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The case study of the physiotherapeutic care of a patient with total endoprothesis of a knee joint
Bartoňová, Markéta ; Novotná, Irena (advisor) ; Kaizrová, Irena (referee)
Title: The case study of the physiotherapeutic care of a patient with total endoprothesis of a knee joint Aim: The purpose of this bachelor thesis is the processing of a case study of the physiotherapeutic care of a patient after total knee replacement during an internship in the ÚVN hospital. Summary: This thesis is divided into general and special part. The general part sums up anatomy, kinesiology and biomechanics of the knee joint. Apart from that, there is some information about gonarthrosis, indications and contraindications towards total endoprothesis of the knee joint. Last but not least we look at the specifications of rehabilitation regarding this diagnosis and used physiotherapeutic methods. The objective of the special part is a case study of the patient. It consists of complex kinesiologic evaluation, therapies during the patiens stay and the outcomes of the rehabilitation. Keywords: knee joint, total endoprothesis, gonarthrosis, physiotherapy, case study
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Nursing specifics in the care of clients after high correction osteotomy of high proximal tibia over time.
BAČOVÁ, Emilie
Osteotomy means cutting a bone using a saw most often. It is used to adjust axial deviation, prolongation, or shortening of the bones. Over time, when there were changes in the development of the surgical technique of corrective osteotomy, changes in nursing care also occurred. This breakthrough concerns not only nursing staff, but also clients in particular. Because of the development of the surgical technique, the hospitalization time shortens and if the client does not perform a physically demanding job, where is a heavy load on the operated lower limb, the treatment time is reduced. This leads to a faster return of clients to normal life and employment. Nursing care becomes less demanding for staff than the older surgical method. The bachelor thesis is a theoretical work, which deals in the introductory part with knee joint anatomy, knee joint examination methods, explanation of the concept of gonarthrosis and the way of treating this disease. This part is followed by history of osteotomy and an explanation of the surgical method. An important part of the thesis is the description of nursing care of clients with high correction osteotomy as time goes by, which includes preoperative preparation, postoperative care and, last but not least, rehabilitation. The aim of the work is to describe, how the nursing procedures changed with the older surgical method. The second objective is to map out nursing procedures using a modern surgical method. There are the opinions of doctors and nurses of various medical disciplines, who have experienced nursing care of clients with high corrective osteotomy, mentioned. Gained knowledge could serve as a guide to nursing care of clients after high corrective osteotomy of the proximal tibia.
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Economic evaluation of surgery compared with pharmacological treatment for patients diagnosed with gonarthrosis
Hájková, Kateřina ; Lešetický, Ondřej (advisor)
The main purpose of my diploma thesis is the application of economic evaluation principles; costs quantification and the consequences quantification of two different approaches in the gonarthrosis therapy from the perspective of Health Insurance Company and from the perspective of the patient; furthermore the evaluation of the effectiveness and utility ratio and the final determination for more convenient option. Considered alternatives are the hyaluronic acid injection and the total knee arthroplasty realization. Effects for the expenditures at cost-effectiveness analysis are measured by WOMAC Index. Effects for the expenditures at cost-utility analysis are measured by HUI2 score system. The research includes two sections: (1) the case study of two patients and (2) the clinical trials and nationwide Health Insurance Company´s data analysis. Particularly because of the brief observation time period, the pharmacotherapy is quantified as a more convenient alternative.
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Case Study of Physiotherapy Treatment of a Patient with the Diagnosis Bilateral Gonarthrosis with Varus Deformity of the Right Knee
Tzioni, Sophia ; Satrapová, Lenka (advisor) ; Samková, Lenka (referee)
Title: Case study of physiotherapy treatment of a patient with diagnosis of bilateral gonarthrosis - grade 3, with varus deformity of the right knee Thesis aim: The aim of this thesis is to initially review the anatomy, kinesiology, and biomechanics underlying the patient's condition demonstrate and then analyze and evaluate the therapeutic units that were provided. Clinical findings: This study was evaluating the state of a 72-year-old patient with the main diagnosis of bilateral gonarthrosis and additional conditions as shoulder pain and ankles stiffness. The assessment showed reduced mobility and joint play with differentiation in the condition of the muscles as well as misalignment of the knee joint. There was deformity of the right ankle joint and bilateral stiffness. The shoulder joint has been painful with decreased mobility and muscle impairments. Methods: All the used procedures were based on the literature given thought by the Charles University in Prague, Faculty of Physical Education and Sports. Result: Following 14 therapeutic sessions for all three problematic areas, the patient underwent great progress in terms of pain, range of motion and muscle imbalance in the shoulder and knee joints, and moderate progress in the ankle joints. Conclusion: The therapies that were performed were...
