Aquired brain injury is still a current topic and a serious problem nowadays. After a treatment, a lot of consequences appear which cause a long-term inability to work and invalidation of many people. One of the serious problems is a disorder of cognitive functions which disables people to get back to a normal life. One of the options how to affect the cognitive functions impairment is a system called CogniPlus. Theoretical part of this work presents aquired brain injury, its dividing, basic classification and the consequences. Furthermore, this work dedicates to rehabilitation of cognitive functions using both computers and conventional methods. It also shows the work of the occupational therapist and the possibility of cognitive function testing. The aim of the research is to find out if CogniPlus cognitive function training is more effective than the conventional pencil-paper method. 20 people were tested in this study. Unfortunately, one of them had to quit due to health problems. The experimental and the control group had a therapy once or twice a week. All the participants went through Addenbrooke cognitive test and through a questionnaire of cognitive mistakes at the beginning and at the end of the testing. The experimental group showed a significant improvement in the global score ACE and in the...

The Occupational Therapist's Intervention for Adult Patients with Neurogenic Dysphagia Abstract of the Thesis: Dysphagia is a serious disorder, often caused by a cerebrovascular accident; in many cases it may be its only or primary symptom, and even the cause of death. The main objective of this thesis is to raise awareness of swallowing disorders among occupational therapists. Despite the fact that the occupational therapist's intervention for patients with swallowing disorder is common practice among occupational therapists abroad, this issue still is not well known among occupational therapists in the Czech Republic. There is also a considerable lack of Czech literature dealing with swallowing disorders from the occupational therapy point of view. This thesis therefore not only presents theoretical findings in this field but also recommends practical procedures for occupational therapists. The theoretical part of the thesis describes functional anatomy of the swallowing structures and swallowing physiology and pathophysiology. It analyses different causes of dysphagia with a focus on neurological disorders, defines the term dysphagia and other related terms, and briefly explains several classification methods of dysphagia. While the first part of the thesis looks primarily into the diagnostics and...

OF DIPLOMA THESIS Author: Bc. Lenka Macková Supervisor: Mgr. Olga Marková Title: Evaluation of quality of life in patients with brain acquaired brain injury from the perspective of occupational therapy Abstract: Acquired brain injury is one of the most common causes of a reducing quality of life. The concept of quality of life is defined differently in different areas and there is no uniform definition. The theoretical part introduces the operationalization and conceptualization of concept of the quality of life and the use of evaluation of quality of life in occupational therapy in the Czech Republic and abroad. The aim of diploma thesis is to describe how acquired brain injury affects the quality of life, how to evaluate the quality of life in occupational therapy, and what quality of life areas are influenced after acquired brain injury and to evaluate subjectively the impact of occupational interventions on quality of life in these patients. The practical part contains 6 case studies of patients after acquired brain injury. Patients were assessed for quality of life through a WHODAS 2 subjective quality of life questionnaire and semi-structured interviews.This assessment was carried out before and after occupational intervention in patients after 2 months. The interviews and the results of the...

This dissertation focuses on the issue of combination of two occupations, occupational therapy and special education. Firstly, there is a detailed description of occupational therapy, its aims, division etc. Then it explores comprehensive rehabilitation in which these two branches blend most frequently. There is a description of the cooperation of an occupational therapist and a special educationalist and a description of applied occupational therapy in selected areas and of selected diagnoses. The selected areas are put together according to the subdisciplines of special education. The diagnoses are determined on the basis of the most common cooperation of both occupations. The main aim of the dissertation is the analysis of the possibilities of cooperation and its use in practice. There is also evaluation of questionnaires which were made for the purpose of this dissertation. The respondents were occupational therapists and special educationalists and their answers mirror the real position of both branches in practice. The result of the survey is lack of cooperation which should be improved in the future in order to enhance the quality of therapeutic treatment. KEY WORDS: occupational therapy,rehabilitation, comprehensive rehabilitation, special education, cooperation, therapy

OF DIPLOMA THESIS Author: Bc. Kateřina Hodboďová Supervisor: Mgr. Anna Krulová Title: Clinical utility of the QUEST test in occupational therapy for evaluation of the upper extremities function in children with cerebral palsy Subtitle: QUEST - Quality of Upper Extremity Skills Test This diploma thesis engages in description of the QUEST (Quality of Upper Extremity Skills Test) test and its practical contribution to the practice of occupational therapy. The main aim of the thesis is to demonstrate the utility of the QUEST test as an evaluation of functional capabilities of upper extremities in children with cerebral palsy in Czech occupational therapy practice. The theoretical part provides basic information about cerebral palsy in children, about the possibilities of intervention in occupational therapy focussed on upper extremities, about the importance of assessment in occupational therapy, with an emphasis on the use of standardized evaluation tools in occupational therapy. Big part is also devoted to the characteristics of the foreign test QUEST. It includes information about the origin of the test, psychometric properties and normative data. Furhtermore, the description of the test items, the method of administration and evaluation, as an interpretation of the results are included. The...

