in Czech Republic. First, the background of this thesis is covering up-to-date information about cerebral palsy, its treatment and its modalities with the main focus on botulinum toxin use and subsequent rehabilitation. Lastly, the background explores the published guidelines for the botulinum toxin treatment in children with cerebral palsy. This thesis is focusing on qualitative research with seven medical doctors in the Czech Republic from eight neurologists in total, who are actively administering botulinum toxin to their patients with cerebral palsy. We are researching their criteria for indication, the strategies they are using when administering BTX, dosing, and the frequent complications they encounter. We also focus on their recommendation of rehabilitation. The outcome of this thesis is a qualitative analysis of the botulinum toxin A treatment strategies uncovering differences in the localization techniques, clinical Another outcome of this...
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