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Early rehabilitation after total hip replacement - the difference in patients operated from anterior and anterolateral approach.
Piruchtová, Karolína ; Teyssler, Petr (advisor) ; Ježková, Martina (referee)
Total hip replacement is one of the most common surgeries in orthopedics. Complete hip replacement can be addressed with several different types of surgical approaches. In this work we deal mainly with the anterior and anterolateral approach. The theoretical part of this work summarizes the basic knowledge about the anatomy, kinesiology of the hip joint and the prearthrotic causes leading to complete hip replacement. Furthermore, the types of surgical approaches, types of total endoprostheses are mentioned and the knowledge about soft tissue healing and early postoperative rehabilitation is summarized. The aim of this work is to determine whether rehabilitation will be faster in the first days after surgery in patients operated by the anterior approach, depending on the gentle approach and respect for anatomical structures, compared to the anterolateral approach. We present a group of 24 patients, 12 of whom underwent anterior approach and 12 anterolateral approach. In the practical part we evaluate and compare early postoperative rehabilitation in both approaches. The parameters we evaluate are the muscular strength of abduction, flexion and extension in the hip joint. Furthermore, the passive and active range of motion in the hip joint during abduction, flexion and extension. We also evaluate...
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Monitoring of the relationship between the asymmetry of facial skeleton and the soft tissues based on computed tomography
Skryjová, Zuzana ; Velemínská, Jana (advisor) ; Bigoni, Lucie (referee)
The human face is not perfectly symmetrical, slight asymmetries commonly occur in every individual across all populations. The aim of the work was to monitor the asymmetry on the entire surface of the soft and hard tissues of the heads of individuals with respect to age and sexual dimorphism. The follow-up goal was then to evaluate the difference in asymmetry between the tissues. The material for the work was a transverse set of CT images of the adult Czech population in the age range of 21-84 years. Individuals were divided according to gender into 50 men and 48 women and according to age into groups up to 39 years, 40-59 years and over 60 years. Geometric morphometry methods (CPD - DCA, asymmetry analysis, per vertex T-test, superprojection methods) were used for data analysis. The results were visualized using color maps and significance maps that show asymmetry and statistical significance. The variability of the file was analyzed by principal component analysis. The results of the evaluation of hard tissues showed a right protrusion on the anterior and lateral surfaces of the skull, in both men and women at all age intervals. This asymmetry was statistically very significant, in contrast to the posterior region, which was evaluated protrusion on the left side and had lower p-value. On the soft...
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Correlation of Immunohistochemistry and Molecular Biologic Methods in The Diagnosis of Tumors
Michal, Michael ; Skálová, Alena (advisor) ; Rychlý, Boris (referee) ; Zambo, Iva (referee)
This thesis is a collection of commentaries on altogether 13 first-authored and 20 co- authored publications where morphology, immunohistochemistry (IHC) and molecular genetic methods were used to provide novel clues for arriving at an accurate diagnosis of tumors, as well as to propose novel approaches and refinement of classification of certain tumors. The presented manuscripts are the result of the postgraduate studies of MUDr. Michael Michal at the Charles University in Prague, Faculty of Medicine in Pilsen in the period between 2015-2018. The author focused the main part of his research, particularly his first-authored manuscripts, on soft tissue tumors but also largely participated in research activities focusing on other body systems. Over the course of his studies, four main areas of interests within the topic of soft tissue pathology emerged. The first is oriented on soft tissue tumors of presumed (but unconfirmed) fibroblastic lineage. First two publications regard two related low-grade sarcomas called Myxoinflammatory fibroblastic sarcoma (MIFS) and Pleomorphic hyalinizing angiectatic tumor (PHAT). In the first manuscript, a high-grade variant of the former is described. The latter publication is focused on the morphological and IHC similarities between both MIFS and PHAT. The third and...
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Possibilities of the use of indentation tests while studying the mechanical properties of soft tissues of the human locomotor system in vivo, in situ
Bittner, Václav ; Šifta, Petr (advisor) ; Bunc, Václav (referee) ; Čapek, Lukáš (referee)
POSSIBILITIES OF THE USE OF INDENTATION TESTS WHILE STUDYING THE MECHANICAL PROPERTIES OF SOFT TISSUES OF THE HUMAN LOCOMOTOR SYSTEM IN VIVO, IN SITU ABSTRACT: The aim of this work was to analyze possibilities of the use of indentation tests, while studying mechanical properties of human locomotor system soft tissues in vivo, in situ. The synthesis of published findings and the results of our own surveys were used. A mathematical model of the indentation test was created as a part of theory. The geometry of the task was formulated as a solid cylinder penetrating into an infinite half-space made of viscoelastic material. The solution is based on the traditional analytical approach concerning stationary loading of flexible material. This procedure is generalized for Neo-Hooke's hyperelastic material and large deformations. The quantification of dissipative processes is based on the assumption that the stress tensor of a viscoelastic material can be decomposed into a purely elastic constituent and a purely dissipative constituent. The model enables to determine both elastic and viscous properties of the material. Experimental part of the work includes validation experiments. Based on the findings, it can be stated that myotonometry is a valid diagnostic method that allows an objective assessment of muscle tone...
