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A case report of physiotherapeutic care of a patient after double osteosynthesis of the humerus with postoperative paresis of the nerve radialis
Forst, Sabina ; Žáková, Lenka (advisor) ; Nováková, Tereza (referee)
Title: A case report of physiotherapeutic care of a patient after double osteosynthesis of the humerus with postoperative paresis of the nerve radialis Objectives: The aim of this thesis is the theoretical elaboration of knowledge concerning peripheral paresis with emphasis on the radial nerve, osteosynthesis of the humerus and the rehabilitation process. In a special part, the aim is to elaborate a case study of physiotherapeutic care, which focuses on postoperative paresis of the n. radialis after double osteosynthesis of the humerus, using both theoretical and practical knowledge from the bachelor's study. Methods: The thesis has two parts. In the theoretical part I have elaborated data on the shoulder joint, fractures, osteosynthesis of the humerus, peripheral nerves, paresis of the n. radialis and possibilities of rehabilitation in this diagnosis with the help of specialized sources. A special section is devoted to a complete case report of a patient with the given diagnosis. It includes patient's history, initial kinesiological analysis, 10 therapeutic units, output kinesiological examination and evaluation of the effect of therapy. Results: This thesis was prepared during the bachelor internship at Centrum léčby pohybového aparátu in Prague in January 2024. The therapies resulted in an...
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Case Study of Physiotherapeutic Care of a Patient after the osteosynthesis of Tibial Plateau Fracture
Fulín, Štěpán ; Žáková, Lenka (advisor) ; Těšitelová, Pavlína (referee)
Abstact Author Štěpán Fulín Thesis supervisor: PhDr. Lenka Žáková, Ph.D. Title: Case study of physiotherapeutic care of a patient after osteosynthesis of tibial plateau fracture. Objectives: The aim of this bachelor thesis is to elaborate a detailed case study of physiotherapeutic care of a patient diagnosed with osteosynthesis of tibial plateau fracture and to analyse theoretical knowledge from the literature concerning this diagnosis. Methods: This bachelor thesis is divided into two parts. The first part is theoretical and describes the anatomical and kinesiological context of the knee joint, and discusses the knowledge from the field of traumatology and rehabilitation of the specific diagnosis. The special part of the thesis is based on the professional practice that took place at the Centrum léčby pohybového aparátu Vysočany. This part contains a detailed case report of a patient with the mentioned diagnosis. The case report includes an initial and final kinesiological analysis, short-term and long-term physiotherapy plan, a record of the individual therapies and at the end is summarized the effect of the therapy. Results. It was succeded to increase the range of motion of the operated joint into flexion and to reduce pain at rest and during movement. Furthermore, it was possible to strengthen the...
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Case report of physiotherapeutic care of a patient with a diagnosis of knee replacement
Morávková, Tereza ; Žáková, Lenka (advisor) ; Sohrová, Jana (referee)
Author: Tereza Moravkova Supervisor: PhDr. Lenka Zakova, Ph.D. Title: Case report of physiotherapeutic care of a patient with a diagnosis of knee replacement Objectives: The aim of this bachelor thesis is to elaborate a case report of physiotherapeutic care of a patient diagnosed after knee TEP. At the same time, elaboration of the theoretical knowledge of the diagnosis and discussion of its treatment from the perspective of physiotherapy. Methods: I worked on the case report in the period 9.1. - 19.1.2024 at the workplace of CLPA s.r.o. In total, I completed 10 therapies with the patient, the first therapy being the initial kinesiological analysis. In the theoretical part, theoretical information concerning anatomy and kinesiology of the knee joint, osteoarthritis and its treatment, discussion of total knee replacements and the method of surgery are presented. Finally, a look at rehabilitation approaches after knee replacement surgery at the level of Evidence Based Medicine Results: The patient's physiotherapy care was uneventful. During the rehabilitation stay at CLPA, the patient's condition was positively affected. More detailed results are given in the conclusion of the examination and in the evaluation of the effect of the therapy. Keywords: knee joint, physiotherapy, osteoarthritis, total...
