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Dissertations / Theses on the topic 'Ergoterapie'
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1
Mingaila, Sigitas. "Ligonių po nugaros smegenų pažeidimų funkcinės būklės ir sutrikusios veiklos korekcija, taikant ergoterapiją, ankstyvuoju reabilitacijos laikotarpiu." Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2006. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2005~D_20060111_012413-75949.
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LIST OF ABBREVIATIONS
FIM - Functional Independence Measure.
P - Significance level.
CI - Confidence interval.
df -degrees of freedom
SD - Standard deviation.
OR - Odds ratio.
AOTA - American Occupational Therapy Association.
COPM - Canadian occupational performance measure.
NS - Not significant.
ASIA - American Spinal Cord Injury Association.
1. Introduction
About 140 – 150 people suffer from traumatic spinal cord injury in Lithuania annually. Also, there are frequent cases of non-traumatic spinal cord injury caused by hernia of intervertebral disc, tumours and disorders of spinal cord circulation. Spinal cord injury causes motor, sensor and autonomic dysfunctions, as well as bowel and bladder dysfunctions which are considered to be the main factors causing disability.
Patients after spinal cord injury face disorders of daily living, decrease of work and leisure possibilities. Reintegration after rehabilitation period is very important as more than 50 % of spinal cord injuries appear among people of 16 – 30 years. Rehabilitation period of such people is a long-lasting process which aims at readjustment of all activity areas. During rehabilitation process it is essential to foresee the aims which are influenced by the level and grade of injury, as well as age and gender of patients.
Occupational therapy, as a part of complex rehabilitation, is applied for the solution of problems of activity disorders of patients after spinal cord injury. Purposeful... [to full text]
2
Petruševičienė, Daiva. "Sergančiųjų galvos smegenų insultu veiklų, motorikos, pažintinių ir psichosocialinių funkcijų bei ergoterapijos efektyvumo įvertinimas ankstyvuoju reabilitacijos laikotarpiu." Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2006. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2006~D_20060108_160602-31187.
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Background. In Lithuania, the stroke is not only medical, but social issue as well, since only 20% of patients suffering stroke remain active in work. Yearly stroke incidence in Lithuania is 7000–8000 cases. Most common outcome of stroke is unilateral paralysis (hemiplegia), followed by disorders of coordination, balance and movements. Due to dysfunctions of movements, self-care, cognition, behavior, and communication, some part of stroke patients remains disabled. They need assistance and care, provided by other people.
During rehabilitation it should be applied occupational therapy sessions, since they determine improvement of patient’s independence and enable training of work skills. The evaluation of certain occupational therapy methods is integral part of complex rehabilitation development. There exist several occupational therapy methods and models, enabling to adjust motoric and cognitive dysfunctions; however, in occupational therapy practice there is still a lack of evidence-based evaluation methods for effectiveness of certain occupational therapies, and evaluation of cognitive and motoric functions and disorders of activities by stroke patients.
Aim of study: To evaluate dynamics of motoric, cognitive, psychosocial functions and disorders of activities and to evaluate effectiveness of occupational therapy including related factors on early stage of rehabilitation.
Goals of study:
1. To estimate dynamics of motoric, cognitive, psychosocial functions and disorders of... [to full text]
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Bagužaitė, Lina. "Ergoterapijos poveikio vertinimas priklausomų nuo alkoholio ir narkotikų asmenų veiklai, interesams bei pomėgiams." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2008. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2008~D_20080619_134813-34536.
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Priklausomybė - tai sveikatos sutrikimas, liguistas polinkis kartoti tą patį veiksmą ar vartoti tą pačią medžiagą pakartotinai daug kartų.
Priklausomybių nuo įvairių medžiagų rodikliai visame pasaulyje auga. Dažniausiai vartojami narkotikai bei alkoholis.
Šio darbo tikslas yra įvertinti asmenų, priklausomų nuo alkoholio ir narkotikų, užimtumą, interesus bei nustatyti ergoterapijos efektyvumą.
Darbo uždaviniai: Įvertinti asmenų, priklausomų nuo alkoholio ir narkotikų, veiklą; nustatyti asmenims, priklausomiems nuo alkoholio ir narkotikų, interesus bei pomėgius ir įverinti ergoterapijos poveikį tirtų asmenų veiklai, interesams bei pomėgiams.
Tyrimas atliktas priklausomybės ligų reabilitacijos dienos centre. Tirti pacientai - turintys problemų dėl alkoholio ar narkotikų vartojimo. Tyrimas atliktas nuo 2007 04 mėn. iki 2008 03 mėn. Tyrime dalyvavo 24 (22 – 62 metų amžiaus) pacientai - 10 moterų ir 14 vyrų. Priklausomų nuo alkoholio buvo 14, nuo narkotikų – 10 asmenų. Iš tyrime dalyvavusių pacientų, reabilitacijos programą baigė 19. Tirti 5 asmenys reabilitacijos programos nebaigė. Pacientai buvo tirti 2 kartus (reabilitacijos pradžioje ir pabaigoje).
Tyrimo (reabilitacijos) metu vyko grupiniai ergoterapijos užsiėmimai bei individualios konsultacijos. Reabilitacijos metu, tirtiems pacientams vidutiniškai teko po 14 konsultacijų ir 8 grupinius užsiėmimus.
Priklausomiems nuo alkoholio ir narkotikų asmenims buvo atliktas veiklos atlikimo (funkcinio užimtumo) įvertinimas... [toliau žr. visą tekstą]Addiction - is a health disorder, sick tendency to repeat same action or use the same substance repeatedly. The addiction to substances rate is increasing for all levels of society. The most often are used drugs and alcohol. The purpose of the research is to assess occupation and interest for persons, addicted to alcohol and drugs, and to identify effectiveness of occupational therapy. The goals of the research: to assess the occupation for persons, addicted to alcohol and drugs, to identify interest and hobby for persons addicted to alcohol and drugs and to assess effect of occupational therapy for persons occupation, interest and hobby. The research is made in day center of addiction diseases. The assessed patients are addicted to alcohol and drugs. The research is made from 2007 04 till 2008 03. The contingent consisted of 24 (22 – 62 year old) patients – 10 women and 14 men. Addicted to alcohol were 14, to drugs – 10 persons. The rehabilitation program finished 19 patients. Assessed 5 persons did not finished the rehabilitation program. The patients were assessed two times ( in the beginning and in the end of rehabilitation). During the research (rehabilitation) there were occupational group therapy and individual counseling. During the rehabilitation each patient had 14 consultations and 8 group therapy’s. For persons addicted to alcohol and drug were made assessment of occupational functioning and interest checklist. According to these tests, were assessed occupation... [to full text]
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Jančauskaitė, Dainora. "Motyvacijos įtaka ergoterapijoje pacientų savarankiškumui." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2008. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2008~D_20080619_133011-23790.
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Šio darbo tikslas – įvertinti motyvacijos įtaką ligonių savarankiškumui. Tyrimo uždaviniai: įvertinti pacientų motyvaciją ir savarankiškumą prieš taikant ergoterapiją; įvertinti motyvacijos ir savarankiškumo pokytį taikant ergoterapiją; nustatyti pacientų motyvacijos ir savaranki��kumo ryšį.
Tyrimas buvo atliktas VĮ Šiaulių apskrities ligoninėje fizinės medicinos ir reabilitacijos skyriuje 2008m. Tyrime dalyvavo 30 pacientų: 20 moterų (67 proc.) ir 10 vyrų (33 proc.). Visi pacientai buvo suskirstyti į amžiaus grupes: iki 44 metų (23 proc.), 45–59 metų (50 proc.) ir 60-74 metų amžiaus (27 proc.). Pagal susirgimo pobūdį išskirti judamojo-atramos aparato pažeidimai (57 proc.) ir nervų sistemos ligos (43 proc.).
Tyrimui buvo atrinkti pacientai, kuriems buvo taikyta ambulatorinė reabilitacija. Pirminis pacientų vertinimas buvo atliekamas pirmą dieną jiems atvykus į ergoterapijos procedūras. Ambulatorinės reabilitacijos pabaigoje buvo atliekamas pakartotinis pacientų vertinimas. Įvertinti pacientų motyvaciją buvo naudoti du klausimynai. Pasveikimo padėties valdymo klausimynas (PPVK) atspindi paciento motyvaciją. Platus sveikatos padėties kontroliavimo klausimynas (PSPKK) buvo taikytas vidinės motyvacijos vertinimui. Paciento funkcinė būklė buvo vertinama panaudojant funkcinio nepriklausomumą testą (FNT). Ergoterapijos taikymo kryptys buvo apsitarnavimo mokymas ir motyvacijos veiklai skatinimas.
Ambulatorinės reabilitacijos pradžioje pacientams vyravo nežymūs veiklos sutrikimai... [toliau žr. visą tekstą]The aim of this work – to evaluate the influence of motivation upon patients‘ independence. The task: to evaluate patients‘motivation and independence before applying occupational therapy; to evaluate the change of motivation and independence while applying occupational therapy; to determine the relation of patients‘motivation and independence. The research has been carried out in VĮ Šiauliai country hospital in the department of physical medicine and rehabilitation in 2008. 30 patients participated in the research: 20 women (67%) and 10 men (33%). All patients have been divided into age groups: up to 44 years (23%), 45-59 years (50%) and 60-74 years (27%). According to the character of contraction of a disease, the lesions of movable-support apparatus (57%) and disease of nervous system (43%) have been distinguished. Patients to whom out-patient rehabilitation had been applied were selected for the research. The primary patients’ evaluation was performed during the first day after their arrival to the procedures of occupational therapy. At the end of out-patient rehabilitation the second patients’ evaluation has been carried out. Two questionnaires were used to evaluate patients’ motivation. Recovery Locus of Control (RLC) reflects patients’ motivation. Multidimensional Health Locus of Control (MHLC) scale was applied to evaluate the internal motivation. Patients‘ functional condition was evaluated using a Functional Independence Measure (FIM). The way of application of... [to full text]
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Petravičius, Dainius. "Asmenų, patyrusių C4-7 nugaros smegenų segmentų kaklinės dalies pažeidimą savarankiškumo bei vežimėlio valdymo įgūdžių vertinimas vėlyvuoju reabilitacijos laikotarpiu." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2009. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2009~D_20090610_132804-20732.
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Darbo tikslas: Įvertinti asmenų, patyrusių C4-C7 nugaros smegenų kaklinės dalies pažeidimą, savarankiškumo bei vežimėlio valdymo įgūdžių kaitą ir juos įtakojančius veiksnius velyvuoju reabilitacijos laikotarpiu.
Metodika. Tyrime dalyvavo asmenys, patyrę kaklinės dalies nugaros smegenų pažeidimą, vėlyvuoju reabilitacijos laikotarpiu Valakupių reabilitacijos centre dalyvavę šiame centre organizuojamoje Savarankiškumo įgūdžių ugdymo programoje. Testuojant siekiama įvertinti Savarankiškumo įgūdžių ugdymo programos efektyvumą šiems asmenims. Pagal nugaros smegenų pažeidimus, asmenys suskirstyti į patyrusius: C5 ir aukštesnio segmento pažeidimus, С6 segmento pažeidimus, С7 segmento pažeidimus. Tiriamieji vertinti programos pradžioje ir pabaigoje vertinant jų funkcinį nepriklausomumą Funkcinio nepriklausomumo testu (FNT), taip pat vežimėlio valdymo įgūdžius Vežimėlio valdymo testu.
