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The possibilities of physiotherapy of carpal tunnel syndrome by sewers
PLAČKOVÁ, Tereza
This bachelor thesis deals with the issue of carpal tunnel syndrome. The research topic is work of sewers and elimination of health problems, which emerge after a sewer, had performer this work for long time without taking proper compensation. I present theoretic knowledge in the first part that makes foundation for the research part. I refer to upper extremity anatomy and its setting to the motion and I refer to ergonomic principles, which influence the posture quality. In addition to it, I refer to knowledge of carpal tunnel syndrome and possibilities of physiotherapy intervention. The aim of the thesis is to describe the possibilities of physiotherapy of this dysfunction, to suggest a therapy and to focus on adjustment of work environment which should prevent sewers' wrists and their posture from overburdening. The research part utilizes the qualitative methods, which want to evaluate data gained from three probands. The methods I use are observation, comparison, survey, semi-structured dialog and kinesiology analysis. I perform in therapy manual techniques, kinesiotherapeutic and occupational therapy methods and consulting on increasing the quality of sewers work. I noticed after four-month therapy that clinical symptoms of CTS (carpal tunnel syndrome) which the probands were suffering from were reduced because of selected health care. Work condition adjustment of each proband was made through the instruction. Its assessment could not be carried out because I did not have the opportunity to check it. The results did not attest anything after such short period. Even though final neurological screening did not prove the improved median nerve conducting, both aims of the bachelor thesis were successfully accomplished.

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