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Influence of viscosupplementation on cartilage lubrication
Ondra, Martin ; Horák, Zdeněk (referee) ; Ranuša, Matúš (advisor)
This work deal with the determination of the effect of viscosupplementation on the lubrication of articular cartilage in the beginning phase of osteoarthritis. This effect was evaluated based on the development of CoF measured by a tribometer in configuration pin-on-plate. The tribological model of incipient osteoarthritis was simulated by using two articular cartilages lubricated with osteoarthritic synovial fluid to which viscosupplementation agents were added. These preparations differed mainly in cross-linking and molecular weight of hyaluronic acid (HA). Measurements have shown that viscosupplementation may be effective in the beginning phase of osteoarthritis. The efficacy of viscosupplementation preparations with cross-linking HA was significantly higher compared to the efficacy of viscosupplementation preparations without cross-linking. These results support the use of viscosupplementation to delay the advanced stage of osteoarthritis.
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Validiation of walking tests in patients with coxarthrosis
Suljakovićová, Sabina ; Špaňhelová, Šárka (advisor) ; Smolíková, Libuše (referee)
Práce posuzuje možnosti využití chůzových testů u pacientů s koxartrózou. Na skupině třiceti pacientů se třetím stupněm koxartrózy kyčelního kloubu bylo provedeno měření pěti různých testů: dotazník Harris Hip Score, Timed Up And Go Test (TUG), Ten Meter Walk Test - desetimetrový test chůze (10MWT), Two Minute Walk Test - dvouminutový test chůze (2MWT) a Six Minute Walk Test - šestiminutový test chůze (6MWT). Následně byly porovnány výsledky jednotlivých testů a zjištěny jejich specifické výpovědní vlastnosti. Cílem studie bylo zjistit jejich vzájemné souvislosti, limity v použití, případně navrhnout jejich úpravu a doporučit cílové skupiny pacientů pro jednotlivé druhy testů. Během měření a při zpracování studie byly zjištěny statisticky významné skutečnosti, pomocí kterých by bylo možné zpřesnit hodnocení kvality terapie a zvýšit efektivitu vyšetřování pacientů s koxartrózou. Byla prokázána shodná výpovědní hodnota testu 2MWT ve srovnání s delšími testy (6MWT) a také výhody provedení testu TUG, jako zdroje doplňujících informací k vyšetření pomocí dotazníku Harris a běžných chůzových testů.
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Knee osteoarthritis: a biological response to medication class SYSADOA
Kurková, Eva ; Jelen, Karel (advisor) ; Tlapáková, Eva (referee)
Author: Bc. Eva Kurková Title: Knee osteoarthritis: a biological response to medication class SYSADOA Problem definition: Knee osteoarthritis is a degenerative joint disease which belongs to the most common musculoskeletal diseases. The disease is associated with pain of the knee joints, which causes patients' limitations in activities of daily living. Therefore, the objective of the treatment of osteoarthritis is to reduce the pain and a progression of the disease. To achieve these aims, conservative or surgical methods are used. The conservative methods include, among others, the pharmacological treatment. Since the medicaments from the class SYSADOA are easily available we can use them during treatment. Aim of the thesis: The aim of the thesis is to determine the effect of SYSADOA medication on the 2nd and 3rd degree of the knee osteoarthritis. The effect is determined by patients' subjective evaluations and by the changes of the rheological properties of the knee joint. Method: The survey contains an anamnesis questionnaire and the clinical examination of the knee joint. The rheological properties of the knee joint are evaluated by a special device - knee rheometer that non-invasively and painlessly measures the dependence of the passive resistance of the knee joint on its bending angle. To...
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Case Study of the physiotherapy treatment of a patient with the diagnosis the state after the implantation of total knee replacement on the right side
Hillayová, Daniela ; Hnátová, Iva (advisor) ; Hankovcová, Eva (referee)
Title: Case study of the physiotherapy treatment of a patient with the diagnosis the state after the implantation of total knee replacement on the right side Summary: This work focuses on the case study of the patient with total knee replacement. It consists of two parts, a general part and a specialized part. General part comprises basic knowledge about the knee joint, total replacement, gonarthrosis and describes physiotherapeutic processes during the post-operative period. Specialized part, the main part of this bachelor thesis, constitutes the process of patient therapy after a total knee replacement on the right side and an evaluation of the therapy's effect. Key words: total replacement, knee joint, osteoarthrosis, gonarthrosis, case study, physiotherapy
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Case report of physiotherapeutic care of patient with bilateral gonarthrosis and hemarthrosis of the right knee joint
Svoboda, Jan ; Malá, Jitka (advisor) ; Bednářová, Šárka (referee)
Název bakalářské práce: Kazuistika fyzioterapeutické péče o pacienta s hemartros pravého kolenního kloubu a gonartrózou bilaterálně. Shrnutí: Práce je zaměřena na zpracování kazuistiky pacienta s hemartros pravého kolenního kloubu a gonartrózou bilaterálně. Je tvořena dvěma oddíly - částí obecnou a částí speciální. V obecné části práce jsou shrnuty teoretické vědomosti a poznatky o kolenním kloubu, klinika onemocnění gonartróza a hemartros a možnosti jejich léčby. Speciální část tvoří hlavní oddíl bakalářské práce. Je zde zaznamenán průběh fyzioterapeutické péče o pacienta s oboustrannou gonartrózou a hemartros pravého kolenního kloubu. Klíčová slova: kolenní kloub, osteoartróza, gonartróza, hemartros, rehabilitační plán, fyzioterapie, kazuistika
