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Case study of physiotherapy treatment of a patient after lateral patellar disclocation
Pilný, Petr ; Nechvátalová, Vendula (advisor) ; Mahr, Edwin (referee)
Author: Petr Pilný Title: Case study of physiotherapy treatment of a patient after lateral patellar disclocation Aim: Aim of this bachelor's thesis was to write up a report on a patient after latelar disclocation of the patella, summarizing theoretical knowledge, devising proper treatment, observing patient over the course of treatment and rating it's efectivness. Methods: This bachelor's thesis consists of two parts, a general part and a special part. The general part summarizes theoretical knowledge of anatomy, kinesiology and biomechanice of the knee joint. It also includes examinations of the knee joint and subsequent therapy. The special part consists of the case study of a patient after Madigan surgery and knee arthroscopy, course of treatment and evaluating it's effect. Results: Due to the therapy, the patient's medical state improved, the effect of the therapy is particularly recognizable in walking stereotype, in which the patient almost completely eliminated any formed pathologies and ceased using all walking aid, and in the range of movement of patient's knee joint. Therapy is considered successful. Conclusion: All of the set goals were accomplished during the therapy and the therapy's successfulness therefore proved efficiency of the used methods. Keywords: knee joint, patella, patellar...
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The case study of the physiotherapeutic care of a patient with total endoprothesis of a knee joint
Strakoš, Filip ; Novotná, Irena (advisor) ; Sohrová, Jana (referee)
Title: The case study of the physiotherapeutic care of a patient with total endoprothesis of a knee joint Objectives: The purpose of this bachelor thesis is the processing of case reports about one patient during the bachelor's practice, which took place in the hospital Centrum léčby pohybového aparátu. This is a case study of the physiotherapeutic care of a patient with artrotic diagnosis with implantation of total endoprosthesis of the left knee joint. The patient was hospitalized on 9 January 2019 and the surgery took place on 10 January 2019. Methods: The thesis is divided into general and special part. The general part explains anatomy and kinesiology of the knee joint. Further, the thesis deals with the description of arthrotic disease, surgical treatment by application of endoprosthesis and physiotherapeutic care after surgery. The content of the special part is a case study of the patient. From physiotherapeutic methods, I used soft tissue techniques, Lewit's mobilization and postisometric relaxation, sensomotorcal stimulation by Janda, exercises according to muscle test and Kabat's method PNF. I used the foam balls, overball and underarm crutches during the individual therapies. Results: The patient co-operated during all the therapeutic units very well. The patient was satisfied with...
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The differences in physiotherapy after implantation of total hip and knee joint replacement
KOLBABOVÁ, Petra
This bachelor thesis deals with physiotherapy after the implantation of total hip and total knee replacement. The structure of the thesis consists of theoretical and practical part. In the theoretical part there is an anatomical build of the hip and knee joint, it also includes a description of movements that can be performed in the joints. Next subchapter is devoted to total hip and total knee replacement - types, indications and contraindications to their implantation or possible genesis of complications after these orthopedic operations. The specifics of rehabilitation of total joint replacement of the mentioned joints are sequentially described. The work also acquaints with various physiotherapeutic methods and concepts which are used in the postoperative phase of rehabilitation. The last section of the theoretical part contains a description of physical therapy options that can be used as a part of physiotherapy. The qualitative research method was used to process the practical part of the thesis. The research group consisted of two patients after total hip replacement and the same number of patients were observed after replacement of the knee joint in the posthospitalization phase of rehabilitation while they were staying at the Hamza Treatment Centre in Luže - Košumberk. Observations, semi-structured interview and kinesiological analyse (input and output) were used for obtaining the dates. Then the dates were analyzed and completed by a description of the course of the therapies throughout the patient´s staying in the rehabilitation facility. After that all the dates were processed in the form of case reports and evaluated. The bachelor thesis can serve as a comprehensive overview of common and different features in physiotherapy after the implantation of total hip and total knee replacement. It is intended for both physiotherapists and the general public.
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Injury of anterior cruciate ligament of knee joint and following physiotherapy intervention
HOFMAN, David
This bachelor thesis is about physiotherapy with people, who have rupture of anterior cruciate ligament of knee joint, outlining set of general exercises and methods, which can be used for primary injury treatment or in prevention of overload or future injury. The thesis consists of two parts. First one is theoretic, where I describe anatomy, kinesiology, biomechanics, injury mechanics, possibilities of conservative and surgery treatment and possibilities of therapy. In second part, which is practical, I performed qualitative investigation of three patients. Each of them had rupture of anterior cruciate ligament. Surgery has been performed by using semitendinosus muscle autograft. The first examination were conducted before orthopedics surgery, additional posturography examination were performed when surgeon allowed, that patient can stand on both legs with full body weight. In therapy sessions we spent 6-7 weeks. Three to four weeks after intens rehabilitation has been finished, the final examination were performed. The thesis objectives are summary of problems, in which experts still have different opinions, design of rehabilitation-treatment plan and rating of physiotherapy intervention. Therapy solved main deficits in all three cases, which are swelling, pain and muscle hypotrophy. The thesis can be used as an educational material for physiotherapy students, as well as for layman public.
