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Implementation of mHealth into Physiotherapy
Nguyen, Tomáš ; Potančok, Martin (advisor) ; Voříšek, Jiří (referee)
The bachelor thesis is focused on implementation of mHealth into physiotherapy field, specifically into Manual physiotherapeutic correction method (MPC). The aim of this thesis is to analyze processes of physical therapist working with MPC method and to appropriately implement mHealth solutions based on this analysis. In the introductory section the term mHealth and its relationship with eHealth are defined. The next section is focused on legislative and technological conditions of mHealth solutions implementation. The third and most important section is dedicated to the analysis of therapist's processes and selection of appropriate mHealth solutions. The last section is dedicated to the success evaluation of implementation and the evaluation of implementation benefits for a physical therapist.
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Non-compliance of the Patient in Surgery Rehabilitation
Strumínská, Petra ; Lešetický, Ondřej (advisor) ; Mlčák, Jan (referee)
The aim of this thesis is to analyze the phenomenon of non-compliance (patient and healthcare provider services) in public rehabilitation surgery, with private physiotherapist and in special lymfocentre surgery using questionnaire. The theoretical part deals with the issue of non-compliance and explains the terms associated with it, describes the kind of rehabilitation, physiotherapy and mention epidemiological data. The result of practical part is the evaluation questionnaire and testing hypotheses.
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Possibilities and importance of physiotherapy in diabetic polyneuropathy
ŠTÍCHOVÁ, Kateřina
This bachelor thesis focuses on issues in diabetic polyneuropathy. Diabetic polyneuropathy is one of the most frequent chronical complications in internal disease diabetes mellitus. The point is that the functions of peripheral nerves are being destroyed sensitive, motoric, even the autonomous ones. The destruction of these nerves is based on longstanding hyperglycaemia. Due to the variability of levels and localizations of afflictions, polyneuropathy is characterized by a huge amount of clinical symptoms pain, paraesthesia, amyosthenia, paresis etc. This disease is always very uncomfortable for a patient and it can be the cause of invalidity in the future. The main objective of the thesis is to bring fundamental theoretic information about diabetes mellitus and diabetic polyneuropathy and notify about possibilities of physiotherapy in therapy and prevention. To reach the research objective, I get some of physiotherapeutic methods to practice and then I evaluate the effectivity of therapy. First two chapters of the theoretical part describe diabetes mellitus and diabetic polyneuropathy in general. They contain a brief anatomy and basic information of these diseases. Chapter three comprises investigations that were used in diagnostics of the diabetic polyneuropathy. Fourth part informs about overall therapy and at the end the fifth is about possibilities of physiotherapy within a frame of polyneuropathy. In the experimental section of thesis, a qualitative form of research was chosen. It was performed by six patients, came from the Internal Practice of MUDr. Jitka Brádlerová, Aurora Spa, Třeboň. By the five of them, the diabetic polyneuropathy was actually diagnosed and by the last one it is in a phase of suspicion. Each of the patients' case report brings detailed anamnesis, kinesiology analyse, basic neurological examinations and two versions of the rehabilitation plan short and long-term one. There is subjective and objective evaluation of therapy's effectivity in the chapter seven, that is also annotated in discussion and conclusion of thesis. All the patients acknowledged an improvement in their status and that proclaims the therapy was selected properly. Bachelor theses can be useful as a comprehensive summary of information about diabetes mellitus and diabetic polyneuropathy, physiotherapeutic methods and their importance in the therapy of these diseases for physiotherapy students, physiotherapists, other medical staff even the laic public.
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The influence of sensorimotor stimulation induced by specialized tools and pshysioterapeutical techniques on the function of the foot of middle childhood aged children
VOTAVOVÁ, Eva
This bachelor thesis addresses the function issues of children's foot and the possible ways of influencing it by using sensomotoric stimulation. The foot is an important organ, which has multiple functions. Locomotion is one of the primary functions. The ability to adapt to different types of surfaces is one of the other functions. The gait on different terrains is natural for the foot. Alas, under the influence of the modern age, we the deviate from nature and lock our feet into misshapen footwear. Last but not least it is the sensitive component, which allows the motor system to respond appropriately to stimuli. The name of this phenomenon is sensorimotor coordination. Its base principle is the processing of data sent from the proprioceptors embedded in the body structures. The central nervous system processes the information and responds in an organism-specific way. It is an essential requirement for physiological gait. Basic information allowing the understanding of the given topic is stated in the theoretical part, for example the anatomy and structure of the locomotion system in the lower extremity area, biomechanics of gait included. A great deal of attention is paid to sensomotoric stimulation and its possible usage. The practical part was made in the form of a qualitative research. The research poll consists of four younger school-aged subjects, who took part in a 3-month therapy. The results were obtained by comparing the pre-therapy examination and post-therapy examination. The aim of the bachelor thesis was to conduct a survey about sensomotoric stimulation and to elaborate how it can impact functions of the foot. The results show, that it can have a positive impact on subjects with signs of flat feet. The muscles of flat feet are flaccid and therefore the sensomotoric stimulation is a suitable therapy for this condition. It activates the main leg joints stabilizers and the short muscles of the arches. The results are not as convincing in the case of a high arch, nevertheless even this condition has shown improvement. The muscles of a foot with a high arch have higher tension and in many cases, structural changes are present. These changes can be removed only by operation, e.g. pes cavus. Nonetheless if the therapy is undertaken at an early age and with a proper intensity, a positive effect can be achieved. Sensomotoric stimulation should be a part of natural development for the human body. It ensures the correct and efficient integrating of muscle units during locomotion.
