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Case Study of Physiotherapy Treatment of a Patient with distal fracture of tibia and fibula of right ankle
AL-shahri, Ghali Bakhit Mohammed ; Vomáčková, Helena (advisor) ; Kučerová, Ilona (referee)
Title: Case study of physiotherapy treatment of a patient with distal fracture of tibia and fibula of right ankle Goal: The goal of this thesis is to point out the importance of the physiotherapy rehabilitation after a fracture. The patient I chose is a man of 31 years old with a comminuted fracture of distal tibia and fibula of the right leg after a motorcycle accident. I am going to focus on the anatomical structure of the ankle joint. In order to treat the patient, it is imperative to have a basic anatomical knowledge of the structure in question. Methods: In the first part, I am going to explain the anatomy and pathologies of the ankle joint. In the second part I am going to focus on the part of the physiotherapist and the assessment plan (initial kinesiology examination and examination conclusion). And then I will lay out my therapy proposal for the short term and long term plan. In the therapy proposal, the different treatment methods and techniques are included. At the end of each session, an evaluation assessment is made in order to quantify the progress. Finally, after the last session (11th), I am doing the final kinesiological examination. And finally I conclude with comparing the initial from the final kinesiological examination. Result: After daily sessions for 11 days, using...
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A Case Study of a Patient After a Polytraumatic Injury
Mrkvová, Jana ; Vomáčková, Helena (advisor) ; Voráčová, Helena (referee)
Author: Mgr. Jana Mrkvová Thesis title: A Case Study of a Patient After a Polytraumatic Injury Aim: The aim of this thesis is to summarize a theoretical context for injuries of the elbow, especially fractures in this area and methods of treatment, and to present a case study of a patient after a fracture of the olecranon. Methods: This thesis is divided into a theoretical part and a case study. The theoretical part is based on research of scientific literature focused on the topic of injuries of the elbow, especially types of elbow fractures, and methods of treatment with the focus on osteosynthesis. Further it describes possible complications and methods of rehabilitation treatment. The case study documents the course of a patient after a polytraumatic injury with the focus of physiotherapeutic treatment on the elbow fracture treated with osteosynthesis during physiotherapy student clinical practice. Results: Physiotherapy treatment resulted in objectively improved range of motion and subjectively in reduction of pain intensity, not only in the elbow but in the shoulder and wrist as well. Conclusion: The aims of this thesis were reached and the positive effect of selected physiotherapeutic methods was confirmed. Keywords: elbow joint, fracture, osteosynthesis, physiotherapy
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The case study of physiotherapy treatment of a patient after liver transplantation
Sosnovcová, Veronika ; Vomáčková, Helena (advisor) ; Charvát, Robert (referee)
Author: Veronika Sosnovcová Title: The case study of physiotherapy treatment of a patient after liver transplantation Objectives: The main aim of this bachelor thesis is to elaborate theoretical knowledge of liver transplantation and to introduce the case study of physiotherapeutic treatment of the patient who has undergone a liver transplant. Methods: The bachelor thesis consists of two parts. The first part is the theoretical part, which summarizes basic information about anatomy, physiology and patology of the liver. The next chapter is about one of the main treatment options in advanced liver disease, what is the liver transplantation. Physiotherapeutic procedures that can improve patient's condition are mentioned in the last chapter of the theoretical part. The special part describes the case study of the patient after liver transplantation. It also includes the record of individual therapies, which was applied during the practice in IKEM in January 2020. Results: The patient improved after the therapies. The most important progress was that patient could walk unassisted along the corridor and even up and down the stairs. The patient became completely independent and was discharged home. Keywords: liver, transplantation, cirrhosis of the liver, physiotherapy
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The effect of "brain gym exercises" on tennis players' postural stability
Formanová, Klára ; Vomáčková, Helena (advisor) ; Pánek, David (referee)
Title: The effect of "brain gym" exercise on tennis players' postural stability Aims: The aim of this diploma thesis is to find out whether "brain gym" exercise completed for 30 days has an impact on tennis players' postural stability Summary: Altogether 12 women, 18-30 year olds, participated in the pilot study. The probands had completed a 30-day exercise intervention program which included a daily exercise for a maximum of 10 minutes. The postural stability was measured before and after the intervention using Neurocom Smart EquiTest System (Sensory Organization Test, Motor Control Test, Limits of Stability) and Standing Stork Test which evaluace the ability to balance vertically on the tip of one lower limb. The measured data were processed by the program Neurocom Data Analyzer, from which the data were subsequently transferred to Microsoft Excel 2010, SPSS 2007 and GPower 2019. To evaluate the effect of intervention the statistical methods - Shapiro-Wilk test, Student's paired t-test, Wilcoxon test were used and Cohen's d was used to determine clinical significance. The level of statistical significance was determined to α = 0,05, when p < 0,05 - statictical significance, p > 0,05 - statistical insignificance. The values of clinical significance were set to: high significance - d > 0,80, medium...