Rezultatai. Programos metu asmenims, patyrusiems kaklinės dalies nugaros smegenų pažeidimą, efektyviai pagerėjo tiek funkcinio savarankiškumo, tiek vežimėlio valdymo įgūdžiai (p<0,05). Funkcinio nepriklausomumo rezultatai prieš ir po programos labai priklausė nuo pažeidimo lygio, pažeidimo gylis šiame tyrime lemiamos įtakos neturėjo.
Įvertinus funkcinę būklę nustatyta, kad mažiausia problema šiems asmenims buvo pavalgymas (4,98±1,0), didžiausi sunkumai iškildavo susidūrus su laiptais (1,38±0,49), kitose srityse tiriamieji apsitarnaudavo esant vidutinei ar minimaliai pagalbai. Pagal Vežimėlio valdymo... [toliau žr. visą tekstą]Thesis subject: Effectiveness of Self-support skills development program in Valakupiai Reabilitation Center for persons with cervical part spinal cord injury. Thesis aim: To evaluate self-support wheelchair manipulation skills development for persons with cervical part spinal cord injury during late rehabilitation stage. Thesis methods: The participants of the study were patients with cervical part spinal cord injury, that participated in Self-support skills development program in Valakupiai Reabilitation Center. The examination was performed in order to evaluate the effectiveness of this program for participants. According to spinal cord injuries, participants were grouped into groups of injured spinal cord cervical segments: C5 or higher, C6 and C7 segments. Participants were assessed using Functional Independence Measure (FIM) to assess their independecy and Wheelchair manipulation test to assess wheelchair manipulation skills in the beginning and in the end of the program. Outcomes: Functional independence and wheelchair manipulation skills statistically significantly improved for participants (p<0,05). Functional independence results were dependent on injured segment, the level of the injury did not influence the results very much. Functional independence results showed, that the least problematic domain for participants was eating (4,98±1,0), the most problematic domain was climbing staircase (1,38±0,49). The hardest task in wheelchair manipulation was safe falling out... [to full text]
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Pranskaitytė, Aistė. "Asmenų, patyrusių stipinkaulio lūžį, rankos funkcijos ir savarankiškumo korekcija ergoterapijos priemonėmis." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2007. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2007~D_20070803.092710-71784.
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Stipinkaulio lūžiai – tai vieni iš dažniausiai pasitaikančių lūžių suaugusiems. Šie lūžiai sudaro 10-15% visų lūžių. Nustatyta, kad per visą gyvenimą iš dešimties maždaug du ��monės patiria lūžius. Dėl lūžio sutrinka pirštų, plaštakos, dilbio ir iš dalies – visos rankos judėjimo funkcija.
Šio darbo tikslas – įvertinti ergoterapijos poveikį ligoniams, patyrusiems stipinkaulio lūžį. Darbo uždaviniai: 1. Įvertinti plaštakos funkciją ligoniams, patyrusiems stipinkaulio lūžį, 2. Įvertinti ligonių savarankiškumą patyrus stipinkaulio lūžį, 3. Įvertinti ergoterapijos poveikį šių ligonių rankos funkcijos ir savarankiškumo pagerinimui.
Tyrimas buvo atliktas Všį Kauno Kalniečių poliklinika. Tirti asmenys, patyrę stipinkaulio lūžius. Tyrime dalyvavo 100 ligonių. Ligoniai buvo suskirstyti į dvi grupes: pirmą ir antrą po 50 ligonių. Pirmą grupę sudarė ligoniai, patyrę dešinės rankos stipinkaulio lūžį. Antrą – ligoniai, patyrę kairės rankos stipinkaulio lūžį. Abiejų grupių ligoniams buvo sudaryta ir taikyta individuali ergoterapijos programa, atsižvelgiant į rankos funkcijos ir savarankiškumo sutrikimą. Ergoterapijos poveikiui įvertinti buvo naudojama: šiam tyrimui paruoštas klausimynas, plaštakos jėgos matavimas dinamometru, plaštakos funkcijos matavimas goniometru, skausmo ir sustingimo vertinimas, funkcinis judėjimo testas (Modifikuotas Keitelio indeksas), funkcinio nepriklausomumo testas (FNT).
Tyrimo išvados: 1.Įvertinus plaštakos funkciją ligoniams, patyrusiems stipinkaulio lūžį, buvo... [toliau žr. visą tekstą]Radius fractures – are one of the most likely to occur fractures for adults. From all fractures they include from 10 to 15 % of all fractures. It is examined that through whole life, two persons of ten sustain these fractures. Due to fracture fingers, hand, forearms and in part – whole hands, function becomes irregular. Aim of this work is to estimate occupational therapy influence to patients, experienced radius fracture. Tasks of this work is: 1. Evaluate patients hand function, who are experienced spoke-bone fracture, 2. Evaluate patients independence after this fracture, 3. Evaluate occupational therapy effect to these patients hand function and self-care improvement. Research was made at Všį Kauno Kalniečių clinic. Examined people had radius fracture. There were analyzed hundred patients. They were separated into two groups: first and second, both with 50 patients. First group patients had right hand spoke-bone fracture. Second – patients with left hand spoke-bone fracture. To all patients from both groups was adjusted and applied individual occupational therapy programs considering their hand function and autonomy disorder. In order to estimate impact of occupational therapy was used: specially for this research prepared questionnaire; hand strength was measured with dynamometer; hand function was measured with goniometer; also it was evaluated pain and rigor; patients were examined with function movement test (Modified Keitel index) and functional independence... [to full text]
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Baltraitis, Tadas. "Ergoterapijos įtaka ligonių, persirgusių galvos smegenų infarktu, smulkiosios motorikos lavėjimui ankstyvuoju reabilitacijos laikotarpiu." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2008. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2008~D_20080619_133123-92341.
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Insultas – ūminis fokalinis galvos smegenų ar tinklainės kraujotakos nepakankamumas, pasireiškiantis židininiais neurologiniais simptomais, trunkančiais ilgiau kaip 24 valandas [9]. Insultas yra ne tik didelė socialinė, bet ir ekonominė problema. Išsivysčiusių šalių duomenimis, 50% persirgusių insultu žmonių lieka laikinai arba nuolat neįgalūs, apie 10% reikia slaugos ir tik 20% ligonių vėl būna darbingi [4]. Ergoterapijos taikymas, atsižvelgiant į vyraujančius veiklos sutrikimus, yra neatskiriama kompleksinės reabilitacijos dalis. Ergoterapeutas yra reabilitacijos komandos narys, todėl nuolat konsultuodamasis su kitais jos nariais gali parinkti tinkamas ligoniui ergoterapijos priemones bei metodiką [7]. Apibendrinant literatūros duomenis galima pasakyti, kad ankstyvas ir kartojamas rankos aktyvinimas lėmė kliniškai svarbų, ilgai išliekantį poveikį. Ligoniai po GSI turėtų būti drąsinami, skatinami intensyviai lavinti pažeistą ranką [22].
Tyrimas buvo atliktas Apskrities ligoninės ir Kauno antros klinikinės ligoninės fizinės medicinos ir reabilitacijos poskyriuose. Tyrime dalyvavo 30 ligonių, patyrusių galvos smegenų infarktą, iš jų 11 (37%) vyrų ir 19 (63%) moterų. Ligonių amžiaus vidurkis – 70,5 ± 1,7 metų. Vyrų amžiaus vidurkis buvo 63,6 ± 2,9 metų, moterų amžiaus vidurkis buvo 74,5 ± 1,5 metų. Visiems tyrime dalyvavusiems ligoniams buvo nustatytas smulkiosios motorikos sutrikimas. Ligoniai buvo atrinkti naudojant ergoterapeuto apklausos anketą, kurią sudarė 10 užduočių... [toliau žr. visą tekstą]Stroke is sudden deficiency of blood circulation in brain that shows itself in focal neurological symptoms lasting more than 24 hours [9]. Stroke is not only social but and economic problem. Due to economicaly developed countrys data approximately 50% patients after stroke statys disabled temporary or for a life time, 10% needs nursing and only 20% patients can work again [4]. Occupational therapy is a inseperable part of rehabilitation. Occupational therapist is a member of a rehabilitation team therefore by consulting with other team member he can choose the best devices and methodics for the patient [7]. In concluding the literature it should be said that early and repetitive activation of the hand can cause clinicaly important and long lasting effect. Patients after stroke should be encouraged to train the affected arm [22]. This research was accomplished at District hospital and 2-nd Kaunas clinical hospital corporal medical department. There were tested 30 patients: 11 (37%) men and 19 (63%) women. The patients age average was – 70,5 ± 1,7 years. Mens age average was 63,6 ± 2,9 years and womens age average was – 74,5 ± 1,5 years. All patients who took part in this research were right-habded and had disorder of fine motor skills. For this research patients were screened by using a questionnaire. This questionnaire consisted of 10 tasks which helped occupational therapist to assess fine motor skills. The assessment of fine motor skills was done when the patients... [to full text]
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Ivonytė, Rita. "Ergoterapijos įtaka savarankiškumo įgūdžių vystymuisi vaikams, sergantiems autizmu." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2007. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2007~D_20070803.093637-24039.
