Title Fizioterapija kod djece s Duchenneovom mišićnom distrofijom
Title (english) Physiotherapy in children with Duchenne muscular dystrophy
Author Anja Vincek
Mentor Željka Kopjar (mentor)
Committee member Jasminka Potočnjak (predsjednik povjerenstva)
Committee member Željka Kopjar (član povjerenstva)
Committee member Nikolina Zaplatić Degač (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Physiotherapy) Koprivnica
Defense date and country 2024-09-30, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Physical Medicine and Rehabilitation
Abstract Duchenneova mišićna distrofija je neuromuskularna, progresivna bolest, genetski
uvjetovana, a karakterizirana je nedostatkom distrofina. Zahvaća mušku djecu koja postepeno
gube mišićnu snagu te kasnije i mogućnost hodanja. Osim poteškoća s mišićno-koštanim
sustavom, pacijenti se još susreću s respiratornim problemima, kardiološkim i psihičkim
teškoćama. Rana dijagnoza ključna je za pravodobno i uspješno liječenje. Tipičan
dijagnostički znak i ujedno jedan od prvih uočljivih znakova je Gowersov znak koji označava
uspinjanje po vlastitom tijelu iz sagnutog položaja. Od dijagnostičkih pretraga rade se
labaratorijske pretrage, genetičko testiranje, biopsija, elektromioneurografija te
elektrokardiografija. Nakon postavljanja točne dijagnoze započinje liječenje koje se bazira na
multidisciplinarnom timu, a uključuje pedijatra, neurologa, kardiologa, fizioterapeuta, radnog
terapeuta i psihologa s naglaskom da svaki pristup pacijentu mora biti individualan. Važnu
ulogu ima fizioterapija koja započinje procjenom, a sastoji se od nekoliko testova (manualni
mišićni test, test ravnoteže...). Nakon procjene slijedi fizioterapijska intervencija kojoj je cilj
očuvanje mišićne mase, sprječavanje kontraktura te poboljšanje socijalnog života. Važnost se
daje vježbama istezanja zbog održavanja mobilnosti pacijenta i amplitude pokreta. Istezanje
se provodi aktivno ili pasivno ovisno o stanju pacijenta. Vježbe disanja bitne su od početka
dijagnoze zbog održavanja respiratorne muskulature i poboljšanja plućne ventilacije. Također,
provode se aktivne vježbe kojima je cilj održavanje mišićne mase i sprječavanje kontraktura.
Fizioterapija se provodi u skladu s načelima za poboljšanje općeg stanja pacijenta i njegovog
psiho-socijalnog stanja.
Abstract (english) Duchenne muscular dystrophy is a neuromuscular disease caused by a lack of
dystrophin. It affects male children who gradually lose muscle strength and later the ability to
walk. In addition to problems with the musculoskeletal system, patients also encounter
respiratory problems, cardiac and psychological difficulties. Early diagnosis is essential for
timely and successful treatment. Gowers gait is the best-known sign by which the diagnosis
can be guessed, apart from the volume, laboratory tests, genetic testing, biopsy and
electrocardiography are performed. After an accurate diagnosis, treatment begins, which is
based on a multidisciplinary and holistic approach. A combination of pediatricians,
neurologists, cardiologists, physiotherapists, occupational therapists and psychologists, all
work together for the most successful treatment possible. An important role is played by
physiotherapy, which begins with an assessment, and consists of several tests such as a
manual muscle test, a balance test... after a successful assessment, physiotherapy intervention
is followed, the aim of which is to preserve muscle mass, prevent contractures and improve
social life. Stretching exercises are the most important to maintain the patient's mobility and
range of motion. Stretching is performed actively or passively depending on the patient's
condition. Also, active exercises are carried out with the aim of maintaining muscle mass and
preventing contractures. Breathing exercises are important from the beginning of the
diagnosis because of maintaining the respiratory muscles and improving lung ventilation.
Physiotherapy is carried out in accordance with the principles for improving the general
condition of the patient and his psycho-social condition.
Keywords
Duchenneova mišićna distrofija
liječenje
fizioterapijska intervencija
Keywords (english)
Duchenne muscular dystrophy
treatmant
physycal intervention
Language croatian
URN:NBN urn:nbn:hr:122:505043
Study programme Title: Physiotherapy Study programme type: professional Study level: undergraduate Academic / professional title: prvostupnik/prvostupnica (baccalaureus/baccalaurea) fizioterapije (prvostupnik/prvostupnica (baccalaureus/baccalaurea) fizioterapije)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Repository University North Digital Repository
Created on 2024-10-21 11:07:48