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Case study of the Physiotherapeutic Treatment of a Patient Diagnosed with Nervus Peroneus Paresis
Šímová, Lenka ; Reckziegelová, Petra (advisor) ; Štěpánková, Šárka (referee)
Title: Case study of the Physiotherapeutic Treatment of a Patient Diagnosed with Nervus Peroneus Paresis Aims: Acquisiting theoretical and practical knowledge of peripehral paresis, especially the peripheral paresis of nervus petroneus, followed-up by elaborating a casuistry of a patient diagnosed with a selected diagnosis created over the duration of practical training. Methodology: The general part of this bachelor thesis contains theoretical findings about anatomy of the peripheral nervous system, peripheral paresis clinical image, treatment and follow-up therapy. The special part contains a description of selected physioterapeutic methods in practice. Results: Reduction of a degree of shortening of selected muscles, elimination of reflexive mutations of soft tissues, renewal of joint play and strength enhancement of selected weakened muscles. Conclusion: Physiotheraphy is an integral part of peripheral paresis treatment. Key words: physiotherapy, neurology, paresis, peroneus, rehabilitation
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Determination of selenium and manganese in cerebrospinal fluid by atomic absorption spectrometry
Jiráková, Lucie ; Kotaška, Karel (advisor) ; Klapková, Eva (referee)
The aim of this study was to confirm the use of electrothermal atomic absorption spectrometry for the determination of selenium and manganese in the cerebrospinal fluid and to investigate concentrations of selenium and manganese in selected group of patients. For selenium was determined the detection limit 2,9 μg/l, for manganese 0,26 μg/l. 73 patients were examined (31 women, 42 men) whose average age was 14,1 years. The patients were divided into two groups according to age (56 children, 17 adults) and into two subgroups according to diagnoses (oncological, neurological). The control group consists of 18 subjects (5 women, 13 men, average age 21,7 years) with non-oncological and non-neurological diagnoses. We found significantly increased selenium concentrations in cerebrospinal fluid in the control group, compared with the group with neurological diagnoses (median = 14,4 μg/l vs. 12,4 μg/l, p < 0.05). Elevated levels of manganese in cerebrospinal fluid was observed in a group of children with oncological diseases compared with control group (1,2 μg/l vs. 0,5 μg/l, p < 0.05). Determination of selenium and manganese in the cerebrospinal fluid may have diagnostic importance in selected groups of patients. Powered by TCPDF (www.tcpdf.org)
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Case of study of physiotherapy care of the patient after surgery of intervertebral disc in the lumbar spine
Císař, Tomáš ; Novotná, Irena (advisor) ; Reckziegelová, Petra (referee)
Title: Case of study of physiotherapy care of the patient after surgery of intervertebral disc in the lumbar spine Objective: Summarisation of theoretical findings and case report of the patient after surgery of intervertebral disc at L5-S1 segment. Summary: The thesis consists of two parts. The general part includes anatomical and biomechanical description of the spine with an emphasis on the lumbosacral area. Then there is brought closer pathophysiology of prolapse of intervertebral disc and the ways of its evaluation. A special section is dedicated to the case study and rehabilitation plan for the patient. Therapy aims to reduce pain, improve muscle strength and increased mobility of the patient. Case of study was elaborated during practice from 05. 01. to 30. 01. 2015 in ambulatory part of rehabilitation department in the Oblastní nemocnice Kladno a.s. Keywords: intervertebral disc, casy of study, neurology, prolapse, spinal surgery
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Case study of physiotherapy treatment of a patient with the diagnosis multiple sclerosis.
