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The theme of this bachelor thesis is pain of shoulder girdle in tetraplegics and paraplegics. The bachelor thesis consists of teoretical and practical part. In the theoretical part of the thesis I present the findings about spinal cord lesions, anatomy and kinesiology of shoulder girdle. The aim of this bachelor thesis is to present causes of shoulder girdle pain in tetraplegics and paraplegics and options how to influence it with physiotherapy. In practical part I present case study of SCI patient with pain of shoulder girdle. The case study consists of entry and final examination and photo-documentation of therapy and wheelchair propulsion.

Title: Conductive training in individuals after spinal lesions Objectives: The aim of the bachelor thesis is the positive influence of fitness training plan for people with sleep lesions to improve their physical condition. The secondary aim is to examine the subjective attitudes of probands to the conditional program, according to Feldenkreis's satisfaction questionnaire supplemented with a written probanda assessment. Methods: In the framework of a quantitative and qualitative research, 4 probands were monitored in the form of case studies after a spinal lesion participating in a reconditioning stay at the Paraple Center. The average proband age was 45 years. In probands an initial examination was performed and a monthly training session with an instructor was carried out. To evaluate the effect, the following methods were used: observation, bodystat assessment by Bodystat and assessment of physical fitness on a rowing and cross-country trainer. Results: All proband monitors achieved a slight improvement in bodystat scores evaluated by the Bodystat instrument: decreasing body fat in percent and increasing the proportion of active body mass. These results confirmed physical fitness improvements with measured times on trainers. Conclusion: Monthly fitness training for 4 individuals with spinal...

The impact on health, mental state and quality of life in people after spinal cord injury is enormous. Significant impairment occurs not only of sensorimotor functions. The autonomic nervous system is also disturbed to some extent, which is very closely related to the management of cardiovascular functions (and heart rate). The aim of this study is to evaluate the effect of different physical activities on heart rate in people after spinal cord injury. The study included 30 people in the chronic stage after spinal cord injury, which were divided into 3 groups according to the neurological level of the spinal cord lesion in tetraplegics (lesion C1-C8), paraplegics with high thoracic lesion (T1-T6), and paraplegics with lesion from T6 below. Each proband completed 4 exercise tests on sports simulators (rowing, kayaking and cross-country trainer and Rotren) and peak heart rate values (SFpeak) were measured after reaching the subjective maximum load (according to the Borg RPE scale). The values of SFpeak were then statistically processed, evaluated and compared - within groups between sports simulators and between groups. The results of the statistical processing show that the sports simulators are not different in terms of reaching the top SFpeak. Although differences between peak heart rate values...

The aim of the study: The aim of this work is to find out the possibilities to influence the clinical state of the patients suffering with incomplete spinal cord lesion syndrome with the help of a therapeutic video played through a virtual reality helmet. Methods: The research was conducted with 22 probands (15 males and 7 females) aged between 27 and 76 years (the average age of 55±14 years) from the client of Rehabilitation Centre Kladruby. The probands were divided into two homogenised groups with the same number of members. The control group received a standard rehabilitation programme set by the Rehabilitation Centre. The research group followed the same plan but in addition to this, they were given helmets, and a video with virtual reality was played daily on the total of 30 occasions. The clinical state before conducting the research and after was evaluated using the standard test ASIA impairment scale where the observed transformation was the total of motoric points for the lower limbs. Initial and final examination was conducted by professional and highly trained staff at Kladruby, always doctors. The variance between the initial and the final examination results and the length of stay at the centre were used to set the relative transformation of the clinical state in comparison with the...

