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Prevention of the knee joint soft-tissue injuries in Athletics
KRÁLOVÁ, Eva
This Bachelor Thesis deals with the problems of injury of knee joint soft tissue structure. Knee soft tissue injury belongs to the most frequent injuries in athletics. The anterior cruciate ligament is very often harmed. The injury occurrence may be prevented by means of suitably chosen physiotherapeutic procedures to prevent occurrence of pathokinesiological consequences in the knee joint area as well as the whole locomotor system. The first aim of my work was to monitor the problems related to soft knee injury in selected athletes. The second aim was to prepare and apply the therapy procedure itself upon the obtained findings and to find to what extent the therapy affected the examined athletes with knee injuries. The theoretical part of the Thesis summarises the basic knowledge of anatomy, kinesiology, it deals with the most frequently injured knee soft structures, the most important check-up methods, the therapy possibilities and prevention of the injury. A qualitative research method was chosen for the research itself. The sample consisted of four randomly selected athletes. Two athletes were chosen from a group of short-distance runners and two athletes were chosen from a group specialized in long-distance running. Four individual therapeutic plans were compiled after an anamnestic interview and an entry kinesiology analysis. The plans were focused on an increase of the movement extent, increase of muscle strength, renewal of static and dynamic stability of the knee joint and removal of disturbed movement stereotypes. Positive results of examination in all the patients confirm correct selection of the therapy elements and the therapeutic plan. The extent of improvement in the monitored patients was influenced by the individuality of the patients and their approach. Positive results of the therapy may also be expected in the future and existence of preventive action, particularly in the secondary prevention level may be attached to. I recommend extension of the practical part by instrumentation examination by means of electromyography, posturography or digital baropodometry for extension of the work and making the data related to the issues in question more objective.
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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.
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Prevention and Therapy of the knee injuries in Football
BENEŠOVÁ, Michaela
My Bachelor Thesis deals with the problem of knee-joint injuries. The chosen theme ``Prevention and Therapy of the knee injuries in Football{\crqq} introduces a large variety of possible injuries. The Thesis includes an analysis of the complicated anatomical structure and biomechanics of the knee. The part devoted to injuries describes the injury mechanism that gives the ground for the following examination, diagnosis determination and proposal of the subsequent therapy. Another important chapter, prevention of the knee injuries, describes the activities to prevent from such injuries. The aim of this Thesis is to assess the treatment effect of the anterior cruciate ligament rupture in two probands in relation to their return to sports activities, and furthermore to furnish theoretic information concerning primarily the anatomy and prevention of injuries. In respect of the quantitative research, we chose at random two footballers of a district league standard suffering from ligamentum cruciatum anterius rupture. The research proceeded during their therapy using the technique of uncontrolled dialogue, observation, casuistry and secondary analysis of data. The result brought the ascertainment of the success in the therapy effectiveness. After 3 months both patients, sportsmen, achieved such health condition which allowed them do light sports activities with no limitation, e.g. exercise biking, swimming, walking, running on flat surface and even cross-country; cycling is also suitable. It is very important to keep to the said recommended sports activities as the inadequate overloading of the knee can give rise to recurrence or even to injury of other structures of the knee joint.
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Physiotherapeutic methods for the damage of the soft tissues of the knee joint
JAKEŠOVÁ, Kateřina
Abstract I chose as the theme of my thesis the effectiveness of physiotherapy following knee injuries. The aim of this work was determine whether appropriate and timely preventive treatment can prevent acute knee injuries in chronically unstable knee. Specifially, is it possible to avoid reinjuring or causing trauma to chronically unstable knee during physiotherapy. Research was conducted using a qualitative method and case reports on two women who had problems with chronic knee instability. The first patient received therapy from 15.1. to 6.4. 2009, while the second patient received therapy from 24.1. to 14.4. 2009. Thus both patiant received approximately 3 mont of physiotherapy. In the course of rehabilitation, treatment focused on sensory motor stimulation therapy. This therapy took place at two different physiotherapy clinics, where I had the most effective monitoring instruments. Both patiant with chronic knee instability were of simile age and the therapy was conducted during approximately the same time period. The first patient, whose sports activities typically involve home exercise and training, is rapidly recovering from both her subjective and objekctive symptoms. Further gradual improvement in her condition can be reasonably assumed. For the second patient, the pain fluctuates depending upon the sport load placed upon the knee. The goal there was to eliminate the phenomenon of {\clq}qgiving way``. From an objective point of view, this problem was fully resolved. In connection with these findings the patints were properly advised of therapy, shown how they can continue the therapy by themselves in their homes, encouraged to regularly return to the clinic for follow- up exams, and advised to purchase {\clq}qunstable boards`` for their homes.
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Injuries of knee joint and consequential physiotherapy after crossed ligaments plastic
ŠKABROUD, Libor
This work deals with questions of injuries of the fibrous apparatus of the knee joint, especially with the injury of ligamentum cruciatum anterius (LCA). The theoretical part summarizes the basic information relating to the problems of injuries of the fibrous apparatus of the knee. In the following, it offers an abstract of recent methods of physiotherapy used while dealing with patients with LCA plastic. The evaluation of the research, which compares the efficiency of the physiotherapy between two patients with LCA plastic (one active sportsman and the other a non sportsman), discovered that the therapy was more effective in the sportsman case, especially in term of faster growth of muscles.
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