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The possibilities of physical therapy in patients with Pierre Robin sequence
Sedinová, Monika ; Smolíková, Libuše (advisor) ; Hoffmannová, Eva (referee)
Orofacial clefts are among the most common craniofacial deformities and could be associated with serious anomalies. The rare condition - Pierre Robin sequence is classified into these deformities, due to presence of isolated cleft palate. Pierre Robin sequence is defined as a triad of symptoms: micrognathia, glossoptosis and airway obstruction. These symptoms were described in 1923 by French stomatologist Pierre Robin. In 70s the original name" Pierre Robin syndrome" was changed in "Pierre Robin sequence" because of the sequence of defects development. Today, many authors use modified definition of the sequence. They add the "U" or "V" shaped cleft palate and feeding disorders to original triad of symptoms. Pierre Robin sequence is usually classified into 3 groups: isolated form, syndromatic form and form additional to other malformations without knowing syndrome diagnosis. The treatment therapy in patients with Pierre Robin sequence is divided into conservative or invasive approach. Choosing the approach needs cooperation of many specialists, who should be part of multidisciplinary team. Although it is not usual or frequent, the physical therapist should be involved. The Physical therapist should be able to contribute to more complex approach and to provide more superior care to patients with Pierre Robin...
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The importance of physical therapy in prognosis in patients with Pierre Robin sequence
Sedinová, Monika ; Smolíková, Libuše (advisor) ; Zounková, Irena (referee)
Clefts of orofacial komplex are the most common birth development defects. One of them is Pierre Robin sequence, which is characterized by presence of micrognathia, glossoptosis and upper airway obstruction. Because of these symptoms, isolated cleft palate "U" or "V" shaped can be part of the diagnose. Other clinical manifestations are feeding difficulties, obstructive sleep apnea syndrome and / or gastroesophageal reflux disease. The aim of the treatment is to secure the airway and the child's thriving after birth by using conservative or invasive treatment methods. Choosing of methods and procedures should be established by multidisciplinary cooperation. The other part of diploma thesis is trying to find out, which clinical manifestation are the most common in patients from the Czech Republic compare to foreign patients and the differences in management of the treatment. Furthermore we are trying to investigate, whether there is higher percentage of patients with delayed neuromotor development among PRS patients, which are under physical therapy. The last part is trying to find out the relationship between the poor posture and PRS diagnose in children age 4 - 6 years.
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The possibilities of physical therapy in patients with Pierre Robin sequence
Sedinová, Monika ; Smolíková, Libuše (advisor) ; Hoffmannová, Eva (referee)
Orofacial clefts are among the most common craniofacial deformities and could be associated with serious anomalies. The rare condition - Pierre Robin sequence is classified into these deformities, due to presence of isolated cleft palate. Pierre Robin sequence is defined as a triad of symptoms: micrognathia, glossoptosis and airway obstruction. These symptoms were described in 1923 by French stomatologist Pierre Robin. In 70s the original name" Pierre Robin syndrome" was changed in "Pierre Robin sequence" because of the sequence of defects development. Today, many authors use modified definition of the sequence. They add the "U" or "V" shaped cleft palate and feeding disorders to original triad of symptoms. Pierre Robin sequence is usually classified into 3 groups: isolated form, syndromatic form and form additional to other malformations without knowing syndrome diagnosis. The treatment therapy in patients with Pierre Robin sequence is divided into conservative or invasive approach. Choosing the approach needs cooperation of many specialists, who should be part of multidisciplinary team. Although it is not usual or frequent, the physical therapist should be involved. The Physical therapist should be able to contribute to more complex approach and to provide more superior care to patients with Pierre Robin...
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Monitoring of radiation stress of pacients during radiographic examination in FNKV Prague
SEDINOVÁ, Monika
Abstract In my Bachelor´s thesis I dealt with the X-ray burden to which patients were exposed during the skiagraphic examination at the Radiodiagnostic Clinic of the Královské Vinohrady Teaching Hospital in 2008 and 2009. The goal of the thesis was to optimize the dose of X-rays during skiagraphic examination, while maintaining the highest possible quality of the skiagram, and to propose an optimum solution in terms of the control of exposure of the population. I have tried to compare the radiation burden on the patients in analogue and digital skiagraphy using standart protective aids, and to analyze the radiation burden on the patients during skiagraphic examinations. Calculations partly confirmed the hypothesis that the radiation burden on the patients may be reduced not only by setting appropriate exposure parameters, but mainly through different image systems and their optimization
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