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Tyrimo tikslas – įvertinti ergoterapijos įtaką savarankiškumo įgūdžių vystymuisi vaikams, sergantiems autizmu. Tyrimas atliktas Kauno vaikų abilitacijos centre 2007 metais sausio – balandžio mėnesiais. Tyrime dalyvavo 28 vaikai, sergantys autizmu: 14 (50%), kuriems papildomai taikyta ergoterapija ir 14 (50%), su kuriais dirbo tik spec. ugdytojas; 8 (29%) mergaitės ir 20 (71%) berniukų. Vaikų amžius nuo 3 iki 17 metų. Tyrimo metu vaikų savarankiškumo įgūdžiai vertinti naudojant Ivoškuvienės R. ir Balčiūnaitės J. rekomenduojamą įgūdžių tikrinimo schemą. Įgūdžių tikrinimo schema – tai 11 skalių schema, padedanti įvertinti vaiko dėmesingumą, bendrąją motoriką, smulki���ją motoriką, rankos ir akies koordinaciją, komunikaciją, suvokimą ir mąstymą, skaičiavimą, skaitymą, savarankiškumą, žaidimą, elgesį. Šiame tyrime dalyvaujantys vaikai buvo mokomi savarankiškumo, ugdomi valgymo (5 užduotys), prausimosi (4 užduotys) bei apsirengimo ir nusirengimo įgūdžiai (11 užduočių), kuriuos iš viso sudarė 20 užduočių - minimali 20 balų, o maksimali 100 balų suma. Buvo atrinktos porinės imtys: kiekvienam pirmosios imties elementui parinktas visais atžvilgiais analogiškas antrosios imties atstovas pagal amžių, autizmo sunkumo laipsnį bei savarankiškumo įgūdžius. Abiejose grupėse buvo po 4 vaikus, kurie turėjo lengvą autizmo sunkumo laipsnį, po 5 vaikus, turinčius vidutinį autizmo sunkumo laipsnį, po 3 - žymų ir po 2 vaikus labai žymų autizmo sunkumo laipsnį. Buvo lyginamas tiriamosios ir... [toliau žr. visą tekstą]The goal of the research is to evaluate the influence of occupational therapy upon the development of self-independence skills of autistic children. Research was performed at the children's rehabilitation center in Kaunas from january to april, 2007. 28 children with autism participated in the research: 14 (50%) who received supplementary occupational therapy and 14 (50%) only received training from a specialized trainer; 8 (29%) were girls and 20 (71%) were boys. The children's ages ranged from 3 to 17 years of age. During the research the children's self-independence skills were evaluated by using the self-independence skill scheme of R. Ivoškuvienė and J. Balčiūnaitė. Skill evaluation scheme is an 11 scale scheme, assisting in evaluating the child's attentiveness, broad motor skills, fine motor skills, hand and eye coordination, communication, perception and thinking, numeration, reading, self-independence, playfulness and behavior. The children who participated in this research were taught self-independence, trained in eating (5 tasks), washing oneself (4 tasks) and getting dressed and undressed skills (11 tasks), these consisted of 20 skills - lowest score was 20 and highest score was 100. The children were paired up: from the first group there was selected a similar child from the second group that was similar in age, the level of autism and self-independence skills. Each group consisted of 4 children who had a low level of autism, 5 children with a medium level of... [to full text]
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Ambrazevičius, Audrius. "Kinezioteipavimo poveikis po tolimojo stipinkaulio galo lūžių, rankos funkcijai ir savarankiškumui." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140618_233756-93897.
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Stipinkaulio distalinio galo lūžiai (SDGL) yra vienas dažniausių kaulų ir raumenų sužalojimų, sudarantys apie 3 proc. visų rankos sužeidimų.
Lietuvoje, Sveidros duomenimis, 2010 m. dėl SDGL hospitalizuoti 1375 pacientai (986 moterys ir 389 vyrai). Vyrų traumų skaičiaus nei didėjimo, nei mažėjimo tendencijos nėra. Moterų traumų nuo 50–55 m. skaičius padvigubėja (47 iki 99). Vyresnių moterų SDGL patogenezės pagrindas gali būti osteoporozė. Tyrimo tikslas: Įvertinti kinezioteipavimo poveikį pacientams po tolimojo stipinkaulio galo lūžių. Tyrimo uždaviniai: 1. Įvertinti pacientų rankos funkciją ir savarankiškumą prieš ergoterapiją ir po jos taikant kinezioteipavimą; 2. Įvertinti pacientų rankos funkciją ir savarankiškumą prieš ergoterapiją ir po jos be kinezioteipavimo; 3. Palyginti ergoterapijos efektyvumą taikant kinezioteipavimą;
Tyrimas buvo atliktas 2013 metų spalio – kovo mėnesiais. Ištirti 32 pacientai, patyrę tolimojo stipinkaulio galo lūžius, Viešosios įstaigos „Kauno klinikinėje ligoninėje“ bei „Kauno klinikos“, reabilitacijos skyriuje, gydyti ambulatoriškai. Pacientai buvo suskirstyti į dvi grupes: kontrolinę ir tiriamąją. Kontrolinę grupę sudarė pacientai, kuriems taikyta ergoterapija be kinezioteipavimo. Tiriamąją grupę sudarė pacientai, kuriems taikyta ergoterapija ir kinezioteipavimas. Abiejų grupių pacientams buvo sudaryta ir taikyta individuali ergoterapijos programa, atsižvelgiant į rankos funkcijos ir savarankiškumo sutrikimą. Ergoterapijos programos ir... [toliau žr. visą tekstą]Distal radius fractures are among the most common musculoskeletal injuries. It consists about 3% of all hand injuries. In Lithuania 1375 patients were hospitalized in 2010 year. Men injury rate has unchanged. Women injuries rate from 50-55 has doubled. Aim of work was to estimate occupational therapy and kinesio taping influence to patients, experienced radius fractures. Tasks of this work were: 1. Evaluate patients hand function and independence before and after occupational therapy through kinesio taping. 2. Evaluate patients hand function and independence before and after occupational therapy using kinesio taping. 3. Compare the effectiveness of occupational therapy through kinesio taping. Research was conducted in October 2013 – March to examine the 32 patients experienced distal radius fractures at Kaunas Clinical hospital and Kaunas clinics in rehabilitation department. Patients were divided into two groups: control and study. The control group consisted of patients who received occupational therapy without kinesio taping. The study group consisted of patients who received occupational therapy through kinesio taping. The individual occupational therapy program were formed and applied for both groups of patients according to the hand function and self – independence. For occupational therapy program to evaluate the effectiveness of kinesio taping were used: specially for this research prepared questionnaire; hand strength was measured with dynamometer; functional range... [to full text]
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Baltušis, Linas. "Pažintinių funkcijų sutrikimų įtaka sergančiųjų galvos smegenų insultu savarankiškumui." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2007. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2007~D_20070803.121917-64229.
Full textAbstract:
Galvos smegenų insultas (GSI) yra viena pagrindinių sergamumo, mirtingumo ir neįgalumo priežasčių ne tik pasaulyje, bet ir Lietuvoje (1,2,3). Be to, insultas yra pagrindinė staiga išsivysčiusio neįgalumo priežastis, taip pat demencijos ir viena dažniausių depresijos priežasčių(4).
Tyrimo uždaviniai: įvertinti ligonių segančiųjų GSI savarankiškumą bei pažintines funkcijas; nustatyti amžiaus, lyties, GSI rūšies įtaką savarankiškumo bei pažintinių funkcijų atstatymui; nustatyti ergoterapijos įtaką sergančiųjų GSI atstatyme reabilitacijos eigoje
Tyrimas buvo atliekamas Kauno Medicinos Universiteto Neuroreabilitacijos poskyryje ir Kauno Panemunės senelių namuose. Tiriamąją grupę sudarė 20 pacientų, kurie buvo gydyti Neuroreabilitacijos poskyryje ir kuriems buvo taikyta ir ergoterapija, o 20 pacientų buvo kontrolinė grupė, iš Kauno Panemunės senelių namų.
Reabilitacijos pradžioje ir pabaigoje ligonių funkcinę būklę vertinome: trumpuoju protinės būklės vertinimo testu ir funkcinio nepriklausomumo testu.
Apibendrinus tyrimo rezultatus buvo padarytos šios išvados:
1. Sergančiųjų GSI savarankiškumas, pažintinės funkcijos reabilitacijos pradžioje yra žymiai sutrikę.
2. Reabilitacijos eigoje tiriamosios grupės pacientams po taikytos ergoterapijos tiek protinė tiek funkcinė būklė statistiškai reikšmingai pagerėjo(p<0,0001), o kontrolinės grupės ligoniams statistiškai reikšmingo pokyčio (p>0,05) nenustatėme.
3. Statistiškai patikimai geresnių rezultatų pasiekė moterys (p<0,05) lyginant... [toliau žr. visą tekstą]Stroke is one of the main reasons of morbidity, disability and death in the world and in Lithuania too(1,2,3). Besides stroke is the main reason of sudden disability and often is the reason of dementia(4). The goals of the research was: to evaluate independence of stroke patients and cognitive functions; to estimate what influence do age, gender and stroke type for independence and cognitive functions recovery; to identify the influence of occupational therapy in rehabilitation for stroke patients. The research was performed in department of Neurorehabilitation of Kaunas Medicine University and in Kaunas Panemunės old people house. The impact group were twenty patients from the department of Neurorehabilitation. The control group were from Kaunas Panemunės old people house . For impact group occupational therapy was included. The state of patients were estimated with MMSE and FIM, at the start of rehabilitation and in the end of rehabilitation. Several conclusions were made in summary of results of his study: 1. The independency of stroke patients and cognitive functions was widly disordered, at the start of rehabilitation. 2. After rehabilitation mental status were statistically significant better (p<0,0001) .for impact group and for control group there were no statistically significant change (p>0,05). 3. Statistically significant better results achieved women(p<0,05) than men, age, stroke type didn’t had significant influence for patients independence . 4. Patients... [to full text]
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Kalvelis, Andrius. "Žmonių, turinčių sunkių, ilgalaikių psichinių sutrikimų, kasdieninės veiklos tyrimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2008. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2008~D_20080619_133114-02475.
Full textAbstract:
Šio tyrimo tikslas yra ištirti žmonių, turinčių sunkių, ilgalaikių psichikos sutrikimų, kasdieninę veiklą.
Tyrimo uždaviniai:
1. Ištirti, kaip skiriasi sveikųjų ir sergančiųjų ilgalaikėmis ir sunkiomis ligomis veikla per parą.
2. Nustatyti sveikiems ir sergantiems ilgalaikėmis ir sunkiomis ligomis svarbiausias veiklas.
3. Nustatyti sergantiesiems iškylančias problemas kasdieninėje veikloje.
4. Ištirti sergantiems ilgalaikėmis ir sunkiomis ligomis patinkančias ir nepatinkančias veiklas.
Tyrimui buvo naudojamas kasdieninės veiklos vertinimo klausimynas, sukurtas pagal žmogaus užimtumo modelį (Kielhofner 1988). Klausimynas susideda iš kasdieninio tvarkaraščio blokų kas valandą, kuriuos reikia pildyti, norint parodyti kasdieninį užimtumą. Pacientas vertina tokias veiklas kaip: darbas, kasdieninė ruoša, laisvalaikis, poilsis. Pacientas taip pat prašomas įvertinti kiekvieną veiklą balais, atsakant į klausimus: kaip gerai jo manymu atlieka veiklą, kiek svarbi ir kaip patinka jam vertinama veikla. Tiriamieji apklausti anoniminiu anketavimo būdu, paaiškinus jiems apklausos tikslą ir gavus sutikimą naudoti gautą informaciją. Tiriamųjų kontingentą sudarė 121 žmogus: 61 turintys ilgalaikius, sunkius psichikos sutrikimus (šizofrenija ir depresija) ir 60 žmonių neturinčių psichikos sutrikimų, kurie sudarė kontrolinę grupę.
Tyrimo metu išaiškėjo, kad sveikų ir sergančių psichinėmis ligomis veikla skiriasi. Psichiniai ligoniai gyvena nesubalansuotai. Labiausiai išryškėja skirtumai miego... [toliau žr. visą tekstą]The aim of this research is to investigate daily activity of people with long-lasting psychical disorders. The following are the objectives of the research: 1. To examine how different the activity of the healthy and those suffering from long-lasting and serious diseases is during the day. 2. To determine the most important activities for the healthy and those suffering from long-lasting and serious diseases. 3. To determine the problems which arise for the sick in their daily activity. 4. To analyze the activities admired and disliked by the sick. For the research the questionnaire of assessment of daily activity has been employed which has been created according to the man’s occupation model. (Kielhofner 1988). The questionnaire is comprised of blocks of daily hourly timetable, which should be filled in so that daily employment was shown. The patient assesses such activities as work, everyday preparation, leisure time, rest. The patient is also asked to assess each activity by scores answering the questions: how well the activity is performed in his opinion, how important it is and how he likes the activity assessed. The respondents have been interviewed by anonymous questionnaire survey method explaining them the aim of the survey and getting their agreement to use the information obtained. The contingent of the patients under examination has been comprised of 121 people: 61 persons who have long-lasting, serious psychical disorders (schizophrenia and depression) and 60... [to full text]
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Račienė, Lina. "Kūribinių metodų taikymas ergoterapijoje ugdant sergančiųjų psichikos ligomis bendravimo įgūdžius." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2013. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130614_131904-47246.
