Constraint induced movement therapy for upper extremity in patients after stroke in occupational therapy

DIPLOMOVÉ PRÁCE Bc. Petra Horsáková Vedoucí práce: Bc. Mária Krivošíková, M.Sc. Oponent práce: Název diplomové práce: Využití terapie vynuceného používání paretické horní končetiny u pacientů po cévní mozkové příhodě v ergoterapii. Abstrakt diplomové práce: Terapie vynuceného používání (constraint induced movement therapy) představuje jednu z neurorehabilitačních metod. Je založena na principu překonávání fenoménu naučeného nepoužívání pomocí specifického terapeutického protokolu zahrnující behaviorální techniky. Tato diplomová práce se soustředí na využití terapie vynuceného používání u dospělých pacientů po cévní mozkové příhodě s poruchou hybnosti horní končetiny a je napsána formou literárního přehledu. Práce třídí současné dostupné studie zabývající se tématem a shrnuje nejdůležitější poznatky. Hlavním cílem práce je získat ucelený přehled současných studií a poznatky poté využít v ergoterapeutické praxi. Diplomová práce je rozdělena na teoretickou část, ve které je popsána historie vzniku metody, jsou zde vysvětleny základní principy metody a je podrobně popsán obsah terapeutického protokolu. V analyticko-deskriptivní části jsou analyzovány a třízeny zahraniční studie podle témat, které se ve studiích vyskytují a které jsou významné vzhledem k ergoterapeutické praxi. Součástí práce jsou také...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 therapyDepartment of Rehabilitation Medicine First Faculty of Medicine and General University HospitalKlinika rehabilitačního lékařství 1. LF UK a VFN v Praze1. lékařská fakultaFirst Faculty of Medicin

Constraint induced movement therapy for upper extremity in patients after stroke in occupational therapy

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 therapyDIPLOMOVÉ PRÁCE Bc. Petra Horsáková Vedoucí práce: Bc. Mária Krivošíková, M.Sc. Oponent práce: Název diplomové práce: Využití terapie vynuceného používání paretické horní končetiny u pacientů po cévní mozkové příhodě v ergoterapii. Abstrakt diplomové práce: Terapie vynuceného používání (constraint induced movement therapy) představuje jednu z neurorehabilitačních metod. Je založena na principu překonávání fenoménu naučeného nepoužívání pomocí specifického terapeutického protokolu zahrnující behaviorální techniky. Tato diplomová práce se soustředí na využití terapie vynuceného používání u dospělých pacientů po cévní mozkové příhodě s poruchou hybnosti horní končetiny a je napsána formou literárního přehledu. Práce třídí současné dostupné studie zabývající se tématem a shrnuje nejdůležitější poznatky. Hlavním cílem práce je získat ucelený přehled současných studií a poznatky poté využít v ergoterapeutické praxi. Diplomová práce je rozdělena na teoretickou část, ve které je popsána historie vzniku metody, jsou zde vysvětleny základní principy metody a je podrobně popsán obsah terapeutického protokolu. V analyticko-deskriptivní části jsou analyzovány a třízeny zahraniční studie podle témat, které se ve studiích vyskytují a které jsou významné vzhledem k ergoterapeutické praxi. Součástí práce jsou také...Univerzita Karlova, Fakulta tělesné výchovy a sportuFaculty of Physical Education and SportFakulta tělesné výchovy a sport

Constraint induced movement therapy for upper extremity in patients after stroke in occupational therapy

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 therap

Constraint induced movement therapy for upper extremity in patients after stroke in occupational therapy

