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Application of physiotherapy in treating myasthenia gravis
Ondráčková, Radka ; Smolíková, Libuše (advisor) ; Zounková, Irena (referee)
Myasthenia gravis is an autoimmune disease affecting the neuromuscular transmission. It manifests in muscular weakness and tiredness, which characteristically fluctuate and change throughout the time. The most typically affected muscles are extraocular, mimic, oropharyngeal and the muscles of lower and upper extremities. An examination of affected groups of muscles and preserving the function of respiratory muscles are essential. The danger of respiratory difficulties is aggravated by worsening physical condition, which comes as a consequence of muscular weakness and with the onset of the myasthenic crisis. This paper is aimed at using physiotherapy in treating a myasthenic patient. Considering the patient's condition, a respiratory physiotherapy, orofacial stimulation and kinesiotape may be used in therapy of these patients. The case study mentions also sensorimotor stimulation and nordic walking to improve physical fitness. The aim of the therapy is timely prevention of potential complications and their solving. The paper contains a case study of a myasthenic patient.
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Spinal muscular atrophy
Bohatá, Jana ; Šolc, Roman (advisor) ; Brynychová, Iva (referee)
Spinal muscular atrophy (SMA) is an autosomal recessive neuromuscular disorder which affects α-motor neurons in anterior horns of spinal cord resulting in progressive muscle weakness. The estimated incidence is 1:10 000 and carrier frequency 1:40-1:60. SMA is classified into four grades depending on the age of onset and its severity. Life expectancy differs according to grade of SMA, patients suffering from the most serious grades live about two years, milder could live to adulthood. This disorder is caused by mutation of the SMN1 gene which is located on the fifth chromosome. In the majority of cases the type of mutation is homozygous deletion in SMN1 gene. Keywords: Spinal muscular atrophy; neuromuscular disorder; alpha motor neurons; autosomal recessive disorder; SMN1; SMN2
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Spinal muscular atrophy
Bohatá, Jana ; Šolc, Roman (advisor) ; Brynychová, Iva (referee)
Spinal muscular atrophy (SMA) is an autosomal recessive neuromuscular disorder which affects α-motor neurons in anterior horns of spinal cord resulting in progressive muscle weakness. The estimated incidence is 1:10 000 and carrier frequency 1:40-1:60. SMA is classified into four grades depending on the age of onset and its severity. Life expectancy differs according to grade of SMA, patients suffering from the most serious grades live about two years, milder could live to adulthood. This disorder is caused by mutation of the SMN1 gene which is located on the fifth chromosome. In the majority of cases the type of mutation is homozygous deletion in SMN1 gene. Keywords: Spinal muscular atrophy; neuromuscular disorder; alpha motor neurons; autosomal recessive disorder; SMN1; SMN2
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Application of physiotherapy in treating myasthenia gravis
Ondráčková, Radka ; Smolíková, Libuše (advisor) ; Zounková, Irena (referee)
Bibliographic record ONDRÁČKOVÁ, Radka. Application of physiotherapy in treating myasthenia gravis. Prague: Charles University, 2nd Faculty of Medicine, Department of Rehabilitation and Sports Medicine, 2015, p. 90, Supervisor of the work: Doc. PaedDr. Libuše Smolíková, Ph.D. Abstract Myasthenia gravis is an autoimmune disease affecting the neuromuscular transmission. It manifests in muscular weakness and tiredness, which characteristically fluctuate and change throughout the time. The most typically affected muscles are extraocular, mimic, oropharyngeal and the muscles of lower and upper extremities. The danger of respiratory difficulties is aggravated by worsening physical condition, which comes as a consequence of muscular weakness and with the onset of the myasthenic crisis. The work is focused on the use of respiratory physiotherapy and aerobic physical activity in patients with myasthenia gravis. The aim is to verify the effect of respiratory physiotherapy and aerobic physical activity to improve lung function and condition, and the disease stabilization. Keywords Myasthenia gravis, neuromuscular disease, physiotherapy, respiratory physiotherapy, aerobic training
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Application of physiotherapy in treating myasthenia gravis
Ondráčková, Radka ; Smolíková, Libuše (advisor) ; Zounková, Irena (referee)
Myasthenia gravis is an autoimmune disease affecting the neuromuscular transmission. It manifests in muscular weakness and tiredness, which characteristically fluctuate and change throughout the time. The most typically affected muscles are extraocular, mimic, oropharyngeal and the muscles of lower and upper extremities. An examination of affected groups of muscles and preserving the function of respiratory muscles are essential. The danger of respiratory difficulties is aggravated by worsening physical condition, which comes as a consequence of muscular weakness and with the onset of the myasthenic crisis. This paper is aimed at using physiotherapy in treating a myasthenic patient. Considering the patient's condition, a respiratory physiotherapy, orofacial stimulation and kinesiotape may be used in therapy of these patients. The case study mentions also sensorimotor stimulation and nordic walking to improve physical fitness. The aim of the therapy is timely prevention of potential complications and their solving. The paper contains a case study of a myasthenic patient.
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Case report of physiotherapeutic care of patient with spinal muscular atrophy.
Saifrová, Tereza ; Brabencová, Hana (advisor) ; Hájková, Marie (referee)
Title: Case report of physiotherapeutic care of patient with spinal muscular atrophy. Summary: This thesis is devoted to the topic of spinal muscular atrophy, with the code of diagnosis G12.1. The general part summarizes the information and knowledge about this disease which I have drawn primarily from foreign literary sources with the earliest year of publication 1995. I focus on etiology of particular disease, clinical features of affected patients, the complications which are connected with this disease and treatment options. The second, special part of this project comprises a case report of physiotherapeutic care of patient with spinal muscular atrophy. Case report was created during month-long Bachelor's practice at the Centre of treatment of musculoskeletal system in Prague, Vysočany and lasted from 21. 1. to 15. 2. 2013. Key words: Spinal muscular atrophy, neuromuscular disorders, SMN gene, case report, physiotherapy
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Care of Options for Children with Neuromuscular Diseases and Their Way of Special Educational Support in the Education Process in Region South of Bohemia
GRAUSAMOVÁ, Jana
Bachelor thesis is entitled "How to care for children with neuromuscular diseases and their ways of special educational support in the education process in the region of South Bohemia" and is divided into two parts. The first part is theoretical and there I define the concept of physical disability and neuromuscular diseases. Neuromuscular diseases are engaged in the second chapter where I first divide them by types of the disease and then I describe them in detail. In the third chapter I describe the multidisciplinary team and means of comprehensive rehabilitation system medical, social, educational and occupational. In the last chapter of the theoretical part I discuss ways of teaching support in the education process. When processing the theoretical part I use professional literature and professional journals. In empirical part I characterize the objective work, research methodology, obtained data analysis and finally, the discussion. The research was conducted by qualitative data collection using semi-standardized interview. Most respondents were approached by telephone or written request for cooperation in research. With these respondents I subsequently met in person in a specific facility. For reasons of keeping the anonymity the names of respondents and facilities are not listed in the thesis. The interviews were held in private and always by appointment except the students. The main aim was to find out not only what care options have children with neuromuscular disease and what is the special pedagogical support in education, but also how to incorporate children into the collective, what experience the educators have in integrating and how the parents look at it. These objectives are achieved. Work could be used for students who would serve as a resource. Furthermore, it could also serve for educators and parents who are related to this issue and are considering the integration of their child.
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