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Case Study of Physiotherapeutic Treatment of a Patient after the Surgical Intervention for Closed Proximal Humerus Fracture
Danylova, Kateryna ; Stupková, Michaela (advisor) ; Kučerová, Ilona (referee)
v eatin Autor: Kateryna Danylova Vedoucí práce: Mgr. Michaela Stupková Instituce: Fakulta tlesné výchovy a sportu, UK Název práce: Kazuistika Fyzioterapeutické Pé e o Pacienta po Chirurgickém Zákroku pro Proximální Zlomeninu Humeru Cíl: Fyzioterapeutický pYístup u pacienta po traumatické zlomenin proximálního humeru s následným chirurgickým zákrokem (metoda ORIF). Praktickým cílem této práce je získat anamnézu, zajistit kineziologické vyaetYení a lé bu pacienta po chronické zlomenin proximálního humeru. Teoretickým cílem této práce je prozkoumat ka dý aspekt diagnózy mého pacienta 3 anatomii, kineziologii, výskyt, klinický obraz, mo nosti lé by dle lékaYských knih, lánko a vdeckých asopiso zalo ených na dokazech. Metody: První sezení zahrnovalo získání anamnézy a vstupní kineziologické vyaetYení pacienta pomocí technik eských i zahrani ních lékaYo a fyzioterapeuto. Specifická vyaetYení zahrnovala vyaetYení rozsahu pohybu dle Americké lékaYské asociace, test délky svalo podle Jandy a test svalové síly podle Kendall, základní pohybový vzorec dle Jandy, vyaetYení kloubní vole a mkkých tkání dle Lewita, základní neurologické vyaetYení dle KoláYe a dalaí nespecifická psychoterapeutická vyaetYení. Probhlo celkem osm terapeutických sezení, ka dé v délce jedné hodiny, pou ívající metody a pYístupy...
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Nursing care for alcohol-intoxicated patients in the traumatology unit
VRCHLAVSKÁ, Aneta
The thesis addresses the issue of nursing care for patients intoxicated with alcohol in the trauma centre, while being divided into two parts, meaning theoretical and practical. The theoretical part focused on defining the field of traumatology, injuries, ethyl alcohol, and the connection between injuries and alcohol. It also provided a description of patient care in traumatology, the specifics of nursing care for alcohol-intoxicated patients, and communication with intoxicated patients, including communication with aggressive patients. The aim of the research part of the thesis was to describe the specifics of nursing care for alcohol-intoxicated patients and to evaluate the communication between the patient and the nurse. Qualitative research was chosen for the research part. Data collection took place through written and verbal methods in the form of semi-structured interviews in early April. Data analysis was conducted using the pen-and-paper method. Subsequently, the data were organized into a system of open coding, comprising three categories and twelve subcategories. The research sample consisted of ten general nurses working in the trauma centre, six in the standard ward, and four nurses in the intensive care unit. The results indicated that except for one nurse, the surveyed nurses regularly encounter patients intoxicated with alcohol in their workplaces. According to the statements of the informants, the most common types of traumas associated with alcohol intoxication include falls, traffic accidents, suicides, assaults, visits to catering establishments or work in construction. Furthermore, the interviews revealed that the surveyed nurses perceive differences in nursing care and communication with patients who have trauma unrelated to intoxication and vice versa. They find the approach to intoxicated patients more demanding in this regard. In the interviews, the nurses mentioned the frequent practice of dealing with aggressive, uncooperative patients. Some nurses admitted that their personal attitudes towards intoxicated patients often influence their approach to these patients. It also emerged from the interviews that the surveyed nurses are not offered any further education in this area. The obtained results provided insights into the specifics of the issue, indicating potential communication shortcomings with patients for correction. The thesis will serve as a resource for creating simulation training scenarios (Appendix 1) to educate general nurses working in the trauma centre.
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Biomechanical study of the upper extremity plates
Linhart, Lukáš ; Marcián, Petr (referee) ; Florian, Zdeněk (advisor)
This work deals with the possibilities and principles of fixation of fractures of the upper limb. It is divided into five chapters. The introductory chapter discusses the biomechanics and its inclusion in contemporary science. The next chapter describes a brief history of healing and fixation of fractures of the upper limb. The third chapter is devoted to the anatomy of the upper limb, knowledge of which is the effective fixation of fractures of the upper extremity necessary. Another chapter is devoted to the classification and description of the type of osteosynthesis internal fixation of the upper limb. Furthermore, this chapter discusses the principles and mechanisms of LCP fixation. The last fifth point is detailed study of specific humeral locking plate. To create a computational model was used SolidWorks software and ANSYS Workbench.
