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Case Study of Physiotherapeutic Treatment of a Patient with the Diagnosis M. Parkinson
Stuchlíková, Kateřina ; Neuwirthová, Svatava (advisor) ; Saveljev, Michal (referee)
v Abstract Author: Kateřina Stuchlíková Supervisor: Mgr. Svatava Neuwirthová Title: A case report of physiotherapeutic care for a patient with Parkinson's disease Objectives: The main objective of this bachelor thesis i to process a case study of a ptient diagnosed with Parkinson's disease in the special part and in the theorethical part to provide information about this diagnosis, particularly focusing on etiopathogenesis, diagnosis ant treatment. Methods: The general part includes theoretical information about Parkinson's disease concerning clinical presentation, ethiopathogenesis, pathophysiology, diagnostic options and teratment, including rehabilitation. The special part contains the case report of the patient, whoch was developer during the bachelor's internship at the Nemocnice milosrdných sester svatého Karla Boromejského. Results: The objectives of both the theorethical and special parts were fulfilled. Conclusion: Based on the evaluation of the therapy's efect, it can be stated that physiotherapeutic care was succesful because it had a partially positive impact on the patient's condition. Keywords: Parkinson's disease, physiotherapy, case report, neurodegenerative disease, tremor, rigidity, hypokinesia, bradykinesia, akinesia
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Vliv fyzioterapie na kondici, koordinaci a posturální stabilitu u osob s Parkinsonovou chorobou.
DOMASOVÁ, Martina
Parkinson's disease is a neurodegenerative progressive disease that cannot be cured even today. However, it is possible to influence and slow down its progress to a certain extent. Symptomatic treatment is used to suppress the disease, of which physiotherapy is an integral part. In Parkinson's disease, physiotherapy can suppress the symptoms of this disease, improve the patient's condition and significantly help the patient maintain a higher quality of life for a longer period of time. The first aim of the bachelor thesis was "To draw attention to the importance of physiotherapy in a patient with Parkinson's disease". The second aim was "To map the possibilities of physiotherapy in a patient with Parkinson's disease". Both of these goals were fulfilled and described in the theoretical part in subchapter 1.8.3. In addition, the practical part of this thesis refers to the first one, where it is possible to see the changes in the condition of the patient with Parkinson's that occur when applying group exercise to his regimen. The third aim was "To design an exercise that would lead to the improvement of the condition of the patient with Parkinson's". This goal is dealt with in the practical part of this thesis. Based on the knowledge gained in the theoretical part, an exercise unit was created, which was then applied for two months to a group of seven probands. To evaluate its effect on the condition of patients, input and output kinesiological analyses were compared, including clinical tests to examine fitness, coordination and postural stability (FTSST, TUG, BBS, Pull Test, Push & Release Test).
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Diagnosis and progress monitoring of Parkinson’s disease using dysgraphia analysis methods
Markovič, Michal ; Galáž, Zoltán (referee) ; Mekyska, Jiří (advisor)
Parkinson’s disease causes among other symptoms also writing disorder. Parkinson's dysgrafia is disease the writing of parkinsonics. The aim of the work is to show the importance of examinig the parametres of Parkinson's dysgrafia and to find writing parametres, which could distinguish healthy subjects from the pacient and also it could monitoring progress of pakinson's disease. Some of the parametrs showed marked differences and therefore could distinguish healthy people from those with Parkinson’s disease.
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Tremometer
Mičánková, Veronika ; Harabiš, Vratislav (referee) ; Chmelař, Milan (advisor)
Bachelor’s thesis analyzes tremor as a movement disorder and shows its relations to diseases such as Parkinson’s disease, which is therefore described more in detail. The other part of the work consists of a brief analysis on the physical sensors of vibrations and other methods that can be used to detect vibrations. Practical part is divided into two. First one describes a design of a tremometer and its constructing and the other one describes realization of a program for evaluation of tremor.
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Aerobic training in the treatment of gait disorders in patients with Parkinson's disease
KOCÁBKOVÁ, Štěpánka
This bachelor thesis investigates the effect of aerobic training on gait disorders in patients with Parkinson's disease. The specific features of gait in this disease are short, shuffling steps, slowed movement, impaired balance and reduced upper limb synkinesis. All of these features can, apart from the application of medication, be influenced to some extent by regular exercise. The aim of this bachelor thesis was to design a suitable exercise unit for these patients and to describe the effect of aerobic training on gait disorders. The theoretical part is an introduction to the issue of Parkinson's disease. Subchapters describe the definition, incidence, research history, anatomy and physiology of the basal ganglia, etiology, clinical features, stages, diagnosis and treatment. Furthermore, there is compared gait analysis of Parkinson's disease patients with healthy individuals and what the term aerobic training means. The practical part is processed in the form of qualitative research. Based on the input examination of three patients diagnosed with Parkinson's disease, I created an exercise unit, which can be found in Appendix 3. After three months, I did an output examination and compared if the created exercise unit had a positive effect in gait disorders or not. From the results, the positive effect of aerobic training on gait disorder in Parkinson's disease patients could not be clearly demonstrated. For a valid result, research would need a larger number of patients. However, patients evaluated the exercise unit positively and I believe that this work could find further application, for example in the clinical practice of physiotherapists or as an educational material for patients with Parkinson's disease and their family members.
