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Case Study of Physiotherapeutic Treatment of a Patient with the Diagnosis TEP the hip joint
Hoppeová, Andrea ; Kočí, Gabriela (advisor) ; Nováková, Tereza (referee)
Author: Mgr. Andrea Hoppeová Supervisor: Mgr. Gabriela Kočí Title: Case study of physiotherapeutic treatment of a patient with the diagnosis TEP of the hip joint. Objectives: The aim of this bachelor thesis is elaboration of a case study of a patient after implantation total hip joint. Methods: The case study was elaborated at the impatient care. Part of the therapy the medical history was established and the elaboration of input and output kinesiological analysis. Afterward the objectives were made. During 9 therapeutic units in which was used excercises to prevent TEN. Next were used soft tissue techniques, joint play mobilization also techniques with soft balls, relaxing techniques, analitic strengthening, taking care of scar and practice of locomotion and mobility. Results: During the treatment pain was lowered, the swelling was reduced, the range of motion was increased same as muscle strenght, recovery of joint play and partial release of soft tissues. Reeducation of breathing stereotype and movement stereotype to abduction and extencion in hip joint prove to be unsuccessfull. Conclusion: In short terapeutic plan which consisted of intervention of nine therapies the patient made positive changes and most of the objectives were completed. Keywords: Case report, total hip replacement,...
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Case study of physiotherapeutic care for a patient with diagnosis of total hip replacement
Šterbák, Daniel ; Homonická Pyšková, Barbora (advisor) ; Nováková, Tereza (referee)
v Abstract Author: Daniel Šterbák Supervisor: Mgr. Barbora Homonická Pyšková Title: Case study of physiotherapeutic care for a patient with diagnosis of total hip replacement Objective: The aim of this bachelor thesis is to summarize the issues of coxarthrosis, hip arthroplasty, specifically total hip replacements, and the care for patients with this diagnosis in the theoretical part. In the practical part, to process a case study of physiotherapeutic care for a patient after total hip replacement. Methods: In the first general part of the thesis, information about the hip joint, coxarthrosis, hip arthroplasties, and preoperative and postoperative care options are summarized based on literature sources and relevant research articles. The following specific part consists of a case study, which includes an initial kinesiological analysis, therapeutic plans with rehabilitation goals, records of therapeutic units, an output kinesiological analysis, and an evaluation of the performed therapy. Results: The set goals were mostly achieved, as evidenced by the differences between the initial and output kinesiological analyses. It was possible to eliminate, completely or largely, most of the undesirable reflex changes in soft tissues, increase the range of motion and muscle strength of the muscles of right lower...
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The case study of physiotherapeutic treatment of a patient after total hip arthroplasty
Sgall, David ; Reckziegelová, Petra (advisor) ; El Ali, Zaher (referee)
Author: David Sgall Supervisor: Mgr. Petra Reckziegelová Title: The case study of physiotherapeutic treatment of a patient after total hip arthroplasty Objectives: The aim of this bachelor thesis is to conduct a case study of a patient after total hip arthroplasty, an evaluation of the effect of therapy by comparing entry and exit examination and theoretical treatment of this diagnosis. Methods: This thesis is divided into a theoretical and a special part. The theoretical part discusses the topics of coxarthrosis, total hip arthroplasty and subsequent rehabilitation. The special part includes the entry examination of the patient, goals and proposal of a therapy, short- term and long-term therapeutic plans, description of individual therapeutic units, exit examination, and evaluation of the therapy. Results: Comparison of the entry and exit examinations shows a noticeable positive impact of the therapy on the patient's health condition. The goals of the short-term therapeutic plan were mostly achieved. The most significant improvements occurred in increasing muscle strength, expanding the range of motion in the left lower extremity, and reducing pain in the hip joint and lumbar spine region. Conclusion: The objectives of this bachelor's thesis have been fulfilled. In the theoretical part, the issues...
