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Specifics of physiotherapy in patients with bronchial asthma
KONEČNÁ, Tereza
The bachelor thesis deals with the possibilities of physiotherapy in patients with asthma bronchiale. The aim of the theoretical part of the thesis is to describe the problem of bronchial asthma and to describe the possibilities of physiotherapy for patients suffering from asthma. The theoretical part of the thesis includes a comprehensive description of the disease, specifically definition, prevalence, etiopathogenesis, clinical symptoms, diagnosis, classification of the disease and treatment options. The anatomy of the respiratory system, respiratory muscles, a description of physiological breathing and its pathology in asthmatics is also included. A relatively large part of the theoretical part consists of physiotherapy options. Asthma bronchiale is a chronic inflammatory disease of the respiratory tract manifested by symptoms of bronchial obstruction such as dyspnoea, cough, wheezing phenomena when breathing and chest pressure. The disease can be accompanied by asthma attacks of varying frequency and severity, which can be life-threatening. The cause of these difficulties is the presence of chronic inflammation in the bronchi together with their hyperreactivity. The prevalence of asthma continues to rise worldwide, along with the increasing prevalence of allergic diseases, which may be influenced by the worsening air quality. Asthma bronchiale is an incurable disease that affects people of all ages. With timely diagnosis and the use of pharmacological treatment, the symptoms of the disease can be eliminated and thus the disease can be controlled. Diseases of the respiratory system also have a negative effect on the musculoskeletal system, so physiotherapy has its place in the comprehensive treatment of asthma. Physiotherapy treatment focuses mainly on restoring the correct breathing pattern, correcting body posture, eliminating muscle imbalances and improving physical fitness. The aim of the practical part of the thesis is to propose physiotherapy procedures suitable for patients with bronchial asthma and to evaluate their effect. The form of qualitative research has been chosen for the practical part. The research includes 3 case studies of adult patients with asthma. Input and output kinesiology examinations have been performed, based on which comparison the results have been described
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The possibilities of using pulmonary telerehabilitation for post-Covid 19 patients
Stuchlíková, Anna ; Havlová, Martina (advisor) ; Nováková, Petra (referee)
BACHELOR THESIS ABSTRACT Name and surname: Anna Stuchlíková Thesis supervisor: Mgr. Martina Havlová Thesis consultant: MUDr. et Bc. Petra Sládková, Ph.D. Title: The possibilities of using pulmonary telerehabilitation for post-Covid 19 patients Abstract: This bachelor thesis deals with the issues related to Covid-19 and physiotherapeutic possibilities of influencing its effects. It focuces mainly on respiratory physiotherapy through telerehabilitation. The thesis is divided into two parts: theoretical and practical part. The theoretical part of the bachelor thesis gives a description of Covid-19 within its overall context, including pulmonary rehabilitation, the importance of early physiotherapy intervention and rehabilitation options in specific stages of the disease. In adition, the bachelor thesis describes a telerehabilitation and discusses its importance and connection with Covid-19. The practical part of the thesis presents an information brochure for post Covid-19 patients as well as case studies of three post Covid-19 patients. The information brochure contains the Covid-19 basics, complemented by the recommended procedures, treatment options and preventive measures. Using textual descriptions as well as simple images, the brochure also explains the respiratory physiotherapy techniques and movement...
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A case study of physiotherapeutic treatment of a patient after acute respiratory failure due to pneumonia combined with pulmonary oedema
Zdobinská, Nela ; Dvořáčková, Dominika (advisor) ; Sárazová, Daniela (referee)
Title: A case study of physiotherapeutic treatment of a patient after acute respiratory failure due to pneumonia combined with pulmonary oedema. Objectives: The aim of this bachelor thesis is to introduce the problematics of respiratory diseases including anatomical context, the possibilities of treatment and rehabilitation based on EBM. The practical part concerns case report of the patient diagnosed with acute respiratory failure due to pneumonia combined with pulmonary oedema. Methods: The bachelor thesis is divided into two parts - theoretical and practical. The theoretical part consists of anatomy, physiology, and pathophysiology of the respiratory system, introduction to the problem of acute respiratory failure, pneumonia and pulmonary oedema, as well as the most commonly used physiotherapeutic methods used to treat patients with this condition. The practical part is a case study of a patient after acute respiratory failure due to pneumonia combined with pulmonary oedema. The elaboration of the case study was made during continuous professional practice in Institute for Clinical and Experimental Medicine in Prague, in the period from 10 January 2022 to 4 February 2022 under the expert guidance of Mgr. Daniela Sárazová and Bc. Robert Charvát. The bachelor thesis includes kinesiological...
