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Manometry and its use in patients with a diagnosis of globus faryngeus
Gregová, Daniela ; Bitnar, Petr (advisor) ; Hep, Aleš (referee)
Introduction The main aim of this study is to present a complex review comprising etiological factors, diagnostic options and therapeutic methods related to globus pharyngeus, a persistent or intermittent sensation of a lump or foreign body in the throat. The second purpose is to investigate the reciprocal relationship between motor control with musculoskeletal system and pressure changes in the esophagus, especially in the upper esophageal sphincter. Methods 37 patients participated in the study. 24 of them suffered globus pharyngeus and 13 were patients with GERD but without the symptoms of globus pharyngeus. Because of the complex physiology of esophageal function and the inability of conventional manometry to fully describe this complexity, we found High-Resolution Manometry as a useful device for accomlishing the referred task. Patients were examined in four different postural situations which had to be modified when the attitude wasn't tolerated. The examination was followed by manual physiotherapy and exercises targeted to influence postural alignment. 10 patients with globus pharyngeus who agreed with a control manometry examination were familiarized with the results as a form of biofeedback. Results On the basis of the results of this research, it can be concluded that a high pressure...
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Dysphagia failure of the upper esophageal sphincter in patients after stroke
Gregová, Daniela ; Bitnar, Petr (advisor) ; Smolíková, Libuše (referee)
Stroke is one of the most frequent causes of dysphagia, a serious symptom triggered by affected coordination of the swallowing muscles or limited sensation. This bachelor thesis focuses on providing a compendium of literature concerned with dysphagia and demonstrating how the symptom occurs after cerebrovascular accident. The first part discusses the swallowing process and stroke from anatomical, physiological and neurophysiological standpoint. Second part presents a closer view of the upper sphincter of esophagus, additional healt problems caused by dysphagia and possibilities of alimentation and brings up a set of the most frequently used diagnostic methods. From chapter 4 and 5 on, the thesis describes methods and technics that can be involved in the treatment of patient with swallowing difficulties and casuistry of a patient suffering from serious dysphagia caused by cerebrovascular accident.
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Hemodynamic parameters of the cervical carotid bed of saline in the throes of stenosis of the carotid bulb and the bed capacity of treated recanalization excercise
Gregová, Daniela ; Kalvach, Pavel (advisor) ; Zvěřina, Eduard (referee) ; Beneš, Vladimír (referee) ; Bauer, Jiří (referee)
With the increasing number of patients suffering from some metabolic diseases leading to the development of atherosclerosis there is an urgent need for early diagnosis of the scale. If we think about disability sclerotic cerebral arteries, the optimal method of investigation is duplex ultrasonography, which is relatively inexpensive and friendly for the patient. To assess not only the structure and extent of atherosclerotic plaque, but also to assess the extent of any narrowing of the arteries and to evaluate the hemodynamic impact of structural changes present. It is an ideal candidate for screening in primary or secondary prevention of stroke, as well as for regular checks dispensarized patients. Knowledge of normal hemodynamic conditions in the cervical carotid stream is necessary in the assessment of various pathological conditions. This paper seeks to offer the most comprehensive view on the issue of carotid stenoses ultrasonografisty eyes. For practical reasons we focus on localized stenosis in the carotid bulb, the number is high above the stenosis in other locations.
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Manometry and its use in patients with a diagnosis of globus faryngeus
Gregová, Daniela ; Bitnar, Petr (advisor) ; Hep, Aleš (referee)
Introduction The main aim of this study is to present a complex review comprising etiological factors, diagnostic options and therapeutic methods related to globus pharyngeus, a persistent or intermittent sensation of a lump or foreign body in the throat. The second purpose is to investigate the reciprocal relationship between motor control with musculoskeletal system and pressure changes in the esophagus, especially in the upper esophageal sphincter. Methods 37 patients participated in the study. 24 of them suffered globus pharyngeus and 13 were patients with GERD but without the symptoms of globus pharyngeus. Because of the complex physiology of esophageal function and the inability of conventional manometry to fully describe this complexity, we found High-Resolution Manometry as a useful device for accomlishing the referred task. Patients were examined in four different postural situations which had to be modified when the attitude wasn't tolerated. The examination was followed by manual physiotherapy and exercises targeted to influence postural alignment. 10 patients with globus pharyngeus who agreed with a control manometry examination were familiarized with the results as a form of biofeedback. Results On the basis of the results of this research, it can be concluded that a high pressure...
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Dysphagia failure of the upper esophageal sphincter in patients after stroke
Gregová, Daniela ; Bitnar, Petr (advisor) ; Smolíková, Libuše (referee)
Stroke is one of the most frequent causes of dysphagia, a serious symptom triggered by affected coordination of the swallowing muscles or limited sensation. This bachelor thesis focuses on providing a compendium of literature concerned with dysphagia and demonstrating how the symptom occurs after cerebrovascular accident. The first part discusses the swallowing process and stroke from anatomical, physiological and neurophysiological standpoint. Second part presents a closer view of the upper sphincter of esophagus, additional healt problems caused by dysphagia and possibilities of alimentation and brings up a set of the most frequently used diagnostic methods. From chapter 4 and 5 on, the thesis describes methods and technics that can be involved in the treatment of patient with swallowing difficulties and casuistry of a patient suffering from serious dysphagia caused by cerebrovascular accident.
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Hemodynamic parameters of the cervical carotid bed of saline in the throes of stenosis of the carotid bulb and the bed capacity of treated recanalization excercise
Gregová, Daniela ; Kalvach, Pavel (advisor) ; Zvěřina, Eduard (referee) ; Beneš, Vladimír (referee) ; Bauer, Jiří (referee)
With the increasing number of patients suffering from some metabolic diseases leading to the development of atherosclerosis there is an urgent need for early diagnosis of the scale. If we think about disability sclerotic cerebral arteries, the optimal method of investigation is duplex ultrasonography, which is relatively inexpensive and friendly for the patient. To assess not only the structure and extent of atherosclerotic plaque, but also to assess the extent of any narrowing of the arteries and to evaluate the hemodynamic impact of structural changes present. It is an ideal candidate for screening in primary or secondary prevention of stroke, as well as for regular checks dispensarized patients. Knowledge of normal hemodynamic conditions in the cervical carotid stream is necessary in the assessment of various pathological conditions. This paper seeks to offer the most comprehensive view on the issue of carotid stenoses ultrasonografisty eyes. For practical reasons we focus on localized stenosis in the carotid bulb, the number is high above the stenosis in other locations.
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