Full textAbstract:
Tyrimo tikslas – ištirti kūrybinių metodų taikymo ergoterapijoje efektyvumą, ugdant sergančiųjų psichikos ligomis bendravimo įgūdžius.
Uždaviniai: (1) įvertinti sergančiųjų psichikos ligomis bendrą elgesį pradžioje ir pabaigoje ergoterapijos taikant kūrybinius ir nekūrybinius metodus, (2) įvertinti sergančiųjų psichikos ligomis tarpasmeninį elgesį pradžioje ir pabaigoje ergoterapijos taikant kūrybinius ir nekūrybinius metodus, (3) įvertinti sergančiųjų psichikos ligomis užduočių atlikimo kokybę pradžioje ir pabaigoje ergoterapijos taikant kūrybinius ir nekūrybinius metodus.
Metodika: Tyrimas buvo vykdomas 2012 m. kovo-birželio mėn. Kauno rajono Vilkijos neįgaliųjų sąjungoje, Vilkijos PSPC ir UAB „Neuronas“ įstaigoje. Tyrime dalyvavo 32 sergantys psichikos ligomis tiriamieji(amžius nuo 22 iki 71 metų): moterys 71,9 proc. (n=23) ir 28,1 proc. (n=9) vyrai. Visiems tiriamiesiems buvo taikoma ergoterapija grupėse: tiriamųjų grupėje taikyti kūrybiniai, o kontrolinėje grupėje – nekūrybiniai metodai. Vyko 10 ergoterapijos užsiėmimų, pora kartų savaitėje. Veiklos trukmė – 1 val. Visi tiriamieji buvo vertinami tyrėjo sukurta anketa ir „Visapusiško užimtumo terapijos vertinimo skale“ (angl COTE).
Rezultatai. Tyrimo metu taikant kūrybinius ir nekūrybinius metodus ergoterapijoje ugdant respondentų bendrą elgesį (BE), tarpasmeninį elgesį (TE) ir užduoties atlikimo elgesį (UAE) užduoties atlikimo metu nustatėme, kad: BE – efektyvūs nekūrybiniai metodai ugdant respondentų... [toliau žr. visą tekstą]Objectives: (1) to evaluate the general behaviour of people with mental disorderat the beginning and at the end of occupational therapy by applying creative and non-creative methods; (2) to evaluate interpersonal behaviour of people with mental disorder at the beginning and at the end of occupational therapy by applying creative and non-creative methods; (3) to evaluatethe quality of task performance at the beginning and at the end of occupational therapy by applying creative and non-creative methods. Methods: The research was carried out in Vilkija during March–June, 2012, at the Alliance for People with Disabilities in Kaunas District, Vilkija Primary Health Care Centre, and UAB Neuronas (Ltd.). 32 participants with mental disorder (age between 22 and 71) were involved in the research: 71.9 per cent (n=23) of women and 28.1 per cent (n=9) of men. Occupational therapy in groups was applied for all individuals in the study: in the research group, the creative methods were employed, whereas in the control group, the non-creative methods were applied. There were 10 sessions of occupational therapy, twice a week. The duration of the activity was 1 hour. All individuals in the study were assessed by the researcher’s questionnaire and the Comprehensive Occupational Therapy Evaluation Scale (COTE scale). Results. During the research, applying creative and non-creative methods in occupational therapy for the development of respondents’ General Behaviour (GB), Interpersonal... [to full text]
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Ubartaitė, Laima. "Ergoterapeuto konsultacijų poveikis sergančiųjų Alzheimerio liga savarankiškumo kasdienėje veikloje bei juos globojančių asmenų gyvenimo kokybės gerinimui." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140618_215956-81592.
Full textAbstract:
Alzheimerio liga (AL) yra viena neurodegeneracinių ligų, pasižyminti progresuojančiu atminties, kalbos, pažintinių funkcijų blogėjimu, kasdienės veiklos pasyvėjimu, elgsenos pokyčiais bei neuropsichiatriniais simptomais. Vienas iš devynių žmonių (11 proc.), vyresnių nei 65 metai serga AL. Vyresnių nei 85 metai asmenų tarpe šios ligos dažnis padidėja iki 32 proc. Didžioji dalis sergančiųjų AL gyvena namuose, slaugomi šeimos narių. Globėjams tenka rūpintis sergančiuoju 24 val. per parą, o tai sukelia fizinį, emocinį ir protinį nuovargį bei lemia gyvenimo kokybės blogėjimą.
Darbo tikslas – nustatyti kaip ergoterapeuto konsultacijos veikia sergančiųjų Alzheimerio liga savarankiškumą kasdienėje veikloje bei juos globojančių asmenų gyvenimo kokybę.
Uždaviniai: 1. Įvertinti globėjų, slaugančių Alzheimerio liga sergančius asmenis gyvenimo kokybę. 2. Įvertinti ergoterapeuto konsultacijų poveikį globėjų gyvenimo kokybei. 3. Nustatyti sergančiųjų Alzheimerio liga kasdienės veiklos problemas. 4. Įvertinti ergoterapeuto konsultacijų poveikį sergančiųjų Alzheimerio liga savarankiškumui kasdienėje veikloje.
Tyrimo metodika. Tyrime dalyvavo 30 globėjų, namuose slaugančių sergančiuosius Alzheimerio liga. Tyrimas atliktas Lietuvos Alzheimerio ligos asociacijos Kauno klube ir Lietuvos Alzheimerio ligos asociacijos Alytaus klube. Tyrimo metu buvo naudojamos trys anketos. Sergančiųjų Alzheimerio liga negalios laipsniui įvertinti buvo naudojama Spartaus negalios vertinimo skalė, globėjų gyvenimo... [toliau žr. visą tekstą]Alzheimer's disease (AD) is a neurodegenerative disease characterized by progressive memory, language, cognitive, daily activities deterioration, behavioral changes and neuropsychiatric symptoms. One of the nine people (11 percent) over 65 years old suffers from AD. Among the people older than 85 years the disease incidence increases to 32 percent. The majority of patients with AD live at home, cared for by family members. Caregivers have to take care of AD patients 24 hours per day, which leads to physical, emotional and mental fatigue and worsen the quality of life. Aim of the research: assess the impact of occupational therapist consultations in patients with Alzheimer's independence in daily activities and their caregiver’s quality of life. Goals of the research: 1. Evaluate AD patients caregivers quality of life. 2. Assess the effect of occupational therapist consultations on caregiver’s quality of life. 3. Assess AD patient’s problems in activities of daily living. 3. 4. Evaluate the impact of occupational therapist consultations in patients with Alzheimer's disease independence in daily activities. Research methods. The study involved 30 caregivers, caring patients with Alzheimer's disease at home. The study was conducted in Kaunas club of Lithuania Alzheimer's Association and Alytus club of Lithuania Alzheimer's Association. Three questionnaires were used in this study. Disability in patients with Alzheimer's disease was assessed by Rapid Disability Rating Scale... [to full text]
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Garjonytė, Alma. "Veiksniai, turintys įtakos 9–12 m. vaikų laisvalaikio praleidimo būdams." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140618_232901-13335.
Full textAbstract:
Tyrimo tikslas – įvertinti veiksnius, turinčius įtakos 9–12 m. vaikų laisvalaikio praleidimo būdams.
Uždaviniai: (1) įvertinti, kokias veiklas laisvalaikiu dažniausiai atlieka 9–12 m. vaikai, (2) išanalizuoti negalios daromą įtaką vaikų laisvalaikiui, (3) įvertinti šeimos socialinės padėties sąsajas su vaikų laisvalaikiui, (4) įvertinti tėvų nuomonę apie jų vaikų laisvalaikį.
Metodika: tyrimas atliktas 2013 m. sausio – 2014 m. vasario mėn. Atlikta anketinė apklausa, naudojant: „Vaikų laisvalaikio domėjimosi anketą“ (vaikams), „Godin Shephard‘o laisvalaikio fizinio aktyvumo klausimynas“ (vaikams) ir pačios autorės sudarytą klausimyną tėvams.
Tyrimo dalyviai: 9–12 m. vaikai (gyvenantys globos namuose ir šeimose, su spec. poreikiais ir be jų) ir jų tėvai (gyvenantys kartu su vaiku).
Rezultatai. Apklausta iš viso 99 vaikai ir 57 tėvai. 63,6 proc. apklausoje dalyvavusių vaikų yra FA ir aktyviai veiklai laisvalaikio metu vidutiniškai skiria 2,14±1,3 val. per dieną, o pasyviai – 2,74±1,3 val. Vaikai be spec. poreikių laisvalaikiu yra fiziškai aktyvesni nei vaikai su spec. poreikiais (p=0,003). Gyvenamoji vieta (globos namai ar kartu su tėvais) neturi įtakos vaikų FA. Būdami vieni patys vaikai dažniausiai užsiima kambario veikla (64,5 proc.), su draugais – sportine (90,2 proc.), o su šeimos nariais – žiemos veikla (59,4 proc.).
Išvados: 1. Laisvalaikiu 9–12 metų amžiaus vaikai dažniausiai užsiima įvairiomis kambario veiklomis (67,5 proc.), 59,4 proc. – žiemos pramogomis, 59,0... [toliau žr. visą tekstą]The purpose of the research – to evaluate factors influencing types of leisure activities of children in the age group of 9–12 years. Tasks of the research: (1) to evaluate the most common leisure activities of children in the age group of 9–12 years, (2) to analyze the impact of disability for children leisure time, (3) to evaluate the links between family social status and children leisure time, (4) to evaluate the opinion of parents about their children leisure time. Methodology of the research. The research was carried out in the period of 2013 January – 2014 February. There was a questionnaire survey conducted using questionnaire for children “Pediatric Interest Profiles” and “The Godin Shephard Leisure-Time Physical Activity Questionnaire” and the questionnaire for parents prepared by the author herself. Participants of the research: children in the age group of 9-12 years (living in the foster home and with their parents, with special needs and without it) and their parents (living with their children). Results. There were totally 99 children and 57 their parents questioned. 63,6 % of children participating in the survey are physically active and for the active physical activities devote 2,14±1,3 hour per day, for passive activities – 2,74±1,3 per day. Children without special needsduring their leisure are more physically active than children with special needs (p=0,003). Living place (foster home or together with parents) does not affect children physical... [to full text]
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Kulbytė-Usavičienė, Aistė. "Pacientų, po riešo kanalo tunelinio sindromo operacijų, rankų funkcijos ir savarankiškumo kaita." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140630_141526-07240.