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Possibilities of physiotherapy at chronic overload of joints of lower limb on ballet dancers
NEŠPŮRKOVÁ, Martina
The thesis deals with problems of physiotherapy of ballet dancers who have got long term problems with lower limb joints overworking. The focus of my thesis is to present the issues of ballet and to state several specific kinesiotherapy and physiotherapy methods to prevent injury and overwork. In the theoretical part the anathomy and kinesiology of joints and fibrous apparatus of lower limbs are described. Next, there are the problems of hypermobility mentioned. Hypermobility is present by all dancers of classical dance, in case they are devoted to it for a longer time. One of the goals of this thesis is to give insight into a ballet. Therefore I have mentioned a history of a ballet as well as the issue of lower limb motional device injury, that are the most frequent. There are also the methods of examination and therapy mentioned in the theoretical part. The method of a qualitative research was used for the research part of the thesis.The research file consists of three ballet dancers, by whom the overwork of motional device in lower limb part has shown. The case history was taken during the entrance examination, the static examination in pelvis area was provided by aspection as well as palpation. Than the proof of hypermobililty according to Janda was done, the walk was examined, also the dynamical examination of pelvis - Trendelenburg-Duchenn proof, the walk analysis, the goniometric and antropometric examination. During the therapy the techniques of soft tissues were used, than the stretching of shortened muscles, the sensomotorical stimulation, the method of neuromuscular facilitation, the dynamical neuromuscular stabilisation and the exercises on a big ball. The part of every case interpretation is both short and long term kinesiotherapeutical schedule, by which the next goal of the thesis was fulfiled. The therapy was effective for all the dancers. First of all there is the improvement in the area of hock joint. The results of research part of the thesis have shown, that the methods, that were used were chosen appropriately and the effect of therapy is evaluated possitively. This thesis can bring benefit to any physiotherapist working with people having problems with lower limbs as case of overworking and unequal overloading. It shows the possible ways of therapy.
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Possibilities of physiotherapy for children with faulty posture in middle school age
MAREŠOVÁ, Barbora
This thesis focuses on incorrect body posture of older school-age children and possibilities of physiotherapeutic methods that can be used for this particular age stage. Incorrect body posture is often included among social diseases that are to a great degree caused by lack of exercise and one-sided life style. Generally it is about remaining in static positions and decrease of physically demanding work. The aim of my work is to outline the problem involving children of this particular age range and to evaluate the influence of physiotherapeutic treatment with older school-age patients having incorrect body posture. Theoretical part of the thesis describes correct body postures, muscular chains involved in torso stabilisation, anatomy of deep stabilisation system and incorrect body posture itself. The next chapter deals with older school-age stage from somatic and motor development viewpoint. The last chapter describes physiotherapeutic methods that can be used to treat this health issue. For the empirical part of the paper I chose qualitative research method with two girls of older school-age. Each of them was instructed with a series of set exercises they were to do at home during the whole therapy time approx. 10 weeks. In addition to that, they came in for 9 sessions, during which we focused on their incorrect body posture and other acute problems they had. Short-term and long-term physiotherapeutic plan was proposed based on the anamnesis and kinesiological analysis gained at the beginning and at the end of the therapy. Examples of several exercises aimed at chosen topic are enclosed. This thesis can serve both the professional and the lay public in order to inform them about possibilities of different physiotherapeutic methods that can be used when treating incorrect body posture.
