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Title of the bachelor thesis: Medical rehabilitation in patients with neuromuscular scoliosis
Department: Palacky University, Faculty of Physical Culture, Department of Physiotherapy
Supervisor: Mgr. 0LUND 0XVLORYi
The year of presentation: 2018
Abstract: This thesis deals wiWK QHXURPXVFXODU VFROLRVLV The introductory part of the thesis is based on literature review and discusses
the kinesiological aspects of the axial skeleton, and defines scoliosis. It also discusses the etiology and possible consequences of NMS, the diagnostic procedure, surgical correction as well as possible complications. The next part of the thesis describes the physiotherapy treatment of NMS, the techniques used by a physiotherapist as well as the use of back and spinal braces. There is a case study included in the thesis.
Keywords: spinal deformities, physiotherapy, bracing, cerebral palsy
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]DNĜLYHQt W3RĜKLR W~RN OOR~RUVQGHXyN ]XY H URGWRDMFGLH RNEUDWORYpK
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WpPČĜ YĤEHF QHURWXMH SĜ~tNSODR(LGeQwQXitČ, 2 00U3)R. WXMH QD
Rozsah pohybu do lateroflexe v EHGHUQtP ~VHÛN XD U SRGiWRWDHFĜHH MMHH
%HGHUQtX PRREåUĖSDXRWMKOt\HE GR IOH[H Då Û DP ro H[WHQ]
SĜHKOjHsoGu rQozRsahVyWuv edeny v Tabulce 1.
Dle Xxxxx (2008) xx Xx]QDPQp OXPERSHOYLFNp VSRMHQt a SRGtOt VH QD SRK\EX FpHKORp KMRH WWČROWDR V.SURRMPH Q] Y SURJUHVL WDN OpþEČ QHXURPXVNXOiUQtFK KOHGLVND MH OXPEHRQSRH OSYRLVFONHpG QVtSPRLM HWQĜtH PWLY REĜHGH
WĜHPL VHJPHQW\ NRVWL NĜtåRYp D þiVWt NRVW
7DEXOND 3ĜHKOHGS RIK\]ELXR OSRiJWLHFĜNHêFK UR]VDKĤ
Flexe | Extenze | Lateroflexe | Rotace | |
.UþQt | | | - | - |
+UXGQt |
| | | |
%HGHUQ | | | | |
3iQHY
.RQHþQê VHJPHQW RVRYpKR RUJiQGXR OMQHt PSLi Q NRQþH W LQ=DiPULWRtYPH Ė MHV SiQHY RUJiQ NWHUê ]DML
SUXåtFt ]iNODG. 3SRU RI XVIQWONUHþi[QQLtFE HLĜ OHQSQtii QãHStYi W]HSiĜWČå PH
D GROQtPL N9Rp2QO00þH6)H . WLQDPL
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9pOH . K os t N Ĝ t åRYi Y]QLNOD VSO\zeQspXodWutYPD ]RLEYURDYWČO Ĥ SĜLSRMHQD SRDK \QEDO LYViY p NRKVRWUUQþt /þ i VW L9 pOM.H V N O 6DNURLOLDNiOYQêtV ONHOGRNXHEPR\ E RVMXSV RRMNXHRQVtWtN RSViWQtH YNQĜttFåKR Y
9pOH . Ty to kl ou by maMt QHVSNDOWXUr]oQzsQêahê p ohybu ýLKiN NRQNUpWQČ VH MHGQi R SRK\E QXWDþQtKR FKDU
Pohyby v REODVWL SiQYH y vMUVRRYXL QČS RSVLDVJRLYWiQOQt X XXXX]VRUQRWYiLOQQČt VDJLWiOQt MH SRSHV iQVD\ PIDêQ]WDH Y SRVRXYi QtåH D EOHXGEHXUMQHt O'RRSU DGWypĜD]WtNDRp VUSHRR YKSL\UQER\ KSiQ UHWURYHU]H 6\PIê]D VH SRK\EXMH VUPRČYULHQPČ QD