Full textAbstract:
Darbo tikslas: Įvertinti pacientų, po riešo kanalo tunelinio sindromo operacijos, rankų funkciją ir savarankiškumą po ergoterapijos ir praėjus dviems metams po jos.
Darbo uždaviniai:
• Įvertinti pacientų, po riešo kanalo tunelinio sindromo operacijos, rankų funkciją ir savarankiškumą.
• Įvertinti ergoterapijos poveikį pacientų, kuriems operuotas riešo kanalo tunelinis sindromas, rankų funkcijai ir savarankiškumui.
• Nustatyti veiksnius, lemiančius pacientų rankų funkcijos ir savarankiškumo lygį po reabilitacijos ir praėjus dviems metams po jos.
Metodika:
Tyrimas buvo atliekamas VšĮ "Kauno kalniečių poliklinika" įstaigoje. Tyrimas buvo atliktas 2012-2014 metais. Tyrime dalyvavo 44 pacientai - 10 (23%) vyrų ir 34 (77%) moterys, kuriems buvo diagnozuotas riešo kanalo tunelinis sindromas ir atlikta operacija. Informacijai surinkti apie pacientus, kuriems buvo atlikta riešo kanalo tunelinio sindromo operacija, buvo naudojama:
• Anketa;
• Dinamometras;
• Manometras
• Goniometas;
• Dviejų taškų diskriminacijos testas;
• Kasdienės veiklos vertinimo klausimynas (ADL) ir SF-36 klausimynas;
• Skaitmeninė skausmo įvertinimo skalė.
Visi matavimai ir anketinės apklausos buvo atliekamos tris kartus: prieš ir po ergoterapijos procedūrų bei po 2 metų.
Išvados:
1. Pacientai, kuriems buvo atlikta riešo kanalo tunelinio sindromo operacija, buvo sumažėjusi plaštakos raumenų jėga, riešo judesių amplitudė, sutrikę jutimai ir turėjo problemų su apsitarnavimu.
2. Po ergoterapijos... [toliau žr. visą tekstą]Aim: To evaluate the patients after carpal tunnel syndrome surgery, hand function and independence after occupational therapy and two years after. Objectives: • To evaluate the patients after carpal tunnel syndrome surgery, hand function and independence. • To evaluate the effect of occupational therapy in patients after carpal tunnel syndrome surgery, hand function and independence. • To identify the factors influencing patients' hand function and level of independence after rehabilitation and two years after.
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Marčiulynaitė, Neringa. "Pacientų, patyrusių nugaros smegenų pažeidimą, savarankiško veiklos vertinimo reikšmė ergoterapijos taikymui ankstyvuoju reabilitacijos laikotarpiu." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2008. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2008~D_20080619_134833-38095.
Full textAbstract:
Šio darbo tikslas – įvertinti pacientų, patyrusių nugaros smegenų pažeidimą, savarankiško veiklos vertinimo reikšmę ergoterapijos taikymui ankstyvuoju reabilitacijos laikotarpiu. Tyrimo uždaviniai: įvertinti pacientų, patyrusių nugaros smegenų pažeidimą, funkcinę būklę ir veiklos sutrikimus, taikant tradicinius vertinimo metodus; įvertinti pacientų, patyrusių nugaros smegenų pažeidimą, veiklos sutrikimus, taikant savarankiško veiklos vertinimo metodus; bei nustatyti tradicinio ir savarankiško veiklos vertinimo metodų ryšį, vertinant pacientų, patyrusių nugaros smegenų pažeidimą, veiklos sutrikimus, priklausomai nuo pažeidimo pobūdžio bei amžiaus.
Tyrimas buvo atliktas VšĮ VUL Santariškių klinikų, Reabilitacijos, Fizinės ir Sporto Medicinos Centro I – ame ir II – ame stacionariniuose skyriuose 2007 02 – 2008 04 mėn. Tyrime dalyvavo 29 pacientai, patyrę nugaros smegenų pažeidimą. Iš jų, 25 (86,2%) buvo vyrai ir 4 (13,8%) moterys, amžiaus vidurkis 35,03 (SD ± 14,2) metai. 16 (55,2%) pacientų atvyko su kaklinės nugaros smegenų dalies pažeidimu, 11 (37,9%) pacientų buvo pažeista krūtininė nugaros smegenų dalis, 2 (6,9%) pacientai atvyko su juosmeninės nugaros smegenų dalies pažeidimu. 13 (81,3%) pacientų, patyrusių kaklinės nugaros smegenų dalies pažeidimą, 5 (45,5%) pacientų, patyrusių krūtininės nugaros smegenų dalies pažeidimą, buvo nustatytas ASIA – A tipo pažeidimo laipsnis, juosmeninės nugaros smegenų dalies pažeidimą atyrusiems pacientams buvo nustatytas buvo ASIA –... [toliau žr. visą tekstą]The aim of this study – to evaluate influence of self assessment for occupational therapy in early rehabilitation period, of patients with spinal cord injury. Goals of this study: to evaluate functional outcomes and occupational performance issues, using traditional assessment methods; to evaluate occupational performance issues, of patients with spinal cord injury, using client – centred methods; to determine the relation between traditional and client – centred assessment methods, dependantly on spinal cord injury level and patients` age. The research took place at a Vilnius University hospital Santariškių klinikos, Centre of Rehabilitation, Physical and Sports Medicine inpatient departmens in 2007 02 – 2008 04. The research contingent consisted of 29 patients with spinal cord injury: 25 (86,2%) were men and 4 (13,8%) women, average of age 35,03 (SD ± 14,2) years. According to the level of spinal cord injury, 16 (55,2%) patients suffered from cervical spinal cord injury, 11 (37,9%) patients suffered from thoracic spinal cord injury and 2 (6,9%) patients had lumbar spinal cord injury. For 13 (81,3%) patients with cervical spinal cord injury was identified complete (American Spinal Injury Association (ASIA-A)) injury, for 5 (45,5%) patients with thoracic spinal cord injury was identified complete (ASIA – A) injury and both patients with lumbar spinal cord injury were identified to have incomplete (ASIA – C) injury. The data were obtained from medical history records and... [to full text]
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Lėlytė, Skaistė. "Vaikų, turinčių protinį atsilikimą, savarankiškumo įgūdžių vertinimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2010. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2010~D_20100621_094202-88308.
Full textAbstract:
Pastaraisiais metais dėmesys vaiko sveikatai bei jo ugdymui yra tikrai didelis. Rengiamos įvairios labdaros akcijos, visuomenė skatinama pažvelgti į vaikus per kitokią prizmę, keičiasi požiūris į vaiką kaip į socialinę būtybę. Tačiau šiame technologijų ir informacijos amžiuje, vaikų sveikatos problemos išlieka tiek pat aktualios bei svarbios.
Remiantis PSO (1995), protinis atsilikimas – dalinis ar nepakankamas protinių galių išsivystymas. Jis apibūdinamas įgūdžių, sudarančių tam tikrą intelekto lygį (pažintinių, kalbos, motorinių ir socialinių), formavimosi sutrikimu įvairiuose raidos etapuose. Darbo tikslas: įvertinti vaikų, turinčių protinį atsilikimą, savarankiškumo įgūdžius. 2008 m. balandžio – lapkričio mėnesiais Klaipėdos 2-oje internatinėje mokykloje buvo vykdomas ergoterapinis vertinimas, naudojant specialiai šiam tyrimui sudarytu vertinimo instrumentu. Moksleivių savarankiškumo įgūdžiai buvo vertinami vieną kartą. Tyrime dalyvavo 72 internatinės mokyklos moksleiviai, turintys nežymų, vidutinį ir žymų protinio atsilikimo lygį. Tiriamieji buvo vertinami 6 savarankiškos veiklos srityse, tų įgūdžių atlikimo metu. Ergoterapinis tyrimas parodė, kad ergoterapeutas yra reikalingas šioje internatinėje mokykloje visiems vaikams. Nebuvo nei vieno moksleivio, kurio visų sričių savarankiškumas galėtų būti vertinamas aukščiausiu balu. Todėl būtų džiugu, jog protinį atsilikimą turinčių moksleivių ugdymo įstaigose atsirastų vieta ergoterapeutui, jis galėtų bendradarbiauti ir... [toliau žr. visą tekstą]The purpose of the research is to evaluate daily living skills of children with mental retardation. The occupational therapy assessment was carried out in the 2nd boarding school in Klaipėda, during the period of 2008 April and November. To perform the research was made a special assessment tool. Students daily living skills were evaluated one time. 72 boarding school students with mild, moderate and severe mental retardation participated in the study. Children were evaluated in 6 different ranges of daily living skills, during functional performance. Occupational therapy assessment showed, that occupational therapist is necessary for all boarding school students. There was not a student, whose independence from all areas can be seen at the highest score. It would be wonderful if the occupational therapist could help student with mental retardation in all educational institutions. He could collaborate and work with other educational team members.
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Gudžiūnaitė, Rosita. "Smulkiosios motorikos sutrikimų bei skausmo sąsajos su kasdienės veiklos aktyvumu bei gyvenimo kokybe, esant trauminiam rankos sužalojimui." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140618_233027-77183.
Full textAbstract:
Tyrimo tikslas: Nustatyti smulkiosios motorikos sutrikimų bei skausmo įtaką kasdienės veiklos aktyvumui bei gyvenimo kokybei, esant trauminiam rankos sužalojimui. Tyrimo uždaviniai: 1. Įvertinti smulkiosios motorikos dinamiką reabilitacijos laikotarpiu, esant trauminiam rankos sužalojimui. 2. Įvertinti kasdienės veiklos aktyvumo pokyčius reabilitacijos laikotarpiu, esant trauminiam rankos sužalojimui. 3. Įvertinti gyvenimo kokybės ir skausmo pokyčius reabilitacijos laikotarpiu, esant trauminiam rankos sužalojimui. 4. Nustatyti smulkiosios motorikos sutrikimų bei skausmo sąsajas su kasdienės veiklos aktyvumu bei gyvenimo kokybe reabilitacijos laikotarpiu, esant trauminiam rankos sužalojimui.
