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The importance of physiotherepy in diabetic neuropathy
MOTEJLOVÁ, Tereza
The subject of this bachelor's thesis is the mapping of physiotherapeutic posibillities for neuropathy, and creating an exercise unit to improve the stability of autotherapy with individual probands. Diabetic neuropathy is a very common chronic complication of the diabetes mellitus disorder. This disorder affects the peripheral nervous system and its most common symptoms are paresthesia, a feelings of cold feet and stability issues. The theoretical part examines the diabetes mellitus disorder. This disorder is written about in the second chapter, containing the classification, diagnostics, therapy and its complications. A chronic complication of this disorder can be diabetic neuropathy, to which is devoted the third chapter. This chapter is composed of the anatomy of the peripheral nervous system, the forms, neuropathic pain and a treatment. The fourth chapter deals with postural stability. The practical part was based on qualitative research. The research group consisted of three probands diagnosed with diabetic neuropathy. Each proband was kept a casuistry, which contains anamnesis, kinesiological analysis, stability examination including a posturograph, and essential neurological examinations. Based on the initial examination, individual physiotherapeutic procedures were created. The main part of the exercise unit was dedicated to sensomotor skills, the relaxation of joint structures on the leg, and exercising on balance pads with postural stability training. The results of this research proved that physiotherapy in diabetic neuropathy has a positive impact on the health condition of the proband. During the therapy, the probands subjectively expressed mitigation of paresthesia. It was confirmed that the probands could better hold their stability even in more difficult positions.
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