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Complex rehabilitation after replacement of anterior cruciate ligament of knee joint and return to preoperative acitivites
BOOROVÁ, Pavla
As the topic of my bachelor thesis I chose "Comprehensive rehabilitation after replacement of the anterior cruciate ligament of the knee joint and return to preoperative activities". I chose this topic because the rupture of LCA is very common especially with athletes with whom I would like to work in the future. Another reason was the fact that I have a personal experience with the LCA rupture and I would like to get more into this issue. The anatomy, biomechanics and kinesiology of the knee joint is described in the theoretical part. I consider the chapter in which I deal with the mechanism of LCA injury interesting. I believe that this information could be beneficial not only for athletes. An important chapter the treatment of LCA injury is the one, where I describe both operative and conservative treatment and a chapter dedicated to physiotherapy after LCA sculpture, where I describe the various stages of rehabilitation and the techniques and procedures used. For the practical part I chose the method of qualitative research. The research group contained a total of four patients after LCA rupture. Two of them were treated operatively, and two conservatively. The therapy with surgically treated patients took place between 5th -10th postoperative week, and monitoring conservatively treated patients lasted 4 weeks. All patients were athletic people aged 32 to 52 years. Initial and final kinesiological examinations and appropriate therapy were performed within research. The aim of this work was to determine an appropriate rehabilitation plan that was optimal for patients after LCA surgery and to map alternative methods of treatment for LCA injury. The results of the research show that in the surgically solved patients regular exercise primarily resulted in an increase in joint extent, muscle strength and stability in the knee joint. In the conservatively solved patients we managed to ensure a better stability of the knee joint above all, which was most affected in both patients. This work can be used as a study material for physiotherapists in their clinical practice or for physiotherapy students interested in this issue.
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The issue a knee injury in the athletics (case study)
Petrušová, Kateřina ; Kaplan, Aleš (advisor) ; Komínková, Linda (referee)
Title: The overview of knee injury issue in athletics (case study) Student: Kateřina Petrušová Supervisor: PhDr. Aleš Kaplan, PhD. MBA Aims: The aim of this thesis was to analyze and go through different recondition program processes, set together for and apply recondition program on particular athlete, all this based on the study of literature directly related to knee injury in sports and athletics. Next to realize case study and thanks to different tests evaluate based on various indicators the efficiency of recondition program on selected indicators by athlete and student of UK FVS after injury and arthroscopy of a knee. Methodology: After initial literal research the recondition program was settled and was applied to the probant. During the recondition program were monitored parameters of body structure on Tanita BC 545, parameters of bottom limbs circumference and further the stability level, sensomotorics and symmetry using the MFT S3 Check device and finally the dynamic stability on Y Balance Test device. Results: I studied a lot of literature, which was directly related to knee injury. I read through 12 foreign and Czech titles. Especially abroad the knee injury problematics are often mentioned. Regarding the influence of athletic training on different parameters of the probant I indicated...
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Creating and verifying specialized strength exercises program for knee ligaments revitalize in women floorball players
POLÍVKOVÁ, Jitka
The aim of this paper was to create and verify specialized strength exercises program for knee ligaments revitalize in women floorball players. Three woman players who had knee ligaments problems were tested in casuistic study. Segmental analysis, measuring of lower limb power were performed and lower limb circumference measurements were done. Subsequently the four-month exercise program was started and at the end of this program all tests were repeated and tests results were compared. As far as proband no. 1 is concerned the body fat percentage and muscle mass of measured body segments were decreased, power of her injured lower limb was not rised and differences between her lower limbs circumferences were not decreased. As for proband no. 2 the body fat percentage was also decreased, muscle mass and power of the injured limb were increased, but differences between limbs circumferences were not decreased. For proband no. 3 we performed only output segmental analysis and Wingate test, so we could compare only lower limbs circumferences which were not decreased. The results of this study were affected by low attendance of proband no. 1 and strength exercises program could be verified in the future with larger group of players with knee ligaments problems.
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Prosthesis for high amputation of geriatric patients
Cypris, Libor ; Čichoň, Rostislav (advisor) ; Půlpán, Rudolf (referee)
Title: Prosthesis for high amputation at geriatric patients Objectives: The aim of this work is to prove the importance of prosthetic device at geriatric pacients after amputation of the femoral part and comparison with functionality of knee joints at primary prosthesis, which can be applied according to the activity and financial possibili- ties of insurance companies in Czech Republic. Methods: For this pilot qualitative research will be applied empirical method and the use of controlled structured interview in probands with amputation in the thigh area. Results: After the amputation of femoral part, geriatric patients have got the opportunity for neces- sary prosthetic equipment and compensatory aid financially limited by the insurance com- panies. To live a full life, they are equipped with primary prosthesis, it is covered by insur- ance company and they can purchase the wheelchair from their own resources. Keywords: Amputation, prosthesis, knee joint, transfemoral amputation, compensatory aid, prosthesis aid
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The case study of physiotherapeutic treatment of a patient after surgical reconstruction of the anterior cruciate ligament in the knee joint
Rothová, Tereza ; Stupková, Michaela (advisor) ; Schovánková, Marie (referee)
Title of thesis: The case study of physiotherapeutic treatment of a patient after surgical reconstruction of the anterior cruciate ligament in the knee joint Autor: Tereza Rothová Head of the thesis: Mgr. Michaela Stupková Year of defense: 2018 Objectives: The purpose of the theoretical part of this bachelor thesis is to introduce the anatomy, biomechanics, kinesiology, traumatology and examination of the knee joint, focusing on the anterior cruciate ligament. Then to introduce the possibilities of conservative and surgical treatment of its rupture and physiotherapeutic care after surgical reconstruction of the ligament. The goal of the practical part is to present the case study of physiotherapeutic treatment of a patient after surgical reconstruction of the anterior cruciate ligament in his right knee joint. Method: This bachelor thesis consists of two parts, theoretical and practical. The first part is concerned with theoretical knowledge about the knee joint. The second part contains entry and leaving examination of a patient and a description of therapeutic units. This part was created during bachelor practice at Centrum léčby pohybového aparátu (Centre for treatment of motion apparatus) under the supervision of Bc. Veronika Pechová. Results: Since the condition of the patient has...
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