Tyrimo metodai ir kontingentas. Tyrimas vyko VšĮ Raseinių ligoninės Fizinės medicinos ir reabilitacijos skyriaus ergoterapijos kabinete 2013m. gruodžio – 2014m. balandžio mėnesiais. Iš viso dalyvavo 30 pacientų, patyrusių dilbio lūžį. Tiriamiesiems buvo atlikta 10 ergoterapijos procedūrų po 30 min. kiekvieną darbo dieną. Užsiėmimų metu buvo taikoma aktyvi rankos mankšta, darbas ergoterapinėmis priemonėmis. Tyrimui naudota tiriamojo anketa, dinamometrija, goniometrija, nestandartinis smulkiosios motorikos vertinimo testas, kasdienės veiklos vertinimo testas ir gyvenimo kokybės vertinimo testas SF – 36
Išvados. 1. Ergoterapijos taikymas po trauminio rankos sužalojimo pagerina smulkiosios motorikos užduočių atlikimą, plaštakos raumenų jėgą ir riešo aktyvių judesių amplitudę (p<0,05). 2. Po... [toliau žr. visą tekstą]The aim : To identify small movement disorders and pain impact on daily business activity and quality of life in traumatic hand injuries. Study objectives: first to evaluate the dynamics of fine motor rehabilitation period in traumatic hand injuries. Second to evaluate changes in the activities of daily living activity during rehabilitation , if traumatic hand injuries. 3rd Rate the quality of life and changes in pain during rehabilitation , if traumatic hand injuries. 4th Set of fine motor dysfunction and pain links to daily activities and quality of life and activity during rehabilitation , if traumatic hand injuries. The methods and contingent . The study took place in PI Raseinių Hospital Physical Medicine and Rehabilitation, Department of Occupational Therapy office 2013 . December - 2014m . April. A total of 30 patients experienced fractures of the forearm . The trial was carried out in 10 occupational therapy treatment for 30 min . every working day . Lessons were applied with a hand exercise, work ergoterapinėmis means. The study used the test form , dynamometry , goniometrija , unconventional fine motor assessment test , daily activity assessment test ( ADL) and quality of life assessment test SF - 36 Conclusions . First application of occupational therapy after traumatic hand injury improves fine motor tasks, hand muscle strength and wrist active range of motion ( p < 0.05). Second after traumatic hand injury using occupational therapy procedures , daily activity... [to full text]
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Rapolienė, Jolita. "Sergančiųjų reumatoidiniu artritu plaštakos ir riešo funkcinės būklės ir veiklos sutrikimų vertinimas bei korekcija ergoterapijos priemonėmis." Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2008. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2007~D_20080129_150030-31536.
Full textAbstract:
Darbo tikslas: Įvertinti sergančiųjų reumatoidiniu artritu plaštakos ir riešo funkciją ir su ja susijusius veiklos sutrikimus bei jos korekcijos galimybes, taikant ergoterapiją. Darbo uždaviniai: 1. Įvertinti ligonių, sergančių reumatoidiniu artritu, plaštakos ir riešo funkciją. 2. Nustatyti sergančiųjų reumatoidiniu artritu savarankiškos veiklos sutrikimus. 3. Įvertinti sergančiųjų reumatoidiniu artritu ergoterapijos efektyvumą. 4. Nustatyti veiksnius įtakojančius ergoterapijos efektyvumą ir jų prognostinę vertę.Aim of study: To evaluate the hand and wrist function and related dysfunction in rheumatoid arthritis patients, and the possibilities for its restoration by means of occupational therapy. Objectives of the study: 1. To evaluate the hand and wrist function in rheumatoid arthritis patients. 2. To evaluate the functional limitations of self-dependence in rheumatoid arthritis patients. 3. To evaluate the effectiveness of occupational therapy in the rheumatoid arthritis patients. 4. To identify factors which have an impact on the effectiveness of the occupational therapy, and to estimate their forecast value.
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Skříčková, Alžběta. "Rehabilitační centrum Pasohlávky." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2019. http://www.nusl.cz/ntk/nusl-392069.
Full textAbstract:
The diploma thesis deals with the design of a rehabilitation center, which is located in the cadastral area of the village Mušov on the border of the village Pasohlávky. It is a two-storey rehabilitation center with a gym and a partial basement. The thesis deepens the initiative of Thermal Pasohlávky, which plans to build a spa resort in the same section, combining elements of spa care, recreation and sports use. The object fulfills the function of a rehabilitation medical facility. The center is designed for up to 50 patients and is functionally divided into three parts. The first part consists of rehabilitation. We will find here several exercise rooms, hydrotherapy, electrotherapy, doctor's office with waiting room and reception. Rehabilitation also includes a gym with access to the terrace and park. On the second floor we can find specialized department of ergotherapy for people with different types of disabilities and second functional part of the bulding designed for staff facilities. It is made up of staffing facilities, dressing rooms, offices and meeting rooms. The third functional part consist from the technical background of the building and is located on the ground floor. The object is designed as a wall system, built from sand-lime bricks km beta Sendvix and insulated with the ETICS thermal insulation made from mineral wool. Horizontal supporting structures are designed as reinforced concrete. The entire building is roofed with a flat roof. Wooden windows and doors are used in the building to fill the holes. Before the building is a parking lot for employees and visitors of the rehabilitation facility. The design respects the principles of barrier-free solutions. The bachelor thesis is elaborated in the form of a project documentation for the execution of the construction.
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PULKERTOVÁ, Jindřiška. "Význam ergoterapie pro rehabilitaci seniorů." Master's thesis, 2009. http://www.nusl.cz/ntk/nusl-50006.
Full textAbstract:
Increasingly better living and working conditions, higher quality healthcare and social conditions are resulting in higher life expectancy more than ever. This is called population ageing. Illness or injury in older age causes various and specific problems which affect all personal areas of the elderly such as physical, emotional, social and spiritual status. It is the aim of rehabilitation to improve or restore those areas following personal injury or illness. One of the various professional disciplines contributing to the rehabilitation process is Occcupational Therapy. The main aim of the thesis is to clarify the role of Occupational Therapy in the area of elderly rehabilitation. It also aims to incorporate the World Health Organisation{\crq}s International Classification of Functioning, Disability and Health (ICF) into clinical work of Occupational Therapy and to find its practical use in this discipline.
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Šrámová, Magdaléna. "Využití ergoterapie ve speciální pedagogice." Master's thesis, 2016. http://www.nusl.cz/ntk/nusl-342073.
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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
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Kadeřábková, Lenka. "Profil profese ergoterapie v České republice." Master's thesis, 2020. http://www.nusl.cz/ntk/nusl-434270.
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Occupational therapy is currently an essential part of comprehensive rehabilitation. Occupational therapy is a relatively new field that is continuously evolving. It tries to keep up with time and its demands. The main goal of this thesis was to capture a detailed profile of the occupational therapy profession in the Czech Republic. The thesis is divided into two main units, namely the theoretical and practical part. The theoretical part describes the basic aspects of the field of occupational therapy and the work of occupational therapists in the Czech Republic according to the literature search. The practical part of the thesis contains the methodology of the work and the results of the questionnaire survey. Three hundred and fifteen respondents participated in the research. Processed and analysed data are presented using graphs, tables and figures. Detailed results from the questionnaire survey describe the description of the current profession of the occupational therapist. At the end of the thesis, a profile of the occupational therapy profession is compiled from these results. Information from the practical and theoretical part of the thesis is then compared in a discussion. The output of the thesis is a depiction of the real profile of the occupational therapy profession in the Czech...
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Eikamová, Daniela. "Možnosti ergoterapie v práci se seniory." Master's thesis, 2006. http://www.nusl.cz/ntk/nusl-267170.
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The work deals with the definition of ergotherapy at social work and its position within the system, focusing on constitutional ergotherapy at work with senior citizens and its use in relation to art therapy and music therapy. Constitutional ergotherapy techniques have been outlined as well. The practical part examines the improvement of seniors' life quality through constitutional ergotherapy.
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RYBOVÁ, Michaela. "Ergoterapie jako prostředek seberealizace klientů s mentálním postižením." Master's thesis, 2008. http://www.nusl.cz/ntk/nusl-49775.
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This diploma thesis concerns the use of Ergotherapy by people with mental disablement. A theoretical part characterises the terms: a mental disablement and a care for people with mental disablement and the most frequent types of therapies providing in the facilities for people with physical handicap. At the end of the chapter about a present situation of this chosen topic, there is a separate chapter about Ergotherapy. It points out a game, as a first occupation of a child and work therapy that helps individuals with mental disablement to create or improve their own working habits. The aim of this thesis was to introduce new trends in education of people with mental disablement in the area of work therapy. The thesis is focused on an offer of work therapy activities that have been provided by the facilities for people with a physical handicap and the education of work therapists. A qualitative research was used to reach the aim: first a method of questioning and secondly, a technique of semi-structured interviews. The interviews were made with senior executives (mainly the principals) and they were focused on the area of education of work therapists after the validation of Social Service Act No. 108/2006 Sb. Another used method was a method of quantitative research {--} questioning, a technique of questionnaire. The target group was composed of work therapists who are employed in the facilities for people who are physically handicapped. The questionnaires were designed to reveal what is being offered in terms of work therapy within the facilities and what is the determination of a selection of an activity that the client will take part in. It has been revealed that the offer of activities in the facilities is varied and that the client plays the main role in the selection of the activity. The research was conducted in three regions of the Czech Republic: South Bohemia, South Moravia and the Vysočina region.
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Skopcová, Petra. "Ergoterapie jako součást rehabilitace a její vliv na kvalitu života." Master's thesis, 2009. http://www.nusl.cz/ntk/nusl-277833.
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Title: Ergotherapy as a part of rehabilitation and its impact on the quality of life Aim: Describe to ergotherapy, its insertion to the rehabilitation, and try to find its impacts on the quality of life of people, who are bounded to a wheelchair. Objektive: Studying relevant literature To describe the ergotherapy To describe the diagnose of the spinal handicap To describe the term - the quality of life To choose the complex of the suitable respondents To choose methods of observation To make a research Hypothesi: I suppose that ergotherapy has impact on the satisfaction with the quality of life of people, who are bounded to a wheelchair. Methods: It is empirical study, in light of range pilot, in which is used the quantitative methodological access. I have chosen the following methods of observation. Questionnaire:a standardised questionnaire - Questionnaire of the quality of life Obtainment of the opinions on the activity in the thread workshop: Interview. Examination of self-sustainability and independence - for assesment of progress the respondents in this area. Grasp test - for assesment of progress the respondents in grasp skills and in training of writing. Result: Hypothesis "I suppose that ergotherapy has impact on the satisfaction with the quality of life of people, who are bounded to a wheelchair",...
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Jindrová, Monika. "Kvalita v ergoterapii." Master's thesis, 2012. http://www.nusl.cz/ntk/nusl-327023.
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The thesis described quality issues in occupational therapy. The theoretical part contained characteristic occupational therapy, quality and descriptions of stroke. The empirical part provides a qualitative research exploring the views, attitudes standard for occupational therapists in occupational therapy, based on which the pilot made standard in occupational therapy, a client with a stroke.
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Závodní, Kateřina. "Marketing v ergoterapii." Master's thesis, 2016. http://www.nusl.cz/ntk/nusl-354026.
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Submitted diploma thesis deals with the topic of Marketing in Occupational Therapy. The work is divided into theoretical and practical part. The theoretical part is focused on two main areas - Marketing and Occupational Therapy. The first part is focused on the familiarization with this field. The second part is devoted to marketing, where its general level to specific characteristic rising from the health care are described. The practical part offers the introduction of Children's Rehabilitation Centre Lentilka, where the questionnaire research based on the charting of satisfaction and evaluation of the occupational therapy service by parents of the occupational therapy clients took place. There was also conducted the quantitative study in the form of questionnaire research among doctors of specific specialism working in the region of Pardubice. This questionnaire research among doctors was concentrated on the charting of the foreknowledge in the occupational therapy field and its possibilities. Based on the analysis of the actual condition of the occupational therapy propagation and doctors' necessity to better understand the field, there are proposals for improving the marketing and promotion of occupational therapy in the Czech Republic. Those proposals are primarily focused on the professional...