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Rating scales in traumatology
PROKOPOVÁ, Martina
This diploma thesis is split into two parts - a theoretical and an empirical one. Most of the content of the theoretical part is created by description of individual scales and tests, used for different areas. There are briefly mentioned phenomena of traumatology, the history of trauma centers in the Czech Republic and the nursing care. In this part there is also information regarding nursing documentation which the evaluation scales are part of. The first unit of research part of the diploma thesis was realized in the form of quantitative survey on the basis of semi-structured interviews with nurses working at trauma department. The results of this survey were examined in details with help of categorization and coding. The most important answers of the people surveyed were shown in diagrams, which were created according to the defined categories. For the second unit was chosen quantitative research, performed in the form of non-standardized questionnaire with the total of 110 people surveyed. The results of the questionnaire survey were statistically processed. Regarding the questionnaire survey, five research questions and two hypothesis were identified. The aim of this paper was to research the use of evaluation scales for patients in traumatology and at the same time to map the point of view of nurses on the issue of evaluation scales and their use in nursing. According to the statistical results it is true that the opinion of nurses, regarding the scales, is affected by the length of their praxis and the level of education. The results of the research concluded that evaluation techniques are positively accepted by the nurses. With their help, it is possible to evaluate a patient´s skills, needs and problems with nursing care, in a simple way. According to the survey, nurses did not see some of the scales as objective because in case of some items, there might occur projection of personal perception into the process of evaluation. The reason is the lack of information which nurses are missing when using the scales. The nurses are aware of benefits of using these scales but they do mind the time spent for filling it. The struggle with time is a commonand constant problem the nurses have. It is given by the disproportionate number of tasks caused by the lack of staff. That is the reason why no greater interest can be expected. In traumatology, according to the result, the greater application of scales will be found with VAS and CGS scales.
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Case study of physiotherapy treatment of a patient with distortion of ankle joint
Hulinský, Filip ; Maršáková, Kateřina (advisor) ; Nováková, Tereza (referee)
Author: Filip Hulinský Title of the thesis: Case study of physiotherapy treatment of patient with distortion of ankle joint Supervisor: Mgr. Kateřina Maršáková Objectives: The goal of this Bachelor's thesis is to gather and present theoretical knowledge about ankle joint and distortion of this joint. This theoretical information's with addition of practical examination are collaborated to create patients specific case study. Summary: In this bachelor thesis I give attention towards the ankle joint. It is separated into two distinct parts which are theoretical and practical part. First is the theoretical part in which I introduce and present the anatomical, biomechanical, kinesiological, and overall functional structures and aspects of the ankle joint. Further more I dive into reasoning of different types of distortions, its reasoning behind why they occur, and possibilities of treatment. The second part is the practical where you may read about my experience in Centrum léčby pohybového aparátu (CLPA) where I worked with a patient that has suffered the ankle joint distortion. Practical part includes: methodical work, initial kinesiological examinations, treatment plan, day to day therapy where I explain step by step the methods of treatment that I have used and why, and final kinesiological...
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Physiotherapy after osteosynthesis of the trimalleolar fracture
Medal, Jakub ; Dudová, Agnieszka (advisor) ; Hankovcová, Eva (referee)
Title of bachelor's thesis: Physiotherapy after osteosynthesis of the trimalleolar fracture. Aims: Concept, execution and evaluation of physiotherapeutic treatment of a patient affected by trimalleolar fracture of the ankle joint. Methods: The thesis is divided into two parts - theoretical and special. Theoretical part deals with basic principles of functional anatomy, kinesiology, biomechanics and traumatology of the ankle joint. It also includes information about possibilities of treatment - orthopedical (traumatological) and physiotherapeutic. Special part is focused on a case study of a patient with trimalleolar fracture. Results: Clinical state of the patient after execution of the therapy has improved. The range of movement in disabled ankle joint as well as muscle power of both legs have been increased. Swelling and nociception of the left ankle joint have been reduced. Key words: physiotherapy, traumatology, case study, ankle joint, trimalleolar fracture, osteosynthesis
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Case report of physiotherapy care of patient with dislocation of elbow
Bechyňák, Václav ; Nováková, Tereza (advisor) ; Vaňous, František (referee)
Title of bachelor's thesis: Case report of physiotherapy care of patient with dislocation of elbow Thesis aim: Aim of this bachelor's thesis is summary of theoretical knowledge and study of rehabilitation in context with traumatology, especially dislocation, of elbow joint. Then use this knowledge in practice with patient with status post dislocation of elbow joint. Method: Theoretical part of bachelor's thesis includes anatomic, kinesiological and biomechanical findings of elbow joint in relationship with other structures. In other section are described issues of traumatology of elbow joint, with focus on elbow dislocations. There is detailed description of examination a therapy, mainly meant by rehabilitation care with using physical therapy and physiotherapeutic methods. In special part of thesis I processed detailed case report of 55 years old female patient with status post posterior dislocation of right elbow joint after removal of plaster fixation, which immobilized joint for one month. This case report was made during my professional practice in C.L.P.A. in Prague, Vysočany, and in term 9. 1. - 3. 2. 2012 under the supervision of physiotherapist Mgr. František Vaňous. In thesis is processed complete input and output kinesiology analysis, description of process of each therapy unit and...