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Evaluation of dynamic postural stability of basketball players
Živcová, Tereza ; Vomáčková, Helena (advisor) ; Malá, Jitka (referee)
Title: Evaluation of dynamic postural stability of basketball players Objectives: The aim of this diploma thesis is to evaluate and compare the level of dynamic postural stability between basketball league players and healthy population, who don't do any regular physical activity, using dynamic computer posturography named NeuroCom Smart EquiTest System. Another aim of this study is to objectively assess differences in postural stability between males and females or depending on history of previous injury of ankle joint. Methods: This quantitative observational cross-sectional study involved 64 probands between the ages of 19-29 years. The experimental group consisted of basketball players (n1 = 24) and control group of non-athletes (n2 = 40). Each group was divided into two halves of men and women. NeuroCom Smart EquiTest System was chosen for objective measure of dynamic postural stability, which was held at the Laboratory of applied kinesiology of Charles University, Faculty of Physical Education and Sport. Following five protocols were chosen from the test battery: Sensory Organization Test, Motor Control Test, Limits of Stability, Adaptation Test and Unilateral Stance. Then the measured data were processed by NeuroCom Balance Manager Software and for statistical analysis these statistical...
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Evaluation of dynamic postural stability of soccer players
Kučera, Lukáš ; Vomáčková, Helena (advisor) ; Malá, Jitka (referee)
Title: Evaluation of dynamic postural stability in football players Objectives: The main objective of this diploma thesis is to investigate the difference of dynamic postural stability between football players and the common population and measure all the data by computerized dynamic posturography SMART EquiTest System from company of Neurocom. Methods: This is a quantitative cross-sectional study. The research is divided in two groups, an experimental group involving 25 football players aged between 20 and 30 years without injuries, an active career over 5 years and a control group involving 25 participants, who are recreational athletes aged between 18 and 31 years from the Faculty of Physical Education and Sport, Charles University. Measurements of dynamic postural stability were performed on Neurocom SMART EquiTest in the Laboratory of applied kinesiology of Charles University Faculty of Physical Education and Sport. Everyone was tested just one time for all seven test batteries - Sensory Organization Test, Motor Control Test, Rhythmic Weight Shift, Unilateral Stance, Weight Bearing Squat, Adaptation Test and Limits of Stability. One testing session took about 45-60 minutes. The measured data was subsequently processed by Neurocom Balance Manager Software. For the analyses of the data there...
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Effectiveness of McGill method at therapy of vertebrogenic algic syndrom.
Vlasák, Martin ; Malá, Jitka (advisor) ; Vomáčková, Helena (referee)
Title: The effectiveness of McGill's method in the treatment of Vertebrogenic algic syndrome. Objectives: The goal of this thesis was to determine the applicability of McGill's method to patients with diagnoses, that are collectively referred to as Vertebrogenic algic syndrome by comparing the measured data of proband with different locations of diagnosis of Vertebrogenic algic syndrome in the Czech Republic. Methods: This is a pilot experimental research involving 10 probands diagnosed with Vertebrogenic algic syndrome in the cervical spine, 10 probands diagnosed with Vertebrogenic algic syndrome in the thoracic spine and 10 probands diagnosed with Vertebrogenic algic syndrome in the lumbar spine. Each participant underwent a kinesiological examination according to the McGill's principles together with a SF-36 questionnaire. Measured values were compared and provided a basis for testing the hypotheses. The thesis uses methods of research, observation, querying and comparison of collected data. Results: Using the statistical analysis of the measured data demonstrated a positive effect of the McGill's treatment in terms of reduced pain in probands suffering from Vertebrogenic algic syndrome in all investigated locations. Comparing the measured data of individual groups shown that the difference in...
