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Case Study of Physiotherapy Treatment of a Patient with the Unilateral Transmetatarsal Amputation
Pěničková, Anežka ; Kučerová, Ilona (advisor) ; Valentová, Zuzana (referee)
Author: Anežka Pěničková Supervisor: Ilona Kučerová, M. A. Title: Case Study of Physiotherapy Treatment of a Patient with the Unilateral Transmetatarsal Amputation Objectives: The objective of this bachelor's thesis is an overview of information about diabetes in connection to lower limb amputation. It presents an in-depth case study of a patient with this diagnosis and her physiotherapy. Methods: This bachelor's thesis consists of two parts. The first part is a theoretical introduction with an overview of the body of knowledge about diabetes mellitus, its treatment, and about the diabetic foot syndrome. Furthermore, this part is a comprehensive introduction into the problem of lower limb amputation and the care patients with this diagnosis receive. The care is viewed through the prism of physical therapy, which can be beneficial also when complications associated with amputation occur. The second part offers a case study focused on physiotherapeutic care of a patient with the unilateral transmetatarsal amputation diagnosis. It includes the initial kinesiological analysis, detailed description of the therapy units, the kinesiological analysis at the end of the therapy and the evaluation of the outcome. The case study resulted from the author's practical training at the local hospital in Kladno...
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Patient's return to normal life after limb amputation
HRDONKOVÁ, Jana
The topic of this bachelor's thesis is the matter of the complex approach to patients who have had a limb amputated, which has a major impact on an individual's living standards. The excellent functionality of the entire team treating the individual is essential in this case, including the timing of follow-up care, so that the limb amputation patient's return to normal life is as easy as possible and the patient is not required to deal with obstacles that could complicate the process when he returns to his home environment. In the introductory chapters, the theoretical part of this paper discusses the history of limb amputation and gives a historic insight into prosthetic treatment compared to the current situation in the field of prosthetics. This is followed by a description of nursing care, with special focus on care of the stump, physiotherapy and, lastly, social support of individuals following limb amputation. Three objectives were determined - 1. To establish how informed limb amputee patients are before being discharged for subsequent care at home, 2. To establish how nurses are involved in the limb amputation patient's return to his home environment, 3. To establish how family members are involved in the process of preparing a patient for normal life before the individual is discharged from the medical facility. The semi-structured interview method was used to obtain answers to research questions for the purpose of achieving these objectives. Limb amputation patients who had returned to their normal lives made up one research sample and nurses from the surgical department made up the second research sample. The research survey revealed that there is a deficiency in the field of providing information to limb amputation patients in order to make their return to their normal lives easier. Patients left hospital with incomplete information about subsequent procedures that would make their return to their normal lives easier, for instance arrangement of compensation aids for patients, information about the possibility of being contacted by social workers and also contact information for services that could help them in this difficult situation. The bachelor's thesis research survey resulted in creation of an information brochure for limb amputation patients.
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The effect of gait training with a prosthesis on stability and parameters in patients with thigh amputation
Tučková, Tereza ; Smékal, David (advisor) ; Kálal, Jan (referee)
Diploma thesis "Effect of gait school with prosthesis on stability and walking parameters of patients after transfemoral amputation deals with problems of patients after transfemoral amputation due to vascular etiology. It mentions elementary knowledge of rehabilitation after amputation of lower extremity. Furthermore, there are described main complications that amputation brings into the patient ́s life: pain associated with amputation, skin complications and psychological hardships. Emphasis is laid on gait and gait practice for patients with amputation. I further deal with deviations commonly observed on gait of these patients and with factors influencing the gait, including the influence of particular parts of the prosthesis on patients ́ gait. The practical part is dedicated to comparison of two different approaches to gait practice. The effect of these approaches is evaluated on the basis of results of two groups of patients. The results were gathered by examination on force plate, measurement of gait velocity, examination of gait cadence and evaluation of patients ́s gait videos. Furthermore, I use functional tests: LCI - 5, ABIS - R, ABC scale and PEQ. All of these examinations were performed at the beginning and in the end of patients ́ stay at the Clinic of rehabilitation in Hradec Králové. The...
