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Case Study of the Physiotherapy Treatment of a Patient with Peripheral Palsy of Radial Nerve.
Němcová, Barbora ; Maršáková, Kateřina (advisor) ; Sárazová, Daniela (referee)
Author: Barbora Němcová Supervisor: Mgr. Kateřina Maršáková Title: Case study of the physiotherapy treatment of a patient with peripheral palsy of radial nerve. Objectives: The main objective of this thesis is to summarize theoretical knowledge of peripheral palsy, especially the radial nerve palsy, including physiotherapy treatment options. My other aim is to elaborate a detailed case study of a patient with this diagnosis, in which I use the knowledge and skills acquired during my studies. Methods: The thesis consists of two main parts. The general part summarizes theoretical knowledge of peripheral radial palsy based on Czech and English bibliohraphy available in printed and electronic form. The basic anatomy of the radial nerve etiology and clinical picture of damage and its classification are described here. In the upcomming part the treatment of peripheral paresis is described with a more detailed insight into physiotherapy care and the use of specific methods. The practical part documents the case report of a patient with this diagnosis. Examing and therapeutic methods and techniques which are taught during physiotherapy Bc. programme at FTVS UK were used in care of the patient. Results: A comparison of the entrance and exit kinesiology examination showed a slight increase in the strenght of...
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Problems synkinesis mimics muscles in peripheral facial nerve paresis
ČECHOVÁ, Andrea
The bachelor thesis entitled "Problems of mimetic muscle synkinesis in peripheral facial nerve palsy" aims to provide a comprehensive view and describe peripheral facial nerve palsy, as well as to describe the possibilities of physiotherapy to prevent synkinesis. Peripheral palsy of the facial nerve has recently become a very common neurological disease. With our faces, we express both our emotions and mood, either consciously or unconsciously, so it can have a big impact on the mental state. It is most often manifested by paralysis of mimic muscles, when wrinkles on the forehead are smoothed out. The eyelid is weakened, lagophthalmos can occur, the nasolabial furrow and sagging mouth are smoothed out, and the patient has difficulty inflating the cheeks and whistling. This differs from the central palsy, which affects only the lower branch and manifests itself mainly in the fallen mouth. The theoretical part includes a comprehensive view of Cranial nerve VII, its branching and anatomy, division of mimic muscles, it further addresses the difference between peripheral and central palsy, examination options, therapeutic treatment of polio and a description of synkinesis. In the practical part, the method of qualitative research in the form of 3 case studies has been used. All patients have undergone an entrance and exit examination, where I have examined the patient using aspection, palpation, I have examined the motor function of the mimic muscles and everything has been recorded in the table according to Pietruski. The therapy included the application of physical therapy such as solux or laser, facial massage, exercises according to the Kenny method, the use of biofeedback with visual inspection in the mirror. We have achieved positive results of therapy and there have been no pathological interactions. For this diagnosis, treatment is individual and long-term. The patient should be patient and not give up. Every visible improvement leads to patient motivation. Autotherapy is also important, where the patient works with himself / herself.
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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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Case study of the Physiotherapeutic Treatment of a Patient Diagnosed with Nervus Peroneus Paresis
Dostál, Martin ; Kučerová, Ilona (advisor) ; Křížková, Štěpánka (referee)
Title: Case study of the Physiotherapeutic Treatment of a Patient Diagnosed with Nervus Peroneus Paresis. Aims: Gaining theoretical and practical knowledge about peripheral paresis, especially peripheral paresis of the nervus peroneus nerve. Subsequent elaboration of case study of a patient with a continuous professional practice and determination of the results of theraphy. Methodology: In the general part, the work focuses on theoretical knowledge about the anatomy of the peripheral nervous system, the clinical image of peripheral paresis and physiotherapeutic methods in the treatment of peripheral paresis.The special part of the work focuses on the case study of a patient diagnosed with paresis of the peroneus nerve and use of physiotherapeuticmethods in practice. Results: The patient, who had zero to one muscular strenght of the paretic muscules, improved to muscule strenght nuber two according to Janda, after the end of the therapy. The joint clearance around the foot, ankle joint and lower leg was restored. Elimination of most reflex changes in soft tissues and stretching of shortened muscules. Conclusion: Thanks to the cooperation of the patient and practiced physiotherapeutic methods, it was possible to increase the muscular strenght of the lower leg muscules. Physiotherapy is an integral...
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Case Study of Physiotherapy Treatment of a Patient with Diagnosis peripheral palsy of radial nerve
Borkovcová, Iva ; Neuwirthová, Svatava (advisor) ; Křížková, Štěpánka (referee)
Title: Case study of the physiotherapy treatment of a patient with peripheral palsy of radial nerve. Objectives: The main objective of this thesis is to summarize theoretical knowledge of peripheral palsy, especially the radial nerve palsy. My other aim is to elaborate a detailed case study including examination and therapy with the use of theoretical knowledge and practical skills acquired during the three years of studying the bachelor's programme. Methods: The thesis consists of two main parts. The general part summarizes theoretical knowledge of peripheral radial palsy based on professional literature. There is analyzed anatomy of the nervous system, especially anatomy of the brachial plexus, kinesiology, etiology and clinical picture of this disease and its classification. aims to summarize basic information on the subject. Other section is devoted to treatment of peripheral palsy and it describes in detail the rehabilitation care and specific physiotherapeutic methods used in the treatment of such a disease. At the end of this section is an evaluation of the effect of these methods in the treatment. The practical part documents the case report of a patient with a diagnosis of radial nerve palsy, which includes the initial kinesiological examination, description of the course of individual...
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Case study of physiotherapy treatment of a patient with posttraumatic paresis n. peroneus communis dx.
