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Case study of physiotherapeutic care for a patient with diagnosis of total hip replacement
Šterbák, Daniel ; Homonická Pyšková, Barbora (advisor) ; Nováková, Tereza (referee)
v Abstract Author: Daniel Šterbák Supervisor: Mgr. Barbora Homonická Pyšková Title: Case study of physiotherapeutic care for a patient with diagnosis of total hip replacement Objective: The aim of this bachelor thesis is to summarize the issues of coxarthrosis, hip arthroplasty, specifically total hip replacements, and the care for patients with this diagnosis in the theoretical part. In the practical part, to process a case study of physiotherapeutic care for a patient after total hip replacement. Methods: In the first general part of the thesis, information about the hip joint, coxarthrosis, hip arthroplasties, and preoperative and postoperative care options are summarized based on literature sources and relevant research articles. The following specific part consists of a case study, which includes an initial kinesiological analysis, therapeutic plans with rehabilitation goals, records of therapeutic units, an output kinesiological analysis, and an evaluation of the performed therapy. Results: The set goals were mostly achieved, as evidenced by the differences between the initial and output kinesiological analyses. It was possible to eliminate, completely or largely, most of the undesirable reflex changes in soft tissues, increase the range of motion and muscle strength of the muscles of right lower...
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Case Report of Physiotherapy Care for a Patient after Total Hip Arthroplasty
Kroužecký, Tomáš ; Novotná, Irena (advisor) ; Hejlová, Lucie (referee)
Author: Tomáš Kroužecký Thesis Supervisor: Mgr. Irena Novotná Title: Case report of physiotherapy care for a patient after total hip arthroplasty Objective: The aim of this thesis is the theoretical processing of information regarding the diagnosis and creation of a case study of physiotherapeutic care in a patient after the implantation of a total hip arthroplasty. Methods: The theoretical part consists of an introduction to the anatomy, kinesiology, and biomechanics of the hip joint, basic information on osteoarthritis and its treatment options, total hip arthroplasty, indications for surgery, surgical methods, and finally, I have included physiotherapeutic methods used in rehabilitation after total hip arthroplasty surgery. The special part contains the initial kinesiological examination, individual therapeutic units, the final kinesiological analysis, and an evaluation of the therapy's effect. I have tried to include current EBM findings into the theoretical part and discussion. Results: During eight physiotherapy sessions, the patient experienced positive changes. The course of therapy was smooth and without any complications. A detailed description of these therapies results is provided in the "Evaluation of Therapy Effect" section. Keywords: Physiotherapy, Total Hip Arthroplasty,...
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The case study of physiotherapeutic treatment of a patient after total hip arthroplasty
Sgall, David ; Reckziegelová, Petra (advisor) ; El Ali, Zaher (referee)
Author: David Sgall Supervisor: Mgr. Petra Reckziegelová Title: The case study of physiotherapeutic treatment of a patient after total hip arthroplasty Objectives: The aim of this bachelor thesis is to conduct a case study of a patient after total hip arthroplasty, an evaluation of the effect of therapy by comparing entry and exit examination and theoretical treatment of this diagnosis. Methods: This thesis is divided into a theoretical and a special part. The theoretical part discusses the topics of coxarthrosis, total hip arthroplasty and subsequent rehabilitation. The special part includes the entry examination of the patient, goals and proposal of a therapy, short- term and long-term therapeutic plans, description of individual therapeutic units, exit examination, and evaluation of the therapy. Results: Comparison of the entry and exit examinations shows a noticeable positive impact of the therapy on the patient's health condition. The goals of the short-term therapeutic plan were mostly achieved. The most significant improvements occurred in increasing muscle strength, expanding the range of motion in the left lower extremity, and reducing pain in the hip joint and lumbar spine region. Conclusion: The objectives of this bachelor's thesis have been fulfilled. In the theoretical part, the issues...
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Case Study of Physiotherapeutic Treatment of a Patient with Diagnosis of total hip replacement
Svatošová, Eliška ; Kočí, Gabriela (advisor) ; Baxová, Dana (referee)
Author: Eliška Svatošová Head of the thesis: Mgr. Gabriela Kočí Title: Case study of physiotherapeutic treatment of a patient with diagnosis of total hip replacement Objectives: The aim of this work is to process theoretical knowledge regarding osteoarthritis of the hip joint, total hip arthroplasty (THA), postoperative rehabilitation, and documenting the course of care for patient diagnosed with coxarthrosis. Methods: The thesis includes a case study of physiotherapeutic care for a patient after total hip arthroplasty, which was conducted during continuous practice at the Malvazinky Rehabilitation Clinic (RKM) from January 15, 2024, to February 9, 2024. In total, 8 therapeutic sessions were conducted with the patient, including initial and final kinesiological assessments and subsequent therapy. The general part of this thesis contains theoretical knowledge related to coxarthrosis, its prevention, diagnosis, and physiotherapy Results: Throughout the therapies, there was an improvement in the patient's physical condition. The muscle strength of the left hip joint in abduction and extension increased, and there was an increase in the range of motion in the hip joint in abduction, flexion, and extension by an average of 5ř. The condition of soft tissues improved, and we also succeeded in improving...