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Effect of rehabilitation intervention on soft tissue of shoulder joint at handball players
Honzárková, Aneta ; Strnad, Pavel (advisor) ; Tůma, Martin (referee)
Title: Effect of rehabilitation intervention on soft tissue of shoulder joint in handball players Objectives: The aim of the thesis is to explore the benefits of 10-session conservative therapy in handball players diagnosed with throwing shoulder. The chosen therapy should eliminate the players' difficulties as much as possible and allow them to once again fully engage in the activity. Methods: Experiment-based qualitative research with randomized control study was conducted. The objective was to assess the findings of four probands - players of a major-league team - diagnosed with shoulder joint soft tissue injury caused by playing handball. Two women and two men between the ages of 19 and 30 took part in the research. The subjects were divided into two groups. The first group, a man and a woman, took part in 10 therapeutic sessions, whereas the other did not receive any kind of treatment and served as a reference group. Both initial and final kinesiologic examinations were carried out at the beginning and the end of the therapy, consisting of anamnesis, physical inspection, palpation, anthropometric and goniometric measuring, examination of muscle, muscle shortening, joint movement and movement stereotype. Measured data was analysed and evaluated. Results: After ten successive therapeutic...
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Correlation of Immunohistochemistry and Molecular Biologic Methods in The Diagnosis of Tumors
Michal, Michael ; Skálová, Alena (advisor) ; Rychlý, Boris (referee) ; Zambo, Iva (referee)
This thesis is a collection of commentaries on altogether 13 first-authored and 20 co- authored publications where morphology, immunohistochemistry (IHC) and molecular genetic methods were used to provide novel clues for arriving at an accurate diagnosis of tumors, as well as to propose novel approaches and refinement of classification of certain tumors. The presented manuscripts are the result of the postgraduate studies of MUDr. Michael Michal at the Charles University in Prague, Faculty of Medicine in Pilsen in the period between 2015-2018. The author focused the main part of his research, particularly his first-authored manuscripts, on soft tissue tumors but also largely participated in research activities focusing on other body systems. Over the course of his studies, four main areas of interests within the topic of soft tissue pathology emerged. The first is oriented on soft tissue tumors of presumed (but unconfirmed) fibroblastic lineage. First two publications regard two related low-grade sarcomas called Myxoinflammatory fibroblastic sarcoma (MIFS) and Pleomorphic hyalinizing angiectatic tumor (PHAT). In the first manuscript, a high-grade variant of the former is described. The latter publication is focused on the morphological and IHC similarities between both MIFS and PHAT. The third and...
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Blood vessel tree segmentation of the mouse liver in CT data
Smékalová, Veronika ; Odstrčilík, Jan (referee) ; Kolář, Radim (advisor)
The methodology of visualization of soft tissue is in biology and medicine a topic for many years. During this period there were approving many techniques how to achieve accurate and authentic image of the researched object or structure. X-ray computed tomography is very helpful to get this goal but is necessary to improve contrasting techniques as well as the techniques of image post-processing. This thesis deals with imaging soft tissue. Specifically, it focuses on mouse liver contrasting with the artificial resin Microfil. Thesis also describes image processing technique (thresholding and region growing) for the data of the measurement with the goal of the visualization of the sample in 3D.
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Case report of physiotherapy care of pacient with elbow contusion
Vojáčková, Anna ; Kučerová, Ilona (advisor) ; Šachová, Dana (referee)
Title: Case report of physiotherapy care of pacient with elbow contusion Objectives: The aim is to present the theoretical knowledge of the elbow joint, describe the physiotherapeutic methods and procedures dealing with traumatology of the elbow, especially focusing on soft tissues injuries.The aim i salso to apply theoretical knowledge in practice in the therapy with patient after elbow contusion. Methods: Methods used are research and analysis. The first theoretical part of the thesis summarizes the basic anatomy, kinesiology and biomechanical information of the elbow joint, based on the information resources, and describes elbow traumatology focusing on soft tissue injuries. Further, it characterizes physiotherapeutic procedures and methods used in this type of injury treatment. The special part of thesis includes a detailed case study of a patient suffering from the elbow contusion. This part presents input and output kinesiology analysis, description of each therapeutic unit and finally evaluates the effect of therapy. Case study has been made during my professional practice in CLPA in Prague (Treatment Centre for Musculoskeletal System), under the supervision of Mgr. Dana Šachová, during the period 23.1. to 17.2. 2017. Results: The theoretical knowledge of the elbow joint, it's traumatology,...
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