|
|
Possibilities of conservative and surgical approaches for Dupuyter's contracture
Klímová, Michaela ; Demeková, Júlia (advisor) ; Babková, Lenka (referee)
Dupuytren' s contracture is a disease that is characterized by its slowly developing of flecture contractures of the fingers and is conditioned by pathological changes of the palmar aponeurosis. The bachelor's thesis "Possibilities of conservative and surgical approaches for Dupuytren's contracture" deals with the overall issue of Dupuytren's contracture. The thesis includes knowledge about anatomy of palmodigital aponeurosis, clinical picture, etiology, epidemiology, diagnostics, conservative and surgical treatment a nd points to a crucial influence of physiotherapy as an integral part of the treatment. A significant part of the thesis is focused on physiotherapeutic methods which are most frequently used for subsequent treatment of the disease. In the conclusion of the thesis, there is a brief description of physical therapy and occupational therapy. The thesis is supplemented with two case reports of patients with Dupuytren's contracture, treated with 2 different forms of treatment. Subsequently, final state of health of patients was evaluated depending on the method of treatment. Powered by TCPDF (www.tcpdf.org)
|
|
| |
|
|
Orthotic equipment of idiopathic scoliosis
Ivánková, Zuzana ; Černý, Pavel (advisor) ; Mikšíčková, Petra (referee)
Title: Orthotic equipment of idiopathic scoliosis Objectives: The aim of my work is a summary of information dealing with scoliosis of the spine. In the beginning of the theoretical part I will briefly explain the anatomy and biomechanics of the spine, which are necessary for understanding. In the chapter on scoliosis I will focus on treatment, both operational and fuselage orthoses , which I will detaily describe in the next section. I will bring all types ortheses for the treatment of scoliosis and I will focus primarily on the production process , application, negative and positive effects of conservative treatment. The practical part of the drafting case reports about patients affected by idiopathic scoliosis and to points out their orthotic equipment. In conclusion, I evaluate scoliosis treatment method using ortheses. Methods: To solve this problem I will apply the method of collecting data from the literature , magazines and publications related mainly to general issues of scoliosis. In chapters about the types of ortheses and it's manufacturin I use mainly my experience in practice. Results: Conservative treatment of idiopathic scoliosis depends not only on body brace and its proper construction , but also on patient's approach to the treatment, the relationship between patient and...
|
|
|
Physiotherapy after fracture of ankle and foot
Hejčová, Mirka ; Molnár, Petr (advisor) ; Hamarová, Zuzana (referee)
82 Anotace (aj) Author: Mirka Hejčová Institution: Departement of rehabilitation medicine Title of Bachelor's thesis: Physiotherapy after fracture of ankle and foot Supervisor: Mgr. Petr Molnár Number of pages: 95 Number of attachments: 4 Year defense: 2013 Keywords: physiotherapy, fracture, ankle, joint, foot, osteosynthesis, conservative treatment In the theoretical part of this thesis is processed ankle and foot anatomy, kinesiology of ankle and biomechanics of foot. Another chapter involves traumatology of ankle and foot which lists types of injuries in this area and methods of treatment and diagnosis. The last chapter includes physiotherapeutic methods which can be used in therapy. The practical part includes a case study of two patients with trimalleolar fracture who attended the outpatient rehabilitation. One patient was treated conservatively and the other one surgically. Input and output kinesiology testing, short-term and long-term treatment plan are compiled at both patients, the course of their treatment is recorded and the success of therapy evaluated.
|
|
|
Case report of therapeutic care patient with lateral humeral epicondylitis
Kieslingová, Anna ; Křížková, Štěpánka (advisor) ; Reckziegelová, Petra (referee)
1 Summary Title: Case report of therapeutic care patient with lateral humeral epicondylitis Object of paper: The primary aim of this work is to demonstrate both theoretical and practical information to the subject of lateral humeral epincondylitis on the grounds of a case report of a patient with this diagnosis, which was established during a hospital university-internship. Abstract: The general part of this work includes theoretical information about lateral humeral epicondylitis, or generally known as enthesopathies, their diagnostic and possibilities of treatment. Where as the specific part of this bachelor dissertation shows a case report of a patient with lateral humeral epicondylitis. The materials and foundation of this bachelor dissertation were gathered during an university-internship at regional hospital Kladno. Key words: Tenis-elbow, overuse, conservative therapy, prevention
|
|
|
ESWT in Achilles tendinopathy
Hojková, Lýdie ; Demeková, Júlia (advisor) ; Havlíčková, Michaela (referee)
Achilles tendinopathy is a painful condition formed by chronic overuse. Conservative treatement requires activity modification, heel lifts, arch supports, even immobilisation. There are often unsatisfactory results with it. The use of ESWT has recently been introduced in soft-tissue disorders including epicondylitis, plantar fasciitis, calcifitation of the shloulder and, as well, Achilles tendinopathy. The aim of the work was to introduce the effects of ESWT on soft tissues, types of generation and new posibilities in ESWT therapy in Achilles tendinopathy. Powered by TCPDF (www.tcpdf.org)
|
|
|
The physiotherapy posibilities in the Ib degree scoliosis of primary school age children
ČERMÁKOVÁ, Martina
Bachelor thesis deals with the possibilities of physiotherapy school age children who have been diagnosed with scoliosis Ib grade. Scoliosis is considered a deformity of the spine in the frontal, sagittal and transverse. It leads to the shape deformation of the vertebral due to pressure changes. The theoretical part is processed axial system from the perspective of kinesiology, deep stabilizing system of the spine and postural stability, definitions and classifications of scoliosis and surgical options and conservative treatment. In physiotherapy practice can be used several approaches that are primarily engaged in the treatment of scoliosis. In this work there are written methods that deal with the treatment of scoliosis, although not their main focus. One of these methods is, for example, sensorimotor stimulation from Janda and Vávrová (Janda, Vávrová, 1992), whose objective is to activate subcortical mechanisms that participate on motoric control and to reach automated activity of muscles that are needed for removing muscle dysbalance. The theoretical part of the study was to define scoliosis, write its problems and treatment options for scoliosis focus on conservative therapy with the classification of sensorimotor stimulation method. The second objective of this work was to suggest and then implement specific physiotherapy for school age children diagnosed with scoliosis Ib grade to which elements of sensorimotor stimulation were included. For the practical part of the thesis I used qualitative research methods. The research was conducted using three patients younger school age being in the care of the Rehabilitation Department of the Hospital České Budějovice, a. s. The results were presented in the form of case studies. The research was conducted for three months. In all patients, with whom I conducted therapy, were also included elements of sensorimotor stimulation. Then I recognized in the kinesiologic analyse that the spinal dynamic tests improved, some of the shortened muscles relaxed and patients learned how to breathe properly. They also mentioned better body posture perception and possibilities of its correction. Use of physiotherapy procedures designed to influence scoliosis curve using sensorimotor exercise can be an inspiration for physiotherapists, other practitioners or students.