This Master's thesis focuses on Occupational therapy for patients after application of botulinum toxin to upper limb. The aim of the thesis was to evaluate and compare a progress of functional independence in patients after acquired brain injury. There were twenty patients involved in the research, who were further divided into two groups and separated by ten people in each group. Both groups underwent the application of botulinum toxin whereas the experimental group A went through the occupational therapy. The control group had ordinary rehabilitation at home and without any occupational intervention for the duration of twelve week under guided self-rehabilitation contract of spastic paresis, so-called GSC. A programme of the group A included over the counter rehabilitation outpatient occupational therapy. The patients attended the course twice a week for the duration of four weeks. Afterwards, they received a home programme for the duration of eight weeks, during which they had two examinations at occupational therapy. All the participants were evaluated by Global Subjective Self-Assessment which is focused on spasticity. There were further evaluated according to Functional Independece Measure and modified Frenchay Arm Test. The experimental group with outpatient occupational therapy was...

Constraint induced movement therapy is one of many neurorehabilitation methods, based on principle of overcoming the learned non-use phenomenon by a specific therapeutic protocol including some behavioral techniques. A classification of currently available studies on the topic have been made on the model of literature review, with an in-depth focus on using Constraint induced movement therapy in occupational therapy for adult patients after stroke who have upper limb motor disorders. The present study is structured into two sections: a theoretical part and an analytic-descriptive one. In theoretical part history of the method is presented together at Basic method principles and detail contents of a therapeutic protocol. The analytical and descriptive section is aimed to analyse international studies important and relevant with respect to an occupational therapy practice. In this second section are also proposed many possible activities of shaping and task practice techniques which can be used by occupational therapists. Translation of the most widely used test (Motor Activity Log and Wolf Motor Function Test) into Czech language is included. Keywords: constraint induced movement therapy, stroke, upper extremity, occupational therapy

Aquired brain injury is still a current topic and a serious problem nowadays. After a treatment, a lot of consequences appear which cause a long-term inability to work and invalidation of many people. One of the serious problems is a disorder of cognitive functions which disables people to get back to a normal life. One of the options how to affect the cognitive functions impairment is a system called CogniPlus. Theoretical part of this work presents aquired brain injury, its dividing, basic classification and the consequences. Furthermore, this work dedicates to rehabilitation of cognitive functions using both computers and conventional methods. It also shows the work of the occupational therapist and the possibility of cognitive function testing. The aim of the research is to find out if CogniPlus cognitive function training is more effective than the conventional pencil-paper method. 20 people were tested in this study. Unfortunately, one of them had to quit due to health problems. The experimental and the control group had a therapy once or twice a week. All the participants went through Addenbrooke cognitive test and through a questionnaire of cognitive mistakes at the beginning and at the end of the testing. The experimental group showed a significant improvement in the global score ACE and...

Introduction: Fractures of the proximal end of the femur are one of the most frequent diagnoses. Patients with this diagnosis have to deal with performing daily activities. Both for painas well for the necessity of adherence to antiluxal measures. Thanks to this decrease thein independence from the other person. As one of the maingoals in this diploma thesis we determined means how occupational therapy canincrease self - sufficiency in this target group. As other goals, we found in formativ about the selection and financing of compensatory aids and we made a manual about this information. We focused on the factors that affect the return of patients to the home environment. Methodology: In the personal parts we chose 6 case studies (3 men and 3 women), in the averageage 73.5 years (median 72, 5), youngest 64 years, oldest 85 years. Patients underwent 5 therapies dedicated to the training of self - sufficiency of personal everyday activities (pADL). We measured the effectiveness of th erapeutic units using the Barthel Index. We observed them and found out chat compensatory aids they use for self-sufficiency Results: Probands recese daverage 33.3 points in the evaluationat the initialexamination. After graduating therapiest heave rage performance of all probands obtained at 67, 5 points. They used...

The aim of this master's thesis is to describe the possibilities of interprofessional cooperation of an occupational therapist and a behavioral analyst in selected personal activities of daily living in children with autism spectrum disorder (ASD). With the help of activity analysis the view of both experts was demonstrated resulting in the description of their therapeutic intervention. The theoretical part describes the basic characteristics of ASD including selected personal activities of daily living with which children with ASD may have difficulties. The following chapters are about the basic principles of occupational therapy including the description of activity analysis, which is one of the important evaluation methods in occupational therapy. Furthermore the history and the basic characteristics of applied behavioral analysis (ABA) is described focusing on activity analysis used in the ABA program. The next chapter describes the common areas of both professions including shared elements and therapeutic approaches. The last chapter is devoted to the description of the interprofessional cooperation of an occupational therapy and a behavioral analyst. The practical part consists of 3 descriptive case studies in which an occupational therapist and a behavioral analyst performed a task analysis...