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Case Study of Orthotic-Prostetics Treatment of a Patient with the Diagnosis of transfemoral amputation
Švaříčková, Tamara ; Neuwirthová, Svatava (advisor) ; Černý, Pavel (referee)
Title: Case study of orthotic - prosthetic care for a patient with a diagnosis of transfemoral amputation Aims: The aim of this paper is a case study of a patient with a diagnosis of transfemoral amputation. The main objective is to prepare a comprehensive overview related to the issue of lower limb amputations and, based on the examination and clinical interviews, to produce a device that best suits the patient's needs. The process of prosthetic care from the examination of the patient to the fitting of the new prosthesis is described. Methods: This thesis has theoretical and practical part. In the theoretical part, professional framework of the problem is presented based on a literature research and my experience in practice. It focuses on the anatomy and function of the lower limb, gait cycle, amputation procedure and prosthetic care of the stump. Also, it provides an overview of prosthetic components that could be chosen when indicating a femoral prosthesis. In the practical part, the course of four patient visits is described, from the collection of the measurement materials, through the manufacturing of the stump socket, testing and adjustments, to the handover of the device. The practical part is documented verbally and photographically as it took place during my professional practice....
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Case Study of Physiotherapy Treatment of a Patient with Diagnosis peripheral palsy of radial nerve
Borkovcová, Iva ; Neuwirthová, Svatava (advisor) ; Křížková, Štěpánka (referee)
Title: Case study of the physiotherapy treatment of a patient with peripheral palsy of radial nerve. Objectives: The main objective of this thesis is to summarize theoretical knowledge of peripheral palsy, especially the radial nerve palsy. My other aim is to elaborate a detailed case study including examination and therapy with the use of theoretical knowledge and practical skills acquired during the three years of studying the bachelor's programme. Methods: The thesis consists of two main parts. The general part summarizes theoretical knowledge of peripheral radial palsy based on professional literature. There is analyzed anatomy of the nervous system, especially anatomy of the brachial plexus, kinesiology, etiology and clinical picture of this disease and its classification. aims to summarize basic information on the subject. Other section is devoted to treatment of peripheral palsy and it describes in detail the rehabilitation care and specific physiotherapeutic methods used in the treatment of such a disease. At the end of this section is an evaluation of the effect of these methods in the treatment. The practical part documents the case report of a patient with a diagnosis of radial nerve palsy, which includes the initial kinesiological examination, description of the course of individual...
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Case Study of Physiotherapy Treatment of a Patient with Diagnosis of Left-Sided Above-Knee Amputation
Citová, Adéla ; Neuwirthová, Svatava (advisor) ; Nováková, Tereza (referee)
Title: A Case Study of Physiotherapeutic Treatment of a Patient with Diagnosis of Left-Sided Above-Knee Amputation. Aim: The aim of this bachelor thesis is to summarize the theoretical knowledge and rehabilitation care of a patient with this diagnosis, as well as a case study of a patient with this diagnosis. Method: This study is divided into theoretical and practical part. The theoretical part contains the lower limb functional anatomy, theoretical information about lower limb ischemic disease, about amputations, rehabilitation options after amputation and options of prosthesis. It also includes an evaluation of the effects of therapeutic procedures. The practical part contains a case study of a patient after left-sided above-knee amputation. This part includes the entrance examination, the course of therapy, the final examination and the evaluation of the effect of therapy. Results: The therapy described in the practical part of this study was able to verticalize the pacient and manage to walk with prosthesis on a french crutches. Overall, the therapy has led to an improvement of patient's condition. Key words: Amputation, Lower limbs, Lower limb ischemic disease, Physiotherapy, Prosthetics
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Case Study of Physiotherapy Treatment of a Patient with Diagnosis peripheral facialis palsy
Leszkow, David ; Neuwirthová, Svatava (advisor) ; Hamouzová, Dita (referee)
Author: David Leszkow Title: Case study of physiotherapy care for patient diagnosed with peripheral facial palsy. Objectives: The aim of this thesis is to write down theoretical basis related to the diagnosis of peripheral facial palsy. The second part of this thesis is case study of one patient with Bell's palsy. Methods: Soft tissue techniques, Jebavá's approach, Kenny's method, Kabat's method. Results: Patient's right facial side muscular strength improved and at the same time resting facial expressions were restored. There was an increase in the resting muscle tone of the right side, thus removing the lagophthalmos and the sagging corner of the mouth. Conclusion: Thanks to the use of the above methods, the patient was rehabilitated to almost full muscle strength and functionality of the right side of the face, at the rest and also with active muscle involvement. Keywords: Bell's palsy, treatment of peripheral palsy, facial palsy, facial nerve, case study, mimic muscles, physiotherapy
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Evaluation of wheelchair adjustments and their impact on proper propulsion pattern upper extremities and sitting posture in patients with spinal cord lesions
Dáňová, Petra ; Pfeiffer, Jan (advisor) ; Neuwirthová, Svatava (referee)
Title: Evaluation of wheelchair adjustments and their impact on proper propulsion pattern upper extremities and sitting posture in patients with spinal cord lesions. Objectives: The objective of this work was to evaluate the adjustments of wheelchair and to determine their impact on the work of the upper limbs and posture while sitting. This work was done on a group of patients with spinal lesions with their own wheelchairs. Another objective was to assess how education of proper propulsion pattern and form and type of a grip of handrim affects the correct propulsion pattern. Methods: In the group of 26 patients with spinal cord injuries in different levels of the spinal cord, I tested the adjusments of wheelchair, in particular the centre of gravity and maximum seat height from the ground. I also investigated what education on correct propulsion pattern the patients received, and observed any home-made adjustments to handrim, as well as patients' techniques of handrim grip. Finally, I examined how the subjects drove his/her wheelchair. During all the tests, I recorded video and photo documentation. The results were statistically evaluated using the Fisher test. Results: Despite the fact that only a small group was investigated, I showed the effect of wheelchair seatings on the correct posture. I...