Traumatic damage to the cervical spinal cord has a dramatic impact on determinants affecting cardiovascular fitness. In tetraplegia, in addition to diminished skeletal muscle function, impaired sympathetic cardiovascular innervation together with a dysfunction of catecholamine release is typically present. Individuals with tetraplegia are at a high risk of long-term inactivity, which increasingly contributes to the development of common civilization diseases. The aim of the current dissertation project is to investigate the cardiovascular fitness in males with cervical spinal cord injury (n=20) as compared to able- bodied males (n=27). Both groups completed exercise testing on an arm-crank ergometer. Arterial blood pressure response to exercise, peak oxygen consumption and peak heart rate were the primary outcome variables. In the first part of the study, a graded maximal arm- crank ergometer test to the subjective exhaustion was performed for the inter-group peak exercise comparison. The peak power dramatically differs between the groups and could be an important confounding factor limiting the evaluation of a physiologic response related to the equivalent physical loading. Therefore, in the second part of the study, individuals of the control group completed a second graded arm-crank ergometer...

Spinal lesis means complete or partial damage of spinal cord because of injury. At about 15-20% of patients damage their spine in one go with spinal cord. Spinal cord injury brings negative changes which influence not only the patients themselves but also their families. The aim of this work was to map the whole new situation of patients with spinal injury in chest and loins parts who underwent the complete rehabilitation. The main aim was to describe working situation, the possibilities of living and commuting. Qualitative searching was used for the work. Collecting the dates was done by dialogues and study. There were 6 people. The questions were focused on general but very important information which influence the process of resocialisation. The results of work enabled to look into new life of clients after spinal lesis.

KRATKY, Jakub. Monitoring the activation of selected muscle groups of clients with spinal cord injuries. Prague: Charles University, Faculty of Physical Education and Sport, 2013. 82 pages. Supervisor Doc. PaedDr. Karel Jelen, CSc The aim of this thesis is to monitor the activation of selected muscle groups (musculus deltoideus pars anterior, musculus deltoideus pars posterior, musculus triceps brachii caput laterale and musculus trapezius pars descendus) during double poling ergometry. Nine subjects with different spinal cord lesions volunteered to participate in the study. The surface electromyography is used to detect the musculus activation. The monitoring of four muscle groups is devided into three phases. Firstly, all the participants double-poled for one minute at moderate intensity according to the Borg scale. Each participant underwent a 10-minute intervention to correct the posture. In the last phase the volunteers exercised again for one minute at moderate intensity. The aim of the intervention is to decrease muscle activation of musculus deltoideus pars anterior and musculus trapezius pars descendus (muscles with a tendency to hypertonia during wheelchair propulsion and activity of daily living) and to increase muscle activation of musculus deltoideus pars posterior and musculus triceps...

The aim of this work is to find out whether the people after spinal cord injury are motivated enough to get work and whether emplozers accept their demand of part-time working hours because of their health condition. The method of this work was research, the form of questionnaire. The research was carried out in Prague, The Union of Paraplegics in the Center Paraple. 82 out of 95 asked respondents took part in the survey. The thesis consists of two parts. The first part is theoretical. It presents brief anatomics description of spine and central nerve system, the change of health condition after spinal cord injury as well as the psychosocial trauma of people wirh spinal cord lesion. Next, the teoretical part deals with komplex rehabilitation-medical, social, pedagogical and working one. The thesis focuses especially on the working rehabilitation, referring to one elementary human rights-the right for work. It deals with the problem of the handicapped people unemployment and its characteristics. Next the chapter of working rehabilitation deals with the legislation of handicapped people unemployment, especially the new unemployment law n. 435/2004 Sb. Nowadays we can no longer ignore international documents concerning the employment of handicapped people, mentioned in the final chapter of the theoretical part. The second part of thesis is practical. It includes the resultsof both, the survey and the questioning by phone. The data are processed percentualy and graphically. every graph has its own description. Then the results are discussed. People after spinal cord injury are motivated to work. Yet, there are many obstacles to the employment of these people, which may result in their desillusion and demotivation to work. One of such obstacles is e.g. the fact that potential employers do not accept their demand of shorter working hours. The final part of the thesis includes the conclusion, the list of sources and supplement.