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Possibilitties of physiotherapy in peripheral paresis of upper extremities
ŠANDA, Ondřej
The theme of this thesis is "Possibilities of physiotherapy in peripheral paresis of upper limbs" and its aim is to investigate the influence of physiotherapy on improvement of muscle strength and function of paretic upper limb by various methods. The theoretical part includes the field of anatomy, neurophysiology and pathophysiology related to the peripheral nerves of the upper limbs. Information on nerve cells, evaluation classifications, classification of polyneuropathies and mononeuropathies, brachial plexus, treatment options and foreign experience are available in individual subchapters. The practical part contains the methodology of qualitative research. The sample consists of 3 patients with peripheral upper limb paresis. The aim was to elaborate case reports of patients with this type of disease in detail and to propose a rehabilitation plan for these patients, which will include entry and exit examinations that will be compared after the rehabilitation. Each patient had a total of 8 therapies, over a maximum period of 6 weeks, aimed at improving muscle strength and overall function of the upper limbs in daily life activities. Based on the data obtained, it is clear that physiotherapy was beneficial for these patients. All patients experienced improvement in muscle strength and function of the upper limb and remission of paresthesias after treatment. This work can be used by professional public, physiotherapists, physiotherapy students, or even patients who will face this disease. It should also serve as information for obtaining basic orientation in the problems of peripheral paresis of upper limbs, its pathology and possible physiotherapeutic procedures.
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Hypermobility syndrome and its connection with nerve entrapment syndromes, the example of the thoracic outlet syndrome
Jiquelle, Carine ; Pavlů, Dagmar (advisor) ; Véle, František (referee)
ABSTRACT Background: Since its first mention by Kirk et al. in 1967 and its recognition as a full- fledged rheumatologic disorder, the hypermobility syndrome (HMS) has been increasingly investigated and reported in the scientific literature. Expeditiously renamed benign joint hypermobility syndrome in the patent absence of life-threatening complications, its relatively innocuous character has been progressively reconsidered. In fact, the HMS tends to date to be considered analogous to the Ehlers-Danlos syndrome-hypermobility type, a heritable disease of connective tissue, and therefore emerges as a chiefly rheumatologic disorder with possible widespread reverberations in practically all organs and systems. The condition thence goes beyond the sole involvement of the musculoskeletal system and is recurrently associated with seemingly-unrelated and more or less severe conditions (cardiovascular, pulmonary, gastro- intestinal…). However, neurologic implications of the hypermobility syndrome remain poorly documented, particularly those regarding the peripheral nervous system. Ranking amongst the afflictions of the latter, nerve entrapment syndromes (NES) comprehend a multitude of categories, notably the thoracic outlet syndrome (TOS). And if their pathological mechanisms are generally apprehended...
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Use of Electrical Stimulation in Physiotherapy of Perinatal Brachial Plexus Palsy
Přikrylová, Martina ; Dyrhonová, Olga (advisor) ; Demeková, Júlia (referee)
Perinatal brachial plexus palsy (PBPP) is the most common peripheral nerve injury for a newborn children. Theoretical part summarizes the following themes: brachial plexus anatomy, causes of a palsy, levels and types of peripheral nerve damage, treatment options and a summary of rehabilitation techniques that are used in a therapy. Practical part focuses on pathophysiology after a nerve injury and an indication of electrical stimulation (ES) of peripheral nerve palsies. A lot of studies regarding this topic have been published, nevertheless the question whether ES is safe and beneficial method that should be applied in a peripheral nerve palsies treatment still remains unanswered. According to the obtained results, electrical stimulation necessarily has to be divided into electrical muscle stimulation and electrical nerve stimulation, to add to this, we have to determine their apparent parameters. It seems like electrical muscle stimulation is not as beneficial as electrical nerve stimulation. On the other hand, a takeover in the treatment of peripheral nerve palsies may be an intraoperative electrical nerve stimulation. Thesis includes case report of a patient suffering from PBPP with an indication for an ES.
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Hypermobility syndrome and its connection with nerve entrapment syndromes, the example of the thoracic outlet syndrome
Jiquelle, Carine ; Pavlů, Dagmar (advisor) ; Véle, František (referee)
ABSTRACT Background: Since its first mention by Kirk et al. in 1967 and its recognition as a full- fledged rheumatologic disorder, the hypermobility syndrome (HMS) has been increasingly investigated and reported in the scientific literature. Expeditiously renamed benign joint hypermobility syndrome in the patent absence of life-threatening complications, its relatively innocuous character has been progressively reconsidered. In fact, the HMS tends to date to be considered analogous to the Ehlers-Danlos syndrome-hypermobility type, a heritable disease of connective tissue, and therefore emerges as a chiefly rheumatologic disorder with possible widespread reverberations in practically all organs and systems. The condition thence goes beyond the sole involvement of the musculoskeletal system and is recurrently associated with seemingly-unrelated and more or less severe conditions (cardiovascular, pulmonary, gastro- intestinal…). However, neurologic implications of the hypermobility syndrome remain poorly documented, particularly those regarding the peripheral nervous system. Ranking amongst the afflictions of the latter, nerve entrapment syndromes (NES) comprehend a multitude of categories, notably the thoracic outlet syndrome (TOS). And if their pathological mechanisms are generally apprehended...
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