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Case report of physiotherapeutic care of a patient with diagnosis status after intra-articular fracture of the proximal tibia
Vodičková, Kamila ; Michalec, Radim (advisor) ; Jiráň, Jan (referee)
Title: Case report of physiotherapeutic care of a patient with diagnosis status after intra- articular fracture of the proximal tibia Aim: The aim of this bachelor's thesis is processing of the case study of a patient with diagnosis condition after intra-articular fracture of the proximal tibia, a summary of theoretical knowledge, designing therapy and monitoring its progress. Method: This thesis was created as a research with case study during continuous professional practice held from 7.1.2013 to 1.2.2013 at Rehabilitation clinic Malvazinky in Prague. The thesis is divided into two parts - general and special. The first (general) part deals with the theoretical knowledge of kinesiology of the knee joint, includes information on fractures (their classification, possible solutions, healing and complications) and the possibilities of physiotherapy procedures in the postoperative period. The second (special) part describes case study of a patient after intra-articular fracture of the proximal tibia, the process of suggested therapy and evaluation of its effect. Keywords: knee joint, tibia, osteosynthesis, physiotherapy, traumatology, rehabilitation
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Case report of physiotherapeutic care of a patient with diagnosis status after bikondylar fracture of the proximal tibia
Rissová, Kristýna ; Nováková, Tereza (advisor) ; Voráčová, Helena (referee)
Title: Case report of physiotherapeutic care of a patient with diagnosis status after bikondylar fracture of the proximal tibia Objectives: The aim of this work is processing of the case study of a patient with diagnosis condition after bikondylar fracture of the proximal tibia, a summary of theoretical konwledge, designing therapy and monitoring its process. Methods: This work was created as a research with case study during continuous professional practice held from 21. 1. 2013 to 15. 2. 2013 in Vršovická zdravotní, a. s. The work is divided into two parts - general a special. The first (general) part deals with theoretical knowledge of anatomy, kinesiology of the knee joint, includes information on fractures (their classification, possible solutions, healing and complications and the possibilities of physiotherapy procedures. The second part (special) describes case study of a patient after bikondylar fracture of the proximal tibia, the process of suggested therapy and evaluation of its effect. Keywords: knee joint, tibia, osteosynthesis, physiotherapy, traumatology, rehabilitation
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Physiotherapy case study of a patient with ankle fracture
Olarová, Jevgenia ; Kučerová, Ilona (advisor) ; Křížková, Štěpánka (referee)
Title: Physiotherapy case study of a patient with ankle fracture Objectives: The aim of this thesis was to obtain and process the theoretical knowledge about anatomy and kinesiology of the ankle, phylogenesis and ontogenesis of the foot and about the mechanisms of a traumatic injury. Then there are also diagnostic and therapeutic methods mentioned. The aim of the practical part was a case study of the patient with such diagnosis together with the design of the therapy and its practical application. Methods: This thesis consists of 2 parts, a theoretical one and a practical one. The theoretical part delas with facts connected to the diagnosis of an ankle joint trauma, specificaly anatomy, kinesiology, biomechanice of the joint during walking, traumatology and treatment options. The practical part is devoted to the case study of physiotherapeutic care of a patient with such diagnosis. It contains an initional kinesiological analysis, short-term and long-term therapy schedule, therapy itself and the output kinesiological analysis together with an evaluation of the efect of therapy. The practical part was elaborated during the clinical practise at the Regional Hospital Kladno in a term of 8th January - 2nd February 2018. Results: After completing the set of therapies, the condition of the patient was...
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