Tyrimo tikslas – įvertinti ligonių, po galvos smegenų insulto, pažeistos rankos funkciją bei reakcijos laiką reabilitacijos eigoje.Tyrimo uždaviniai: 1) įvertinti ligonių, po galvos smegenų insulto pažeistos rankos plaštakos jėgą dinamometru reabilitacijos eigoje; 2) įvertinti ligonių, po galvos smegenų insulto pažeistos rankos funkciją per duotą laiką pagal Frenchay rankos testą reabilitacijos eigoje; 3) įvertinti ligonių, po galvos smegenų insulto pažeistos rankos reakcijos laiką taikant „Liniuotės“ testą reabilitacijos eigoje; 4) nustatyti veiksnius, įtakojančius ligonių, po galvos smegenų insulto pažeistos rankos funkciją bei reakcijos laiką reabilitacijos eigoje.Tyrimo metodika: tyrimas buvo atliekamas Abromiškių reabilitacijos ligoninės neurologijos skyriuje 2009 – 2010 m. Tyrime dalyvavo 21 moteris ir 21 vyras. Tiriamųjų amžiaus vidurkis buvo 63,3 ± 11,8 m. Bendradarbiaujant su reabilitacijos ligoninėje dirbančiais psichologais ir pritaikius atrankos priemonę, trumpą protinės būklės tyrimą (TPBT), tyrimui buvo atrinkti tiriamieji, kurių TPBT buvo ne mažiau kaip 20 balų, nes tolimesniam tyrimui reikėjo, kad ligoniai suprastų komandas ir jas vykdytų. JAMAR® hidrauliniu rankos dinamometru buvo vertinta ligonių rankų raumenų jėga. Frenchay rankos testu buvo vertintas rankos ir plaštakos su pareze miklumas. Ligonių pažeistos rankos reakcijos laiką vertinome „Liniuotės“ testu. Matavimai buvo atliekami 2 kartus: prieš ir po reabilitacijos.Tyrimo išvados: 1) reabilitacijos... [toliau žr. visą tekstą] / The aim of the research - to evaluate the function and reaction speed of the affected hand of the patient after stroke during the rehabilitation.The tasks of the research: 1) to evaluate the strength of the stroke affected hand using dynamometer during the rehabilitation; 2) to evaluate the function of the stroke affected hand in given time using Frenchay arm test during the rehabilitation; 3) to evaluate the reaction time of the stroke affected hand using “Ruler” test during the rehabilitation; 4) to determine the factors that influence the function and reaction of the stroke affected hand during the rehabilitation. Research methodology: the research was executed in Abromiškės rehabilitation clinic, neurology department in 2009 – 2010. 21 men and 21 women participated in it. The average age of the examined people was 63,3 ± 11,8 years. With the help of the psychologists of the clinic and selection method of Mini Mental State Examination (MMSE) patients were selected for the research with MMSE no less than 20 points because it was essential for the patients to understand and follow the commands. The strength of the arm muscles was measured with JAMAR® hydraulic hand dynamometer. The dexterity of the arm and palm with paresis was evaluated by Frenchay arm test. The affected hand reaction time was evaluated by “Ruler” test. The tests were performed twice: before and after rehabilitation.Research conclusions: 1) at the beginning of the rehabilitation the average strength of... [to full text]

The Action Research Arm Test (ARAT) is a standardized tool, which is used for fine and gross motor skills evaluation of hemiparetic patients after stroke. It is widely used abroad thanks to its excellent psychometric properties and easy administration. It is also used in many foreign studies to evaluate the function of upper extremity, especially for neurological patients. Unfortunately, so far it has been used only sporadically in the Czech Republic. In the theoretical part of this thesis the ARAT and the Modified Frenchay Scale (referred as "MFS") is described. In the practical part, the MFS is compared with the ARAT. The main aim of this diploma thesis is a pilot comparison of sensitivity of upper limb motor skills evaluation done by ARAT and MFS. Thirty patients after stroke were tested in the Rehabilitation Center Kladruby in three weeks. They were further divided into three intervention groups according to the severity of the paresis (light, medium, heavy). The analysis of the results shows that the sensitivity of both diagnostic tools is statistically comparable. According to the Spearman correlation coefficient, the ARAT and the MFS correlate very strongly in range of 0.96-0.98. The greatest differences were measured in the group of patients with moderate hemiparesis. In this group, the...