Mgr. Dagmar Janů
- heart diseases
- CHRI (cronical renal insufficiency)
- COPD (chronic obstructive pulmonary disease)
- Parkinson morbus/syndrom
- oncological diseases
- DM
- defect of musculosceletal system
- cardial decompensation
- ↓fraction of heart (≥25% )
- pulmonia, fluidothorax
- fall/s
- infection of respiratory and urinary tract
- iontdiscrepancy, dehydratation
- oncological diagnosis
- worsen condition of nutrition
- trombosis of deep vein
- DM decompensation
- patient´s condition after fracture colli femoris,
colli humeri (after a fall)
- patient´s condition after fracture vertebrae (JEWET),
costae
- condition of patient after brain stroke
- a bit of temperature up to fever
- the whole weakness
- decreasing of intake of food and liquid
- infection of respiratory and urinary tracts
- infection disease - clostridy
₋ defect of senses – getting worse hearing, eye-sight
₋ ↓ of physical condition
₋ ↓ muscles, muscles coordination, gentle motoric, defect of
walking, the total decondition
₋ ↓ congnitive and gnotick functions
₋ ↑ forgetting,↓of concetration
₋ ↓ of fatic functions
₋ ↓of speech, ↓ability to name something, ↓ability to understand
₋ ↓ or Ø interest of patient about moving (specialy in patients
₋ after brain stroke)
₋ ↓ ability of space
₋ ↓ of recognition
₋ sensing, attention, memory, image, thinking
₋ advanced stage of demention, morbus Alzheimer
- to keep or to get better mobility (specialy walking ->this is
the most important for relatives->it is most requirement for
homecoming)
- to keep or increasing selfcare
- to keep to get increasing cognitive function
- to enable return home
physical and mental ability
> mobility of movement ability for ADL
₋ to keep (renew, gaining) enough of moving patterns
(PNF, Brunkow, Bobath)
₋ equal normalisation (compensation) of potentional
defect (aweaken or shorten of soft tissue)
₋ mental thinking about a thing ->worsening of
functions (preliminary of moving apparatus)
all activition organism (↑of muscles strong, ↑coordination,
dynamics, permanency)
₋ ↑of motoric activity, practising of walking and
improving certainty (using accessories)
₋ improving of physical condition indicators
(breating content, heart output, normalisation of preassure,
decreasing of clinical symptoms ICHS ischemic heart disease and so on)
₋ improving of possibility to control level of sugar in blood
(possibility to ↓medication)
₋ decreasing of bone matter
(mainly in women after menopasuse)
₋ decreasing of fall
(fractures)
₋ improving of mobility and all joint functions
(decreasing of pain)
₋ improving of quality of sleeping, ability
of studying, short-time memory
₋ alleviation of symtomps in development
of blood vessels ending
(arthery defect, decrease of vein inflammation, pulmonary
decrease, pneumonia etc.)
₋ increasing of metabolic, keeping of optimal weight
₋ antidepressive influence
₋ decreasing of exhaustion
₋ to start breathing exercising – dynamic (eventually local)
₋ to continue in exercising from acers (at first HKK then DKK)
₋ to choose excercise from easy one up to more difficult
₋ no hurry
₋ it is necessary to count with sense defects (eye-sight, hearing)
₋ to choose easy language to undestand (to excersise together
with patients)
₋ to keep good mood
₋ important to understand the excercise with
patients (to choose their close moving activites)
₋ be aware of over loading (to adjust intensity
and extention of excercising up to date)
₋ Include excercising into regular daily
programme
₋ not to excercise over pain
₋ be aware of isometric excercising (namely
in hypertention)
₋ be aware of optimal temperature in the room
₋ to excercise one hour after food earliest (DM)
₋ conditional excercising in lying, sitting, standing position
(to keep/to improve extention of joint movement and to
keep/improve of muscle strenght)
₋ possible to use accessories
(theraband, overball, weight sacks, dumbbells1-2 kg, polles)
₋ practising of gentle motoric
₋ LTV kinesiotherapy on the base of neurophysiology
(elements of PNF,Brunkow, Bobath,sensomotoric)
₋ practising of verticalisation (spinal ortesis-JEWET)
₋ into seat – with/without help, with/without support on limbs
₋ training of seating stability
₋ into standing position – with/without help, with/without
protetic accessories
(hight/low walking device, armpit crutches,crutches, walking stick)
₋ training of standing stability
₋ into walking position – with/without help, with/without
protetic accessories
(hight/low walking device, armpit crutches, crutches,walking tick)
₋ training of modification steps and walking, co-movement
of upperlimbs