Publication details
Fyzioterapie a pohybová aktivita u epilepsie – přehled
| Title in English | Physiotherapy and physical activity in epilepsy - overview |
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| Authors | |
| Year of publication | 2019 |
| Type | Conference abstract |
| MU Faculty or unit | |
| Citation | |
| Description | Epilepsy is one of the most common neurological diseases which almost always stigmatizes the patient. There are more than 70,000 patients with active epilepsy in the Czech Republic. Epilepsy with standard treatment has a fairly positive prognosis, in most patients the seizures disappear over time and often the disappearance of specific EEG manifestations. 20-30% of patients with epilepsy are drug-resistant, patients who cannot achieve a seizure-free state even with proper treatment. In the treatment of epilepsy, pharmacological and non-pharmacological methods and procedures (complementary and alternative medicine) or invasive neurosurgical methods are most often used. According to recent literature, physical activity can positively influence seizure control, improve overall health and has inherent psychosocial benefits. However, despite the high incidence of patients with epilepsy and relatively significant evidence of research, physiotherapy or physical activity is not a frequent part of a non-pharmacological complementary treatment approach. This practice may be due to the fear of inducing an epileptic attack, the stigma of these patients or a lack of information. Typically, physical therapy is the treatment of choice to maintain mobility during hospitalization and to affect secondary soft tissue changes after a seizure. This experience is also confirmed by case reports of patients from two "pioneer" topics of bachelor's theses prepared on this topic at the Department of Physiotherapy and Rehabilitation of the Faculty of Medicine MUNI, which will be partially presented. With the growth of evidence-based medicine research describing a positive relationship between physical activity and epilepsy, it is justified to include movement programs in complementary non-pharmacological treatment. Some animal and human studies indicate or directly show a positive effect of exercise therapy. These include the minimization of comorbidities associated with epilepsy, the anti-epileptogenic and neuroprotective effect of exercise. The article aims to show an overview of the rational possibilities of physiotherapy, movement therapy and possibly other rehabilitation procedures for patients with epilepsy according to evidence-based medicine. This is a topic that is not described much here. |