Havlíčková, Andrea ; Novotná, Irena (advisor) ; Kozáková, Alena (referee)
Title: Case study of physiotherapy treatment of patient with the posttraumatic paresis n. peroneus communis dx. Objectives: Gain of theoretical knowledge about peripheral paresis, especially peripheral paresis n. peroneus communis dx. Subsequent case study formulation of patient with selected diagnosis made during coherent scholarly practice. Methods: The theoretical part of this bachelor thesis contains theoretical knowledge about anatomy of peripheral nervous system of the lower extremities, the clinical image of the peripheral paresis ane the treatment with sequential therapy. Results: Increase of muscle strenght in weakened muscels, improvement of movement range, elimination of reflective changes and restoration of joint play. Conclusion: Indikation of physiotherapy is very important in the treatment of peripheral paresis. Keywords: peripheral paresis, n.peroneus, physiotherapy
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Case study of physiotherapeutic treatment of patient with diagnosis facial nerve peripheral palsy
Zahrádková, Tereza ; Reckziegelová, Petra (advisor) ; Křížková, Štěpánka (referee)
Title of Bachelorʼs thesis: Case study of physiotherapeutic treatment of patient with diagnosis facial nerve peripheral palsy. Aim of thesis: Summary of theoretical findings of patientʼs diagnosis, study metodology of physiotherapeutic care, treatment design, monitoring of treatment, and evaluate the effect of patient with diagnosis facial nerve peripheral palsy. Summary: This thesis comprehensively summarizes the findings of of peripheral facial nerve palsy and it's treatment with physioterapeutic methods. It gives a wide view at the issue of physiotherapy in facial nerve palsy which is a symptom of many many other diseases. Thesis has the general part, which deals with theoretical findings of diagnosis and special part, containing case report of patient with diagnosis peripheral facial nerve palsy. This Bachelorʼs thesis was compiled on the base of internship on the District Hospital in Kladno, during the time period 5.-30.1.2015. Key words: facial nerve palsy, Bell's palsy, facial muscles, the Kenny Method, peripheral paresis, facial nerve palsy therapy
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Case study of physiotherapy treatment of the patient with Forearm Fracture complicated by Peripheral Paresis n. Radialis
Múčková, Nikola ; Jalovcová, Miroslava (advisor) ; Karlová, Ivana (referee)
Work title: Case study of physiotherapy treatment of the patient with forearm fracture complicated by peripheral paresis n. radialis Summary of the work: The aim of my bachelor paper is to become familiar with the basic anamnestic data about the neuromuscular system, to identify diseases and disorders of peripheral nerves, specifically focused on the radial nerve palsy and its treatment options and develop a particular case for a patient with this diagnosis. The developed work was based on the retrieval of data processing problems and is divided into two sections: the general and special. In general section I point to the anatomical structure of nervous system, focusing mainly on the peripheral nervous system, peripheral motor neurone disorder, etiology, pathophysiology, recovery and treatment. A special section contains a case report prepared for the patient suffering from peripheral radial nerve palsy after Monteggia fracture of ulna, which I had the opportunity to perform at the Royal University Hospital in Vinohrady, the required monthly practice in the period from January 24 - February 18 2011, under the supervision of Ivana Karlova. This section includes anamnestic data processing, kinesiology entrance examination on the basis of which, I set short-term rehabilitation program applied in the different...
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Case study of the physiotherapy treatment of a patient with peripheral palsy of radial nerve
Procházková, Diana ; Reckziegelová, Petra (advisor) ; Hamouzová, Dita (referee)
Title: Case study of the physiotherapy treatment of a patient with peripheral palsy of radial nerve. Objectives: The aim of this thesis is a summary of the knowledge about peripheral palsy of radial nerve and the development of case study of a patient with such diagnosis. Methods: This bachelor thesis consists of two parts. General part summarizes the knowledge about peripheral palsy of radial nerve based on the available literature. Analysed is anatomy of the nervous system, especially the brachial plexus, then kinesiology, etiology and clinical picture of the disease and its classification. The following section is devoted to the treatment of peripheral palsy and detailed description of rehabilitative care and appropriate physiotherapy techniques. In the special part is included case study of the physiotherapy treatment of the patient with this diagnose. There is mentioned initial kinesiology analysis, course of treatment, control kinesiology analysis and evaluation of therapy effectiveness. Keywords: peripheral palsy, radialis nerve, physiotherapy, case study
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Kinesiotherapy and physical therapy in peripheral facial nerve palsy
Duchatschová, Iveta ; Horká, Bohumila (advisor) ; Věchtová, Bohuslava (referee)
Author: Iveta Duchatschová Institute: Medical Faculty of Charles University in Prague Název práce: Kinesiotherapy and physical therapy in peripheral facial nerve paresis Supervisor: Mgr. Bohumila Horká Number of parties: 83 Number of attachments: 0 Year of defence: 2012 Key words: peripheral palsy, facial nerve, kinesiotherapy, physical therapy, regimen measurements, cranial nerves, facial muscles The thesis summarizes basic knowledge of Peripheral facial nerve palsy. The theoretical part deals with the anatomy of facial nerve, aetiology of paresis, epidemiology of this disease, clinical symptoms, medical examination and possible treatments. The individual methodologies from the physiotherapy that may be applied in different combinations during the medial rehabilitation procedures in order to achieve the best possible effects are analysed in more detail. Another point of the thesis is the regimen measurements that the patients should follow in order to prevent potential complications or deterioration. The theoretical knowledge is followed by practical part, which examines the case study of two patients with facial nerve palsy diagnosis. It focuses on the medical examination of the state of the disease done by physiotherapist, therapy used in these particular cases and results that the therapy...
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