IURQVWHi OQStR K\EXMH MHGHQ RNUDM Siv.QzYeãHL NYPêHãQHt Q SiQYH 'DOãtP SRK\EHP MH URWDFH SiQYH NRO GČM SRUSRVYiLQQ XX XXXX]R QČiPOXQ tS ĜDL GFRKFĤK]iL] t 3NRVOHG SiQYH MH WRU]H 7RU]H MH XPVRDåNQUČRQLDO LSDRNKi\OE
kloubech 3ĜL WRU]L VH REČ SiQHYQt NRVWL SURWL LOLDFNêFK VSLQ QHMVRX URYQREČåQp 9pOH
9pOH ]PLĖXMH SåRHV WSDRYVHWDQD tYW HYSQDitUW HSMĜiHQMYt
]DNĜ.L3YRHOQRtKD SiQYH PYiê ]EQHD]PSD RNNGĜPLtYQHHQþtQ êEPo HkuGd HUQt S RV VDFUXP VWRMt WpPČĜ YHUWLNiOQČ SiWHĜ Y MH ]KRUãHQD VFKRSQRVW YVWVĜWHREPiWYRD WS Ĝ]tPSČDQG\Č
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3.2 9\PH]HQt SRMPX VNROLy]D
Podle sSROHþQRVWL NSRUORLT yhe]YS\êco ]lioN sisXRPes earVch Society GiOH
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3.3 .ODVLILNDþQt V\VWpP VNROLy]
.ODVLILNDþQt V\VWpP\ VH QHMþDVWČML ] VNROLRGWHLIFRNUêPFLKWS R GOKHO DYMQHČMLFK DQDWRPLFNp VWUX V\VWpPĤ MH UR]GČOLW UĤ ]QYpR OWL\WS \Y K]RDGNQĜpL Y]HSQĤtV R
a zvolit vhRGQRêSHUDþQt SĜUtRV]WVXDSK VWSHRGQ\G\ORzGe)p]\ a instrumentace (Xxxxx & Xxxxx, 2008).
3.3.1 Klasifikace podle xxxx vzniku
Skoliy]\ SRGvzOniHku GGČROEt\PLHQ IQDDQM WXLYOHQQtL OQt D DGROHVF WDNp SRSLVRYiQD VNROLy]D GRVSČOpKR YČNX
Co VH WêþH LQIDQWLOQRtG VQNDRUGORL yOH]WHQ\ĜWt t YČ\NVXN \GWtXWM
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YČNXM HVGHQ i MLå R XX X.ORHO&ViFâĜHD QIWi,QĜ20tR09 Y). iVKNeimRO(19L82y) ]X SRSLVXMH WDNp VN R OLWyD] XV HG RWRVêVSNPČiQO ipFåKWHRLQ YORČHGNWX D P
dvacet let.
3.3.2 Klasifikace podle etiologie
9DĜHND R E HXFYQipGKtR GKČåOHt GP]LHV NVDNROLy]\ Q
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typ jsou chaUDNWHULVWLFNp -VHWGUQXiN HWVYXHãU tiSPOĜ QHRtG W]RPUČ]QL\ URW D NOtQdRefYorPLDWFRLX REUDWORYêFK QWHČPOČ Q Qi' iODHV \PMHW
SDUDYHUWHEUiOQtF9K\ EYUDDOQĤVp W UW9X\DNSĜW\HXNUDi SO RQ Gt O HV N SR ĜO tLþyL] vzniku XYi X.xX &OâiDĜI iĜRYi
x iGLRSDWLF,Ni VNROLy]D
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x nHXURPXVNXO,iUQt VNROLy]D
x sNROLy]D SĜL WUDXPDWX QHXURILEURPD D XXXXXXXXXXx.XX RQHPRFQČQtFK
3.3.3 .ODVLILNDFH GOH WtåH ]DNĜLYHQt
=iYDåQRVW YHOLNRSViWWLH ĜSHR UMXHF KP\Č Ĝ]HDQNDĜ LYYHH QVtWX
N WRPX Y\XåtYiQD .PRH&OWâiRDĜGI Di ĜSRYG9iOH HO L &N RR EV EW D ] DNĜLY VH PČĜt SRPRFt UHQWJHQRYêFK SVĜQHtGPRN]ĤD GSQitW HSĜUHR
(Xxxxx, 2005). -HGQi VH R ~KVHYOt U DMNtW HUYêU FKVRSORROYXê D GHIRUPRYD Q pY LN]Ĝ L2(YGErNeUin\ier,]20H0N2). * DOOR D 3 L O Q êsXe YiGt VNROLyve]lik\ost LG ONHĜLYNn\a: UR]OLãXMt
x OHK±N&pR EEĤY ~Û±K H , XX MH
x VWĜHGQ±Č& RWEČEåĤNYp ±~40KÛ, HO Û
x WČåFH ±]&iRYEDEåĤQYp ~XXX XX YtFH QHå Û
2EUi] H N6 F KpPD PČĜHQt VNROLRWLFNp GHIRUPLW
Cobbovou metodou (Xxxxx, 2008)