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Importance of physiotherapy for patients after surgery for colon cancer
Tomší, Adéla ; Zadražilová, Gabriela (advisor) ; Smolíková, Libuše (referee)
Physiotherapy is an important component of modern perioperative care strategies that aim to promote postoperative recovery via early enforced mobilisation. Current recommendations for perioperative rehabilitation are provided by ERAS (Enhanced Recovery After Surgery) programmes, highlighting importance of preoperative patient education and training, structured mobilisation plan and maximal support of patient's motivation. To survey patient's experience of provided physiotherapy we created a questionnaire for 3rd Department of Surgery, 1st Faculty of Medicine, Charles University in Prague and Motol University Hospital inpatients undergoing elective abdominal surgery for colorectal cancer. Results suggest regular provision of professional physiotherapy in early postoperative care, but also common preoperative absence of patient physiotherapy education and possible insufficiency in patient's understanding of the rehabilitation process. Regarding the small number of respondents the results the problem needs further investigation.
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Alterations kinematics of thorax after thoracic surgeries
Sidorenková, Olga ; Babková, Lenka (advisor) ; Tomší, Adéla (referee)
This theses discusses thoracic surgeries and their effect on thoracic kinematics since those patients aren't usually indicated for outpatients physiotherapy. Theses observes the changes of thoracic kinematice in time withnout the interference of outpatient physiotherapy. Patients were acquainted during their hospitalization and they received a flyer. The theoretical part focuses on thoracic surgeries, options of respiratory physiotherapy and effects of thoracic surgeries on patients. The practical part observers the effect of thoracic surgery on chest expansion, development of pain (using Visual pain scale and Questionnaire of pain interference with daily activities) and effect of the surgery on quality of life using WHOQOL BREF questionnaire.
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The Influence of Specific Genes on Joint Hypermobility
Krýda, Tomáš ; Žatečka, Ladislav (advisor) ; Tomší, Adéla (referee)
This thesis is concerned with the influence of specific genes on the occurence of joint hypermobility. The main goal is to verify, whether the hypermobility test results differ among persons tested for the polymorphism of COL5A1, ACTN3, COL1A1 and GDF-5 gene with the respet to a particular genotype. The theoretical part of the thesis presented the specifics of sports genetics, general overview of the most important findings about hypermobilty, the manners in which it can be examined, its clinical features and also a detailed analysis of the role of the above stated genes, their association with health and performance attributes and their relation to hypermobility and range of motion. In the practical part, an examination of 15 probands (9 males and 6 females) at the age of 28,7 ± 5,6 years was conducted applying four scoring systems for measuring hypermobility. All probands were genetically tested by the PCR method. The statistical analysis was carried out by one-factor ANOVA. The statistical significance p < 0,05 wasn't reached with respect to any of the analysed genes. For SNP rs 12722 of COL5A1 gene, the average medians of the total hypermobilty score with respect to a particular genotype were 10,82 (CC), 7,30 (CT) and 10,99 (TT). For SNP rs 1815739 of ACTN3 the average medians of the total...
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Importance of physiotherapy for patients after surgery for colon cancer
Tomší, Adéla ; Zadražilová, Gabriela (advisor) ; Smolíková, Libuše (referee)
Physiotherapy is an important component of modern perioperative care strategies that aim to promote postoperative recovery via early enforced mobilisation. Current recommendations for perioperative rehabilitation are provided by ERAS (Enhanced Recovery After Surgery) programmes, highlighting importance of preoperative patient education and training, structured mobilisation plan and maximal support of patient's motivation. To survey patient's experience of provided physiotherapy we created a questionnaire for 3rd Department of Surgery, 1st Faculty of Medicine, Charles University in Prague and Motol University Hospital inpatients undergoing elective abdominal surgery for colorectal cancer. Results suggest regular provision of professional physiotherapy in early postoperative care, but also common preoperative absence of patient physiotherapy education and possible insufficiency in patient's understanding of the rehabilitation process. Regarding the small number of respondents the results the problem needs further investigation.
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