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Case Study of Physiotherapeutic care for a Patient Diagnosed with total knee arthroplasty
Svoboda, Roman ; Sohrová, Jana (advisor) ; Žáková, Lenka (referee)
Title: Case study of physiotherapeutic care for a patient diagnosed with total knee arthroplasty. Aims: The aim of this bachelor thesis is the theoretical elaboration of osteoarthritis issues focusing on the knee joint and the indication for total knee arthroplasty, as well as the processing of a case study of physiotherapeutic care for a patient with this diagnosis and the evaluation of the therapy provided. Methods: The general part was elaborated through a review of theoretical foundations regarding osteoarthritis issues and the indication for total knee arthroplasty. Theoretical aspects covered in detail include the anatomy of the knee joint, definitions of osteoarthritis, its pathokinetic consequences for movement, clinical examination, osteoarthritis treatment, indications for total knee arthroplasty, as well as physiotherapeutic methods and procedures used for this diagnosis. The special part includes a case study of patient M.S. diagnosed with status post-implantation of total knee arthroplasty of the left knee joint. The case study emerged as a result of my bachelor internship at the Rehabilitation Hospital Beroun from January 15, 2024, to February 9, 2024. It comprises patient history, initial kinesiological analysis, therapy proposal, therapeutic sessions, and final kinesiological...
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Physiotherapy care of a patient after total hip arthroplasty
Trousil, Tadeáš ; Žáková, Lenka (advisor) ; Hejlová, Lucie (referee)
Author: Tadeáš Trousil Title: Physiotherapy care of a patient after total hip arthroplasty Aims: The aim of this thesis is to elaborate basic data concerning total hip arthroplasty followed by a case report of a patient after this procedure. Another aim was to evaluate the physiotherapeutic interventions presented in this case report in terms of their effectiveness. Methods: The general part contains information about anatomy, kinesiology, biomechanics and management of osteoarthritis of the hip joint. This is followed by a case report on physiotherapy care of the patient, which includes the initial and output kinesiological analysis, therapy design and therapeutic unit. Finally, an evaluation of the therapy and its results is presented. The concurrent professional practice, during which this work was prepared, took place in the period from 22 January to 16 February 2024 in the facility Poliklinika AGEL Italská. A total of 8 therapeutic units, each lasting 30 minutes, were conducted with the patient. Results: In the general part I have elaborated the theoretical knowledge about the diagnosis of total hip arthroplasty. In the special part I have developed a complete case report of a patient with this diagnosis. The effect of the therapy in the conclusion can be evaluated as positive, as the gait...
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Case study of physiotherapeutic treatment of a patient with a pertrochanteric fracture of the femur
Dohnalová, Mariana ; Žáková, Lenka (advisor) ; Nováková, Tereza (referee)
Author: Mariana Dohnalová Supervisor: PhDr. Lenka Žáková, Ph.D. Title: Case study of physiotherapeutic treatment of a patient with a pertrochanteric fracture of the femur Objectives: The aim of this bachelor's thesis is to search for and summarize the theoretical knowledge related to pertrochanteric femur fractures and to develop a case study describing the physiotherapeutic procedures used in the rehabilitation of a patient suffering from this diagnosis. Methods: In the theoretical part, data collection from scientific literature concerning pertrochanteric femur fractures, their treatment, and patient care is utilized. Subsequently, the various physiotherapeutic methods applied in therapy with the patient are described. A special section focuses on managing therapeutic sessions with the patient after a pertrochanteric femur fracture, including initial and final examinations and evaluating the therapy's effect. The case study was developed based on continuous professional practice at the Léčebné a rehabilitační středisko Chvaly from January 8 to February 2, 2024. Results: Physiotherapeutic care led to a significant improvement in the patient's condition, particularly in muscle strength, joint range, joint mobility, and the occurrence of reflex changes. During the therapeutic sessions, there was a...
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Case Study of Physiotherapy Treatment of a Patient with Diagnosis of subtotal rupture of the anterior cruciate ligament
Moravcová, Ivana ; Sohrová, Jana (advisor) ; Žáková, Lenka (referee)
Author: Ivana Moravcová Title: Case report of physiotherapy care for a patient with a diagnosis of subtotal rupture of the anterior cruciate ligament Objective: The aim of this bachelor's thesis is to develop a case study of physiotherapy care for a patient with a diagnosis of subtotal rupture of the anterior cruciate ligament and to process information about the given diagnosis. Methods: The bachelor thesis consists of a theoretical and a special part. The theoretical part contains general information about the knee joint and the given diagnosis, as well as examination and physiotherapy methods and procedures used for the given diagnosis. The special part contains a case study of a patient after a subtotal rupture of the anterior cruciate ligament, which consists of an initial kinesiology analysis, an output kinesiology analysis and 8 therapeutic units. I processed the special part during continuous professional practice, which took place at the Beroun Rehabilitation Hospital. Results: If we compare the results of the entrance and exit examinations, we will see an improvement in most aspects. Among the most important improvements are a subjective reduction of pain and a feeling of distrust in the knee joint, as well as an increase in muscle strength and an improvement in stability. Conclusion:...