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An investigation of friction and lubrication of coated hip joint replacement
Balcárek, Ondřej ; Horák, Zdeněk (referee) ; Nečas, David (advisor)
The thesis focused on studying the effects of a new hydrogel coating and material combinations on the coefficient of friction and formation of lubricating film in the conformal contact of hip joint replacement. Experiments were conducted using a ball-on-cup configuration with a hip pendulum simulator. The formation of the lubricating film was observed using fluorescence microscopy. The results showed that the application of the coating did not have a clear impact on the coefficient of friction. However, for pairs with a coated cup, there was a reduction in CoF by approximately 20%. Generally, lower friction was observed when using a ceramic joint head. Surprisingly, even more interesting results were obtained in the lubrication analysis, where the use of metal heads led to a reduction in the thickness of the lubricating layer. Ceramic pairs exhibited very stable behavior. In addition to friction and lubrication, the topography of the implants was further evaluated, and their wettability was analysed. Although the polymer coating was expected to be highly hydrophilic, the surface properties were only slightly influenced, which partly explains why there was no significant improvement in the tribological behavior of the replacement. As the coating applied is already patented and its effectiveness in reducing wear has been clearly demonstrated, it is appropriate to investigate this issue further, with more attention being paid to long-term experiments. Based on the obtained data, it appears that the short-term benefits of the coating are practically negligible. However, it is important to highlight that, except for minor exceptions, the application of the coating did not lead to a deterioration of properties, which is a significant outcome of this work.
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Strain stress analysis of BS splint
Řehák, Kamil ; Fuis, Vladimír (referee) ; Florian, Zdeněk (advisor)
This master‘s thesis deals with strain-stress analysis of hip joint together with the final applied total endoprosthesis with Burch-Schneider cage. The main point of my work was to find the solution of stress–strain analysis state, which has been mentioned before in connection with Burch-Schneider cage. I describe the technique of geometric creation of whole body system, component´s materials or conditions which are neccessary for calculation. In coclusion there are results achieved in variants. In the first option the case of bone tissue was considered, which don’t reach degradation mechanical properties effect straining under Burch-Schneider cage. In some cases when the bone tissue is untimely forced, the necrosis of bone tissue takes place under Burch-Schneider cage. This possibility is described in the second option of type. For every option there was a case which was calculated with applied screw or without it. In all option mechanical features of cancellous bone tissue and their change influence on achieved results were considered. This problem was solved computational simulation in commercial software Ansys Workbench 12.0.
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The effect of surface modification of acetabular cup on friction coefficient of hip implant
Cahová, Aneta ; Valena, Martin (referee) ; Nečas, David (advisor)
This bachelor’s thesis is focused on limited longevity of hip joint replacements. In order to extend the longevity of replacements effect of microtexture application on surface of artificial acetabulum cup on coefficient of friction was investigated. Attention was paid to composition of model synovial fluid and geometry and layout of texture. For joint simulation, a pendulum hip joint simulator was employed. In first part three femoral heads, two acetabulum cups and five fluids were tested, respectively two heads, four acetabulum cups and one fluid in second part. Significant effect of fluid composition and geometry and layout of texture was observed during measurement. Compared smooth and textured cup the highest decline of friction was 78 %. Results can be used for further research of micortextures. Friction reduction and prolonging lifespan of implants may eventually improve life quality of many patients.
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Stress-strain analysis of tumorous total endoprosthesis of hip joint
Vystrk, Tomáš ; Konvalinka, Jan (referee) ; Marcián, Petr (advisor)
Tumorous total endoprosthesis of hip joint is used for reconstruction of the limb affected by bone tumor and to regain its functnion. Longterm load conditions must be considered by the reconstruction and the joint mobility must be enabled. Suitability of the endoprosthesis depends on its construction considering shape, material and with this related mechanical properties. This thesis deals with creation of computational model and stress-strain analysis of tumorous total endoprosthesis of hip joint. There are two different types of endoprosthesis modeled in this thesis, each with three different length of resected bone replacement. Based on stress-strain analysis an assessment of possible limit states is made.
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Biomechanics study of hip join
Ebringerová, Veronika ; Marcián, Petr (referee) ; Florian, Zdeněk (advisor)
This work deals with the description of physiological joint resultant force and the subsequent comparison with patology of the hip. Then here is described the basic anatomy of the hip. Finally, ANSYS software was used to display the results both contact pressure and total mechanical strain intensity.
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Research study of tumorous total endoprosthesis of knee and hip joint
Věžníková, Tereza ; Florian, Zdeněk (referee) ; Marcián, Petr (advisor)
The presented bachelor’s thesis deals with tumorous total endoprosthesis of knee and hip joint. Tumorous replacement is used in patients with bone losts due to bone tumors and for these patients it means the salvage of their limb and the possibility to live full lives. This work includes the description of the developement, types and currently used replacement after bone tumors. The significiant part of patients with bone tumors are children for whom there are growing endoprosthesis containing the expandable mechanism and thanks to this the length of the limb can be regulated. In the last part of this work the stress-strain analysis of tumorous total hip endoprosthesis is performed using computational modeling.
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