|
|
|
The nutrition specifics of patients with chronic renal failure in pre-haemodialysis and haemodialysis programmes.
PAVLÍKOVÁ, Andrea
Chronic renal insufficiency tends to worsen gradually until it gets to the stage of kidney failure, often despite the prescribed adequate treatment. The duration of this period of nephrology dispensarization may differ. Kidneys lose their cleaning ability within ten years, which leads to accumulation of metabolism waste products in the body. If the primary renal disease graduates to the final stage the patient depends on substitute kidney therapy in the form of haemodialysis, peritoneal dialysis or transplantation. Kidney failure treatment depends on the stage of renal function impairment. Modification of eating habits is also closely related to this fact. In the first stage of insufficiency the diet does not substantially differ from normal healthy nourishment principles. Only later gradual limitation of intake of the individual nutrients is necessary. The aim of the bachelor thesis was to map specific requirements for nourishment of patients suffering from chronic kidney failure that have not been included in a dialysis programme yet, contrary to individuals who already visit a dialysis centre and regularly undertake blood cleaning process. A lot of professional literature had to be studied to obtain necessary information for preparation of adequate diet regimen. Scientific bibliographic publications by Czech as well as foreign authors were used as the source on the one hand and the latest findings resulting from randomized multicentric studies had to be found in journals specialized in kidney diseases and nourishment on the other hand. Nourishment recommendations for patients with chronic kidney failure, which are divided into low-protein diet in conservative therapy and limitation of nutrient intake in patients included in the haemodialysis programme, were elaborated upon the obtained information.
|
|
|
Carpal Tunnel Syndrome in Context of Physiotherapy
KRČOVÁ, Jana
This bachelor{\crq}s thesis provides information about carpal tunnel syndrome. The general part focuses on carpal tunnel anatomy, clinical symptoms, diagnosis of the disease and conservative treatment. Although not a topic of this thesis, surgery is referred to in this thesis as it is a frequently used treatment for carpal tunnel. The objective of this thesis is to evaluate physiotherapy techniques used in patients with carpal tunnel syndrome and to assess patients{\crq} subjective complaints before and after the application of these techniques. In this work, I did qualitative research using the following data collection techniques: study of documents, observations, free interviews, and secondary analysis of data. Case reports of three patients describe in particular the examination and rehabilitation of carpal tunnel syndrome patients using selected conservative physiotherapeutic techniques. I focused on the following techniques: laser treatment, ultrasound therapy, contact-free electrotherapy, manipulation of soft tissues, joint mobilization, proprioceptive neuromuscular facilitation, Butler{\crq}s neuromobilization techniques, and taping techniques. Generally, these methods were evaluated positively by patients and resulted in the improvement of symptoms. I believe the said techniques should be used on a long-term basis and I would recommend their combined use. In this way, the benefits of physiotherapy can be more effectively utilized. I further believe it is important to inform patients about this disease and its causes sufficiently and understandably. This approach would help patients understand their problems and increase their motivation to cope with the disease.
|
|
|
Differences in nursing care of patients after operations of fractures of the pelvis and in the conservative treatment after a pelvic injury.
ADAMČÍKOVÁ, Hana
The thesis is divided into the theoretical and practical parts. The theoretical part deals with fractures of the pelvis, which may be treated in the conservative manner, i.e. by the ligamentum of the pelvis. The ligamentum of the pelvis may be a temporary solution, or it is left until the fracture heals up, or by an operation. Further, nursing care is analysed here, ranging from the admission of the client to the department to his/her discharge. It points out differences in the care of clients in the conservative treatment and in the operational therapy. The research investigation was conducted in the hospitals in České Budějovice and Prachatice. The quantitative research was used for the bachelor thesis, in the form of an anonymous questionnaire, and additionally the qualitative research was conducted in the form of observation. The questionnaire was made up for nurses and contained 32 questions. The observation took place in the intensive care unit, where I had the opportunity to observe 6 nurses at work, and thus check up on the results of the graphs.
|
guest ::