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The influence of rhytmical movemet on patients with Parkinson's disease
MYSLIVCOVÁ, Anna
This bachelor thesis deals with the issue of a progressive neurological disease called Morbus Parkinson, which is translated to Czech as Parkinson's disease. This disease irreversibly damages the central nervous system and cannot be cured yet. It is only possible to alleviate the symptoms by pharmacological treatment and improve the quality of life of the patients with the help of rehabilitation. The aim of the work is to describe the main issues of the disease, to clarify the possibilities of physiotherapy and to design a rhythmic exercise unit on the basis of which educational videos for home exercise of patients with Parkinson's disease were created. The first part summarizes general knowledge about Parkinson's disease, history, development and rehabilitation. Most of the work deals with the research itself, which was attended by 3 clients with Parkinson's disease. The individual case reports consist of an initial entrance examination, which also includes, for example, tests evaluating stability and gait. This is followed by two months, during which the exercises took place once a week and then the current state was compared with the results of the initial examination. The studies found and the subjective evaluation of probands show that it is appropriate to include rhythmic exercises in the rehabilitation. Due to the state of emergency lasting continuously from 5th October 2020, it was not possible to conduct group exercises, so the exercises were conducted with two patients online, which allowed patients to exercise safely at home and were not at risk of infection. One patient underwent exercises normally after loosening of the regulations issued by the government. The work can serve as a source of information for the lay and professional public and methods of solution can be used in physiotherapeutic practice.
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The effect of a regular exercise on the health of patients with Parkinson´s disease
DUBNOVÁ, Veronika
The bachelor thesis deals with the influence of regular exercise on the health of patients suffering from Parkinson's disease. This disease still remains an incurable disease that affects the human central nervous system and leads to its irreversible damage. Until now, the treatment of the disease has only made it possible to alleviate individual symptoms in the long term and thus maintain the patient's quality of life. An important part from the early stages of the disease is not only a pharmacological treatment but also a rehabilitation. The theoretical part of this work deals with a summary of information about Parkinson's disease, its origin, clinical picture, diagnosis and treatment options. The practical part of the work was processed by the method of qualitative research, which was done on the basis of an input and output examination, medical history taking, an interview and an evaluation of patients' ability to walk. The obtained data were compiled in the form of case reports. The study group consisted of 3 patients with a diagnosis of Parkinson's disease, who regularly attended group exercises once a week. The first goal was to evaluate the patient's condition during regular group exercise and the condition after 8 weeks without a group exercise. The second goal was to create an exercise unit for patients suffering from Parkinson's disease. Due to the small number of probands studied, it is certainly not possible to state whether the regular exercise once a week was sufficient in the treatment of Parkinson's disease. However, it was obvious that the patients felt good during the exercise, it positively affected their psychosocial condition and also their condition. Although I did not come to clear conclusions, I presume that the chosen therapy was beneficial.
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Kinesiotherapy of patients with Parkinson's disease
Kadeřábková, Michaela ; Savková, Pavlína (advisor) ; Molnár, Petr (referee)
Author: Michaela Kadeřábková Department: Department of rehabilitation medicine Title of the master thesis: Kinesiotherapy of patients with Parkinson's disease Supervisor: Mgr. Pavlína Savková Number of pages: 81 Number of attachments: 6 The year of presentation: 2012 Key words: Parkinson's disease, rehabilitation, tremor, rigidity Bachelor thesis deals with in the theoretical part about the origin, clinical symptoms and especially the treatment of PD. The treatments focuses primarily on rehabilitation treatment and analyzes kinesitherapy and its possibilities. The practical part is devoted to treatment of patients who suffer from this disease. Kinesiotherapy in selected patients is concentrated on major problems and their physical shortcomings.
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Possibilities of physiotherapy at Morbus Parkinson
VALÁŠKOVÁ, Terezie
Parkinson disease is considered as unhealable. This progressive disease is only possible to slow down thanks to usage of right cure for clinical symptoms and this way prolong life of patients. Because of this is therapy aimed at clinical symptoms as tremor, rigidity, hypokinesis, bradykinesis and postural instability. The most often chosen type of therapy is pharmacological, but internal part of the therapy is physiotherapy as well. First target of this thesis was To chart possibilities of physiotherapy at Morbus Parkinson. This target is described in theoretical part in subchapter 1.10 Possibilities of physiotherapy. Second target was Suggestion and evaluation of therapy at patients at Morbus Parkinson. Practical part of my bachelor thesis was processed by method of qualitative research at 8 patients and this data was processed by form of case reports. Therapy was done nine times at group therapy since January until April 2017. For patients was designed therapy where were used some of possibilities of physiotherapy, that are mentioned in theoretical part. This therapy was evaluated by using results of initial and exit examination. There was no big change in patients' condition during therapy. But is important to say that there is nobody threatened by risk of fall. This thesis can be beneficial especially for patients at Parkinson disease and their close relatives. It can be beneficial for physiotherapists who organize group therapies as well.
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An accelerometry of tremor in multiple sclerosis
Pavlíková, Jitka ; Řasová, Kamila (advisor) ; Mende, Karel (referee)
Public health is largely devoted to preventive medicine. Therefore this thesis focuses on a topic that can affect the consequences caused by the tremor in the case of multiple sclerosis. The aim of the thesis is to elaborate the fundamental knowledge of the process of this tremor. The thesis is structured as follows. First it deals with the general characteristics of the tremor and the specific characteristics of the tremor in multiple sclerosis. It also discusses the possibilities of testing the tremor, where the largest part relates accelerometric examination using an accelerometer on the basis of which can provide useful information to both patients with the tremor and provide better coexistence with this symptom. Finally the thesis describes the therapeutic procedures that help to alleviate the tremor, which is an integral part of the ergotherapy. Powered by TCPDF (www.tcpdf.org)
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