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Case study of physiotherapeutic treatment of a patient after proctocolectomy with temporary ileostomy.
Kulhavá, Klára ; Sohrová, Jana (advisor) ; Nováková, Tereza (referee)
Author: Klára Kulhavá Title: Case study of physiotherapeutic treatment of a patient after proctocolectomy with temporary ileostomy. Objectives: The aim of this bachelor thesis is a detailed elaboration of a case study of physiotherapeutic treatment of a patient after proctocolectomy with temporary ileostomy and summary of theoretical knowledge related to this diagnosis, its causes, consequences and rehabilitation treatment options. This thesis was created within a continuous professional practice at the Institute of Clinical and Experimental of Medicine in Prague at the KARIP Resuscitation Department in the period 14/01/2022 - 04/02/2022. Methods: The main division of this work is a theoretical part and a special part. The theoretical part will contain brief anatomical and physiological information on the small and large intestine. Next, I will briefly mention the types of intestinal polyposes and focus in detail on familial adenomatous polyposis. In the special part, there will be processed a case study of a physiotherapeutic treatment of the patient after proctocolectomy with temporary ileostomy together with records of individual therapies. The case study was prepared on the basis of a continuous professional practice at the Institute of Clinical and Experimental Medicine on 14/01/2022 -...
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Case study of physiotherapeutic care of a patient diagnosed with pneumonia
Anzari, Mikoláš ; Chroustová, Kristina (advisor) ; Nováková, Tereza (referee)
Title: Case study of physiotherapeutic care of a patient diagnosed with pneumonia Aims: The aim of this thesis is to briefly summarize the basic theoretical knowledge of pneumonia from professional sources and to apply selected physiotherapeutic methods used in the diagnosis of pneumonia and to assess their effectiveness. Summary: In the first part of the theoretical part, the basic theoretical knowledge of pneumonia is briefly summarized and ARDS is also marginally described. The second part outlines how physiotherapists can contribute in the treatment of these conditions and what evidence-based medicine has to say about physiotherapeutic approaches in the ICU and in pneumonia. The special part of this bachelor thesis is based on a continuous professional practice at the Department of Anaesthesiology, Resuscitation and Intensive Care at the Institute of Clinical and Experimental Medicine in Prague between 10 January 2022 and 4 February 2022 and is presented in the form of a case report of a patient with a diagnosis of pneumonia. Keywords: pneumonia, ARDS, pulmonary rehabilitation, respiratory physiotherapy
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Dynamics of thorax in patients with COPD, its influence through POWERbreathe
Chmelařová, Anna ; Smolíková, Libuše (advisor) ; Babková, Lenka (referee)
This diploma thesis deals with chronic obstructive pulmonary disease (COPD) and its influence on the musculoskeletal system, lung transplantation and pulmonary rehabilitation. It discusses the role of POWERbreathe, a breathing training device, which is primarily used to strengthen the inspiratory muscles. The practical part was performed as a randomized control pilot study to assess the effect of POWERbreathe on the strength of the inspiratory muscles, the thorax dynamics and selected pulmonary function. The aim of the study is to determine the benefits of using the POWERbreathe for COPD patients during the pre-transplant period. In total, 18 patients with COPD IV. grade participated in the study (6 women and 12 men) with an average age of 59.8 ± 5.53 years. Probands were divided into two groups, only one of which used a POWERbreathe. Pulmonary functions (FEV1, VCin, FVC, PIF), muscle strength (SIndex), and chest dynamics (chest disturbances in the mezosternal and xiphosternal region with maximum inspiration and exhalation and respiratory amplitudes in these areas) were evaluated. The results did not show a significant inter-group difference in the strength of the inspiratory muscles. Within pulmonary function, this difference was evident in the FEV1 parameter and the chest dynamics increased...