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Case Study of Physiotherapeutic Treatment of a Patient with Diagnosis of total hip replacement
Svatošová, Eliška ; Kočí, Gabriela (advisor) ; Baxová, Dana (referee)
Author: Eliška Svatošová Head of the thesis: Mgr. Gabriela Kočí Title: Case study of physiotherapeutic treatment of a patient with diagnosis of total hip replacement Objectives: The aim of this work is to process theoretical knowledge regarding osteoarthritis of the hip joint, total hip arthroplasty (THA), postoperative rehabilitation, and documenting the course of care for patient diagnosed with coxarthrosis. Methods: The thesis includes a case study of physiotherapeutic care for a patient after total hip arthroplasty, which was conducted during continuous practice at the Malvazinky Rehabilitation Clinic (RKM) from January 15, 2024, to February 9, 2024. In total, 8 therapeutic sessions were conducted with the patient, including initial and final kinesiological assessments and subsequent therapy. The general part of this thesis contains theoretical knowledge related to coxarthrosis, its prevention, diagnosis, and physiotherapy Results: Throughout the therapies, there was an improvement in the patient's physical condition. The muscle strength of the left hip joint in abduction and extension increased, and there was an increase in the range of motion in the hip joint in abduction, flexion, and extension by an average of 5ř. The condition of soft tissues improved, and we also succeeded in improving...
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Quality of postural stabilization in patients indicated for total hip replacement compared to the population without advanced coxarthrosis
Vojtová, Anna ; Kobesová, Alena (advisor) ; Oplatková, Lenka (referee)
The aim of the study was to determine whether the quality of postural stabilization is impaired in patients referred for total hip replacement (THR) due to advanced coxarthrosis compared to the control group of age matching healthy subjects. Postural stabilization was assessed using four tests according to the Dynamic Neuromuscular Stabilization by a trained DNS therapist. Twenty-six patients referred for THR were included in the study. The control group consisted of 25 subjects without subjective and clinical signs of coxarthrosis. In the experimental group with advanced coxarthrosis, the quality of postural stabilization assessed by DNS functional tests (Respiratory stereotype test, Intra-abdominal pressure regulation test, Diaphragm test and Hip flexion test) was impaired compared to the control group (p<.001 for all tests). In the experimental group, the side of advanced hip arthrosis presented with significantly worse quality of postural stabilization comparing to the non-painful side (p = .012) and comparing to the control group, in which symmetrical quality of postural stabilization was confirmed (p= .379). Furthermore, a strong correlation was identified between the hip range of motion and postural stabilization (r = .467 - .695). A strong negative correlation was found between the hip...
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Abdominal wall activity in patients indicated for total hip replacement compared to the population without advanced coxarthrosis
Opichalová, Klára ; Kobesová, Alena (advisor) ; Oplatková, Lenka (referee)
Introduction: The aim of this study was to explore the relationship between postural stabilization insufficiency and severe coxarthrosis indicated for total joint replacement. Postural stabilization insufficiency was assessed by abdominal wall activity. Methods: 51 participants were recruited. 26 patients with hip arthrosis (13 males and 13 females) were included in the experimental group (mean age 70.5 years, SD 9.1) and 25 participants (10 males and 15 females) in the healthy control group (mean age 70.5 years, SD 7.7). The Ohmbelt device can be used to assess the intra-abdominal pressure indirectly via abdominal wall expansion measurement. The pressure sensor within the Ohmbelt device was attached to the abdominal wall at the area above the inguinal ligament (anterior sensor) and contralateraly at the trigonum lumbale (posterior sensor) by an adjustable belt. The pressure exerted by the abdominal wall wS monitored by the sensors. All subjects were measured twice (once with the anterior sensor, the second time with the posterior sensor) in 3 postural situations - resting breathing in the upright sitting position, the diaphragm test, and holding a 2kg dumbbell in front of the body in the upright sitting position. Results: No statistically significant differences (p>0.05) were found between groups...
