Title: The effect of regular training in Locomat system changing the stereotype of gait of patients after the cerebrovascular accident Objectives: The purpose of this thesis is to evaluate whether it is appropriate to use the Locomat system in therapy of gait of patients after the cerebrovascular accident, what is the effect of regular training of these patients in the Locomat system on their stereotype of gait and whether the training in the Locomat system of patients after the cerebrovascular accident is more effective in comparison with other physiotherapeutic practices. Methods: The thesis was processed in the Kladruby Rehabilitation Centre on 14 probands, who were divided after the entrance examination in order to form two equivalent homogenous groups. The first group of seven members was experimental, the second one was control. At the beginning of the study the rate of gait disorder was specified at each proband using standardized method of Wisconsin Gait Scale, they also underwent 10 - Meter Walk Test and 6 - Minute Walk Test. Afterwards all the probands absolved a three-week lasting standard regime of rehabilitation. The probands of research groups absolved except the rehabilitation regime during this time period regularly 5x times a week fifteen 30-minute lasting therapy units in the...

Title: Massage as a mean of a compensation of graphomotor performance by children with Cerebral Palsy. Objective: The objective of diploma thesis is to verify a positive effect of relaxing massage by children with Cerebral Palsy relate to current graphomotor performance. Methods: The work is conceived as intraclass experimental research. The pre-test and the post-test is carried out by means of the selected items Ozeretzkij's test and the Test of circles and the Test of waves. Results: The methods used in the research did not prove the relationship between the use of the relaxing massage and the current graphomotorics performance by children with cerebral palsy. Key words: graphomotoric, cerebral palsy, relaxing massage, effects of massage

Title: The use of music therapy for physically disabled Author: Bc. Jan Janyška Leading: Mgr. Barbara Valešová Malecová, Ph. D. Summary The thesis is trying to clarify the base of constantly developing discipline called music therapy, specifically music therapy for people with specific needs. In the introduction the psychological value of physical disability is mentioned with a focus on a cerebral palsy. The theoretical chapter is dealing with an impact of sound on a human body considering the music therapy. Practical part is focused on designing a music therapy plan which was subsequently applied in practice with physically disabled people. Key words Physical disability, cerebral palsy, sound, music, music therapy

The focus of the thesis is on the informal caregiver and family, who cares for a family member who has had a stroke. This topic is very relevant because CMP is one of the most common causes of disability and death, both in the Czech Republic and worldwide. The thesis consists of theoretical and practical part. The theoretical part is focused on the study of literature and is divided into 4 basic areas. The first area characterizes the concept of brain and stroke, describes the causes, distribution, symptoms, treatment and consequences of this health and life-threatening event. The second area is the division of coordinated rehabilitation, which is necessary after a stroke, whether it be medical, social, pedagogical, work rehabilitation or spa care. The third area focuses on poststroke therapies such as physiotherapy, speech therapy, occupational therapy and psychology. The next area focuses on forms of social assistance, without which home care for a close person would not be possible, and includes a care subsidy, a special aid subsidy, a mobility subsidy, a disability card and pension. Last but not least, terms such as formal and informal care are explained. The method of qualitative research using semi-structured interview technique was chosen for the elaboration of the practical part. The research group consisted of seven members of the South Bohemian Region who take care of a close member of their family for a long time at home. The interviews were recorded and then literally rewritten. In my research, I tried to answer the question: "What are the family's difficulties in caring for family members after having suffered from CMP and what are their most common problems?" In the discussion, I summarized the findings and hypothesised, based on research. The results of the diploma thesis can serve as a source of information for persons after the stroke and thein families and help to educate the public.

The diploma thesis is focused on psychomotor development in children with cerebral palsy in context of persisting primitive reflexes. Opening chapters summarize theoretical knowledge about cerebral palsy, its etiology, clinical picture, forms and comprehensive diagnostics, including special education. The next part of the thesis focuses on psychomotor development of a child with cerebral palsy, in particular the gross and fine motor activity development and speech development. The main section of the thesis discusses the neurophysiological principles of primitive reflexes and their relevance for early development of a child. The primitive reflexes, one by one, as well as the influence of their persistence on the psychomotor development of the child with cerebral palsy and options of their integration by selected therapeutic concepts are presented. Attention is also paid to the importance of multidisciplinary cooperation of medical rehabilitation and special pedagogical care in the field of primitive reflexology. The practical part is based on qualitative methodology ad its operates with data gained from three case studies. The aim of the diploma thesis is to examine by means of case studies whether or not the integration of primitive reflexes demonstrably improves the psychomotor skills, behavior,...

