Background: Pilot study tested re-education movements of upper extremity in children with hemiparesis syndrome and this study determined the effect of therapy on Armeo® equipment on movement and the ability to grip of upper extremity. Methods: This Investigation consisted of twenty-three children with impaired upper extremity. They had twenty therapies in Armeo® equipment. Results: After rehabilitation by equipment Armeo® the children achieved greater range of motions in the upper extremity which resulted in a higher average output score than the input score. Significant better results demonstrate the improvement in hand grip which resulted in higher average output score compared with the input score. Conclusion: By the therapy in Armeo® equipment were achieved statistically significant results in improving manual activities of upper extremity, improvement the range of motions and also improvement of grip of paretic hand.

No abstract

Trans-cultural aspects should be specified to provide the midwifery care for a client from the Chinese community. Respecting and subsequent satisfying needs of a woman in context with specific features of cultural differences is of importance for the physiological course of the delivery. At the stage of the consideration of the woman condition by the midwife, the Madeleine Leininger model is applied. It specifies requirements for procedural care provided by the midwife in dimensions of the trans-cultural aspects. The solution of most frequent diagnoses in midwifery in the course of delivery in a client who belongs to the Chinese community is proposed with taking into account culturally acceptable methods of the moderation of pains in the course of the delivery and effective communication in relation to a non-assimilated Chinese women in the environment of the labour ward in the Slovak Republic. Culturally acceptable competences of the midwife in relation to a client of a different culture are delimited for the midwife. A particular attitude to one client from the Chinese community is presented, which helped us to improve our attitude to providing a multicultural care and motivated us for activities aimed at its high quality. This valuable experience revealed reserves and initiated changes in traditional providing the midwifery care to satisfy bio-psychosocial needs of a woman and provide physiological course of the delivery.