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 therap

A European map of groundwater pH and calcium

Water resources and associated ecosystems are becoming highly endangered due to ongoing global environmental changes. Spatial ecological modelling is a promising toolbox for understanding the past, present and future distribution and diversity patterns in groundwater-dependent ecosystems, such as fens, springs, streams, reed beds or wet grasslands. Still, the lack of detailed water chemistry maps prevents the use of reasonable models to be applied on continental and global scales. Being major determinants of biological composition and diversity of groundwater-dependent ecosystems, groundwater pH and calcium are of utmost importance. Here we developed an up-to-date European map of groundwater pH and Ca, based on 7577 measurements of near-surface groundwater pH and calcium distributed across Europe. In comparison to the existing European groundwater maps, we included several times more sites, especially in the regions rich in spring and fen habitats, and filled the apparent gaps in eastern and southeastern Europe. We used random forest models and regression kriging to create continuous maps of water pH and calcium at the continental scale, which is freely available also as a raster map (Hájek et al., 2020b; https://doi.org/10.5281/zenodo.4139912). Lithology had a higher importance than climate for both pH and calcium. The previously recognised latitudinal and altitudinal gradients were rediscovered with much refined regional patterns, as associated with bedrock variation. For ecological models of distribution and diversity of many terrestrial ecosystems, our new map based on field groundwater measurements is more suitable than maps of soil pH, which mirror not only bedrock chemistry but also vegetation-dependent soil processes.publishedVersio

A European map of groundwater pH and calcium

Water resources and associated ecosystems are becoming highly endangered due to ongoing global environmental changes. Spatial ecological modelling is a promising toolbox for understanding the past, present and future distribution and diversity patterns in groundwater-dependent ecosystems, such as fens, springs, streams, reed beds or wet grasslands. Still, the lack of detailed water chemistry maps prevents the use of reasonable models to be applied on continental and global scales. Being major determinants of biological composition and diversity of groundwater-dependent ecosystems, groundwater pH and calcium are of utmost importance. Here we developed an up-to-date European map of groundwater pH and Ca, based on 7577 measurements of near-surface groundwater pH and calcium distributed across Europe. In comparison to the existing European groundwater maps, we included several times more sites, especially in the regions rich in spring and fen habitats, and filled the apparent gaps in eastern and southeastern Europe. We used random forest models and regression kriging to create continuous maps of water pH and calcium at the continental scale, which is freely available also as a raster map (Hájek et al., 2020b; https://doi.org/10.5281/zenodo.4139912). Lithology had a higher importance than climate for both pH and calcium. The previously recognised latitudinal and altitudinal gradients were rediscovered with much refined regional patterns, as associated with bedrock variation. For ecological models of distribution and diversity of many terrestrial ecosystems, our new map based on field groundwater measurements is more suitable than maps of soil pH, which mirror not only bedrock chemistry but also vegetation-dependent soil processes

A European map of groundwater pH and calcium

Water resources and associated ecosystems are becoming highly endangered due to ongoing global environmental changes. Spatial ecological modelling is a promising toolbox for understanding the past, present and future distribution and diversity patterns in groundwater-dependent ecosystems, such as fens, springs, streams, reed beds or wet grasslands. Still, the lack of detailed water chemistry maps prevents the use of reasonable models to be applied on continental and global scales. Being major determinants of biological composition and diversity of groundwater-dependent ecosystems, groundwater pH and calcium are of utmost importance. Here we developed an up-to-date European map of groundwater pH and Ca, based on 7577 measurements of near-surface groundwater pH and calcium distributed across Europe. In comparison to the existing European groundwater maps, we included several times more sites, especially in the regions rich in spring and fen habitats, and filled the apparent gaps in eastern and southeastern Europe. We used random forest models and regression kriging to create continuous maps of water pH and calcium at the continental scale, which is freely available also as a raster map (Hájek et al., 2020b; https://doi.org/10.5281/zenodo.4139912). Lithology had a higher importance than climate for both pH and calcium. The previously recognised latitudinal and altitudinal gradients were rediscovered with much refined regional patterns, as associated with bedrock variation. For ecological models of distribution and diversity of many terrestrial ecosystems, our new map based on field groundwater measurements is more suitable than maps of soil pH, which mirror not only bedrock chemistry but also vegetation-dependent soil processes