|
|
POSSIBILITIES OF USING THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH IN PHYSIOTHERAPY
DRÁBOVÁ, Zuzana
At present, when an international communication across health systems is quite common, there is a growing need to establish a common language which could be used for an expert´s communications from different countries and disciplines. A uniform language for encoding a wide range of information is provided by classifications that belong to a Family of International Classifications of World Health Organization (WHO-FIC). International Classification of Functioning, Disability and Health (ICF) was officially approved in 2001 and it forms and a conceptual framework for describing the disability. In the Czech Republic the Communication No. 431/2009 Coll. came into effect from 1 July 2010; it introduces ICF classification into a clinical practice. The physiotherapy is a part of the comprehensive rehabilitation system and people with the disability form a target group of patients for this field of specialization. We use many specific methods to examine motion systems and all his parts, the most of them are subjective. Still, we must find a way how to code the information obtained during the examination under a single scheme and the universal language given by ICF. This thesis demonstrate an importance of ICF classification and it could be a suggestion how to use the classification for an evaluation of the patient´s functional status by selected examination methods in an everyday practice of physiotherapists.
|
|
|
Physiotherapy in radicular syndromes of lower limbs
TATEROVÁ, Tereza
The subject of the baccalaureate thesis is radicular syndromes physiotherapy at lower extremities. It is a disorder that forms because of spinal radix comression and it happens for different reasons. The disorder has a typical localization of clinical symptoms according to the affected nerve radix. Dorsodynia and shooting pain into accessory limb that relates to hypokinesia is typical. The objective of the first part of thesis was to make an educational material about problems around radicular syndromes at lower extremities. In the theoretical part, information from the anatomy area, epidemiology and disorder etiology are presented, also clinical symptoms, examination procedures and possibilities of therapy, especially physiotherapy are included. The aim of the research part was to evaluate the effects of therapy from the view of the subjective patient's feelings. The survey mainly includes changes of hurtfulness, agility and sensation after the completion of therapy. In the applied part of the thesis a qualitative research strategy is used. As for the factual techniques, observation, discussion, special examination methods and, secondarily, data analysis, were used. The research took place at ambulatory physiotherapy ward at Milevsko health centre. In the file, there are results of two patients who were tested and the results are processed in the form of semiographies. They include clinical history, entry kinesiology analysis, therapy description, output kinesiology analysis and concluding assessment. At both cases both patients felt the pain reduced, agility was better and they were instructed. The thesis can be used as a source of information for general public and for other students.
|
|
|
Verification of Special Exercises in the Physiotherapy Facilities in Jihlava
POLÁK, Ondřej
Back pain is one of the most common health problems in the world. The main focus of this thesis is specific exercises and treatment techniques to treat back pain. The first part describes the musculoskeletal system, muscle function, treatment techniques and exercises to treat back pain with the help of physiotherapy. Three physiotherapy and rehabilitation facilities in Jihlava, together with their clients with back pain, were chosen for this research. The main focus was the joint range mobility measurements, treating muscle dysbalances and providing clients specific exercises to stretch, to relax and improve their physical mobility in specific areas. The mobility measurements were done in two phases: during entrance and exit visits and the task was to identify how the specific exercises and treatment techniques relieve muscle dysbalances and back pain.
|
|
|
The Importance of Physiotherapy in the Puerperal Period of the Woman
PAVLOVÁ, Lenka
The theme of this thesis is The importance of physiotherapy in the puerperal period in women. As far as pregnancy is concerned, not only is available excellent health care important for women, but there are a large number of organizations that provide advisory services, exercises for pregnant women, and antenatal education for mothers-to-be. Unfortunately, this care usually ends soon after childbirth and women in puerperium, who go through many physical and mental changes, are not given such attention. It is precisely in this period that women deserve some interest in their health status. In the field of physiotherapy, they should be given sufficient information about the changes undergoing in their organisms, about the effects and principles of exercises after childbirth, about the suitability of positioning and about other issues with which women who have just given birth meet. The objective of the thesis was to study the physical changes in women after childbirth, to develop a plan for rehabilitation exercises, and to explore whether individual therapy has a positive impact on the status of the mother. The theoretical part deals with the composition of the birth canal, physiological changes during pregnancy, childbirth problems, childbirth injuries, involutionary changes in the organism during puerperium, and appropriate physiotherapeutic methods. The experimental part is devoted to qualitative research where the following methods were used: history, status praesens, direct monitoring, exit examinations, case studies and a secondary data analysis. The research was conducted in two patients after physiological childbirth and in one patient after Caesarean section. These patients were selected from a basic sample of patients at a gynaecology and obstetrics department. The results of the thesis identified some positive effects of after-childbirth physiotherapy on the carriage of body, breathing stereotype, deep stabilization system and the adjustment of the most prominent muscle imbalances. The objectives of the thesis were met. The new findings, which this work has brought, undoubtedly include pointing out the importance of physiotherapy during this period, impossibility to standardize such care due to personhood of each woman, and the importance attention given to the woman?s body as a whole after childbirth because to care for only its most visibly affected parts is not enough.