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Possible uses of Tai Chi 24 form Yang in physiotherapy
MÁNI, Frederik
This bachelor thesis addresses the traditional Chinese martial art Tai Chi. The aim of this document is to outline the principles of Tai Chi, to conduct a survey of its possible uses in physiotherapy, to describe the effects of practicing this martial art on patients suffering from vertebrogenic pain syndrome and to evaluate the impact of this exercise on the given disease. This paper is divided into parts theoretical, practical and discussion. The theoretical part includes a complex view of Tai Chi, the roots from which it derives, and a brief historical summary. Chapters answering a few practical questions about Tai Chi practice are situated in this part. The most substantial chapter of the theoretical part discusses the impact of Tai Chi practice on health of human beings, which is divided into several aspects according to the World Health Organization. Various foreign studies are mentioned. The practical part includes a chapter about the vertebrogenic pain syndrome, in which the statistical data about the given disease is stated. The chapter also discusses etiology and also the conservative therapy of the disease. The research questions as well as the defining of the study group are the topics of the following chapters. The chapter about methodology includes the methods used for data collection and a description of the used physiotherapeutic examining methods. This section incorporates also a chapter containing the list of movements from the 24-form Yang style Tai Chi and a link to an internet video of the whole sequence. The case history of the patients can be found in the largest chapter of this section. The topic of the discussion section is the interpretation of the research results in the context of other studies conducted by foreign authors, who researched the effects of Tai Chi on various aspects of human health.
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Possibilities of physiotherapy for chronic overtrain of ski jumpers locomotory system
LATZKOVÁ, Darina
This bachelor thesis deals with possibilities which physiotherapy offers to ease chronic overstrain of locomotor system of ski jumpers and it is especially focused on children of younger school age. Ski jumping is an individual sport of acyclic character whose main aim is to perform a technically correct ski jump as long as possible. Big demands are placed on locomotor system in the process of reaching this result. Big load and strain on locomotor system can lead to formation of muscular dysbalance or functional disorders deteriorating stability, coordination and performance of the sportsman and on the other hand they increase the risk of fall and a subsequent injury of the ski jumper. The thesis is divided into two parts. The first part represents theoretical findings, e.g. what ski jumping is, the history of the sport and analysis of particular phases of a ski jump which follow one another from kineziologic point of view. The theoretical part contains summary findings about locomotory system overloading with subsequent formation of functional disorders and suggesting concrete general and also specific methods used in therapy. The second, practical part represents the method of qualitative research. The research was based on case interpretation containing collecting anamnestic figures of a patient, preliminary analysis and suggestion of short-term therapeutic plan, the process of particular therapies and subsequent final analysis, general evaluation of the therapy and suggesting a long-term therapeutic plan. Collecting figures was pursued through interviews with patients and coaches, during observation and obtaining anamnesis and kineziologic examinations. The examined team was formed by three ski jumpers from the Sports Club in Nové Město na Moravě. The therapy went on three times a week for three months. Twice a week there was autotherapeutic exercise and once a week there were meetings in the grammar school gymnasium or rehabilitation department in Nové Město na Moravě. Techniques of soft tissues, mobilization, gentle traction, joint centration, post-izometric relaxation, stretching and breathing exercises, deep stabilization system activation, elements of the school of the back, exercises for flatfeet, proprioceptive neuromuscular facilitation, sensomotoric stimulation, kinesio taping, elements from dynamic neuromuscular facilitation, Klapps crawls exercises and brace exercises according to Roswithy Brunkow were used during the therapy. The aim of the thesis was to deal with the problem of ski jumpers locomotory system overstraining from the point of view of physiotherapy and suggesting possibilities of concrete methods of kineziotherapy and physiotherapy as the prevention of injuries and overstrain. The results show that the chosen therapeutic system more or less positively influenced the condition of the three patients. The hypertonic cervical muscles was reduced, some shortened muscles mostly of lower limbs were treated, slight strengthening of lower fixator muscle of scapulas as well as of longitudinal and transverse foot arch led to better postural position and reduced muscular dysbalance. The possibility to influnce chronic overstrain of locomotor system of ski jumpers is real but it needs long-term and intensive training. The worked out material can help education and better orientation in this field not only physiotherapy students but also coaches and ski jumpers themselves.