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Ptaková, Silvie. "Ergoterapie v rámci interprofesní spolupráce v komunitní rehabilitaci osob po poškození mozku." Master's thesis, 2019. http://www.nusl.cz/ntk/nusl-392893.
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As a result of rapid development in Emergency Medicine and Intensive Care the patients with brain damage have better chances of surviving than they had in the past. However the survivors need to deal with severe loss of function and consequences resulting from that. An excellent primary care for patients who suffer from strok is provided in Czech Republic, the rehabilitation on the other hand is insufficient. The main problem is an absence of continuity of care which leads to aneffective outcomes and increase of total costs of treatment The purpose of this diploma theses was to evaluate the possibilities of occupational therapist of interprofessional collaboration in community based rehabilitation - in client's home environment. There are several categories of brain damage including acquired brain injury, genetic brain disorders and brain damage acquired during labor. The goal was to detect basic deficient fields. Results of this thesis based on knowledge from foreign literature as well as own experiencis in the team. Results might be used as basis for designed guidelines to improve situation. One client with degenerative brain disorder and five with acquired brain injury which live in home environment were selected. Three months long therapy was provided to them, occupational therapist as case...
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Macková, Lenka. "Hodnocení kvality života u pacientů se získaným poškozením mozku z pohledu ergoterapie." Master's thesis, 2018. http://www.nusl.cz/ntk/nusl-387076.
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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...
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Uhlířová, Jaromíra. "Pregraduální příprava ergoterapeutů. Zařazení metody Problem Based Learning do výuky studentů ergoterapie." Master's thesis, 2014. http://www.nusl.cz/ntk/nusl-338666.
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This thesis deals with Problem-Based Learning (PBL), which is almost unknown in the Czech Republic, and its application in the undergraduate course of occupational therapy. This method is widely used abroad particularly in the medical education and education of other paramedical professions. More traditional way of teaching is maintained in the Faculty of Medicine in the Czech Republic. A large amount of information from various scientific and clinical disciplines that student cannot simply connect in logical context is taught in the traditional courses. Problem-Based Learning is a method that may compensate some needs of the traditional teaching. This thesis introduces PBL and shows examples of its application in teaching occupational therapy abroad. The aim of this thesis is to determine the factors obstructing or facilitating the use of Problem-Based Learning method in the Czech Republic within the undergraduate occupational therapy curriculum, to determine the possibility of application of this method in teaching, to formulate recommendations for the implementation of PBL and to develop design of syllabus using PBL. To meet the objectives of the thesis semistructured interviews with faculty members of the occupational therapy studies at the 1st Medical Faculty of Charles University in Prague...
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Vojtíšková, Soňa. "Ergoterapie jako významný aspekt podpory procesu integrace žáka s dětskou mozkovou obrnou." Master's thesis, 2007. http://www.nusl.cz/ntk/nusl-289786.
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Název práce: Ergoterapie jako významný aspekt podpory procesu integrace žáka s dětskou mozkovou obrnou Název práce v anglickém jazyce: Ergotherapy as Major Aspect ofSupport for Integration Process ofPupil with Cerebral Palsy Cíle práce: Shrnutí dostupných informací o ucelené rehabilitaci, se zaměřením na ergoterapii a její význam v procesu integrace. Předmětem pozorování byl průběh ergoterapie u žáka s dětskou mozkovou obrnou, konkrétní využití pomůcek, jejich pomoc k vytváření podmínek pro integraci a závěrečné vyhodnocení pozorování. Metoda: Byla provedena metoda pozorování a také metoda testování. Výsledky: Ergoterapeutické postupy a pomůcky přispívají ke stimulaci a aktivaci pohybového aparátu, psychiky, kognitivních funkcí a smyslového vnímání. Napomáhají tak k podpoře integrace žáka s dětskou mozkovou obrnou. Klíčová slova: dětská mozková obrna, ucelená rehabilitace, ergoterapie, integrace, Jedličkův ústav, sebeobsluha
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Burdová, Jana. "Zvyšování kvality života osob s mentálním postižením v rámci ergoterapie a pracovních činností." Master's thesis, 2006. http://www.nusl.cz/ntk/nusl-266360.
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My disertation work is oriented on a menthod of occupational therapy and its use in working with adullts with intelectual disabilities. In the theoretical partare delimited off basic concepts (fundamental concepts) pertaining people with intelectual disabilities. Additionally in the theoretical part I would like to take in some rudimentary existing information about an occupational therapy. In Additionally part I will audition test Dr. Giinzburg and my own test ADL in client DUSP Tloskov, to map their life and their working (occupationally) activities and effect (influence) working activities increment in quality their of life.
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Čížková, Markéta. "Ergoterapie cílená na poruchy hybnosti horních končetin u dětí školního věku s dětskou mozkovou obrnou." Master's thesis, 2018. http://www.nusl.cz/ntk/nusl-383948.
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Cerebral palsy (CP) is one of the most frequent neurodevelopmental deseases. The brain lesion may disturb upper extremity functioning in children with cerebral palsy (CP). This thesis aims to create a therapeutic program focused on movability of upper limbs in school-aged children with CP and and verify the efficiency of this therapeutic program. Another goal is to consider the applicability of the Jebsen Taylor Test of Hand Function for assessment of hand function in children with CP. The theoretical part deals elaborately with cerebral palsy, therapeutic interventions in children with CP and its efficiency according to the evidence based medicine. This part also deals with standardized assassment tools and pays close attention to the Jebsen Taylor Test of Hand Function (JTTHF) and the Manual Ability Classification System (MACS). The practical part presents six case studies of children with cerebral palsy who attended the occupational therapy three times a week over three weeks. The created therapeutic program includes three areas focused on the bimanual training, grips and grafomotorics. This program was appropriate for four of six children patients. The program was too hard for children with quadruparesis classified as MACS IV. The other children were classified as MACS II. The efficiency of...
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BARTOŠOVÁ, Dana. "Zkušenosti ergoterapeutů s výsledky terapie (a dopad ergoterapie na školní výsledky žáků na 1. stupni ZŠ)." Master's thesis, 2014. http://www.nusl.cz/ntk/nusl-252417.
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In the theoretical part of this thesis the term occupational therapy is explained, as is the work of an occupational therapist, the possibilities of his application and the influence of occupational therapy on results of children in Primary School. The goal of this thesis is to collect the findings of occupational therapists and explain how occupational therapy impacts school results. The theoretical part acquaints laymen with the particulars of working as an occupational therapist and suggests the importance of occupational therapy. Dialogue and direct unstructured observation are used as research methods. This is a qualitative survey. Interviews focused mainly on the results of occupational therapy were conducted with professional occupational therapists as a part of the research. Four case studies oriented on younger children were fashioned next. Those studies combined occupational therapy and its influence with school results in children in Primary School. Interviews with occupational therapists, pedagogues and mothers were also part of the case studies. Based on our findings, occupational therapy can be acknowledged as very advantageous therapy with significant impact on school results in children in Primary School. Progress is especially obvious in fine motor skills, which are practised during occupational therapy, and its regular exercising improves the proficiency in children, especially while writing, drawing, painting or doing cut outs. Occupational therapy helps clients improve skills they find difficult to master and it should become an integral part of caring for mentally or physically handicapped children and contribute to achieving better school results.
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Fockeová, Erika. "Ženy po operaci karcinomu prsu v produktivním věku a jejich návrat do pracovního procesu z pohledu ergoterapie." Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-357260.
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Breast cancer in women of productive age is a huge problem of the current population. Approximately 52% of women, which were diagnosed with breast cancer in 2013, were aged 20-64. The aim of this thesis is to discover the influence of surgical solution of breast cancer on women return to their original profession. There were 68 suitable participants, who received surgical treatment, were aged 20-64, with finished treatment and who went back to their original employment. The results show that amongst manually working women, 60,9% return to their original employment, in administrative 78% return, which, in acceptance region of 0,05 (p = 0,142), is not a statisticaly significant difference. Furthermore, it was not found that age and lenght of treatment are connected (p=0,040). It appears that the time it takes to return to employment is significantly connected to the type of operation (acceptance region 0,05, p=0,046). This research shows how important it is for women after breast cancer treatment to receive timely rehabilitational intervention and to return to employment and how this affects their quality of life. Key words: Breast cancer, occupational therapy, return to work, cancer survivors, quality of life, quantitative research
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Sobelová, Veronika. "Ergoterapie u pacientů po aplikaci botulotoxinu. Podtitul: Ovlivňování funkční nezávislosti u dospělých pacientů po získaném poškození mozku." Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-368755.
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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...
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Švecová, Adéla. "Využití jednotlivých typů polohování u pacientů po cévní mozkové příhodě v akutní a subakutní fázi rehabilitace z pohledu ergoterapie." Master's thesis, 2020. http://www.nusl.cz/ntk/nusl-434267.
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OF MASTER THESIS Tittle of master thesis: Use of individual types of positioning on patients after stroke in the acute and subacute phase of rehabilitation from the perspective of occupational therapy. Stroke is one of the diseases that most affects the human population. It can result in temporary disability, permanent consequences and death. The patient's positioning after a stroke can affect many risks of secondary changes. The aim of this work is to find out how occupational therapists are involved in the positioning of patients in the acute and subacute phase after a stroke in stroke centers in the Czech Republic and how the positioning in stroke centers takes place. The literature and recommended procedures show that the correct positioning after a stroke in the acute and subacute phase prevents the development of immobilization syndrome and secondary changes. Positioning patients after a stroke can affect muscle tone, shoulder pain, prevent subluxation in the joints, maintain passive and active range in the joints, etc. In patients after a stroke, agitation should occur from the affected side to support the return of sensorimotor functions and to involve the affected parties to activities. The occupational therapist is most involved in positioning the affected upper limb, especially to...
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Havejová, Gabriela. "Využití testu PEDI-CAT v ergoterapii u dětských pacientů s meduloblastomem. Podtitul: Pediatrické hodnocení míry disability - počítačový test." Master's thesis, 2016. http://www.nusl.cz/ntk/nusl-353327.
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The aim of this master thesis is to elaborate the issue of the PEDI-CAT test and to evaluate its contribution in the proces of occupational therapy in patients with medulloblastoma. The theoretical part deals with the test itself, its origin, process of standardization and comparison with the older version of the test. The theoretical part further informs about the possibility of using the test in different areas and in different diagnoses. The last part of the theory analyzes the area of occupational therapy in pediatric patients with diagnosis of medulloblastoma. The practical part contains three case reports of pediatric patients diagnosed with medulloblastoma, which make it described the benefits of practical use of the PEDI-CAT test in occupational therapy in this diagnosis. In the appendices of the thesis is a brief guide to the test, translated by the author of the thesis, which can serve as a guide to facilitate the work with the test, for those who will take the test in practice. The contribution of this thesis is to introduce the PEDI-CAT to the professional public in the Czech Republic. Putting the PEDI-CAT into practice will help facilitate testing and evaluating the outcome of occupational therapy in pediatric patients. Furthermore, the contribution of this thesis is to evaluate the...