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Case Study of Physiotherapy Treatment of a Patient with Diagnosis of Coxartrosis after Hip Endoprosthesis
Tamburini, Giorgio Saverio ; Žáková, Lenka (advisor) ; Vláčilová, Ivana (referee)
Title: Case Study of Physiotherapy Treatment of a Patient with Diagnosis of Coxartrosis after Hip Endoprosthesis Thesis aim: Theoretical description of the hip joint, coxarthrosis diagnosis, endoprosthesis, and practical description of therapy for the acute phase following hip endoprosthesis. Clinical findings: The patient is 62 years old due to coxarthrosis, she underwent endoprosthesis surgery on her right lower extremity, she has a reduction in ROM at the level of the hip in flexion, extension and abduction, she is unable to fully extend her right knee. Swallen anterior and posterior lateral aspect of the tight, muscle weakness in the right lower limb. Summary: The thesis is divided into two parts. The initial section is theoretical, with a brief summary of hip joint anatomy, biomechanics, and kinesiology, as well as coxarthrosis as a disease and its prevention, hip endoprosthesis surgery clinical views and approaches, and hip endoprosthesis rehabilitation protocol. The second component is a description of the patient case study, which includes a comprehensive initial kinesiological examination, treatments used, a final kinesiological assessment, and the result of the therapies utilized. Keywords: Coxarthrosis, Osteoarthritis, Endoprosthesis, Physiotherapy, Rehabilitation.
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Patients' Experience with Pain after Total Hip Replacement Surgery
HAVLÍN, František
Fear of postoperative pain is one of the most important concern of patients undergoing total hip arthroplasty and it is therefore important to address this issue in medical, and nursing care. In this research we focus on how patients experience pain after total hip arthroplasty. The diploma thesis is divided into two consecutive parts, namely the theoretical, and empirical part. The theoretical part describes the current state of total hip replacement, coxarthrosis, and postoperative pain management. From this part it is clear that the treatment of postoperative pain is dominated by pharmacological methods. In the empirical part, hypotheses were established which dealt with the measurement of the intensity of postoperative pain after total hip replacement surgery the use of pharmacological and non-pharmacological methods of pain treatment and the timeliness of postoperative pain relief. In the practical part of the work a quantitative survey was used. A query sheet was created which was then distributed to patients in the orthopedic patient department. The query sheets were filled out in the first, third, and fifth postoperative day and participation in it was voluntary. From a non-standardized query sheet the data were analyzed by statistics and the results are shown graphically in the thesis. The research survey shows that female and male respondents rate postoperative pain in the same way. The gradual reduction of postoperative pain is also the same for both sexes of the respondents. At the initial meeting with postoperative pain the medical staff instructed patients about the possibilities of pain treatment as the use of pharmacological and non-pharmacological pain treatment. In the query sheet the 87 (81 %) respondents choose the combination of both therapies on the first postoperative day. The 101 (94 %) respondents stated that they used 3 or more methods of non-pharmacological pain treatment on the fifth day. Research has shown that patients experienced less pain after surgery every day and the treatment of the postoperative pain was successful in terms of the rate of analgesic administration by a nurse according to the doctor's instruction. The use of non-pharmacological interventions in the treatment of pain also increased every day.
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Case study of physiotherapeutic treatment of a patient after implantation of total hip replacement
Košatková, Zuzana ; Chroustová, Kristina (advisor) ; Kacrová, Monika (referee)
Title: Case study of physiotherapeutic treatment of a patient after implantation of total hip replacement Aims: The aim of this thesis is to provide a case study of physiotherapeutic treatment of a patient after implantation of a total hip replacement which had been preceded by hip dysplasia. Methods: Examination techniques and methods, which are taught at the bachelor's degree level at FTVS UK were used within this case study observed at the Malvazinky Rehabilitation Clinic in Prague. As part of the patient's treatment the medical history was established and an initinal kinesiological analysis was performed, based on which the aims of the following therapy were determined. The therapy consisted of sort tissue techniques, joint play mobilization, individual kinesiotherapy and locomotion training. Emphasis was also placed on autotherapy. At the end of the treatment, a final kinesiological analysis was performed after which the effect of the therapy was evaluated. Results: During the treatment the swelling of the lower left leg and of the surroundings of the surgical wound dissipated. The pain of the operated joint and the left thigh alleviated. The range of motion of the left hip and knee increased. There was an increase in muscle strength of the weakened muscles and the joint play was restored....
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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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