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Case Study of Physiotherapy Treatment of a Patient with the Diagnosis bilateral amputation below knee
Schimmerová, Petra ; Neuwirthová, Svatava (advisor) ; Kacrová, Monika (referee)
Title of the thesis: Casuistry of physiotherapy treatment of patient with the diagnosis of bilateral amputation below knee Objectives: The main objective of this casuistry is framework and summary of theoretical and practical knowledge of bilateral limb amputation and processing of case report of patient with defined diagnosis. Methods of the thesis: Bachelor thesis consists from two parts. The general and special. The General part includes the knowledge related with amputations and prosthesis of lower limbs, therapeutic methods and rehabilitation of patients with an amputated extremity. The Special part includes casuistry of patient with diagnosis of bilateral amputation below knee. It also contains complex kinesiological evaluation, therapy and final evaluation of therapy effect. Results: Patient casuistry was process in one month period at Rehabilitation clinic Malvazinky. Applied physiotherapeutic process contributed to the improvement of overall health condition of the patient. Keywords: amputation, prosthesis, rehabilitation, physiotherapy
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Orthotic and prosthetic equipment for patients with diabetes
Humpálová, Ludmila ; Půlpán, Rudolf (advisor) ; Čichoň, Rostislav (referee)
Author: Ludmila Humpálová Title: Orthotic and prosthetic equipment for patients with diabetes Objectives: The main objective of the thesis is to synthesise the information from the available literature and to deliver a summary of the basic of orthotic and prosthetic equipment used for patients with diabetes. Another objective is a description of equipment's basic manufacturing processes , mainly used for patients with diabetes. This thesis should help to clarify the most common options for equipment of patients with diabetes. Methods: The basis of the analytical part is literature review. In the practical part I have consulted my findings with experienced prosthetic. During the continuous practice I process an inventory of equipment options to patients with diabetes. Results: The result is a summary of information retrieval in equipment of patients with diabetes. Keywords: prosthesis, orthesis, syndrome of diabetic feet, arch supporter
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The frequency and possible solutions of amputations of lower limb
Janoušek, Jakub ; Černý, Pavel (advisor) ; Půlpán, Rudolf (referee)
Title: The frequency and possible solutions of amputations of lower limb. Goals:To give an overview of causes and types of amputations. To evaluate the number of performed amputations that are based on data from. To demonstrate and evaluate possible solutions of prosthetic equipment for patients with different causes of amputations of lower limbs. Methods: The basis of a theoretical part is a literature review. The data are processed into graphs in a practical part. Case reports are created according to an expert consultation with a prosthodontist. Results: An increase of amputations of lower limb is obvious from the graphs, especialy in case of the patiens sufering from diabetes mellitus. On the other hand, the number of patients with amputations as a result of a traumatic event is decreasing. Key words:prosthetic device, prosthesis, amputations, trauma, cause of amputation Powered by TCPDF (www.tcpdf.org)
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The history of development of lower limb prostheses with focus on sport
Hájek, Matyáš ; Hruša, Jan (advisor) ; Černý, Pavel (referee)
Title: The history of development of lower limb prostheses with focus on sport Objectives: The main aim of this bachelor thesis is to summarize the information about the history of development of lower limb prosthesis, in general way and also with the focus on selected sports. Methods: This thesis is mainly a literature review. For this very topic, there was used a method of collecting data out of scientific articles and literature and other publications concentrating on this topic. Results: The result of this thesis is a literature review, which can be used as a source of information, about the development of lower limb prosthesis with the focus on sport and for a general use. This task is made especially for the ones, who are interested in the history of lower limb prostheses connected with sport. Keywords: history, prosthesis, lower limb, handicap, sport
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Didactics of downhill skiing for people with lower limb amputacion
Hruša, Filip ; Hruša, Jan (advisor) ; Strnad, Pavel (referee)
Thesis title: Didactics of downhill skiing for peouple with lower limb amputation. Main objectives: Verification of proposed methodical series for lower-limb amputation skiers. Method: The work is of theoretical-empirical character, this is an observatory- explanation case study applied to five probands, three skiers with one- sided underknee amputation, one skier with upperknee amputation and one proband with bilatelar amputation. Selection of probands was mad by intentional selection. Based on our empiricism, we will test probands before and after the training of our methodical series proposed in the bachelor thesis, enriched with special preparátory exercises. Results: Proband J.V. improved by 51 points and T.F. by 46 points. While two more experienced skiers P.S. by 37 points and A.B. 29 points. Proband A.B., who has unilateral knee amputation, is also the most experienced skier. He has improved by a total of twenty-nine points, at the highest skill level from the entire set of probands. A separate chapter in our ensemble was a skier with a two-sided amputation who had the least improvement at the lowest skill level. Such a skier is in an incomparably more difficult situation. Conclusion: In our diploma thesis, we have found that our methodological system has proven to be useful and we hope it...
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Case Study of a Patient after Partial Hip Replacement
Abdulmalik, Abdullaziz Abdulmalik Ali ; Maršáková, Kateřina (advisor) ; Lassner, Martin (referee)
"Case Study of a Patient after Partial Hip Replacement" The following Bachelor thesis case study took place in Orthopedic Surgery department of the Central Military Hospital in Prague, Czech Republic. This thesis has been divided in to two section. The first section is a generally theoretical section that describes the lower limb, anatomy, biomechanics, kinesiology and a basic general outlook on the femoral bone fractures and intervention. The second section which is the practical part of this thesis is focused on the analyses of a patient post a partial hip replacement surgery that's a consequence of a proximal femoral bone fracture. The section contains physiotherapeutic examinations that relate to the patient's condition and help clearly understand her overall clinical picture. The main goals of therapy approach was to reduce the patient's pain, restore function of the hip and the lower extremity in general to its optimal condition to enable the patient to resume activities of daily living. There was a positive outcome from the therapies applied. The pain around the hip that the patient used to feel decreased. Greater active and passive ranges of motion in the hip joint were achieved as well. The muscle tonus in the lower extremity also improved significantly. Off course the patient hasn't...
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