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The significance of physiotherapy after the surgeries of tumoral processes through the thoracic way
Hrbáčková, Karolína ; Zadražilová, Gabriela (advisor) ; Smolíková, Libuše (referee)
Tumoral diseases of the lungs are one of the most frequent causes of hospitalization and necessary surgical interventions in the chest area. The most common is bronchogenic carcinoma, which is mentioned as the most common malignancy among men in incidence and mortality. In women it occupies the third place. Worldwide, it results in 20% of all deaths from oncological causes. The main theoretical part of this bachelor's thesis is focused on the possibilities of physiotherapy with patients after chest surgery emphasizing respiratory physiotherapy. Part of the practical section of this bachelor's thesis reviews questionnaires distributed to the patients with the aim of analyzing patient participation, the quality of and satisfaction with their preoperative and early postoperative rehabilitation and interest in outpatient rehabilitation. A case report of a patient who underwent chest surgery due to a lung cancer is added.
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Respiratory physiotherapy affects the quality of life of children with spinal muscular atrophy - How, when and why?
Havlištová, Michaela ; Smolíková, Libuše (advisor) ; Zounková, Irena (referee)
Bibliographic identification HAVLIŠTOVÁ, Michaela. Respiratory physiotherapy affects the quality of life of children with SMA - how, when and why? Prague: Charles University, 2nd Faculty of Medicine, Department of rehabilitation and sport medicine, 2012. 81 p. Supervisor Doc. PaedDr. Libuše Smolíková, Ph. D. Annotation This thesis deals with the influence respiratory function in children with spinal muscular atrophy (SMA). The theoretical part provides an overview of respiratory physiotherapy techniques that can be used in the care of the airways in people with SMA. The practical part deals with the question whether it is possible using the selected techniques of respiratory physiotherapy after six weeks of training to affect ventilatory parameters in children with SMA. The group of six probands with SMA I. - III. type in the range of the age from 3.5 to 12 years participated in this study. To objectively assess changes was performed spirometry efore the beginning of the therapy and after its conclusion. The main therapy was daily training with inspiratory breath simulator CliniFlo. After the finishing of therapy there was a positive change in all measured parameters except for vital capacity (VC) and maximal expiratory flow at 75% of FVC (MEF75), where the values didn't change. Statistically significant...
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Importance of physiotherapy for patients after surgery for colon cancer
Tomší, Adéla ; Zadražilová, Gabriela (advisor) ; Smolíková, Libuše (referee)
Physiotherapy is an important component of modern perioperative care strategies that aim to promote postoperative recovery via early enforced mobilisation. Current recommendations for perioperative rehabilitation are provided by ERAS (Enhanced Recovery After Surgery) programmes, highlighting importance of preoperative patient education and training, structured mobilisation plan and maximal support of patient's motivation. To survey patient's experience of provided physiotherapy we created a questionnaire for 3rd Department of Surgery, 1st Faculty of Medicine, Charles University in Prague and Motol University Hospital inpatients undergoing elective abdominal surgery for colorectal cancer. Results suggest regular provision of professional physiotherapy in early postoperative care, but also common preoperative absence of patient physiotherapy education and possible insufficiency in patient's understanding of the rehabilitation process. Regarding the small number of respondents the results the problem needs further investigation.
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Physiotherapy in patients with bronchial asthma
Pichová, Jiřina ; Hamarová, Zuzana (advisor) ; Němeček, Ondřej (referee)
Author: Jiřina Pichová Institution: Department of rehabilitation medicine of teaching hospital in Hradec Králové Topic of the thesis: Physiotherapy in patients with bronchial asthma Supervisor: Mgr. Zuzana Hamarová Number of pages: 69 Year of defences: 2014 Keywords: bronchial asthma, respiratory physiotherapy, risk factors Topic of this bachelor thesis is Physiotherapy of patients with bronchial asthma and it is divided into theoretical and practical part. The theoretical part deals with dangerous factors, classification, diagnosis and differential diagnosis, prevention, pharmacotherapy and other ways of the asthma treatment. Above all, this thesis is focused on physiotherapy metods how to manage this disease. The practical part contains one case report of patient with bronchial asthma. The own method of treatment and management based on the physical examination was suggested and applied.
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