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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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Pilot Testing of Usability of the Nine Hole Peg Test in Occupational Therapy in Patients with Rheumatoid Arthritis and in Patients with Hand Osteoarthritis
Nováková, Barbora ; Rybářová, Kateřina (advisor) ; Pluhaříková-Pomajzlová, Jana (referee)
Title: Pilot Testing of Usability of the Nine Hole Peg Test in Occupational Therapy in Patients with Rheumatoid Arthritis and in Patients with Hand Osteoarthritis Abstract: Occupational therapists can objectively assess manual dexterity in patients with rheumatoid arthritis (RA) or hand osteoarthritis (OA) using Nine Hole Peg Test (NHPT). It is performed according to a manual that includes precise instructions. The subject is required to place nine pegs from the container into the pegboard as quickly as possible and return them straight away. The time required to complete the test is measured with a stopwatch. The aim of the bachelor thesis is to perform a pilot testing of usability of a new Czech translation of the NHPT manual in patients with RA or with OA. The partial goal is to obtain video documentation during the administration of the Nine Hole Peg Test and to create recommendations for using this test in practice in patients with RA or with OA. With an approval of the Ethics Committee of the Institute of Rheumatology Prague, 19 patients (8x RA, 11x OA; 14 female, 5 male) were tested using NHPT. Analysis of the data revealed that the instructions were comprehensible for the administrator and all patients. Some ambiguity was found in the part of the instructions where the patient should only listen and...
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"DASH molecues" in local and systemic pathogenetic processes of rehumatoid arthritis
Šromová, Lucie ; Šedo, Aleksi (advisor) ; Borovanský, Jan (referee) ; Prokešová, Ludmila (referee)
The biological half-life of several pro-inflammatory mediators involved in the pathogenesis of rheumatoid arthritis (RA) is controlled by molecules exhibiting dipeptidyl peptidase-IV (DPP-IV)-like enzymatic activity (Dipeptidyl peptidase-IV activity and/or structure homologues- DASH). The aim of this thesis was to identify the molecular source of the DPP-IV-like enzymatic activity in the peripheral blood and synovial fluid in patients with rheumatoid arthritis as compared to control patients with osteoarthritis (OA), and to evaluate the association of DPP-IV with the disease activity. We found that the main source of the DPP-IV-like enzyme activity in the plasma and in the synovial fluid in patients with RA is the canonical DPP-IV. DPP-IV-like enzymatic activity and canonical DPP-IV were also detected on the cell surface of blood and synovial fluid mononuclear cells. Significantly lower DPP-IV-like enzymatic activity and DPP-IV expression in the synovial fluid mononuclear cells was found in RA as opposed to OA patients. In the synovial fluid of RA patients there was also a negative correlation between the concentration of the pro-inflammatory DPP-IV substrate SDF (stromal cell-derived factor-1 and the proportion of the DPP-IV+ T cells. The blood plasma DPP-IV-like enzymatic activity and...
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Case study of Physiotherapeutic Treatment of a Patient with Total Endoprosthesis of the Knee Joint
Vávrová, Barbora ; Ragulová, Michaela (advisor) ; Kučerová, Ilona (referee)
Title: Case study of Physiotherapeutic Treatment of a Patient with Total Endoprosthesis of the Knee Joint Objectives: The main goal of my bachelor thesis is the case study of physiotherapeutic treatment of a patient with total endoprosthesis of the knee joint. Methods: The specialized section contains completely processed case study of the patient with total endoprosthesis of the knee joint. It includes anamnesis, initial and final kinesiology analysis, shortterm and longterm treatment plan and seven individual therapies. Case study was done in rehabilitation hospital Beroun from 13. 1. 2020 till 7. 2. 2020. Results: We reached the goals of improvement, especially in part of the knee joint with the total endoprosthesis. Range of motion of the operated knee is about 40ž higher in direction of flexion and extension. Strength of the weakened muscles of flexors and extensors of the operated knee is also higher than it was in the beginning. Keywords: knee joint, gonatrhrosis, endoprosthesis, physiotherapy, ostheoarthrosis, treatment
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Case Study of Physiotherapy Treatment of a Patient after Total Knee Replacement
Trombi, Osama Ali ; Maršáková, Kateřina (advisor) ; Kučerová, Ilona (referee)
Title of the Thesis: Case Study of Physiotherapy Treatment of a Patient after Total Knee Replacement. Author: Osama Ali Trombi Work Placement: Rehabilitační Nemocnice Beroun Summary I divided the bachelor's thesis, which I wrote myself, into two parts. The first is the general part, which describes the overall anatomy of the knee joint (bones, muscles, ligaments, nerves and blood supply), as well as surgical and non-surgical approaches to the treatment of the knee joint. Furthermore, information on the kinesiological and biomechanical properties of the knee joint. In the second part, the practical part, I analyzed the procedures I performed with the patient. All clinical examinations including their results, subsequent therapeutic sessions, final assessment and results of conclusions are also included in the practical part of the bachelor thesis. The final part contains a list of used literature, tables, abbreviations, patient consent and the consent of the ethics committee. Key Words: knee joint, physiotherapy treatment, Knee replacement, knee exercises, Osteoarthritis.
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Case Study of Physiotherapeutic treatment of a patient after implantation of total knee joint replacement
Tichý, Lukáš ; Maršáková, Kateřina (advisor) ; Hankovcová, Eva (referee)
Title: Case study of Physiotherapeutic treatment of a patient after implantation of total knee joint replacement Objectives: The aim of this work was to elaborate a case report of a patient with a knee joint replacement, find theoretical background for this diagnosis and apply acquired knowledge in therapy. Methods: The work consists of a theoretical and a special part. The theoretical part deals with the anatomy and kinesiology of the knee joint, osteoarthritis and its treatment, an implantation of a total knee replacement as a surgical method of osteoarthritis treatment, rehabilitation after the implantation of the total knee endoprosthesis and appropriate physiotherapeutic techniques during patient's care after the implantation. A special part is elaborated in the form of a case study of a patient after an implantation of a total knee replacement. It consists of anamnesis, an entry kinesiological examination, records of therapeutic units, an outcome kinesiological examination and an evaluation of the effect of the therapy. Results: During the therapies designed according to the acquired knowledge from the theoretical part of the thesis, the patient's health status was improved. Keywords: Knee joint, total replacement, osteoarthritis, physiotherapy, case study.
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