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The physiotherapy relative to the conservative treatment of lumbosacral radiculopathy
Strádalová, Aneta ; Sládková, Petra (advisor) ; Táborská, Silvie (referee)
Bachelor Thesis Abstract Author's first name and surname: Aneta Strádalová Bachelor supervizor: MUDr. Petra Sládková, Ph.D. Oponent: Title of thesis: The psyhiotherapy relative to the conservative treatment of lumbosacral radiculopathy Abstract: The bachelor thesis is dealing with conservative approach to the patients with lumbosacral syndrom. The thesis is divided into theoretical and practical part. In the first part of the bachelor thesis the author explains the problematics of anatomy and spin physiology, while focusing mainly on the nerve structures, skeleton and muscle system in lumbar area and lower limbs. In the thesis, there is also mentioned the kinesiology of given segments and pathophysiology with the focus on lumbosacral syndroms. Next section of the theoretical part presents detailed elaboration of conservative approaches in the therapy of radiculopaties in lumbosacral area. The aim of the bachelor thesis is to process case studies of two patients who are anamnestically congruent. The author is trying to evaluate, based on given results, which method, either McKenzie therapy or mobilization therapy according to Professor Lewit, led to succesful elimination of painful symptoms, irritation, and especially to modify the postural system into the norm. Key words: lumbosacral radiculopathy,...
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Tendinopathy of Achilles tendon
Bilinkiewiczová, Eva ; Dejmková, Eva (advisor) ; Doubková, Lucie (referee)
Tendinopathy of Achilles tendon is a degenerative disease which affects mid-portion or insertional part of the tendon. The bachelor's thesis deals with the overal issue of this disease, theories of etiology, clinical manifestation, kinds of examination, diferencial diagnosis and types of therapy and focuses on conservative therapy. The thesis is supplemented with a case report of patient, who followed rules of recommended therapy on the basis on used studies, with final evaluation of patient's state of health. Powered by TCPDF (www.tcpdf.org)
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Effect of conservative therapy to deformity hallux valgus
Levá, Helena ; Ježková, Martina (advisor) ; Kříž, Jiří (referee)
This thesis focuses on the evaluation of a conservative approach to the hallux valgus deformity. 21 people took part in the empirical study in which the changes were tracked. I worked with a group of women who exercised regularly and a control group. The regularly exercising group participated in a 3-month therapeutic program led by a physiotherapist. Each of the participants was properly examined at the beginning of the program and after three months, when the program finished. Each examination consisted of a kinesiologic analysis, a plantography footprint, a foot X-ray, a pain evaluation (the numeric scale was used) and filling out a scoring scale questionnaire of American Orthopaedic Foot and Ankle Society (AOFAS). The changes of pain of the MTP or IP toe joint, the development of foot arch, changes of the toe valgus angle according to the X-rays and the overall score achieved in the AOFAS questionnaire were statistically evaluated. The ability to isolate toe abduction, right posture of the foot, stability of the axial joints and other changes were followed as well. After comparing the results the conclusion of the study is that the three-months physiotherapist-led program weaken the pain of MTP/IP toe joint, rise the score achieved in the AOFAS questionnaire, improve the foot posture and the overall...
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Quality of life of woman with urinary stress incontinence
Zapletalová, Barbora ; Harbichová, Ivana (advisor) ; Prajerová, Květa (referee)
Title: Quality of life of women with urinary stress incontinence Objectives: The aim of this thesis was to assess quality of life of women after conservative therapy and chirurgic therapy of urinary stress incontinence in Brno-město and Brno- venkov district. Methods: We did a questionnaire survey on quality of life by using a standardized questionnaire I-QoL (Urinary Incontinence Quality-of-life questionnaire). The questionnaire survey was conducted in patients after conservative or surgical therapy by TVT or TOT tape. Subjectively perceived quality of life of these patients after completion of the therapy was observed. The results were compared between the groups undergoing conservative and surgical therapy by TVT or TOT tape. Results: After the output assessment of quality of life of patients after the treatment, we found that there is a difference in the quality of life of patients treated conservatively and surgically by TVT or TOT tape. Patients treated surgically had higher quality of life than patients treated conservatively by 9%. We also found that there is a difference in the physical, mental and social scores of the groups. The respondents who were treated conservatively had lower score in all evaluated areas with the greatest difference in the physical area and the smallest difference...