|
|
|
Prevention and Rehabilitation of Overloading the Connective Tissue of Lower Limbs of Ice-Hockey Goalkeepers
BEDNAŘÍK, Karel
This bachelor thesis addresses the issue of compensatory exercises as a full-value part of the training of ice-hockey goalkeepers within the scope of prevention and rehabilitation of injuries caused by a one-sided load and overloading of lower limb tissues. The first objective of the thesis was to ascertain the situation concerning the inclusion of compensatory and relaxation procedures in the training of young and adult ice-hockey goalkeepers. The second objective was to propose suitable compensatory exercises and to prove their effect on the organism. The basic strategy of the bachelor thesis was a combination of quantitative and qualitative research. When collecting the data, I used the method of structured questionnaires with open-ended and closed-ended questions, structured interviews, observation methods and special physiotherapeutic examination. I used the clinical examination methods of aspection, palpation, myodynamia measurement, goniometry and other physiotherapeutic methods. The obtained data have been summarized in tables. The tested set was created by selection when the clients had to fulfil the following requirements: - the client is an ice-hockey player at the top or high level - the client is a goalkeeper - the clients are from various age groups and various ice-hockey clubs In order to attain the first objective of the thesis, I selected a group of nine respondents from nine ice-hockey clubs associated in the Czech Ice Hockey Association (ČSLH) and foreign ice-hockey clubs. In order to attain the second objective, I selected a group of six clients which underwent a 3-month research ended with the comparison of the entry and final examinations. Based on these results, I graphically represented the effect and potential of compensatory exercises as a suitable and integral part of the training process. The results have shown that relaxation and compensatory methods are very often marginalized in the training and preparation of ice-hockey goalkeepers, although these methods may prevent one-sided overload, subsequent problems and injuries of lower limb tissues. The thesis proves that although the negative consequences of one-sided overloading are known, their compensation and remedy do not enjoy sufficient attention and no or few compensatory mechanisms are utilized in practice. Nevertheless, it is absolutely obvious from the thesis results that that compensatory and relaxation methods have a very positive effect on the problems caused by a one-sided load, both in preventive and rehabilitation terms.
|
|
|
The influence of physiotherapy on improving general state of patients suffering from Multiple sclerosis
ČERVINSKÁ, Klára
The bachelor thesis summarizes present knowledge of the disease Multiple sclerosis and its ways of treatment. The aim of the thesis, is to build up a suitable complex physiotherapeutical treatment, which would have a positive effect on a general state of patients suffering from MS. The thesis consists of two parts. The first part is devoted to etiopathogenesis, symptoms of the illness, diagnostics, pharmacological therapy and the importace of rehabilitation treatment. The second experiential part contains a case study of two patients suffering from different forms of the illness. It describes their present health state, the course of the rehabilitation treatment and its evaluation. Furthermore performed examinations, medical history and a suggestion of a longterm rehabilitation treatment are also presented in this part. The research took place in the Multiple Sclerosis centre in Prague. The effect of the physical therapy was evaluated by measurement of physical condition and a kinesiological analysis. The thesis also involves a questionnaire in which the patients evaluate influence of physiotehrapy on their general state from their point of view. Rehabilitation has an effect on the state of patients particularly in correction of posture, breath stereotype and affecting balance. Physiotherapy helps the patients to influence some of the symptoms of the disease and therefore improve everyday-life activities. However the effect is only shortlasting. Consequently it is necessary to exercise on a long term basis and to adapt the therapy according to the progressive character of the disease.
|
|
|
Physiotherapy as a component of an active stance to a senior´s age
DUDOVÁ, Helena
Problems of senior age are currently and in the view of demographic situation an up-to-date social issue. Many branches of science and various organizations deal with senior age, its particularities in order to help to cope with difficulties which are usually associated with aging and old age. Bachelor thesis involve in the issue of senior age in its active experience which might be strengthened by physiotherapy and medical rehabilitation. The theoretical part of thesis focuses on description of senior age, possibilities of physiotherapy and medical rehabilitation in the old age and on the role of a physiotherapist in the health and social services. The practical part of bachelor thesis assesses questionnaires of an anonymous survey which has been carried out in several health and social services of chosen towns in the Plzeň region (Plzeň, Klatovy, Sušice) and South Bohemia region (České Budějovice, Strakonice, Vodňany). The questionnaires assessed whether a standard offer of those health and social services provided kinesiotherapy and various forms of physical therapy and whether the different offer showed the different satisfaction of seniors. The results show that some forms of physical therapy in the chosen health and social services are not represented, nevertheless this fact does not considerably influence the seniors´ satisfaction. In fact the respondents relatively seldom use provided services of physiotherapy and medical rehabilitation. That is why it would be helpful to extend the offer of physiotherapy and medical rehabilitation in the health and social services and at the same time to increase seniors´ information about the beneficial effect on their physical and mental health.