Valková, Barbora ; Novotná, Irena (advisor) ; Křížková, Štěpánka (referee)
Title: Case study of physiotherapy treatment of a patient with the diagnosis multiple sclerosis. Goals of assignment: Goal of common part of assignment was through study specialized literature regarding multiple sclerosis and it is etiology, prevalence of disease, diagnostic, types of treatment methods and procedures of physiotherapy. In special part was goal processing patient's casuistry his illness, application theoretical skills methods of physiotherapy and follow - up effect executed therapy. Methodology of assignment: Bachelor assignment is concentrated on physiotherapeutic treatment of patient with multiple sclerosis. In common part is described briefly anatomy and kinesiology which is pertinent to illness. In characterization of illness I deal with the probably etiology prevalence, individual types of illness, clinical image and factors which can affect illness. I devote my attention to diagnostic, prognosis and treatment. The treatment is divides into pharmacological, alternative and physiotherapeutic ones. The special part is written in the form of casuistry of patient with diagnosis multiple sclerosis. After the incoming kineziological assessment, long - term and short - term, therapeutic plan, process of single therapeutic units which include goal of the therapeutic unit, suggestion of...
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Partnership of persons after a spinal cord injury and traumatic brain injury
Kokořová, Adéla ; Svěcená, Kateřina (advisor) ; Čábelková, Alžběta (referee)
This bachelor thesis aims to provide an insight into the current situation regarding the people suffering from brain damage or spinal cord injury and the impact of such disability on their partner life. The main focus of the study is to highlight the patient's problems connected with partner life, summary of the occupational therapy intervention possibilities for patients and the evaluation of tool portfolio designed to provide a positive utility in partner life. In addition, the theoretical part discusses the insight of both patients and experts on the basic problems in partner life based on the various stage and form of disability as well as the description of therapeutic tools created to help with these disabilities. The research part is devoted to the interviews with patients who suffer from spinal cord injury or brain damage and address their difficulties from the perspective of occupational therapists. Key words: neurology, paraplegia, hemiparesis, relationship, sex, compensation aids
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Medical Aids and Equipment for Children with Cerebral Palsy
Čapková, Tereza ; Čichoň, Rostislav (advisor) ; Půlpán, Rudolf (referee)
Title of the thesis: Medical Aids and Equipment for Children with Cerebral Palsy. The thesis' aims: The main goal of the thesis is to convey a well-structured description of the use, benefits and types of currently available medical aids employed in the treatment of children with cerebral palsy. Another cardinal aim is to complexly abridge the issue of how the condition originates, manifests itself, develops, and explore the alternatives for its treatment. Method used: Besides technical bibliography, in-depth surveys that included first- person interviews and personal encounters with a number of professionals as well as patients have been used. Results and conclusions: Various medical aids play a crucial role in the affected child's life, lessen his dependence, improve his motor skills, raise his life standard and help him in his quotidian activities and communication. Key-words: orthotics, adjuvatics, calceotics, cerebral palsy in children, spasticity, neurology.
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Case study of physiotherapy treatment of a patient with Guillain Barre Syndrome
Císař, Tomáš ; Kučerová, Ilona (advisor) ; Novotná, Irena (referee)
Title: Case study of physiotherapy care for patients with Guillain-Barre syndrome. Objective: Summary of theoretical knowledge and the processing of study reports of patients diagnosed with Guillain-Barré syndrome. Abstract: The thesis consists of two parts. The general section includes anatomical and neurophysiological aspects of GBS characterized by its brief history, treatment, diagnosis, and precipitating factors. A special section is devoted to a case study and rehabilitation plan for the patient. Therapy was directed primarily to improve quality of life. The case study was prepared at the time of practice from 17. 2. to 29. 2. 2011 at the neurology department at the district hospital in Kladno a.s. Keywords: Guillain-Barré, syndrome, kazuistics, neurology, peripreral polyradikuloneuritis.