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Case report of therapeutic care patient with lateral humeral epicondylitis
Kieslingová, Anna ; Křížková, Štěpánka (advisor) ; Reckziegelová, Petra (referee)
1 Summary Title: Case report of therapeutic care patient with lateral humeral epicondylitis Object of paper: The primary aim of this work is to demonstrate both theoretical and practical information to the subject of lateral humeral epincondylitis on the grounds of a case report of a patient with this diagnosis, which was established during a hospital university-internship. Abstract: The general part of this work includes theoretical information about lateral humeral epicondylitis, or generally known as enthesopathies, their diagnostic and possibilities of treatment. Where as the specific part of this bachelor dissertation shows a case report of a patient with lateral humeral epicondylitis. The materials and foundation of this bachelor dissertation were gathered during an university-internship at regional hospital Kladno. Key words: Tenis-elbow, overuse, conservative therapy, prevention
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Aspects of the tretment of idiopathic scoliosis
Mundilová, Věra ; Černý, Pavel (advisor) ; Půlpán, Rudolf (referee)
Title: Aspects of the tretment of idiopathic scoliosis. Objectives: The aim of this bachelor thesis is complete the form to submit basic information about the ways and possibilities of treatment of idiopathic scoliosis with a focus on conservative treatment with orthoses fuselage. To capture the issue of disease, not only in terms of diagnosis, but also bring aspects of adoption and then handicap orthotic aids patient. Methods: For creation of thesis was used qualitative research method of data collection and analysis of secondary data from scientific articles, magazines and publications. This information was subsequently reviewed and consulted with an expert in the field of orthotics. Results: Indications night hypercorection orthoses for patients in many ways more acceptable and complies with the prescribed mode applications than the 23-hours braces. Keywords: scoliosis, idiopathic, orthotics, body brace, corset, conservative therapy, surgery, spine, vertebrae
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Case study of patient with diagnosis of lumbar and other intervertebral discs disease with radiculopathy
Hrdlička, Vít ; Malá, Jitka (advisor) ; Hlavičková, Růžena (referee)
Bachelor thesis title: Case study of patient with diagnosis of lumbar and other intervertebral discs disease with radiculopathy. Objectives: Objective of this thesis is to describe physioterapeutic procedures used to treat the patient diagnosed with lumbar and other intervertebral discs disease with radiculopathy. General section of this thesis is focused on background theory reserach. The disease definition, etiology, clinical picture, diagnostics and conservative therapy used to treat said condition are all covered in this section. Spondylolisthesis classification and various imaging methods are further discussed. Special section of this thesis covers the casuistry of the patient with said diagnosis. Twelve various therapies are descibed in this section. All of them were conducted in Central Military Hospital Prague, Ward unit of Department of Physical Medicine and Rehabilitation. The whole therapy effect evaluation is covered in the thesis conclusion section. Methods: Methods developed by Janda, Véle, Lewit, Pavlů and Kolář were used during the examination and therapy. Results: Loosening of the postoperative scar as well as of the right m. triceps surae soleus was achieved. Breathing stereotype was adjusted, abdominal muscles activated and the ribs positioning during inspiration was lowered....
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Physiotherapy for patients with thoracic spine injury (without spinal cord injury) in the early period after injury
KREJČÍŘOVÁ, Hana
This bachelor thesis deals with traumatic spinal cord injury (no lesion of the spinal cord) with a focus on the thoracic area. Fractures of the thoracic vertebrae occurs most frequently in traffic and bicycle accidents or falls from a height. Great influence also has osteoporosis (especially in postmenopausal women). Doctor´s assessment is followed by conservative or operative treatment and rehabilitation. The theoretical part consists of the sum of knowledge concerning this issue. There are explained the basic anatomical structures, the stability of the spine, definitions and divisions of injuries and fractures, fracture diagnosis and types of treatment. Also the effects of fracture healing are discussed. Subsequently it is focused on physiotherapy methods, which can be used in the treatment of fractures of the thoracic vertebrae. Effective physiotherapy is in place and might include practicing good posture, physiological respiration, restoration of movement stereotypes, briefing care scar, autorelaxation or motorization of the thoracic area. For the practical part of the thesis has been used qualitative research method. Physiotherapy in three patients with fractures of the thoracic vertebrae is described there. The first meeting included the history-taking in the form of a structured interview followed by entrance kinesiologic examination. It consisted of static testing of all respondents with aspection front, back and side, breathing wave dynamic tests and walk test. In addition, a measurement of distances on the spine was made. Another examination was testing of postural stabilization and postural reactibility for which they were selected three tests - diaphragmatic test, trunk flexion and extension test by Prof. Pavel Kolář. The therapy lasted eight weeks and individually at each patient's home. The aim was to map the possibilities of physiotherapy techniques used in patients with spinal thoracic spine (without damage to the spinal cord). Furthermore, the design and implementation of short-term treatment plan for individual patients and comparing their status at the beginning and at the end of research in relation to their degree of affinity to the active physical exercise. The therapy was finished with output kinesiological analysis. The probands were also subjected to an unstructured interview, in which each told their subjective evaluation of the progress of the research. This bachelor thesis could serve as study material for students and health professionals and to raise awareness of the general public about the impact of physiotherapy for pain relief and increasing range of motion in patients with fractures of the thoracic vertebrae. Equally essential purpose is to raise awareness of patients about their treatment options.