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Kiss-Szemán, Borbála Sára. "Ergoterapie a aplikovaná behaviorální analýza Podtitul: Interprofesní spolupráce při nácviku personálních všedních denních činností u dětí s poruchou autistického spektra." Master's thesis, 2021. http://www.nusl.cz/ntk/nusl-447157.
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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...
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Jarošová, Zuzana. "Změny životních potřeb rodin pacientů po poškození mozku z pohledu ergoterapie. Podtitul: Překlad, administrace a hodnocení dotazníku Family Needs Questionnaire." Master's thesis, 2021. http://www.nusl.cz/ntk/nusl-447393.
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Author: Bc. Zuzana Jarošová Supervisor: MUDr. Yvona Angerová, Ph.D., MBA Title: Changes in the Needs of the Families of Patient with Brain Damage from an Occupational Therapy Perspective: Translation, Administration and Evaluation of the Family Needs Questionnaire Abstract: This thesis is about the needs of the patients family after traumatic brain injury (TBI). This thesis aims to convert the "Family Needs Questionnaire" into the Czech language and to verify its comprehensibility in families after TBI. Another aim is to assess the family's perception of needs from FNQ on a scale of importance and the level of fulfillment of these needs. The thesis should point out the importance of the percepted needs of patients' families affected by the TBI and the necessity of support of caregivers. The thesis tries to introduce the basic issues of the consequences of TBI for the patient, the effects on families, family needs, their evaluation and occupational therapy interventions. The master's thesis is a preliminary research of this tool. It uses a combination of qualitative data processing including eight respondents' casuistics, as well as quantitative data processing using the categorial data analysis. (descriptive statistics). The main method of this thesis is the process of conversion the questionnaire...
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Adamusová, Andrea. "Trénink paměti a pozornosti u pacientů po cévní mozkové příhodě z pohledu ergoterapie. Podtitul: Pilotní studie k aplikaci Cognitive na tabletu." Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-357262.
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The aim of the thesis is to find out clinical usability of tablet application Cognitive for training of memory and attention of patients after stroke, in occupational therapist's view. Occupational therapists train cognitive functions (for instance memory and attention) of patients in various ways. Therapy using modern technologies, particularly tablet, is involved. Whereas in foreign countries tablets are used in occupational therapy in many means, in the Czech Republic their use is still minimal. The theoretical part contains a summary about this area. The application Cognitive, which is currently being developed, might help change the situation in the Czech Republic. Cognitive application contains two games, one for memory and the other one for attention. Is this application usable in occupational therapist's practice, though? Within the practical part, a study has been created, that found out the usability of new application Cognitive in practice with six patients after stroke. Occupational therapist trained memory and attention with them for 3 weeks, every weekday, each for 30 minutes. Data was processed in a form of a case study and using statistical methods. The study has found out that the application has a major drawback in poor variability of game elements, which is necessary for...
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Karásková, Jana. "Vliv ručního tkaní na rozvoj člověka a metody výuky." Master's thesis, 2003. http://www.nusl.cz/ntk/nusl-366379.
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Rohlenová, Eva. "Hodnocení domácího prostředí z pohledu ergoterapie. Podtitul: Dotazníkové šetření mezi českými i zahraničními ergoterapeuty o hodnocení domácího prostředí a domácích návštěvách pacientů/klientů." Master's thesis, 2018. http://www.nusl.cz/ntk/nusl-383821.
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Home assessment is an important part of occupational therapy intervention. It can help improve patients' quality of life in many ways: lower the risk of falls, improve their self-dependence, increase participation etc. Despite that, there is little information about home assessment in Czech literature. There is no overview of home assessment tools nor any study summarizing information about current home assessment practice. The main goal of this thesis was to explore home assessment and home visit practice in the Czech republic using a questionaire-based survey among Czech occupational therapists. The results were to be compared to data gathered from foreign respondents. Theoretical part discusses the topic of the thesis iand presents information on home assessment tools. Chosen ones are described in detail (Cougar, WeHSA, Housing Enabler, SEMAFOR home). Practical part summarizes the results of the questionaire using tables, graphs and statistical analysis. Data from 144 Czech and 135 foreign respondents was gathered and analysed. Research hypotheses were that the majority of Czech occupational therapists don't do home visits and don't evaluate home environment using existing home assessment tools. Furthermore, foreign occupational therapists were expected to perform home visits and use existing...
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Horsáková, Petra. "Využití terapie vynuceného používání paretické horní končetiny u pacientů po cévní mozkové příhodě v ergoterapii." Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-357258.
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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
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Pilzová, Martina. "Využití systému CogniPlus pro trénink kognitivních funkcí v ergoterapii u osob se získaným poškozením mozku." Master's thesis, 2019. http://www.nusl.cz/ntk/nusl-403921.
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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...
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RAZIMOVÁ, Lada. "Kooperace sestry a lékaře v centru pro pacienty podstupující aloplastiku nosných kloubů." Master's thesis, 2012. http://www.nusl.cz/ntk/nusl-120245.
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Motoric system diseases belong to the most frequent ones in the present days. All age categories are affected. Congenital defects are included and also injuries, inflammations, degenerative illnesses and others. In the Czech republic are many centers gathering patients with the same diseases. However the centers for orthopedic patients are missing. The dissertation is divided into a theoretic and empiric parts. The theoretic one is focused generally on problems with joint replacements, rehabilitation and relation between a medic and a patient. The dissertation was targeted on: 1. To verify if the informing about the subsequent postop nursing care provided in the center for patients undergoing aloplasty comes up to a patient?s expectations and fulfils their needs. 2. To find out if hospital nurses perceive the difference in the patient engagement in the nursing care according to if he had visited the center before or not. 3. To reveal potential problems in the center running from the patient, nurse and doctor point of view. The research part of the dissertation was implemented with a combination of both qualitative and quantitative survey. For quantitative survey was chosen a method of questioning with a form technique for patients (after a hip or a knee aloplasty) in the Czech republic and Austria and also for nurses working in the orthopedic department and intensive care unit in the Pelhřimov hospital. Three hypotheses were established. 1. The given nursing care informations provided in the center for patients undergoing aloplasties fulfil the patient?s needs. 2. The hospital nurses assess a significant difference in the patient?s collaboration between those who had visited the center before and who had not. 3. In the center for patients waiting for aloplasty daily running there exist problems from the nurse?s point of view. As for the qualitative part of survey a method of questioning with the technique of a semistructured dialog with open questions was used. The research file was created by patients after principal joints aloplasties. In this part we have tried to answer three main questions. 1. What is the relationship between both hospital and the center nurse activities and the patient?s contentment in the sphere of his needs? 2. What sorts of informations for the patients in the center are missing? 3. The patients evaluate the informations provided in the center as orientational or as significant for easier postop care managing? The results of the research survey were analysed and taken in schemes. Patients suffer from disturbing their both physical and psychological needs and so the goal of collaboration is a satisfied and fully informed patient. From the results it is apparent that a nurse in the center closely cooperates with a hospital nurse. The survey revealed that the patients in the center are missing no informations. The patients are prepared for the operation, orient themselves in the related problems know what comes with the rehabilitation as an important part of the postop care. To be concluded: patients are prepared for easier postop care managing. On the basis of analysis of respondent?s answers it was found that the patients undergoing a principal joint aloplasty are sufficiently informed. Although hospital nurses and doctors sense the difference between a patient who had visited the center before and who had not the stimulus for subsequent survey could be how the patients perceive the differentness of info provided within the center and out of it. The survey results could be a stimulus for establishing new centers not only within Vysočina but also in Austria. In the relation with the dissertation results and on the basis of info provided in the center when the patients assessed the info as sufficient for them an informing prospectus was created. The dissertation could serve as an informational material for students not only in the nursing profession.
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Nová, Jarmila. "Efekt terapie kognitivních funkcí u pacientů s demencí." Master's thesis, 2016. http://www.nusl.cz/ntk/nusl-351400.
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This thesis occupies with a cognitive training efficiency with a focus on memory and attention of dementia diagnosed people, especially people with vascular dementia, mixed dementia or Alzheimer's disease. The theoretical part deals with dementia issues and current knowledge on the field of a cognitive and occupational therapy. The main empirical part goal is a determination of the cognitive training by dementia diagnosed people. The next goal is to find out, how much clients are satisfied with the cognitive function therapy. The cognitive function training is made within a period of 8 weeks in social institutions in Jirkov and Chomutov. The research sample is consisted of 24 clients (at the age of 65 and more) with diagnosed Alzheimer's disease, vascular or mixed dementia, they were divided into an experimental and comparative group. Clients are evaluated before the intervention and after the intervention using Mini-Mental Examination test (MMSE), Trail Making test, part A (TMT:A and Swwartz scale of the therapy evaluation (SOS-10). Statistically significant results of set significance rate (p < 0,05) were found by the test MMSE (0,01 < 0,05) and scale SOS-10 (0,02 < 0,05), but the test TMT:A (0,09 > 0,05) hasn't confirmed therapy efficiency from the reason of the small research sample. Those...
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Rejtarová, Anna. "Bilaterální trénink horních končetin u pacientů s centrální hemiparézou." Master's thesis, 2018. http://www.nusl.cz/ntk/nusl-387062.
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Background: Bilateral training is an intervention used in patients with hemiparesis. This training is based on the movement of both (bi) sides (lateral) of the body simultaneously. There exist a lot of articles focused on specific methods of bilateral training. However, the used terminology is inconsistent. The aim of this thesis is to describe the neurophysiological background of bimanual and bilateral methods, review and clear out the used terminology, and describe the different techniques included in bilateral training. Methods: Relevant literature was searched in PubMed, ScienceDirect and OVID Evidence Based Reviews. The inclusion criteria were the availability of fulltext, publication date after 1980, English language and a connection with medicine. The searched keywords were bimanual or bilateral training, metod and therapy. Results: From 1021 articles, only 132 articles meet the inclusion criteria. Five main rehabilitation interventions are used in practice: a) cooperative activity of both arms, b) synchronous movement of both arms c) Mirror therapy, d) an activity, where the impaired hand assists the paretic hand and d) robotic therapy or therapy with mechanical devices. The neurophysiological background is based on a) modulation of interhemispherical inhibition, b) increased motor control of...
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Míčková, Adéla. "Využití zahradní terapie při práci se seniory." Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-369926.
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This diploma thesis deals with the theme of horticultural therapy in the Czech Republic. The thesis is especially focused on the utilization of this therapy with seniors. The theoretical part contains chapters dealing with age, needs, and horticultural therapy, which is an effective way of meeting the needs of the elderly. The horticultural therapy is presented from the historical point of view. In addition the state of the horticultural therapy in Czech Republic is described in general. Furthermore this chapter describes the usage of the horticultural therapy abroad. Key features of the horticultural therapy are presented in order to ensure effectiveness of this method. Therapeutic gardens are defined in this part, as well as key differences between horticultural therapy and other generally used therapeutic approaches. The research is based on semi-structured interviews with relevant persons in the Czech Republic. The interviews were conducted with three groups of people. The first group consists from individuals who are mainly oriented in the theoretical level of horticultural therapy. For example they have an overview of the state of horticultural therapy in the Czech Republic, especially in the realization of horticultural therapy or legislative issues. The second group are those who practice...