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Rehabilitation Treatment of Patient with Stroke
BŘEZOVSKÁ, Lucie
This bachelor thesis is on the topic of rehabilitative nursing of stroke patients. It is analysing how the issue is dealt with in the rehabilitation department and Department of Neurology. The bachelor thesis is divided into two separate chapters, theoretical and practical. The theoretical part focuses on the causes, symptoms, diagnosis and Treatment of patients after a stroke and the current state of rehabilitative care. One of the parts of rehabilitative care is the collaboration of the nurse and the multidisciplinary team. Furthermore, the thesis describes the possible complications that may occur from the stroke. These complications include mainly pressure sores and immobilization syndrome. Rehabilitative treatment of patients with strokes include positioning, communication, passive movements, active movements, verticalization, breathing exercises. Other methods used in rehabilition nursing, application of heat and cold and basal stimulation. The thesis also includes chapters dealing with nursing management, medical documentation and evaluating the scale of a patient after a stroke. For the practical part there was a set goal, determine the working conditions for nurses who provide the patients rehabilitative treatment after a stroke. There were four main hypotheses defined, which were the subject of an anonymus questionnaire: Hypothesis - H1: There are only positioning aids available for nurses to provide rehabilitative treatment. Hypothesis - H2: Nurses are documenting the rehabilitative treatment regularly used in the nursing process. Hypothesis - H3: Nurses state that the problem of providing rehabilitative care is the lack of time. Hypothesis-H4: Results of rehabilitative nursing care are monitored by the nursing management. As additional research investigation case reports have been formulated with the Barthel index in four patients. Results of the research shows that nurses are using not only positioning aids, but other available tools as well. Rehabilitative care nurses regularly document treatments, especially in nursing documentation. Nurses stated that there is lack of time for providing rehabilitative nursing and nurses state that the treatment is monitored by nursing management.
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Role of the Nurse in the Electromyography examination
PELEŠKOVÁ, Adéla
The electromyography (EMG) is a technique capable of recording the electrical activity produced by skeletal muscles and examining whether nerves are sufficiently supplied. The electromyography is carried out in some neurological ambulances or EMG laboratories. Together with a practitioner, it is a nurse who has an unsubstitutable role. The epithet ``assisting{\crqq} belongs inseparably to the nurse´s profession. Her behaviour, acting and attitude can affect {--} positively as well as negatively - lots of the people with whom the nurse gets in touch.
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The "integrated" rehabilitation in extrapyramidal diseases
KREMZOVÁ, Adéla
In my bachelor thesis I focus on the issues of the "integrated" rehabilitation in extrapyramidal disease. Due to large spectrum of extrapyramidal diseases and syndromes I mostly focused in my work on the clients afflicted with the Parkinson{\crq}s disease. In the theoretical part I first define the notion of extrapyramidal diseases, further I am describing the issues connected with the Parkinson{\crq}s disease from the health and social point of view. The last chapter of the theoretical part is devoted to the "integrated rehabilitation{\crq}q and the sequence of its individual components. I also mentioned the International Classification of Functioning, Disability and Health. In the practical part I focused on ascertaining of the scope, means and the resulting effect of the "integrated" rehabilitation from the perspective of the clients afflicted with Parkinson{\crq}s disease. Therefore, it was suitable to use qualitative research. I used the method of questioning and the technique of semi-standardized interview. Further to that the secondary data analysis as well as case studies {--} casuistry were used. The clients for this research were chosen among the patients with the Parkinson{\crq}s disease, who are registered with the Center of extrapyramidal disorders of the General Teaching Hospital in Prague. The aim of my work was to answer the following questions: 1. Whether the clients ever underwent some of the components of the ``integrated{\crq}q rehabilitation described in the theoretical part of this thesis. 2. How were they satisfied with the performance of the rehabilitation. 3. Whether they missed some of the said rehabilitation components. The client{\crq}s answers to the above questions are stated in the explanation. The case studies show that the patients underwent mostly the treatment component of rehabilitation. In the majority of cases, they were satisfied with the way it was performed. Some of them, however, experienced lack of information on the social assistance within the framework of social rehabilitation. The work could help to those people, who are interested in the issues in question, especially in order to get an overview of the sequence of individual components of the "integrated" rehabilitation in the Parkinson{\crq}s disease. It could be further instrumental to the patients and their families and last but not least for study purposes of workers in helping professions.
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