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The influence of foot position on the size of the Q angle in patients with painful knee joint syndromes
Zimová, Barbora ; Malá, Jitka (advisor) ; Maršáková, Kateřina (referee)
Author: Bc. Barbora Zimová Title: The influence of foot position on the size of the Q angle in patients with painful knee joint syndromes Objectives: This master thesis aims to assess the effect of the foot on the position of the knee joint, particularly whether the degree of flat-footedness affects the Q angle and whether an active foot correction can change this angle. Furthermore, this thesis aims to compare whether painful knee joint syndromes affect these parameters in any way. Methods: A group of 40 probands with a total average age of 27 years and a unilateral painful knee joint syndrome, at least 6 months apart from incidental injuries/surgeries, underwent a complex clinical examination with a focus on the researched aspects associated with knee joint problems. This was followed by the making of a plantogram - - an examination of the pressure distribution of the foot by a machine from the company Pedikom, taking a photograph to evaluate the Q angle and the orientation of the talus position, complementing the qualitative evaluation of the sole image. An active correction of the foot position was then performed along with a simple exercise to support the longitudinal arch of the foot by activating the myofascial chains associated with it. The two examinations were then repeated. The...
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Effectiveness of mechanical correction and active exercises of fifth finger deformity therapy - Tailor's bunion.
Vokatá, Lucie ; Malá, Jitka (advisor) ; Maršáková, Kateřina (referee)
Title: Effect of mechanical correction and active exercise in the treatment of deformity of the fifth toe - Tailor's bunion Objectives: The aim of this thesis is to identify the effect of mechanical correction and active physiotherapeutic intervention in the treatment of deformity Tailor's bunion. Methods: This is a quantitative-qualitative experimental study involving 10 probands aged 19 to 25 with flexible Tailor's bunion deformity, 6 out of 10 probands had bilateral deformity and the remaining probands unilateral deformity. In this thesis, passive intervention in the form of mechanical axial correction of V. MTP joint by strapping tape was used and active intervention in the form of selected active exercise aimed at evaluating (identifying) the effect on selected foot parameters. The participants were randomly divided into two groups of five. Group 1 was subjected to active therapeutic intervention and Group 2 was subjected to passive therapeutic intervention for 4 weeks. Before and after the therapeutic intervention, the probands were examined clinically, followed by a postural stability test in static standing on the tensometric plate RS Footscan ® Balance and pressure distribution testing of individual foot segments while walking on a Footscan Gait plate. At the end of the examination we did...
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Case Study of Physiotherapy Treatment of a Patient with pain in the medial part of the left calf
Mazzola, Elisabetta ; Maršáková, Kateřina (advisor) ; Kozderková, Romana (referee)
"Case Study of Physiotherapy Treatment of a Patient with Pain in the Medial Part of the Left Calf" The following Bachelor thesis took place at the outpatient rehabilitation department of the Central Military Hospital, in Prague, for a period of two weeks. The aim of this work is, firstly, to present a theoretical overview about the area of the body subject to the patient's complain, exploring the leg and the triceps surae from an anatomical and kinesiological perspective. Then the muscular pathological finding that is the most probable cause of the patient's pain is investigated. The second part of the thesis concerns the practical work performed in hospital and wants to show if and how the initial physical condition displayed by the patient can change through the application of appropriate physiotherapeutic procedures, which are based on the results of examinations and on the investigation of the possible causes of the triceps surae pain. The 30-year old patient showed pain to the touch in a restricted area of the medial aspect of the left triceps surae that was also tense and swollen. It corresponded to the location of a myofascial trigger point in the gastrocnemius. Not only the left gastrocnemius was problematic but many other muscles of the lower extremities and the trunk showed hypertonicity,...