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The most common sports injuries of motocross riders and possibilities of their prevention
Syrový, Dominik ; Pavlů, Dagmar (advisor) ; Žáková, Lenka (referee)
Title: The most common injuries of motocross riders and their prevention Objectives: The aim of this diploma thesis is to assess the frequency of sports injuries sustained by motocross riders in the Czech Republic in year 2021. The thesis, based on a questionnaire survey, also discovers standards of usage of protective equipment and the impact of fitness training (including regeneration). Methods: The thesis uses the method of an anonymous non-standardized questionnaire to analyze the most frequent sports injuries as well as the frequency of usage of protective gear, forms of fitness training, and regeneration in 2021. Respondents were approached directly or via hobby communities and groups on a social network. The analysis itself was carried out in Microsoft Excel. Results: The research group was comprised of 128 respondents who were divided into three categories according to their performance level: hobby - 76, competitive - 35, professional - 17. In compliance with the survey results, the riders in 2021 suffered on average 10,6 contusions per person, 1,7 fracture per person (both predominantly of the upper limb), and 4,7 injuries of joint soft tissues or organs (predominantly in the knee area). The number of injuries, as well as aches in dorsal and cervical areas, rose with the higher level of...
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Synthesis of peptides as potential ligands of aspartate protease HIV and MAY1 and confirmation of their inhibitory activity
Klikarová, Ivana ; Šácha, Pavel (advisor) ; Žáková, Lenka (referee)
The lentivirus known as the human immunodeficiency virus (HIV) is transmitted through blood and body fluids, causing the destruction of CD4 lymphocytes and leading to opportunistic infections that define acquired immunodeficiency syndrome (AIDS). The urgent need for new antiretroviral drugs stems from concerns about the long-term toxicity of existing drugs, HIV-1 variants resistant to treatment, and frequent changes in patient treatment. Drug development is focused on inhibitors of two viral enzymes, reverse transcriptase and protease. Antiretroviral therapy uses protease inhibitors in combination with nucleoside analogs to effectively suppress viral replication, prolonging the lives of HIV-infected patients and reducing morbidity. Cryptococcus neoformans and cryptococcus gattii infections primarily affect the immunocompromised population and have high morbidity and mortality rates. Resistance to commonly used antifungals has been emerging, making it more difficult to treat these infections. Protease inhibitor components used in antiretroviral therapies have shown some clinical efficacy in these opportunistic infections, particularly in Major Aspartyl peptidase 1, an aspartate protease belonging to the same family of proteases as the HIV protease. To search for low molecular weight peptide ligands,...
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Analysis of the most common injuries among the players of floorball aged 7-18 and the influence of the compensatory methods on their prevention
Zakonov, Filip ; Vomáčková, Helena (advisor) ; Žáková, Lenka (referee)
Author: Bc. Filip Zakonov Supervisor: PhDr. Helena Vomáčková, Ph.D. Title: Analysis of the most common injuries among the players of floorball aged 7-18 and the influence of the compensatory methods on their prevention. Objectives: The main aim of this thesis is to analyse the most common injuries among young people who regularly play floorball and find out the effect of the intervention of a physiotherapist or the application of compensatory exercises in the training process on the incidence of injuries. It is also important to compare the availability of physiotherapists for individual youth teams and whether the provided care is sufficient to prevent injuries. Furthermore, the aim is to verify whether the most affected segment even among floorball youth is the ankle joint, which in studies focused on the adult category has repeatedly emerged as the most frequently injured area of all parts of the body. Moreover, my effort is to evaluate the most common causes of injuries - whether a collision with another player is more probable risk factor than an injury caused by one's own fault. Methods: The special part consists of a study that was conducted using a non- standardized questionnaire survey. The questionnaire was sent deliberately in an electronic form to all clubs in the Czech Republic via the...
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