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Effect of Ankle and Foot joints mobilization on balance improvement, analyzed by Computerized Dynamic Posturography
Baqhoum, Salem ; Nováková, Tereza (advisor) ; Vomáčková, Helena (referee)
Effect of Ankle and Foot joints mobilization on Stability improvement, analyzed by Computerized Dynamic Posturography. The aim of the study was to observe if joint mobilization of ankle and foot joints would improve the stability using the by Computerized Dynamic Posturography (neurocom) as a measurement tool. The methods that are used from the research are based on the knowledge which was obtained during the study of physiotherapy program at FTVS UK. All the participants are between the ages of 20 to 30 years, with no specific diagnose. All the 40 participants were being randomly divide into 2 groups. The control group and the experimental group, each group will have their Stability tested twice on the CPD (NeuroCom). The control group will be measured first, and after 20 minutes they will be measured again without any examination or therapeutic intervention. The experimental group was measured twice, first before the examination of joint play and the therapy, then the examination of joint play was done and any restricted joints were noted and treated, later, the participants were measured again for possible improvement. Joint play examination and therapy take about 20 minutes. Stability analyses take about 20 minutes too. The project doesn't include subjects with severe lower extremity injuries (eg,...
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Proprioception Training Effectiveness for Improving Balance analysed by Computerized Dynamic Posturography
Mukhtar, Mahera ; Nováková, Tereza (advisor) ; Vomáčková, Helena (referee)
Effectiveness of Proprioception Training for Improving Balance Analyzed by Computerized Dynamic Posturography The Master thesis, based on conduction of an experimental study. The aim of this experimental study was to find out how one-time proprioceptive training can help in improving the balance. The method used for analyzing the balance was done on Neurocom as it is considered a validated technique for testing balance. Then proprioceptive training was performed for the static and dynamic stability effect. For instance, both side legs were trained and focused on the "short foot"/ "three point standing" by Janda, followed by static single leg standing with eyes open and then closed; secondly Dynamic standing by adding arm or leg movement while maintain the posural stability progressively. All based on the knowledge acquired during the Master Degree Physiotherapy program at FTVS UK. The participant's characteristic in the research are between the ages of 20 to 30 years, with no specific diagnose. All the 40 participants were divide into 2 groups, 20 of each. The Control group and the Experimental group (Proprioception intervention), each group has had their balance tested twice on the Neurocom (CDP). The control group was measured first and after 20 minutes they were measured again. The experimental group was...
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The influence of Tai Chi exercise on postural stability and its use as a prevention of falls in seniors
Šíslová, Kamila ; Vomáčková, Helena (advisor) ; Pavlů, Dagmar (referee)
Title: The influence of Tai Chi exercise on postural stability and its use as a prevention of falls in seniors Objectives: The main objective of this thesis is to verify by dynamic computer posturograph Smart EquiTest System from NeuroCom®, whether the Tai Chi exercise has a positive effect on postural stability and prevention of falls in seniors. The secondary objective of the thesis is to evaluate the quality of life of seniors, practicing regularly Tai Chi, using the standardized WHOQOL-BREF questionnaire and to assess whether this exercise has a positive impact on the quality of life. Methods: Nine probands mean age 62,53 (± 7,05) years participated in this study. They practiced Tai Chi under the guidance of a professional instructor for 10 months regularly 60 minutes twice a week and they were also instructed to do it alone at home. The dynamic postural stability measurement was performed in the Kinesiology Laboratory of the UK FTVS on the Smart EquiTest System. Limits of Stability, Motor Control Test and Sensory Organization Test were chosen for this study. The measured data were then processed by the Neurocom Balance Manager Software. The WHOQOL-BREF questionnaire was chosen to measure quality of life. The following statistical methods were used to analyze the data obtained by Neurocom:...
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