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SPECIFICS OF PHYSIOTHERAPY OF PATIENTS TRANSFERRED AFTER ORTHOPEDIC OPERATIONS DIRECTLY ON THE SO-CALLED SPA BUNK
JOHANUSOVÁ, Lucie
This bachelor thesis addresses the specificity of physiotherapy of patients, transferred to a so-called spa bed, after orthopedic surgery. Among the most performed orthopedic surgeries are the total hip replacement and the total knee replacement. Arthrosis is the most common reason for the implantation of joint replacements. It is a painful and life-aggravating disease which has a tremendous impact on the patient's quality of life. In order to lower the risk of the patient having to take a revision surgery of joints, a promptly initiated rehabilitation is necessary. It has to be intensive and professionally conducted. The present time-tested trend of rehabilitation treatment is a prompt comprehensive care, which takes place in a spa resort in the form of a direct transfer "from one bed to another", i.e. the patient is transported directly from the hospital to a spa resort. Often, patients would get to a spa resort with delay, while already having intercurrent problems like vertebrogenic and other problems. This thesis is divided into a theoretical part and a practical part. The theoretical part includes the anatomy of the hip joint and the knee joint, the description of the joint replacements including the indications and the contraindications, the specifications of particular types of hip and knee joint replacements and possible complications after surgery. The most important topics of the theoretical part are stated in the last chapters. The individual therapeutic rehabilitation methods, which have a positive impact on the health status of the patient after surgery, spa therapy and physical therapy included, are discussed and described in those chapters in detail. A qualitative research strategy and a personal case study technique (case history), with the use of a secondary data analysis, were used in the practical part. This strategy was carried out on three chosen patients, who after being discharged from a hospital after surgery had continued their treatment in a spa resort, i.e. a so-called direct transfer from a hospital bed to a spa. The research was conducted in Berta's spa resort in Třeboň, where the patients were transferred on the tenth day after surgery. On their first therapy session, all patients had their personal history taken and data from their medical documents was added. The practical part also includes a pre-therapy and a post-therapy kinesiologic analysis which included visual inspection, palpation, goniometric and anthropometric examination of the knee and hip joint area. Furthermore, a muscle test and an examination of shortened muscle groups related to the knees and hip joints, created by Janda, were conducted. The gait, stereotypes and neurologic functions were also examined. Following the evaluation of the pre-therapy data, the patients were introduced to the short-term therapeutic plan. The results were acquired by comparing the pre-therapy data and the data which was obtained during the last therapy session from the post-therapy kinesiologic analysis. The rehabilitation in the spa resort consisted of different treatment procedures each day and the patients were getting medical attention and care from doctors, nurses and physiotherapists. In each therapy, we focused on removing the problems at hand and only after that we moved to correcting other imperfections. After the completion of the therapy, the patients stated a decline of pain and an improved balance of the extremity and the whole body. The data of the chosen patients shows improvement of muscle strength, decreasing of swelling and widening of range of motion. These results were achieved thanks to a comprehensive rehabilitation and a positive attitude of the patients.
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Possibilities of physiotherapy at chronic overload of shoulder girdles on ice hockey players
DVOŘÁČKOVÁ, Veronika
This bachelor thesis addresses the issue of chronic overloading of ice hockey player's shoulder girdle muscles. A sufficient muscle activity and range of motion in the shoulder girdle is necessary for the shooting efficiency of a player. A high rate of personal duels and the decrease of stability of the shoulder joint can lead to its chronic overloading and to a higher chance of an accident occurring. I divided this thesis into two main parts theoretical and special. In the theoretical part, I described the characteristics of ice hockey and also the anatomy, kinesiology and the possible examinations of the shoulder girdle. Furthermore, I stated information about injuries of the shoulder girdle in the field of ice hockey. The end of the theoretical part discusses the specific techniques of physiotherapy, which I used in this work. In the practical part, I applied the theoretical knowledge in the physiotherapy of three ice hockey player's shoulder girdles. I used a qualitative research methodology and collected the data in the form of a case study. The subjects of the research were three ice hockey players, aged between 21 and 24 years. I carried out the pre-therapy and post-therapy kinesiologic examinations and acquired the anamnesis of all three players in the form of a structured interview. The examinations, which I used on all subjects, were visual, touch (palpation), dynamic, anthropometric and goniometric. Also, I examined shortened muscles, motion stereotypes and I performed special tests for the shoulder joint. The therapy lasted for 3 months, once per week for 45 minutes. The main objective of this thesis was to discuss the overloading of ice hockey player's shoulder girdles and also to determine the possible uses of specific kinesiotherapy and physiotherapy methods, which could be used for prevention of injuries and straining. The result of this work is an analysis of methods and their practical use for physiotherapy of ice hockey players with chronic strained shoulder girdles. The therapy has proven to be effective for two subjects. Thanks to the chosen methods, the subjects reported a total decrease of pain and demonstrated a better stabilization of the shoulder girdles. Their stereotypes improved as well. The third subject was not fully cooperating and because of that, his results aren't as conspicuous as the results of the other two subjects, yet still they show improvement. This bachelor thesis can be used by physiotherapists and students of physiotherapy for acquiring information about this issue, as well as by coaches and players, who do not cling only on game results, but also care about the health and the prevention of injuries.
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