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: The case study of the physiotherapeutic care of a patient with total endoprothesis of a knee joint
Neuwirth, Michal ; Stupková, Michaela (advisor) ; Bidrmanová, Hana (referee)
Author: Michal Neuwirth Title: The case study of the physiotherapeutic care of a patient with total endoprothesis of a knee joint Objectives: The main objective of this thesis is to summarize the theoretical knowledge on the issue of total knee replacements and the elaboration of a case report of a patient who underwent joint implantation. Methods: This thesis consists of a general and a special part. The general part deals with the anatomy and kinesiology of the knee joint, osteoarthritis, its causes, diagnostics, epidemiology and treatment. Furthermore, implantation of joint replacements as one of the methods used in the treatment of osteoarthritis and physiotherapy methods used in the rehabilitation of these patients. The special part takes the form of a case report, contains anamnesis, initial kinesiological examination, description of therapeutic units and final kinesiological examination. The therapies used soft tissue techniques according to Lewit, mobilization according to Lewit, postisometric relaxation according to Lewit, sensorimotor stimulation according to Janda and Vávrová, exercises according to the muscle test and proprioceptive neuromuscular facilitation according to Kabat Results: The patient's condition has improved after the therapies, an accurate comparison of the patient's...
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Case study of physiotherapy treatment of a patient after total knee replacement
Šimůnková, Tereza ; Martínek, Milan (advisor) ; Sohrová, Jana (referee)
Title of the thesis: Case study of physiotherapy treatment of a patient after total knee replacement Author: Tereza Šimůnková Head of the thesis: Mgr. Milan Martínek Year of defense: 2021 Objectives: The purpose of my bachelor thesis is to compose a case study of physiotherapeutic treatment of a patient after total knee replacement due to knee osteoarthritis during her stay at CLPA. Also, to present the theoretical foundation for the practical part of the thesis which focuses on the knee joint, knee osteoarthritis, conservative and surgical treatment, total knee replacement and following rehabilitation. Method: This bachelor thesis is divided into theoretical and practical part. In the theoretical part the topics of knee joint, knee osteoarthritis, total knee replacement and following rehabilitation are discussed. The practical part contains entry and leaving examination of a patient, goals and plans for rehabilitation and description of therapeutic units. The latter part is based on bachelor practice at CLPA in May 2020. Results: The physiotherapeutic methods used were effective. The physical condition of the patient improved.
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Case study of a physiotherapeutic treatment of a patient after total hip replacement
Králová, Petra ; Martínek, Milan (advisor) ; Nováková, Tereza (referee)
Author: Petra Králová Title: The case study of a physiotherapeutic treatment of a patient after total hip replacement Objectives: The objectives of this bachelor's thesis is to provide theoretical framework, to assess problematics of implantation of total hip arthroplasty and to introduce case study of a patient after total hip replacement and its subsequent rehabilitation care. Summary: The thesis is devided into two parts - general and specialized. General part provides conceptual framework and builds on existing literature of anatomy, kinesiology and biomechanics of the hip joint. It further informs about the most common diseases affecting the joint and analyzes problematics of total hip replacement for coxarthrosis. It serves as theoretical framework for second part. The specialized part contains a case study of a patient after total hip replacement and following rehabilitation care. During this case study, the author solely used noninvasive methods and approches, which had been acquired during bachelor's studies at The Faculty of Physical Education and Sport, Charles University. The conluding remarks of the bachelor's thesis include evaluation of the therapy results and effectivenes of each of the therapeutical approaches. Key words: hip joint, total endoprosthesis, osteoarthrosis, rehabilitation
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The case study of physiotherapeutic treatment of a patient with total knee replacement diagnosis
Kovářík, Jan ; Stupková, Michaela (advisor) ; Slezáková, Petra (referee)
Title: The case study of physiotherapeutic treatment of a patient with total knee replacement diagnosis Author: Jan Kovářík Head of the thesis: Mgr. Michaela Stupková Objectives: The main purpose of my bachelor thesis is to process a case study of physiotherapeutic treatment of a patient after a total knee replacement of the right knee joint. Part of the thesis is a complex theoretical introduction to the topic. Methods: This bachelor thesis is divided into 2 parts- a general part and a special part. The general part contains processed information concerning the anatomy, kinesiology and biomechanics of the knee joint. It also includes a chapter about gonarthrosis, which is the most common indication for the total knee replacement, its etiopathogenesis and options of treatment. In the end the general part describes the total knee replacement, its history, operative procedures and subsequent rehabilitation. In the special part of the thesis there is a listed the case study of a specific patient after the total knee replacement and a record of the therapeutic units within the related professional practise in the rehabilitation hospital in Beroun in a period from 18. 1. to 12. 2. 2021. Results: Physiotherapeutic treatment has shown improvement in the patient's clinical condition in almost all measured...
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