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Musculoskeletal Ultrasound in Physical and Rehabilitation medicine: possibilities in the assessment of selected morphological changes of upper limb
Giannelli, Karolína ; Mezian, Kamal (advisor) ; Hrazdíra, Luboš (referee) ; Nedělka, Tomáš (referee)
This thesis deals with the issue of ultrasound diagnostics and ultrasound-guided interventional procedures in selected pathological changes of the upper limb. Ultrasound examination directly in specialists' offices, including rehabilitation physicians, has been a worldwide trend in the last two decades. The main advantages include the possibility of assessing the pathological findings directly related to the clinical examination. The benefit is speeding up the establishment of an accurate diagnosis and initiating adequate treatment. Indirectly, the costs associated with examination by other imaging techniques and therapy are reduced. This thesis aims to present diagnostic and therapeutic options for selected morphological changes in the upper limb, including less common pathologies, such as case reports of intramuscular haemangiomas, whose diagnosis was significantly contributed by ultrasound examination. In addition to diagnosis, ultrasound is used to navigate interventions, increasing the safety and effectiveness of these procedures. The research part of this thesis is focused on identifying the optimal site of median nerve injection in carpal tunnel syndrome. This study is a prospective, randomized, blinded study with 46 patients with carpal tunnel syndrome. We compared the effect of two...
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Physiotherapy after operation of carpal tunnel syndrome
Klapák, Lukáš ; Hamarová, Zuzana (advisor) ; Savková, Pavlína (referee)
Author: Lukáš Klapák Institution: Rehab clinic LF UK in Hradec Králové Topic of bachelor's thesis: Physiotherapy after operation of carpal tunnel syndrome Supervisor: Mgr. Zuzana Hamarová Number of pages: 97 Year of vindication: 2012 Key words: carpal tunnel syndrome, median nerve, causes, diagnosis, treatment options, rehabilitation This bachelor's thesis is focused on carpal tunnel syndrome, which is one of the most common entrapment syndromes. The theoretical part deals with anatomy, kinetics and kinematics of the hand. It also includes causes, etiology, diagnosis, or invasive and non- invasive and postoperative treatment of carpal tunnel syndrome. Two case reports of patients after surgery carpal tunnel syndrome are presented in the practical part. The case report is devided into an initial examination, treatment, final examination and evaluation of results of the therapy.
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Median Nerve Ultrasonography Examination Correlates for the Diagnosis of Moderate to Severe Carpal Tunner Syndrome
Potužník, Pavel ; Kotas, Rudolf (advisor) ; Štětkářová, Ivana (referee) ; Ehler, Edvard (referee)
Median Nerve Ultrasonography Examination Correlates for the Diagnosis of Moderate to Severe Carpal Tunnel Syndrome Objective: The aim of the study was to investigate the associations of cross-sectional area (CSA) of the median nerve measured by ultrasonography (US), the median to ulnar nerve ratio (MUR), the median to ulnar nerve difference (MUD) and the ratio of CSA of the median nerve to height squared (MHS) in relation to electrodiagnostic classification of moderate and severe carpal tunnel syndrome (CTS) and thus to identify patients suitable for surgical treatment. Materials and Methods: A prospective study was conducted in patients aged ≥ 18 years who underwent both median and ulnar nerve US and electrodiagnostic studies (EDS). 124 wrists of 62 patients were examined. The patients' characteristics were acquired through a questionnaire. CTS was diagnosed using EDS and classified according to the guidelines of the Czech Republic Association of Electrodiagnostic Medicine. The CSA of the median nerve and of the ulnar nerve were measured at the carpal tunnel inlet, i.e. at the level of the pisiform bone. Results: The median nerve swells at the wrist in CTS. Median nerve CSA at the tunnel inlet ≥ 12mm2 correlates with electrodiagnostic classification of moderate to severe carpal tunnel syndrome. At...
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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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Physiotherapy after operation of carpal tunnel syndrome
Klapák, Lukáš ; Hamarová, Zuzana (advisor) ; Savková, Pavlína (referee)
Author: Lukáš Klapák Institution: Rehab clinic LF UK in Hradec Králové Topic of bachelor's thesis: Physiotherapy after operation of carpal tunnel syndrome Supervisor: Mgr. Zuzana Hamarová Number of pages: 97 Year of vindication: 2012 Key words: carpal tunnel syndrome, median nerve, causes, diagnosis, treatment options, rehabilitation This bachelor's thesis is focused on carpal tunnel syndrome, which is one of the most common entrapment syndromes. The theoretical part deals with anatomy, kinetics and kinematics of the hand. It also includes causes, etiology, diagnosis, or invasive and non- invasive and postoperative treatment of carpal tunnel syndrome. Two case reports of patients after surgery carpal tunnel syndrome are presented in the practical part. The case report is devided into an initial examination, treatment, final examination and evaluation of results of the therapy.
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