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Possibilities of physiotherapy methods of psoriatic arthritis
DROBNÁ, Martina
This bachelor thesis deals with the problems of psoriatic arthritis, which has chronic evolution among most cases and can lead to articular deformities in patients. This disease has an unclear pathogenesis conditioned by genetic, external and immunologic factors. It affects above all patients with type I psoriasis with emerging symptoms such as swellings with articular pains, morning stiffness and overall fatigue. PsA often shows positive antigen HLA B27, without presence of rheumatoid nodules and negative rheumatoid factor (Štolfa, 2012). PsA causes both physical handicap in patients and substantial disturbance of their social and psychical life. The thesis is divided into theoretical and practical part. The theoretical part briefly outlines the anatomy of skin as well as structure and function of joints. Onward it describes psoriasis, its forms and methods of treatment. The next chapter explains the term arthritis and presents RA as an example. It is followed by detailed description of PsA, definition of the disease, its causes and occurrence, clinical picture and some therapy possibilities. In the practical part, the method of qualitative research was used, with participation of three female patients suffering from PsA. Therapy was initiated by input kinesiologic analysis, including specific examinations such as goniometric examinations of joints, grasp examinations, muscle palpation examinations and others. Patient appointments were held regularly each week for a period of eight-week therapy. On each appointment, previously applied therapy was consulted, exercises were repeated, possibly uncertainties were clarified. Each therapy lasted about 45 minutes, during which hypertonic muscles along with trigger points were relaxed according to specific patient issues. In the last session, output kinesiologic analysis was done and patients were informed about the importance of adhering to regimen measures. The results of the research clearly show overall posture improvement in all patients. A very substantial indicator of therapy success is noticeable reduction of swellings and pain, and hand function improvement. The therapy also focused on adjustment of faulty breathing stereotype manifesting itself with upper type, thereby causing overexertion of cervical spine muscles and frequent headaches. Strong emphasis was also put on activation of the transverse arch, which was collapsed in all patients. This bachelor thesis can be used in clinical practice of physiotherapists or as an educational material for patients.
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Creation of a center for patients with rheumatoid arthritis and psoriatic arthritis
ŠTOKROVÁ, Veronika
The name of this bachelor thesis is: Establishing a centre for people suffering from rheumatoid and psoriatic arthritis. Rheumatoid arthritis is a chronic, system, inflammatory illness of joints that results in destructions and deformities of joints. It is a characteristic feature of this illness symmetrically that it affects more joints at the same time, which are, in the majority of cases, small joints. Psoriatic arthritis is an inflammatory illness of joints which is accompanied by psoriasis. Psoriatic arthritis affects mainly distal interphalangeal joints of the hands, which makes it basically different from the rheumatoid arthritis. The thesis is divided into two parts. The theoretical part dealt with rheumatoid and psoriatic arthritis, priority needs of people suffering from these troubles, and a possible centre for these patients. The empirical part of my thesis was compiled in the form of qualitative research. The technique of collecting data was a semi-structured interview, which was conducted with 8 respondents suffering from rheumatoid and psoriatic arthritis, and 5 nurses working at rheumatologic surgeries. The interviews with the particular respondents and nurses were processed into case histories. The most interesting data were processed in the form of categorising tables. The thesis aimed at the following: to find out whether people suffering from these diseases are interested in establishing a centre for clients suffering from rheumatoid and psoriatic arthritis, to underline the benefits of such a centre for people suffering from rheumatoid and psoriatic arthritis, to underline possibilities of activities held at the centre for people suffering from rheumatoid and psoriatic arthritis, and to underline possibilities of involving nurses at the centre for people suffering from rheumatoid and psoriatic arthritis. We posed the following research questions: How much are people suffering from rheumatoid and psoriatic arthritis interested in establishing the centre? What do people suffering from rheumatoid and psoriatic arthritis view the benefits of the centre in? What are the possibilities of involving nurses at the centre for people suffering from rheumatoid and psoriatic arthritis? Which activities can be realised at the centre? The results of the research examination show that people suffering from rheumatoid and psoriatic arthritis are interested in establishing a centre. They view the benefits of the centre especially in seeing and testing compensation aids, and another benefit for them would be attending expert seminars held by a physician in cooperation with a nurse or, under circumstances, with students. The nurse in the centre would deal with the education, and another possible activity could be holding seminars or cooperation with a physician in basic examinations. The activities that can be realised in the centre are exercises under professional supervision of a physiotherapist, visiting a physician, testing compensation aids or making use of professional advice by an occupational therapist. The results of my bachelor thesis can serve as a foundation for creating a centre for people suffering from rheumatoid and psoriatic arthritis.
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Treatment of Patients in a Specialized Establishment - a Centre for the Cure of Rheumatological Disorders in the South Bohemian Region
Valentová, Monika ; Střítecký, Rudolf (advisor) ; Augustinová, Sevda (referee)
Rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis belong among serious disorders, that effect joints and connective tissue. The patients suffer from pain and stiffness. Disease modifying drugs are an important part in the management of rheumatical disorders. When disease modifying drugs are failing, than biologic treatment is applied. For biologic treatment are registred etanercept (Enbrel), adalimumab (Humira), rituximab (MabThera), abatacept (Orencia) and infliximab (Remicade). In the Czech Republic was established the National registry of rheumatic disorders. There is a need of long term observations of patients, who have biologic treatment, to evaluate safety and socioeconomic data of the biologic treatment.
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