|
|
Case report of therapeutic care of patient after total knee replacement.
Jurková, Magdalena ; Novotná, Irena (advisor) ; Vosmíková, Simona (referee)
Title: Case report of therapeutic care of patient after total knee replacement. Objectives: The aim of this work is to demonstrate both theoretical and practical information to the subject of total knee replacement. Showing on one side the therapeutic care of patient after total knee replacement and presenting on the other side the summary of theoretical knowledge about the topic of knee joint and total joint replacements. Methods: This study is divided into two main parts. The first part is theoretical and deals with the subject of knee joint seen from the anatomical, kinesiological, biomechanical and orthopedical perspective. Furthermore it contains basic information to the issue of knee replacements, their most common indications, possible complications and subsequent therapeutic methods and techniques after total knee replacement. The second part is a special section which shows in detail a case report of therapeutic care with patient after total knee replacement. It was established under the guidance of a private healthcare facility MediCentrum Praha during my university-internship . The case report includes patients anamnesis, an input kinesiology analysis, a short-term and long-term therapeutic plan, a detailed description of the course of therapy, a resulting kinesiology analysis and an...
|
|
|
Case report of physiotherapist's patient care with the diagnosis: condition after surgery for total endoprotesthesis of the right knee joint
Bačíková, Monika ; Kaizrová, Irena (advisor) ; Hankovcová, Eva (referee)
Title: Case report of physiotherapist's patient care with the diagnosis: condition after surgery for total endoprotesthesis of the right knee joint Objectives: The aim of this paper is to get to know both theoretically and practically the diagnosis status after total knee arthroplasty. Methods: The first part of this work includes theoretical area by research. This section describes the anatomy, kinesiology and biomechanics of the knee joint. The issue of gonarthrosis and its treatment.Then there is the more developed surgical approach, the application causes a total joint replacement prosthesis type, and physical therapy after surgery procedures that are appropriate to a positive effect on patients' health. The second part of this work is special - processed form of case reports. This part is based on theoretical knowledge acquired during studies, and their application in clinical practice. It contains entrance kinesiological analysis and conclusion, on the basis of which is developed short-term and long-term rehabilitation plan. In addition, this special section includes a description of individual therapeutic units and a final evaluation of the effect of therapy. Keywords: knee joint, total joint replacement, rehabilitation
|
|
|
Comparison of Movement Activity and Sport between Patients after Resurfacing and Total Hip Replacement Surgery
Heidenreichová, Ivana ; Nováková, Pavlína (advisor) ; Levitová, Andrea (referee)
6 Abstract Title: Comparison of Movement Activity and Sport between Patients after Resurfacing and Total Hip Replacement Surgery Objectives: To summarize the available information about after-surgery regime and self- sufficiency after total hip replacement. To accent the differences between resurfacing and total hip replacement. To obtain the information about sport behavior and movement activity of patients after resurfacing and total hip surgery using questionnaire survey. To find out if they are able to return back to sport sctivity and how much do the total hip replacement limits them, to find out how the pain influences their movement activity. To compare the movement activity of patients after resurfacing with patients after total hip surgery. Methods: Thesis is worked out using quality assessment of information obtained by empiric way - using questionnaire survey. Results are processed using MS Excel into charts and graphs. Results: The objective of clear justification of advantages of hip resurfacing as a surgery method providing early return to movement activity has not been met. However the results cannot be simply generalized because of limited amount of respondents. Keywords: hip, total joint replacement, movement activity, sport
|
|
|
Information for patients about the treatment mode after hip surgery - Total joint replacement
Ondráčková, Eva ; Nikodemová, Hana (advisor) ; Tomová, Šárka (referee)
My bachelor thesis called "Patients' knowledge of therapeutic mode after surgery of hip joint - total endoprosthesis" deals with a problem of education of patients in case of mode after surgery on Orthopaedic department in St. Zdislava hospital in Mostiště. A theoretic part is focused on summary of findings about hip joint, causes of surgery, types of endoprosthesis, preoperative and postoperative cares, rehabilitation and potential complications after surgery of hip joint. In a practical part, there is introduced a method of research on Orthopaedic department, whose aim is to get into degree of patients' knowing, form of education and simple keeping of preventive measures. In a conclusion of my thesis the results of research and assessment of research acquisiton into practice are summarized.
