Elektrostimulace u porodní parézy plexus brachialis
| Thesis title in Czech: | Elektrostimulace u porodní parézy plexus brachialis |
|---|---|
| Thesis title in English: | Use of Electrical Stimulation in Physiotherapy of Perinatal Brachial Plexus Palsy |
| Key words: | elektrostimulace, pažní pleteň, periferní nerv, regenerace nervu, svalová denervace |
| English key words: | Electrical Stimulation, Brachial Plexus, Peripheral Nerve, Nerve Regeneration, Muscle Denervation |
| Academic year of topic announcement: | 2018/2019 |
| Thesis type: | Bachelor's thesis |
| Thesis language: | čeština |
| Department: | Department of Rehabilitation and Sports Medicine (13-432) |
| Supervisor: | MUDr. Olga Dyrhonová |
| Author: | hidden - assigned by the advisor |
| Date of registration: | 07.01.2019 |
| Date of assignment: | 15.04.2020 |
| Date and time of defence: | 15.09.2020 00:00 |
| Date of electronic submission: | 17.08.2020 |
| Date of submission of printed version: | 17.08.2020 |
| Date of proceeded defence: | 15.09.2020 |
| Opponents: | Mgr. Júlia Demeková |
| References |
| Alon, G. (2019). Obstetric Brachial Plexus Injury (OBPI): Is Functional Electrical Stimulation
(FES) a Viable Intervention Option?. Journal of Novel Physiotherapies, 9(5), 419-420. Al-Qattan, M. M. (2003). Obstetric brachial plexus injuries. Journal of the American Society for Surgery of the Han, 3(1), 41-54. Al-Qattan, M. M. (2009). An obstetric brachial plexus data sheet. Journal of Hand and Microsurgery, 01(01), 32-38. Al-Qattan, M. M., Clarke, H. M. & Curtis, C. G. (1995). Klumpke’s Birth Palsy. Journal of Hand Surgery, 20(1), 19-23. Andrews, R. J. (2003). Neuroprotection trek--the next generation: neuromodulation II. Applications--epilepsy, nerve regeneration, neurotrophins. Ann N Y Acad Sci, 993, 14-24. Bezakova, G. & Lømo, T. (2001). Muscle activity and muscle agrin regulate the organization of cytoskeletal proteins and attached acetylcholine receptor (AchR) aggregates in skeletal muscle fibers. J Cell Biol, 153(7), 1453-1463. Blais, M., Grenier, M. & Berthod, F. J. (2009). Improvement of nerve regeneration in tissueengineered skin enriched with schwann cells. Invest Dermatol, 129(12), 2895-2900. Curtis C., Stephens D., Clarke H. M. & Andrews D. (2002). The active movement scale: An evaluative tool for infants with obstetrical brachial plexus palsy. Journal of Hand Surgery, 27 (3), 470-478. |
| Preliminary scope of work |
| Porodní paréza brachiálního plexu (PBPP) je nejčastější poškození periferních nervů
u novorozence. V teoretické části této bakalářské práce jsou shrnuty anatomie plexu brachialis, příčiny vzniku parézy, stupně a typy poškození periferního nervu, možnosti léčby a přehled rehabilitačních metod, které se v terapii využívají. Praktická část se zaměřuje na patofyziologii po poranění nervu a na indikaci elektrostimulace u periferních paréz. Na toto téma bylo děláno mnoho studií, avšak stále není definitivně zodpovězena otázka, jestli je ES bezpečná a prospěšná metoda, která by se měla aplikovat v léčbě periferních paréz. Podle dosažených výsledků je zcela zásadní ES rozdělit na ES svalu a ES nervu a stanovit jejich jasné parametry. Zdá se, že ES svalu není tak prospěšná jako ES nervu, kde by mohla způsobit převrat v léčbě periferních paréz přímá intraoperativní ES nervu. Součástí práce je kazuistika pacienta s PBPP indikovaného k ES. |
| Preliminary scope of work in English |
| 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. |