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Use of low-frequency magnetotherapy for patients with coxarthrosis
STEHLÍKOVÁ, Kristina
The Bachelor thesis deals with the use of low-induction magnetotherapy in case of patients with coxarthrosis. The aim of the thesis was an application of the low-induction magnetotherapy in treatment of particular patients and its subsequent evaluation. Coxarthrosis belongs to relatively often degenerative disease nowadays, increasingly frequent among younger patients. Pain and joint stiffness, particularly in the morning, and limited range of movements are usually the main symptoms, leading to constraints in performing of normal daily activities. Moreover, most natural human movement - walking is impaired by the disease. Low-induction magnetotherapy is nowadays often used method of physical therapy belonging to a non-contact low-frequency electrotherapy which has as its main task to reduce the pain in coxarthritis. The thesis consists of two main parts. The theoretical part contains a description of the anatomy of the hip joint, more specifically its construction, ligamentous apparatus, vessels and nerves, muscle apparatus, movements in the hip joint and hip joint kinesiology. Osteoarthrosis, its principles, causes, symptoms, diagnosis and treatment, and coxarthrosis in more detail are also described here. The last topic discussed in the theoretical part is low-induction magnetotherapy. Its principles, physical parameters and the effects of magnetic fields, indications and contraindications are explained. In the practical part, qualitative research method was used. The research group consisted of three patients who attended Medipont polyclinics in České Budějovice on outpatient basis. In addition to low-induction magnetotherapy, physical therapy was indicated as well. Low-induction magnetotherapy is not recommended for use as monotherapy but its combination with other treatments is reported as more effective. The research was elaborated in the form of case studies that include patients' medical history, input and output kinesiology analysis and course of individual therapy. Kinesiology analysis includes a visual examination, palpation, anthropometric and trigonometric examinations, examination of pelvis, muscle test, and examination of shortened muscles, movement stereotypes, breathing, as well as walking. During therapy, the PIR, joint mobilization, soft techniques, exercises to activate HSS, stretching and strengthening exercises for the hip joint, and exercises for the proper activation of the transverse and longitudinal arch of the foot were used in addition to the low-induction magnetotherapy. Output examination after ten therapies showed changes in health status in all three patients; for each one, however, to a different degree. For best results, I would advise to continue with this treatment in the future. Interviews with ten patients in Berta's Spa in Třeboň and Medipont polyclinics in České Budějovice were conducted to better evaluation of the effects of the low-induction magnetotherapy. Patients rated their subjective experience with application of the low-induction magnetotherapy.
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Case Study of Physiotherapy Treatment of a Patient after Total Hip Replacement
Popov, Daniela ; Nováková, Tereza (advisor) ; Pavlů, Dagmar (referee)
Title of thesis: Case Study of Physiotherapy Treatment of a Patient after Total Hip Replacement. Work placement: Institute of Rheumatology (Revmatologický ústav), Prague Summary: The goal of this bachelor's thesis is to present a theoretical and practical view of coxarthrosis, also known as hip osteoarthritis, and its treatment. It consists of a theoretical part and a case study. The theoretical part consists of the anatomy, biomechanics and kinesiology of the hip joint, and characteristics of coxarthrosis and its treatment. The case study is based on a 64-year-old female patient who underwent total hip replacement of the left hip joint. It consists of anamnesis, initial kinesiological examination, rehabilitation plan, therapy progress, final kinesiological examination, effect of therapy, reflexion on therapy and conclusion. The methods used during the therapy sessions with the patient were all non-invasive. A combination of manual techniques and rehabilitation exercises was used with the aim to help the patient recover and become as self- reliable in the activities of daily living as possible. Keywords: hip joint, rehabilitation, coxarthrosis, osteoarthritis, exercises, range of motion
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Case Study of Physiotherapy Treatment of a Patient after total hip replacement
Skjaanes, Mona ; Vláčilová, Ivana (advisor) ; Kratochvílová, Pavla (referee)
Title of thesis: Case Study of Physiotherapy Treatment of a Patient after Total Hip Replacement. Work placement: Fakultní Nemocnice Královské Vinohrady Summary: This bachelor thesis consists of two parts, one theoretical and one special part. The first theoretical part includes anatomy, kinesiology, biomechanics and pathology of the hip joint. The special part consists of a case study that is based on observations and clinical work at FNKV of a 59- year old woman after operation of total hip replacement. It includes initial and final kinesiological examination, day-to-day therapy and a conclusion of the whole process. The main goal is for the patient to became self-sufficient and be able to do activities of daily living without pain. The methods used in the therapy for this thesis were mainly manual techniques and exercises based on active movements to strengthen and increase range of motion in the operated hip joint. No invasive methods were used. Keywords: total hip replacement, hip joint, rehabilitation, coxarthrosis, degenerative joint disease, physiotherapy
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The case study of physiotherapeutic treatment of a patient with a diagnosis of total hip replacement
Korteová, Rebeka ; Křížková, Štěpánka (advisor) ; Štiková, Barbora (referee)
Title of bachelor`s thesis: Aims: Summary: Key words: case study, coxarthrosis, hip joint, physiotherapy, total hip replacement The case study of physiotherapeutic treatment of a patient with a diagnosis of total hip replacement The aim of this Bachelor thesis has been to improve theoretical knowledge as well as practical skills connected with the diagnosis of total hip replacement and with various physiotherapeutic methods used after the implantation of an artificial hip joint. The thesis is divided into two parts. The first, general part deals with the anatomy and kinesiology of the hip joint as well as with osteoarthrosis as the most frequent cause leading to the total hip replacement, and with particular types of implants and operating approaches mostly used in practice. The most important component part of the first section is the rehabilitation plan used in patients afflicted with this diagnosis, which includes preoperative rehabilitation, early rehabilitation after the operation, as well as subsequent curative rehabilitation. The second, specialist part deals with the casuistry of a patient submitted to the implantation of an artificial hip joint, including an assessment of the effects of the chosen therapy by comparing the kinesiological analyses before and after the treatment.