|
|
|
Physiotherapy at people suffering from the oncology diagnosis focusing on the breast tumours
MALENINSKÁ, Zuzana
My Bachelor thesis Physiotherapy at people suffering from the oncology diagnosis focusing on the breast tumours, deals particularly with the most frequent malignant breast tumour which is breast carcinoma. The aim of the work in the theoretical part is to make a survey of the breast carcinoma issue with the intention to describe complications after the operation of the breast tumour which occur due to the removal of gravity lymph nodes and their therapy. In the practical part I watched the female patients after the surgery and the changes which occurred, as well as the issue whether the early therapy helped the patients to avoid the after-operation complications. I used the metod of the quality research which was carried out with two female patients who had the surgery major becouse of the diagnosed breast carcinoma. The patients were chosen according to the extent of the surgery major from the basic group of patients of The Hospital Surgical Ward in České Budějovice (Chirurgické oddělení Nemocnice České Budějovice a.s.). I used the following data collection techniques {--} interview, anamnesis, observation (kinesiology analysis), casuistry and personal medical documentations analysis. The results were processed by the form of casuistries. On the basic of patients observations I have proved the fact that the early therapy prevents the after-operation complications. It resulted in better ability to move with the shoulder joint, the relaxing of the soft tissues, regeneration of chest mobility and the correct breathing. Responsible attitude of the patient to self-therapy and preventive practices are an integral part of the therapy. The thesis can be used for needs of the clinical work of physiotherapists, different medical staff members and students who deal with this issue.
|
|
|
Osteoarthrosis large joints of legs in context of physiotherapy
KAŇKOVSKÁ, Martina
My Bachelor thesis' name is Ostheo-arthrosis large joints of legs in context of physiotherapy. I particularly dealt with problems of the origin, treatment and prevention of an ostheo-arthrosis. The first theoretical part contains theoretical basis which are associated with this illness. The main chapters are focused on an anatomic part, the definition of the terms gonarthrosis and coxarthrosis, causes, diagnose, treatment and prevention. The practical part includes two casuistries of patients after the operation of a total hinge substitute. The aim of the theoretical part was to inform about problems of ostheo-arthrosis and its prevention and confirmation of the physiotherapy influence during the follow-up development of the hinge functionality after the operation. The aim of the practical part was to find out on the basis of the casuistries if the physiotherapy treatment could help with improvement of a hinge moveabillity. The method of a qualitative research was used for the practical part. The research was made in the Hospital Jihlava at the sick-bed orthopaedic detachment. The tested set includes two cases of patients with diagnoses gonarthrosis and coxarthrosis. These diagnoses were made out by the attending physician of the patients. The results are processed in forms of casuistries. There was a real improvement in operated hinge moveability by both of the patients. My thesis could be useful as a theoretical basis for students of medical branches of universities. It could be useful for physiotherapists, as well. It could be an inspiration as a suggestion of rehabilitating plan for patients of these diagnoses.
|
|
|
Possible procedures as part of physiotherapy treatment in patients with lower limb amputation
SAVVINOVÁ, Kristýna
My bachelor thesis seeks to provide an insight into the issues associated with amputation of lower extremities. Amputation is an extensive surgical intervention which removes peripheral parts of the body. The objective of the theoretical part of my thesis was to present to the general public the issues associated with the return of patients after the amputation of a lower limb back to the normal life and the objective of the practical part was to make the return easier by means of a comprehensive and multidisciplinary approach to the patient. The research was performed using a qualitative method, by means of case studies of two male probands who underwent an amputation of the right lower limb at the thigh. The two probands were of similar age and with the same type of amputation. The first patient was hospitalized in the hospital Nemocnice sv. Zdislavy s.r.o., Mostiště, where I was involved in early postsurgery physiotherapy. The second patient was in the therapeutic center (Hamzova odborná léčebna pro děti a dospělé), in Luže {--} Košumberk, where I concentrated on physiotherapeutic procedures suitable for a prosthetic stage of rehabilitation. I selected the two probands also in order to demonstrate that it is important not only to provide early postsurgery rehabilitation but also rehabilitation in the prosthetic stage with a subsequent continuation of autotherapy. Both the patients experienced a major improvement of their physical and mental condition; this was undoubtedly supported by the comprehensive and multidisciplinary approach throughout the entire period of the provided care. In terms of taking care of themselves, the patients are now nearly self-sufficient, which is very important for their return back to the regular life. The thesis may be further used in clinical practice of physiotherapists and medical personnel. It may also serve as an educational material for patients.
|
guest ::
