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Vliv fyzioterapie na rozvoj jemné motoriky ruky u pacientů s revmatoidní artritidou
MACHYNIAKOVÁ, Šárka
The subject of this thesis is mainly description of rheumatoid arthritis and physiotherapeutic possibilities of precisely developing hand motoring. The first objective was to describe the current possibilities of physiotherapy in patients with rheumatoid arthritis, which were appropriately applied based on individual kinesiological analyses. Second goal was to build an effective exercise unit for developing fine motor skills in the hands area, based on objective and subjective information obtained from probands at the time of the research. This thesis is divided into two parts. The first theoretical part described the disease itself, epidemiology, etiopathogenesis, clinical picture, elemental examination diagnosis, and detailed description of known types of therapy. Finally, I briefly described the anatomy and kinesiology of the upper limb plait. The second practical part I processed in the form of qualitative research. The research sample contained one man and two women aged 79 to 89. For all probands, I performed an initial kinesiological analysis, grip evaluation, and testing according to Jebsen - Taylor test. Based on the information gathered, I have set short-term goals and chosen appropriate physiotherapy methods to achieve these set goals. The practical part took place over three months. During this time, I visited patients once a week and adjusted the therapy as necessary. Finally, I performed an output kinesiological analysis, the results of which I compared with the input kinesiological analysis and performed an evaluation. Probands were advised to continue therapy by fulfilling the goals of the long-term rehabilitation plan. The information found indicates that regular therapy with appropriate exercise has a positive effect especially on increasing shoulder joint ranges, improving hand handling, pain relief, and overall psychological improvement of probands. This thesis can be used as educational material for healthcare professionals, medical students, the public, and especially for the sick or their loved ones.
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