Il paziente con morbo di Parkinson: valutazione clinica e riabilitazione.

Serena MELCHIONDA

Bakalářská práce

The patient with Parkinson's disease: clinical assessment and rehabilitation.

Abstract:

The work is about the Parkinson's disease and its evaluation and rehabilitation: ? Early phase (1st and 2nd)= muscle stretching exercise and exercise to improve respiratory capacity. ? Intermediate phase (3rd and 4th)= the rehabilitation has the purpose of controlling the automatic movements through strategies control of the attention and the use of sensory stimuli. ? Advanced phase (4th and 5th)= the functional rehabilitation has the purpose of preventing falls. IT will be referred to the patient's home affection with the involvement of the family. 2.3. Introduction: The Parkinson's is a degenerative disease of CNS characterized by tremor,bradycin,rigidity and postural instability. There is a demodulation of activation between the direct and indirect way of the motor circuit of the base ganglia. The patients with Parkinson's disease have alteration of the march (freezing and festination); Equilibrio disorders; Alteration of writing. The diagnosis is clinical. The instrumental exams are: PET and SPECT. The staging of the disease use the UPDRS scale (Unified Parkinson's disease rating scale). The rehabilitation goals are: - Conteniment of primary damage. - Prevention of secondary damage. Verification of compromised functions and identification of alternative modes and strategies.

Abstract:

La tesi ha lo scopo di illustrare il morbo di Parkinson con la relativa valutazione e trattamento riabilitativo: ?fase precoce (stadio I e II ) = esercizi di allungamento muscolare e per migliorare la capacit? respiratoria. ?fase intermedia ( stadio III e IV ) = la riabilitazione ? volta a modificare la perdita del controllo automatico del movimento mediante strategie che comprendono il controllo dell'attenzione e l'uso di stimoli sensoriali. ? fase avanzata ( stadio IV e V ) = la riabilitazione funzionale ha un ruolo preventivo delle complicazioni, soprattutto delle cadute. Si far? riferimento anche all'accudimento domestico del paziente con coinvolgimento del nucleo familiare.

Klíčová slova

Parkinson, valutazione clinica

Jazyk práce: italština

Datum vytvoření / odevzdání či podání práce: 30. 9. 2017

Obhajoba závěrečné práce

• Obhajoba proběhla 16. 10. 2017
• Vedoucí: Mgr. Fiorella Liberti

OSTRAVSKÁ UNIVERZITA

Lékařská fakulta

Bakalářský studijní program / obor:
Specializace ve zdravotnictví / Fyzioterapie