20.500.12556/RUL-169344 Fizioterapevtska obravnava pacienta z miopatijo po prebolelem COVID-19 - poročilo o primeru diplomsko delo Physiotherapy in patient with myopathy after recovering from COVID-19 - a single case report diploma work Uvod: Koronavirusna bolezen 2019 (COVID-19) je nalezljiva bolezen, ki povzroča hud akutni respiratorni sindrom. Z naraščanjem števila okužb z virusom SARS-CoV je večje število pacientov potrebovalo dolgotrajno intenzivno zdravljenje z umetnim predihavanjem. Miopatija kritično bolnega se je pojavila pri 48 do 96 % pacientov, ki so potrebovali dolgotrajno umetno predihavanje. Za paciente z miopatijo kritično bolnega je značilno, da so zelo oslabeli in potrebujejo zgodnjo rehabilitacijo in prilagojeno fizioterapevtsko obravnavo posamezniku. V program zgodnje rehabilitacije je vključen fizioterapevt, ki s postopki lokomotorne in respiratorne fizioterapije izboljšuje pacientovo koordinacijo, ravnotežje, gibljivost, mišično zmogljivost, samostojnost, funkcijsko sposobnost in respiratorno funkcijo. Namen: Namen diplomskega dela je predstaviti fizioterapevtsko obravnavo in njeno učinkovitost pri specifičnem pacientu z miopatijo po prebolelem COVID-19. Post-COVID miopatije so lahko zelo raznolike v odzivu na terapije, zato je deljenje teh primerov ključno za širjenje znanja in izkušenj v fizioterapevtski klinični praksi. Omenjen primer, ki prikazuje uspešno uporabo specifične kombinacije tehnik fizioterapije in rehabilitacije pri bolnikih s post-COVID miopatijo, lahko spodbudi nadaljnje raziskave in klinično prakso. Metode dela: Diplomsko delo je poročilo o primeru pacienta. Predstavljena je fizioterapevtska obravnava pacienta z opisom fizioterapevtskih postopkov. Ti so primerjani s priporočili iz ustrezne strokovne literature v slovenskem in angleškem jeziku, iskane v znanstvenih spletnih bazah. Rezultati: V primeru pacienta z miopatijo kritično bolnega po prebolelem COVID-19 so izbrani cilji skladni s težavami, ugotovljenimi iz medicinske dokumentacije, z meritvami in s testiranjem. Pacient je izboljšanje dosegel pri goniometričnih meritvah, mišičnem testiranju, 6-minutnem testu hoje, 30-sekundnem testu vstajanja in usedanja s stola, DEMMI testu, testu hoje na 10 metrov in spirometriji. Izboljšal je mišično zmogljivost, ravnotežje in sposobnost hoje. Razprava in zaključek: S tem primerom pacienta je bil prikazan primer dobre fizioterapevtske obravnave, prilagojene pacientu po prebolelem COVID-19 z miopatijo kritično bolnega. Po končani fizioterapevtski obravnavi je bila večina postavljenih kliničnih ciljev dosežena (izboljšanje koordinacije in ravnotežja, izboljšanje funkcijskih aktivnosti, izboljšanje mišične zmogljivosti, predihanosti pljuč in ohranjanje oz. povečanje gibljivosti), kar kaže na ustrezno izbiro uporabljenih metod in tehnik lokomotorno in respiratorne fizioterapije. Introduction: Coronavirus disease 2019 (COVID-19) is an infectious disease causes severe acute respiratory syndrome. With the increasing number of SARS-CoV infections, a growing number of patients required prolonged intensive care with mechanical ventilation. Critical illness myopathy was found in 48 to 96% of patients who required long-term mechanical ventilation. Patients with critical illness myopathy often become severely weakened and require early rehabilitation and an individualized physiotherapy approach. Early rehabilitation includes a physiotherapist who, through locomotor and respiratory physiotherapy techniques, improves the patient`s coordination, balance, mobility, muscle strength, independence, functional ability and respiratory function. Purpose: The purpose of this thesis is to present physiotherapeutic treatment and its effectiveness in a specific patient with myopathy following recovery from COVID-19. Post-COVID myopathies can vary significantly in their response to therapy, so sharing these cases is crucial for expanding knowledge and experience in physiotherapeutic clinical practice. This particular case demonstrates the successful combination of physiotherapy tehniques and rehabilitation methods for patient with post-COVID myopathy, which may encourage further research and clinical practice. Methods: This thesis is a case report of a patient. The physiotherapeutic treatment of the patient is presented with description of a physiotherapeutic procedures used during early rehabilitation. These procedures are compared with recommendations from revelant professional literature in both Slovenian and English, found in scientific databases. Results: In the case of a patient with critical illness myopathy following recovery from COVID-19, the selected goals are consistent with the problems identifies in the medical documentation, measurements and testing. The patient showed improvment in goniometric measurements, muscle testing, the 6-minute walk test, the 30-second sit-to-stand test, the DEMMI test, the 10-meter walk test and spirometry. The patient improved muscle strength, endurance, balance in walking ability. Discussion and Conclusion: This case demonstrates an example of successful physiotherapeutic treatment tailored to a patient recovering from post-COVID-19 critical illness myopathy. After completing the physiotherapeutic treatment, most of the clinical goals were achieved (improvement in coordination and balance, improvement in functional activities, improvement in muscle strength, lung ventilation and maintenance or increase in mobity), which indicates the appropriate selection of locomotor and respiratory physiotherapy methods and techniques. COVID-19 nevropatija miopatija kritično bolnega fizioterapija rehabilitacija COVID-19 neuropathy critical illness myoptahy physiotherapy rehabilitation true false false [L. Hren] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-05-24 07:45:35 2025-05-24 07:45:58 2025-05-26 07:47:23 0000-00-00 00:00:00 2025 0 Ljubljana 0 Ljubljana 34 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.8 146222 237092611 49454.pdf 49454.pdf 1 D397B59B72D249ED6E9EEC6B96E65A2F 0b9c6c102f68dd3437a821d3f05da7f465d44fc05255ee2c6a965019c29c60a9 1ba4c652-3861-11f0-b232-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=210639 Zdravstvena fakulteta 0 0 0