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Physiotherapy in patients with Femoral neck fractures
PRINCOVÁ, Pavlína
This bachelor thesis focuses on physiotherapy for patients with fracture of the femur bone in the neck of the femur. The femur is the strongest and longest bone in the human body, securing the stability of the latter. A femoral neck fracture is a fracture in the narrowest place of the bone, where the long femur bone goes over to the head of femur, connecting the femur bone with the acetabulum. Considering the influence of high energetic effects on the bone, the most often during sports or accidents, fractures might occur with younger individuals. However, the fractures are more frequent with older individuals: especially women are more prone to these, in context with influence of postmenopausal osteoporosis. In the Czech Republic, according to statistics, approximately 10.000 individuals per year suffer from this injury, with a clear predominance of women. For 20% of all Czech women aged 60-65 years, there is a strong probability of falling at least once a year. With women aged 80-84 years, this probability increases to one third (Trča, Kudrna, Hořejší, 2008). The theoretical part of this work describes the anatomy of the femur and the pelvic bone building up a hip joint. Further on, biomechanics of the hip joint, including etiology, classification and diagnosis of the femur together with the possibility of operative or conservative medical treatment, are considered. The practical part is based on qualitative research, using observation and interviews. Out of observation methods, the following were chosen: aspection, palpation, goniometrical and anthropometrical examination, examination of walking, muscle shortening and muscle strength that are observed at the beginning, during and at the end of the therapy. Patients of Traumatologic Department of the Hospital of Ceske Budejovice a.s. were chosen for this research.Two groups of patients are being observed: The first group consists of a man treated in conservative way and a woman with 1.5 year old femur fracture, originally treated by osteosythesis, indicated for total endoprosthesis out of a reason of a necrosis. These both patients were being observed for 6 weeks. The second group - a woman treated by osteosynthesis ? proximal femoral nail and a man with total endoprosthesis - were being observed for 8 days of therapy treatment in an early stage after the surgical intervention. Prior to starting the therapy, all patients were informed about the methods and targets of the therapy.The aim of the work is to map physiotherapeutic methods used for treatment of patients after femoral neck fracture, including a short term and a long term plan. The short term plan is especially focused on retreat of swelling and pain, restoring the muscular strength and movement and on training of walking with two crutches. The long term plan goal is approaching the same quality of life preceding the injury, especially by securing a better stability as prevention of falling down.All studied patients show a relatively quick improvement of the swelling and of the pain, especially these patients treated operatively. Verticalization of the patient is another important element, which is allowed by the classical treatment not earlier than after six weeks being confined to bed. Compared with this method, the operative method is more advantageous, allowing an earlier descend of the bed, helping avoiding such complications as thromboembolic disease, pneumonia or forming decubitus.The main objective of this bachelor thesis is not to evaluate a better and more efficient treatment method for the corresponding case - the sample of patients being not representative enough for such a purpose, but to remind and sum up the different used methods and means of physiotherapy.
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Compensatory therapy in patients with hallux valgus
DUŠKOVÁ, Šárka
This bachelor thesis is focused on the most common issue of foot acquired deformities, hallux valgus. This condition is characterized by the valgus positioning of the hallux with metatarsophalangeal joint rotation, varus and prominence of the first metatarsal head. The etiology of hallux valgus is multifactorial although risk factors for the developt of valgoid position of halluxes are divided in hereditary factors, direct and indirect effects. Deformity is often associated with longitudinal and transverse flatfoot. Deformity causes considerable difficulties to the patients, particularly in the form of post-exercise pain, calluses and blisters. Developing deformities may likewise create hammer fingers on the other toes. Last but not least, deformity and its complication significantly limit the selection of appropriate footwear. The main objective of this bachelor thesis is to summarize the available information concerning risk factors in the development of hallux valgus, the contemporary approaches in physiotherapy for the treatment of this deformity as well as the aplication of complex therapies and its effectiveness evaluation. In modern kinesiology, hallux valgus is not regarded as a foot problem only as it is rather a complex movement disorder. Therapy was applied symptomatologically on all body, using a movement compensation reaction system. An appropriate therapy compilation for this issue is also included. In the theoretical part, the basic terminology regarding hallux valgus is explained, breaching the subjects of foot kinesiology, phylogenetic and ontogenetic development. It also describes diseases and deformites caused by intermetatarsal angle calcification. The largest part of this section is devoted to risk factors in the development of hallux valgus and its conservative therapy. Conservative therapy was based on the thorough obtention of anamnestic data and kinesiological analysis; the selection and application of physiotherapy procedures was determined by the present symptomatology. Therapy was carried out individually according to the current status, age and overall condition of the patients when seeking to correct muscle imbalance, posture, stereotype walking practice, education and regime measures. A quantitative research method was approached, performed by studying 3 patients? case reports with hallux valgus and who had not yet underwent surgery. Every case report contains anamnestic data, kinesiology analysis, description of therapy and long term draft planning for physiotherapy. The patients come from the Private Practice Olga Poláková in Jihlava. At the start of the study, the patients were acquainted with the process and aims of the therapy. Therapy results are evaluated in discussion and conclusion sections. All patients showed improvement in foot pain and overall foot kinesiology improvement. Experimental results demonstrate that the therapy was chosen accurately thereby accomplishing the aim of the present study. This bachelor thesis can be useful in raising awareness regarding the conservative treatment of hallux valgus and in the clinical practice of physiotherapy.
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