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The impact of high intensity laser on the healing of soft tissues of the knee joint in patiens after arthroscopy
Rychnová, Eliška ; Plevová, Kristýna (advisor) ; Benešová, Lucie (referee)
Author: Eliška Rychnová Supervisor: Ing. Kristýna Plevová Consultant: Ing. Marie Plecháčová Title of the thesis: The impact of high intensity laser on the healing of soft tissues of the knee joint in patients after arthroscopy The bachelor's thesis deals with the issue of soft tissue healing of the knee joint after arthroscopy. The main goal of this work was to monitor the effect of high intensity laser on the healing of soft tissues of the knee joint after arthroscopy. The work consists of theoretical and practical part. The theoretical part focuses on the description of the anatomy and biomechanics of the knee joint. Further summarizes information about the scar, its formation, types, care options and rating scales. The technical parameters and effects of the laser with a focus on the high intensity laser are also described here. Then, based on the data collection and analysis, the current state of this matter in the Czech Republic and abroad was described and summarized. The research includes 16 studies, which were selected on the basis of selected keywords, data actuality, validity and at the same time their pros and cons were considered. In the practical part 4 case reports of patients after arthroscopy of the knee joint were processed. Only patients after meniscus surgery were included in the...
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Problems with pelvic floor during painful intercourse
Fikarová, Lucie ; Ježková, Martina (advisor) ; Čech, Zdeněk (referee)
This research bachelor's thesis deals with the issue of the pelvic floor in painful sexual intercourse. At the beginning of the theoretical part, the anatomy and kinesiology of the pelvic floor are described. The physiology and pathophysiology of pain are also outlined together with the evaluation. The thesis deals with the description of female sexual dysfunctions, summarizes the cause generating changes in the pelvic floor, which can subsequently lead to painful intercourse or impossibility of intercourse due to pain. The main part of the thesis then deals with the possibility of using physiotherapeutic methods and concepts to influence dyspareunia in musculoskeletal causes. The practical part of the thesis contains a case history of patient with dyspareunia caused by a change in the pelvic floor, its kinesiological analysis, including palpation examination of soft tissues in the pelvic area and a therapeutic plan using several methods of physiotherapy.
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Physical and physiotherapeutic possibilities for treatment of scars and keloids
Stará, Nela ; Kymplová, Jaroslava (advisor) ; Táborská, Silvie (referee)
OF THE THESIS Name: Nela Stará Supervisor of the thesis: MUDr. Jaroslava Kymplová, Ph.D., MBA Opponent of the thesis: Title of the thesis: Physical and physiotherapeutic possibilities for treatment of scars and keloids Abstract of the thesis: This bachelor thesis deals with possibilities of scar and keloid treatment by physiotherapeutic methods and physical therapy. The goal of this thesis is to evaluate the effect of chosen therapies on chosen patients with problematic scars. The thesis is divided into a theoretical and practical part. The theoretical part is focused on origin and evolution of scars, both of which is crucial for its final shape. There is also description of the methods that a physiotherapist can use while treating the scar. Part of the thesis is also dedicated to a description of particular methods of physical therapy that can be applied by a physiotherapist or a doctor. Practical part of the thesis describes the objectives, processing methods and realization process. Then it contains five casuistries of patients of various age with different diagnoses and a post-operative scar which is placed in different locations. Therapy effect is assessed by observing the differences in results between initial and output examination focused on scar examination, pain scale evaluation and...
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Rehabilitation in patients with abdominal hernia
Bláhová, Barbora ; Vitujová, Marie (advisor) ; Ulrichová, Michaela (referee)
This thesis is about the possibilities of rehabilitation in patients with abdominal hernia. Physiotherapy has positive effect on some of the risk factors, which could lead to the development of hernia. The physiotherapy is also important in pre- and postoperative care, as well as in preventing a hernia formation or relapse. Another topic discussed in this thesis is the restriction of physical activity after abdominal surgery. Considering the benefits that the physical activity brings, it should be recommended to the patient (accepting his or hers individual needs and abilities). No research evidence of use of rehabilitation therapy in causal hernia treatment was found. The only conservative treatment used in hernia management is the abdominal binder.
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Physiotherapeutic procedures in the healing of the scars after orthopaedic surgery
MIXOVÁ, Pavlína
This bachelor´s thesis titled Physiotherapeutic Procedures in the Healing of the Scars after Orthopaedic Surgery discusses a new approach to scar healing after total knee and hip replacement. Due to the disruption of epidermis, subcutaneous tissue, fascia, muscle, bone and joint during the surgery, it is important to promote healing of the tissue both from nursing as well as physical therapy perspective. Wound healing following these procedures is extensive and can be affected by many negative and positive factors. The role of medical personnel caring for these patients is to eliminate the negative factors and promote positive ones. Newly created scars do not share the same properties with healthy skin tissuethey tend to be fragile and more liable to pathological processes. In some cases, the newly formed scar tissue can become activated and lead to referred pain. My thesis consists of two areas: theory and practice. The theory part was compiled to reflect current data in the following fields: skin anatomy and physiology; skeletal muscle anatomy; wound healing; scar definition and treatment; total hip and knee replacement; and physical therapy plans. The practice part of my thesis consists of qualitative research conducted with six patients after total hip or knee replacements. Physical therapy treatment was documented through case studies, including anamnesis, kinesiologic examination pre- and post-intervention, and actual treatment. Patient education was provided regarding appropriate scar care and scar massage. Patient teaching occurred individually. Patients were then provided with a handout on home instructions. Patients were regularly followed outpatient and had another examination two months after their procedure. My thesis concludes that implementing scar massage as part of post-operative plan led to improved perception of the scar by the patient as well as to improved healing of the tissue. Patients rated their experience overall as positive. Based on these findings, I firmly believe that patient education regarding appropriate scar care should be included in all discharge planning following orthopaedic surgery. These findings can be useful not only for physical therapists, but also for allied personnel, e.g., physical therapy students and nursing.
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