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The Case Study of Physiotherapy Treatment of a Patient after total hip replacement
Šašková, Vlasta ; Maršáková, Kateřina (advisor) ; Hamouzová, Dita (referee)
Title: The Case Study of Physiotherapy Treatment of a Patient after total hip replacement. Objectives: The main aim of this work was to summarize theoretical and practical knowledge about total hip replacement and to process a case study of a patient with this diagnosis. Methods: This work consists of two main parts - general and special part. The general part contains information about hip joint anatomy and kinesiology, coxarthrosis, congenital hip dysplasia, total hip replacement and rehabilitation after total hip replacement. A special part is processed in the form of a case study of a patient after implantation of total hip replacement. It includes anamnesis, entry kinesiological examination, goals of short-term and long-term therapeutic plan, description of therapeutic units, outcome kinesiological examination and a final evaluation of the effect of therapy. Results: The goals of the short-term therapeutic plan were fulfilled. During the therapy, soft tissues were relaxed, the muscle tone of the hypertonic muscles was reduced, the range of motion in the joints of the lower limbs increased, the joint play restored, the weakened muscles strengthened, the shortened muscles stretched and the gait improved. Keywords: total hip replacement, arthroplasty, hip joint, coxarthrosis, physiotherapy, case study
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Comparison of Rehabilitation Procedures in the Operative and Conservative Approach to Manage Chest deformity in Children
Vyhnánek, Štěpán ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Title: Comparison of Rehabilitation Procedures in the Operative and Conservative Approach to Manage Chest deformity in Children Aim: The aim of this thesis is to determine the efficacy of a conservative approach in the treatment of inverted chest and to compare the effect of therapy with the surgical approach. Methodology of thesis: At the beginning of this project, a total of 9 children and adolescents (n = 9) from 10 years to 21 years of age (mean 15 years), male and female (8: 1) participated. All participants were diagnosed with thoracic deformity of pectus excavatum, which was not indicated for surgery. At the beginning of the project, all probands passed an initial examination, which included an obtaining of anthropometric values using a pelvimeter and a tailor's meter, to assess the anthropometric index and chest circumferences during breathing. Subsequently, a rehabilitation instructions have been given to all participants and all participants have obtained a printed version of these exercises. Results: The results of this study show that in patients with pectus excavatum, the regular and long term exercises, can bring the expected positive results. Especially in subjective complaints, chest flexibility and postural improvement. The final effect of thoracic deformity changes after 3 months...
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Case Study of Physiotherapeutic treatment of a patient after implantation of total knee joint replacement
Tichý, Lukáš ; Maršáková, Kateřina (advisor) ; Hankovcová, Eva (referee)
Title: Case study of Physiotherapeutic treatment of a patient after implantation of total knee joint replacement Objectives: The aim of this work was to elaborate a case report of a patient with a knee joint replacement, find theoretical background for this diagnosis and apply acquired knowledge in therapy. Methods: The work consists of a theoretical and a special part. The theoretical part deals with the anatomy and kinesiology of the knee joint, osteoarthritis and its treatment, an implantation of a total knee replacement as a surgical method of osteoarthritis treatment, rehabilitation after the implantation of the total knee endoprosthesis and appropriate physiotherapeutic techniques during patient's care after the implantation. A special part is elaborated in the form of a case study of a patient after an implantation of a total knee replacement. It consists of anamnesis, an entry kinesiological examination, records of therapeutic units, an outcome kinesiological examination and an evaluation of the effect of the therapy. Results: During the therapies designed according to the acquired knowledge from the theoretical part of the thesis, the patient's health status was improved. Keywords: Knee joint, total replacement, osteoarthritis, physiotherapy, case study.
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The Case Study of a Physiotherapy Treatment of a Patient with Balance Disorder and Cognitive Impairment
Sýkorová, Jitka ; Maršáková, Kateřina (advisor) ; Hořejší, Jan (referee)
The bachelor thesis explores balance and cognitive disorders in the context of physiotherapy. Balance disorders and cognitive impairment are important risk factors for falls. The aim of the thesis is to provide fundamental information based on available evidence in literature and briefly outline the importance of physiotherapy in patients with balance and cognitive impairment. In the practical part of the thesis is presented a detailed case study of a physiotherapeutic treatment of a patient with balance disorder and cognitive impairment due to encephalopathy. The treatment focused on application of techniques which are beneficial for improvement of the balance as well as cognitive functions. At the end of the therapeutic intervention patient have improved stand and gait balance as well as coordination of motion and cognitive performance and also there was a significant reduction of fatigue and fall risk. We used standardized assessments methods to measure the effect of the treatment: The Tinetti Balance and Gait Test, Berg Balance Scale, Montreal Cognitive Assessment and Barthel Index for Activities of Daily Living.