In the diploma thesis called Nursing Care as a Complication Prevention Tool in the Patient Stroke Center, we dealt with various aspects of nursing care in the stroke center. The development of nursing research in the stroke center lags behind the development of rapidly growing medical knowledge. With the development of medical care, nursing care should respond flexibly. The research intent was to get comprehensive information on preventing complications in patients in the stroke center using nursing care. We have investigated the complications that may arise in patients with acute stroke and how they can be affected by nursing care. We have set three goals: to find out what stroke complications can be influenced in the acute phase by nursing care, to identify nursing activities by nurses in stroke centers to prevent complications and to identify obstacles and limits of preventive nursing care in the stroke center. These objectives correspond to five identified research questions. We were interested in the opinions of the staff on the provided nursing care and we also wanted to know the perception of the care provided by the patients themselves. We have tried to identify key nursing care sites, identify weaknesses and possible shortcomings, and have sought to find the basis for possible improvement in care. The qualitative research strategy was chosen to achieve the objectives of the thesis. The technique of data collection was an individual depth semi-structured interview with ten respondents. The interviews were subjected to qualitative analysis using the ATLAS.ti program. By coding, a total of 104 codes have been identified, grouped into 20 categories. We identified 18 complications that can occur with a stroke patient. For all these complications, we have found interventions to be prevented or alleviated. The results also show that nurses working in the stroke center should have specialized education for intensive care rather than college education. Specialized education in neurological issues, which nurses can acquire through post-graduate stroke seminars and exercises, is also suitable. We have identified systemic barriers to nursing care, including lack of material, lack of time and lack of staff. As obstacles on the part of nursing staff we have identified nursing indifference, poor mood, poor collaboration with the patient, hurried care, physical limitations (back pain, fatigue), lack of awareness, knowledge or skills and inadequate teamwork. As obstacles on the part of the patient we have evaluated speech disorders, perception disorder, unconsciousness, faulty adaptation, lack of cooperation, lack of understanding, distrust, negation, aggression, restlessness, disorientation, apathy, depression, overvaluation of own abilities, conflict with the patient's family. During the research, other interesting facts emerged that do not directly relate to the goals and research questions.

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The diploma thesis deals with the speech therapy of people after stroke. The aim of this diploma thesis is the analysis of the communication abilities of people after stroke. On the basis of this analysis was created for two person therapeutic material, which was verified during speech therapy. The diploma thesis is devided into two parts. The theoretical part of the thesis analyses the issue of stroke and neurogenic communication disorders on the basis of the current state of knowledge. The practical part of the thesis is performed with qualitatively focused research with the use of case studies, observation and creating own therapeutic material. Case studies describe speech therapy and work with material. The research shows that the therapeutic material is usable in practice. KEYWORDS stroke, aphasia, dysarthria, therapeutic material, case studies

Title: Functional assessment after experiemantally induced focal cerebral ischemia in rat. Objectives: The aim of this diploma thesis was to design and test a set of motor tests, which provide an effective assessment of motor deficit, which forms after small ischemic lesion of primary motor cortex. Methods: Experiment was performed in 16 Long Evans rats from breeding in Institute of Physiology, Academy of Sciences of the Czech Republic. Rats were devided into two groups (experimental and control). Ischemic lesion was induced by a photothrombotic stroke model to affect a small area - a motor cortex. For functional assessment we used five motor tests - Reaching test, Bar holding test, Rotarod test, Ladder rung walking test and Oper field test. For data analysis we used program Sigma Stat3.5®SPSS and Microsoft Excel 2010. Results: Our findings demonstrate that a small lesion of motor cortex is objectively measurable by Reaching test, which focuses on grip and fine motor skills. Other tests assess mainly gross motor skills and there we did not find a significant difference between experimental and control group. Our findings show that functional deficit manifests mostly in funkction of upper limb. During the time of the experiment we can see an improvement and increasing success in Reaching test and...

The aim of this master thesis is to evaluate the effect of selective dorsal rhizotomy (SDR) on gross motor functions in children with spastic cerebral palsy with Gross Motor Function Measure (GMFM). I had also collected knowlegdes about SDR and GMFM. I investigated four children undergoing selective dorsal rhizotomy in the Czech republic and I took data from 16 foreign studies to discuss it and to compare the results and conclusions. I tried to identify the factors responsible for different outcomes of the studies. Powered by TCPDF (www.tcpdf.org)