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Case report on physiotherapeutic care of a patient with total left knee replacement on the left side caused by the gonarthrosis
Hábová, Tereza ; Nováková, Tereza (advisor) ; Coufalová, Jitka (referee)
Title: Case report on physiotherapeutic care of a patient with total left knee replacement on the left side caused by the gonarthrosis. Summary: This thesis focuses on case report of a patient after total left knee replacement. The work contains two parts - the general part and the specialized part. The general part deals with structure, kinesiology and biomechanics of the knee joint, general definition of gonarthrosis, its cause, clinical symptoms and its treatment. It also describes the gonarthrosis, indications and the types of total knee replacement prosthesis. The most important topics of the general part contain descriptions of therapeutic methods and procedures, focused on improving patient's health in the post- operation phase. The specialized part constitutes the main part of this thesis. It is processed via case report form and describes the physiotherapeutic treatment of a specific patient, who underwent a total knee replacement surgery. In the conclusion of the specialized part of the thesis, I evaluate the effects of the theraphy. Key words: knee joint, total knee replacement, gonartrosis, rehabilitation Diagnosis: St.p. total left knee replacement caused by gonarthrosis
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Case report physiotherapy care of the patient with the diagnosis after total knee arthroplasty and ankylosis of the hip joint
Procházka, David ; Malá, Jitka (advisor) ; Biskup, Šimon (referee)
Title: Case report physiotherapy care of the patient with the diagnosis after total knee arthroplasty and ankylosis of the hip joint. Objective: The general part deals with the theoretical knowledge of the anatomy of the knee joint. Furthermore, the most common disorders of the knee. Iindikacích and contraindications total knee arthroplasty and rehabilitaci.Zahrnuje theoretical information about tuberculous koxitid and ankylosis. A special section covers the case of a patient, where it is processed history, input kinesiology analysis, course of therapeutic units, output kinesiology analysis and evaluation of the effect of therapy. Method: The general part deals with the theoretical knowledge of the anatomy of the knee joint. Furthermore, the most common disorders of the knee. Indications and contraindications for total knee arthroplasty and rehabilitation. It includes theoretical information about tuberculous koxitid and ankylosis. A special section covers the case of a patient, where it is processed history, input kinesiology analysis, course of therapeutic units, output kinesiology analysis and evaluation of the effect of therapy. Results: Increasing the range of motion and muscle force, eliminating swelling in the operated leg and the removal of joint blocks. Furthermore, removal of muscle...
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Late consequences of knee injury.
Holečková, Pavla ; Eislerová, Iva (advisor) ; Kulhavá, Miluše (referee)
This thesis deals with the issue of knee injuries and gonarthrosis. The thesis has theoretical and empirical character. The theoretical section is divided into three main chapters. The anatomy of the knee joint is described in the first chapter. Second chapter deals with knee injuries; this part is focused on the injuries to ligaments, menisci, cartilage and patella. Gonarthrosis, its etiology, symptoms, treatment and prevention, is compiled in the last chapter. The empirical section contains the results of research. The research was performed as an anonymous questionnaire study. Respondents were older than 18 years and after the knee injury. The sample consisted of 102 respondents. The aim of the empirical section was to find out what kind of injuries the clients have experienced, their attitude towards the after-treatment of the injuries, their knowledge of gonarthrosis and whether they occupy themselves with its prevention. The results were processed into charts and graphs. The research show, that the most common injury is one to the anterior cruciate ligament. A third of the respondents does not follow the treatment regimen, most frequently they fail to walk on crutches or to wear a knee brace. More than 80% of respondents know the symptoms, but only 11,76% of respondents know stages of...
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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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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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A case study of the Physiotherapy treatment of gonarthrosis (arthrosis of the knee joint)
Tempelhaug, Eirik ; Satrapová, Lenka (advisor) ; Jarošová, Hana (referee)
Title: A case study of the Physiotherapy treatment of gonarthrosis (arthrosis of the knee joint). Thesis aim: The following case study was conducted on a 70-year old woman in February 2012 with the diagnosis of gonarthrosis (arthrosis of the knee joint) at Revmatolicky Ustav. The aim of the thesis was to report the case study of gonarthrosis (arthrosis of the knee joint) and review knowledge about anatomy, neurology, kinesiology and pathology underlying the patients condition, and in addition an attempt to review the development of this diagnosis. The second part includes the patients anamnesis, kinesiological examinations and the therapy itself in details. Clinical findings: The patient recently was operated for the gonarthrotis with a total endoprosthesis, and pain, decreased range of motion and lack of muscle strength that usually follows after this was treated, and the treatment showed great progress in terms of development of the above mentioned. Results: After the 7 treatment sessions the patient underwent great progress in terms of pain, range of motion and muscle imbalance. Methods: Along with therapeutic procedures taught from the Faculty of Physical Education and Sports, the procedures included: soft tissue techniques by Lewit, post isometric relaxation by Lewit and various strength...
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