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Case study of physiotherapeutic treatment of a patient with the diagnosis of total hip replacement.
Havlíková, Karolína ; Neuwirthová, Svatava (advisor) ; Vosmíková, Simona (referee)
Title of bachelor's thesis: Case study of physiotherapeutic treatment of a patient with the diagnosis of total hip replacement Aims: The aims of the bachelor thesis are to improve theoretical knowledge as well as practical skills connected with the diagnosis of total hip replacement and physiotherapeutic methods used after the implantation of an artificial hip joint. Summary: The thesis is divided into two parts. The first, general part, deals with the anatomy and kinesiology of the hip joint; it also deals with the osteoarthritis, which is the most common cause leading to the total hip replacement. Particular types of implants and operating approaches are dealt with, as well. A significant part of the thesis deals with the rehabilitation plan for patients with this diagnosis, including preoperative rehabilitation, early rehabilitation after the operation and following rehabilitation. The second, specialisted part, deals with the casuistry of a patient after the implantation of an artificial hip joint, including evaluation of the effects of the therapy by comparing the kinesiological analysis before and after the treatment. Key words: physiotherapy, case study, coxarthritis, hip joint, total hip replacement
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Internal consistency of assessment set of clinical features of patients with multiple sclerosis and its correlation with the degree of neurological impairment
Jurčáková, Andrea ; Řasová, Kamila (advisor) ; Neuwirthová, Svatava (referee)
Title: Internal consistency of assessment set of clinical features of patients with multiple sclerosis and its correlation with the degree of neurological impairment. Objectives: The aim of this work is to verify the internal consistency of Assessment set of clinical features in patients with multiple sclerosis and its correlation with the degree of neurological disability that would comprehensively and objectively judged effect of physiotherapy in patients with MS. Method: Clinical Examination set of functions includes well-known, standard and validated assessments that evaluate the function associated with the central movement disorders focusing on the clinical manifestations of RS (Low-Contrast Letter Acuity Test contrasting vision, Motricity Index assesses muscle strength, spasticity Modified Ashworth Scale, Berg balance Scale equilibrium, Nine Hole Peg Test investigate fine motor skills, Timed 25 - Foot Walk assess walking speed over a distance of 7.5 m, Paced Auditory Serial Addition Test investigates cognitive function, and auditory information processing speed, simple computational skills and ability to concentrate after the duration of the test. Belong to this set as evaluation of righting, equilibrium and protective reactions, examination dysdiadochokinesia, ataxia, and test evaluation...
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Patients' Knowledge about Physiotherapy
Staňková, Helena ; Pavlů, Dagmar (advisor) ; Neuwirthová, Svatava (referee)
Title: Patients' Knowledge about Physiotherapy. Objectives: To contact representatives of foreign professional organizations to determine whether they were surveyed public knowledge about the physiotherapy, and let them answer some solved questions. Secondly, to investigate patients' knowledge about physiotherapy, if they see the difference between a physiotherapist and a masseur and if they properly title or address the physiotherapists. In case of desinformation of the patients to think what would be the best way to improve that. Methods: An english written questionnaire containing 6 questions was sent to the representatives of professional organizations by e-mail. The survey among Czech patients was conducted using a structured questionnaire consisting of 10 questions. Distribution took place in Prague and Pardubice. Results: Only 31% of the representatives of the professional organizations reported that the survey about the public knowledge about the physiotherapy was conducted but the document could not be obtained. 77% of the representatives also stated that patients with no previous experience with the physiotherapy rather know what is the content of this field and 69% also believed that the patients used name / surname most commonly in addressing the physiotherapists. 38% said that the...
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Case report on physiotherapy care for a patient diagnosed with rheumatoid arthritis
Svobodná, Magdalena ; Neuwirthová, Svatava (advisor) ; Jarošová, Hana (referee)
Title of bachelor's thesis: Case report on physiotherapy care for a patient diagnosed with rheumatoid arthritis Author: Magdalena Svobodná Thesis supervisor: Mgr. Svatava Neuwirthová Year: 2014 Aim of the thesis: The aim of the thesis is to summarize theoretical knowledge of rheumatoid arthritis in general part of the thesis and to elaborate a case report on a patient diagnosed with the disease, to emphasize physiotherapeutical care within the terms of a complex treatment of the patient and to assess the effects of the therapy in specialized part. Methodology: The first part of the thesis is general one. It deals with etiology and pathogenesis, clinical picture and symptoms, diagnostics and evaluation of patients, course of the disease and komplex treatment of rheumatoid arthritis, namely pharmacotherapy and application of physiotherapeutical procedures. The second, specialized part of the thesis is designed in form of a case report. It involves a medical history, a complete input and output kinesiological analysis of the patient, subsequent plan of therapy, course of 10 therapeutical units and evaluation of the therapy effects. Keywords: case report, physiotherapy, rheumatoid arthritis, rheumatology
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