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The case study of physiotherapeutic treatment of a patient with a diagnosis of total hip replacement
Švamberková, Lenka ; Říha, Michal (advisor) ; Hankovcová, Eva (referee)
Title of bachelor`s thesis: The case study of physiotherapeutic treatment of a patient with a diagnosis of total hip replacement Aims: The aim of this Bachelor thesis has been to improve theoretical knowledge and practical skills connected with the diagnosis of total hip replacement and with various physiotherapeutic methods used after the implantation of an artificial hip joint. Summary: The thesis is divided into two parts. The first, general part deals with the anatomy and kinesiology of the hip joint as well as with coxarthrosis as the most frequent cause leading to the total hip replacement, and with operating approaches and particular types of implants mostly used in practice. Important part of the first section is the rehabilitation plan used in patients afflicted with this diagnosis, which includes preoperative rehabilitation, early rehabilitation after the operation, as well as subsequent curative rehabilitation. The second, specialist part deals with the casuistry of a patient submitted to the implantation of an artificial hip joint, including an assessment of the effects of the chosen therapy by comparing the kinesiological analyses before and after the treatment. Key words: case study, hip joint, total hip replacement, physiotherapy, coxarthrosis
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The case study of a physiotherapeutical treatment of a patient with total hip arthroplasty
Řeháčková, Tereza ; Říha, Michal (advisor) ; Hankovcová, Eva (referee)
Title: The case study of a physiotherapeutical treatment of a patient with total hip arthroplasty Summary: The aim of this thesis is to elaborate theoretical and practical knowledge of the physiotherapy care of patients with this diagnosis. The thesis is divided into two parts. The first general part is focused on anatomical and kinesiological description of the hip and issue of an osteoarthritis and the joint arthroplasty. The second part is a special part, in which is processed a case of a patient with total hip arthroplasty. This case report includes an input kinesiology analysis, a target of the therapy, a short-term and a long-term plan, a course of therapeutic units, an output kinesiology analysis and an evaluation of the effect of the therapy. The case was processed during a continuous professional practice in the Military University Hospital Prague at the Department of Physical Medicine and Rehabilitation in the period from 22th of January to 3rd of February 2015. Key words: Hip joint, total hip arthroplasty, coxarthrosis, physiotherapy
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The case study of a physiotherapeutic treatment of a patient with total hip arthroplasty
Kopecká, Tereza ; Říha, Michal (advisor) ; Hankovcová, Eva (referee)
Title: The case study of a physiotherapeutic treatment of a patient with total hip arthroplasty. Aim: The aim of this thesis is to elaborate theoretical and practical knowledge of the diagnosis and their application while processing the case study of a patient after total hip replacement. Methods: The bachelor thesis is divided into a general and a special part. The general part is focused on the total hip replacement issue. I describe the anatomy and kinesiology of hip joint, coxarthrosis and arthroplasty of a hip joint, including the rehabilitation. The special part contains the case study of a patient after total hip replacement, including input and output kinesiology analysis, goal of the therapy, a short-term and a long-term therapy plan, therapy units and evaluation of therapy effect. The case study was processed during my internship in the Military University Hospital in Prague at the Department of Physical Medicine and Rehabilitation in the period from 22th of January to 2nd of February 2015. Results: We managed toreach the aim. Patient's physical condition was increased, weakend muscles were strengthened, hypertonic muscles relaxed, shortend muscles stretched, there was an improvement in walking stereotype and release of tension of soft tissue in left lower limb. Key words: hip joint,...
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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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