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The Role of Occupational Therapy in Duchenne Muscular Dystrophy
Janatová, Adéla ; Rodová, Zuzana (advisor) ; Klimošová, Sylva (referee)
Author of bachelor thesis: Adéla Janatová Thesis supervisor: Bc. Zuzana Rodová, M.Sc. Title of bachelor thesis: The Role of Occupational Therapy in Duchenne Muscular Dystrophy Abstract of bachelor thesis: Duchenne Muscular Dystrophy is the most common childhood neuromuscular disease and is characterised by progressive symmetrical muscular weakness of the girdle and trunk muscles. This disease is linked to the X chromosome and therefore affects mostly males. This progressive muscular disease gradually leads to limited mobility and high dependence in activities of daily living. Boys with Duchenne Muscular Dystrophy need constant care based on a multidisciplinary approach. Around age 10, because of the progression of the disease, they lose the ability to walk independently and they become dependent on a wheelchair. In the second decade of their lives the weakness spreads to the upper limbs, their lung capacity decreases, and cardiac abnormalities begin to appear. Individuals with Duchenne Muscular Dystrophy have a life expectancy of about 35 years. The goal of this bachelor thesis is to describe the role of occupational therapy in Duchenne Muscular Dystrophy and to show its irreplaceability. The theoretical part of this bachelor thesis describes the general issues concerning the prevalence of the...
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Respiratory physiotherapy - part of a comprehensive treatment of Duchenne muscular dystrophy patients
Vargová, Zuzana ; Smolíková, Libuše (advisor) ; Slováčková, Lenka (referee)
Duchenne muscular dystrophy is a progressive muscular disease. This serious disease attacks not only the musculoskeletal system, but also the respiratory system. Respiratory system is one of the most influenced systems. The risks of respiratory problems increase with deteriorating condition of the patient due to muscle weakness. This work is focused on treatment of respiratory system. The aim of treatment is early prevention and solving of complications. These complications include not only scoliosis and cardial problems, but mainly inefficient cough, night hypoventilation, irregular night breathing and failure of respiratory system even during the day. The aim of the respiratory physiotherapy is to keep the right functionality of lungs for the longest time and to choose the correct method of the rehabilitation following the patient's condition deteriorating. Interventions suitable for the patients with the DMD are techniques that leads to increasing lung volume, manual and mechanical techniques of assisted coughing, and noninvasive ventilation. NIV is one of the preferred methods of treating nowadays. Another method is continual invasive ventilation and ventilation with tracheostomy. This treatment includes keeping hygiene of the airways, which is the basis for their throughput. The work also includes...
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Monitoring postural and respiratory function in patients with Duchennne muscular dystrophy
Vargová, Zuzana ; Smolíková, Libuše (advisor) ; Zounková, Irena (referee)
Duchenne muscular dystrophy is a progressive muscle disease that is still incurable. The disease affects all systems in the body and is therefore a need for a comprehensive approach. It manifests itself in childhood muscle weakness. Over time, there is a postural and respiratory changes affecting posture and the respiratory system. Depending on the changes of these functions leads to certain complications. Among these complications rank poorly stereotype walk, spinal deformities such as scoliosis, bad stereotype affect breathing, leading to vital lung function and many more. These complications are present in a particular time sequence and can be assigned to a specific patient age. This thesis is focused on the monitoring of postural and respiratory function in these patients. The work is the evaluation of these changes when they occur and in which the patient's age. Patients are rehabilitated life and physiotherapy is an integral part of treatment. It focuses possibilities of surgical treatment of scoliosis. The work also includes a questionnaire aimed at rehabilitation and physical therapy patients. Powered by TCPDF (www.tcpdf.org)
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Respiratory physiotherapy - part of a comprehensive treatment of Duchenne muscular dystrophy patients
Vargová, Zuzana ; Smolíková, Libuše (advisor) ; Slováčková, Lenka (referee)
Duchenne muscular dystrophy is a progressive muscular disease. This serious disease attacks not only the musculoskeletal system, but also the respiratory system. Respiratory system is one of the most influenced systems. The risks of respiratory problems increase with deteriorating condition of the patient due to muscle weakness. This work is focused on treatment of respiratory system. The aim of treatment is early prevention and solving of complications. These complications include not only scoliosis and cardial problems, but mainly inefficient cough, night hypoventilation, irregular night breathing and failure of respiratory system even during the day. The aim of the respiratory physiotherapy is to keep the right functionality of lungs for the longest time and to choose the correct method of the rehabilitation following the patient's condition deteriorating. Interventions suitable for the patients with the DMD are techniques that leads to increasing lung volume, manual and mechanical techniques of assisted coughing, and noninvasive ventilation. NIV is one of the preferred methods of treating nowadays. Another method is continual invasive ventilation and ventilation with tracheostomy. This treatment includes keeping hygiene of the airways, which is the basis for their throughput. The work also includes...
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