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The Case Study of a Physiotherapy Treatment of a Patient with Cervicobrachial Syndrome
Hegmonová, Barbora ; Maršáková, Kateřina (advisor) ; Křížková, Štěpánka (referee)
Autor: Barbora Hegmonová Name of bachelor's thesis: Case study of physiotherapy treatment of a patient with cervicobrachial syndrome Objective: The aim this work is gather theorical and practical information in the field of cervicobrachial syndrome and their subsequent use in past therapies of diagnosed patinets Methods: My bachelor thesis is divided into two main parts, the general part and the special part. The general part contains information about anatomy, biomechanice and kinesiology. I describe specifically the diagnosis of cervicobrachial syndrome with details to clinical sings, treatmend and psychotherapy. The special part contains a case report of a patient with Cb syndrome. It consists of initial and final kinesiological analysis, short - term and long-term terapy plan, therapy proposal and detailed description of individual therapies. The work was elaborated on the basis of continous pracice on the Regional hospital Kladno, a. s. from 22.1 - 16.2.2018 Key words: cervicobrachial syndrome, physiotherapy
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Case Study of a Patient after Partial Hip Replacement
Abdulmalik, Abdullaziz Abdulmalik Ali ; Maršáková, Kateřina (advisor) ; Lassner, Martin (referee)
"Case Study of a Patient after Partial Hip Replacement" The following Bachelor thesis case study took place in Orthopedic Surgery department of the Central Military Hospital in Prague, Czech Republic. This thesis has been divided in to two section. The first section is a generally theoretical section that describes the lower limb, anatomy, biomechanics, kinesiology and a basic general outlook on the femoral bone fractures and intervention. The second section which is the practical part of this thesis is focused on the analyses of a patient post a partial hip replacement surgery that's a consequence of a proximal femoral bone fracture. The section contains physiotherapeutic examinations that relate to the patient's condition and help clearly understand her overall clinical picture. The main goals of therapy approach was to reduce the patient's pain, restore function of the hip and the lower extremity in general to its optimal condition to enable the patient to resume activities of daily living. There was a positive outcome from the therapies applied. The pain around the hip that the patient used to feel decreased. Greater active and passive ranges of motion in the hip joint were achieved as well. The muscle tonus in the lower extremity also improved significantly. Off course the patient hasn't...
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Aplication of virtual reality on dynamic postural stability
Al Amri, Saad Khazim D ; Pánek, David (advisor) ; Maršáková, Kateřina (referee)
Objective The aim of this study was to identify if there is any significant difference in dynamic postural stability after 3D Virtual Reality VR application on healthy adults. Methodology There were 11 healthy adults participants ( n=11 , 7 males, 4 females), with age average of 27 years. Pre-test and post-test procedures were performed by using NeuroCom, Smart Balance Master System, Sensory Organization Test SOT (Composite Equilibrium, Sensory Analysis of Somatosensory SOM, Visual VIS, Vestibular VEST, and Preference PREF) and Motor Control Test MCT (Weight Symmetry). Application of 3D Virtual Reality was provided by using Samsung Gear Goggles, with 5 minutes duration. Results There were no significant statistical differences in SOT Composite Equilibrium, Sensory Analysis of Somatosensory SOM, Visual VIS, Vestibular VEST, Preference PREF, and MCT Weight Symmetry results (p > 0.05) after the Virtual Reality application. Conclusion The application of Virtual Reality has no significant difference on dynamic postural stability in healthy adults from one session exposure. Further investigation and trials are needed to clarify the Virtual Reality effectiveness on dynamic postural stability of healthy adults. Keywords Postural Stability, Dynamic Postural stability, Balance, Computerized Dynamic...
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