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Access physiotherapy in disorders of postural stability in patients with multiple sclerosis
KRÁLOVÁ, Lucie
The bachelor thesis summarizes the current knowledge of multiple sclerosis. The object of my thesis was to choose the appropriate physiotherapy procedures to influence postural stability in patients with multiple sclerosis. In the theoretical part of it I have dealt with the current situation of the problem, then with ethiopathogenesis, symptoms, pharmacological and rehabilitative treatment. Then I dealt with the functions of the deep stabilization system and methods which can be used to work with. These methods were chosen with regard to the diagnosis MS. The research section includes casuistry of three patients. The kinesiology examination is supplemented by testing in posturograph which patients undertaken at the beginning of the three-month therapy and after its completion. This section contains actual status of the patients, their medical history, designs short-term rehabilitation plan, a description of rehabilitation and long-term rehabilitation plan and overall assessment of therapy and research. The whole research took place over a period of three months. Two patients attending for treatment in a rehabilitation clinic in J.Hradci, therapy third patient was at home through briefing. After three months of therapy, I evaluated the effectiveness of exercise based on the input and output tests, balance tests and examinations on posturograph. I also took into account the patients' subjective feelings. Physiotherapy had an impact primarily on the breathing stereotype and better postural stability when standing. Furthermore, the psychological state of patients also improved. Physiotherapy may interfere with some clinical symptoms of MS. It helps to improve the quality of life, improve self-sufficiency and engage individuals in active life. However, we have to expect short-term effect and that it is necessary to rehabilitate all the time. Also, we must continue to adapt to the development of the disease and the current condition of the patient.
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