|
|
|
Research study of total endoprosthesis of temporomandibular joint
Horňas, Jan ; Borák, Libor (referee) ; Marcián, Petr (advisor)
This bachelor’s thesis deals with total joint replacements (TJR) applied for replacement of temporomandibular joint (TMJ). In the thesis, research study of solutions system is done for anatomy of TMJ, mandible and masticatory muscles. Main producers and ma-terials for manufacturing TJR is mentioned furthermore. Finally, stress strain analysis for TJR is done by computing modeling using finite element method on the basis of re-search study.
|
|
|
The importance of regular fitness activities before planned orthopedic surgery
KOTLABOVÁ, Sandra
The bachelor thesis deals with the influence of regular fitness activities before the scheduled orthopedic surgery. The thesis discusses the use of special methods of physiotherapy and physical therapy to help patients prepare for their surgery and post-operative rehabilitation. The most common scheduled orthopedic surgery in the Czech Republic is a total hip joint prosthesis, it is applied up to 10 000 refunds anually. The total hip joint prosthesis is followed by a less frequent knee joint prosthesis. Implementation of any suitably chosen fitness activity before the surgery may be very useful and desirable for the patient.The current knowledge of the anatomy and biomechanics of bearing joints of the lower limb - knee and hip is summarized in the theoretical part of the thesis. This part also describes the joint compensation in detail. After that, there is mentioned the development of compensations in the course of history, as well as the different types of prosthesis and inserted components. Last but not least, there are described surgical approaches of implantation of the compensation. The theoretical part also includes appropriate physiotherapeutic procedures and methods of physical therapy that can be applied in a pre-operative period. The aim of this thesis is to explore whether regular fitness activities applied before the surgery have an impact on the course of post-operative rehabilitation. The qualitative research method was used to achieve the objectives in the practical part. The collect the data there were used case reports, interview, observation and photographic documentation. Three patients participated in the research, all diagnosed with osteoarthritis of the joint, two of them of the hip joint and one of them of the knee joint. Not a single one of those patients was cured by the conservative treatment, so they all were recommended for surgical treatment consisting of the replacement of the damaged joint. At the first meeting the medical history and the kinesiological analysis were taken. After evaluating the input data, patients were acquainted with therapeutic method. The therapy continued for one month, three times a week. After ending the therapy, the output kinesiology analysis was taken. Each of the patients told her subjective opinion about the course of the therapy and the changes experienced after treatment. All data were recorded and subsequently evaluated. During the therapy local findings were threated at the first place. Specifically the limited joint mobility, swelling of soft tissues around the joints and shortened or weakened muscles. They were used sensomotor techniques that are suitable for correction of flat foot or hallux valgus. The stabilization techniques PNF and activation HSS were used to strengthen the entire trunk and to restore the stabilizing function of the diaphragm. This was followed by the strengthening of the upper limbs to prepare them for future walking on crutches. The last point after the treatment of local findings was the setting of the joint in proper movement stereotype. When the therapy was finished, patients reported a mild pain relief and greater stability of their limb and the entire body. The collected data show also an improvement of the muscle strength of damaged joints for at least half a degree The indicator of the progress is the comparison of the goniometric examination before and after the therapy. The joint mobility was incresed. Surgical procedures were carried out without any complications and subsequent rehabilitation was with no problem for our patiens.
|
|
|
Physiotherapy after total hip joint replacement
ŠUHÁJKOVÁ, Pavla
Pain in a hip joint can dramatically affect the chance of having active life. The recent years have seen a significant progress in the results achieved while implanting artificial hip joints. This type of operation is simultaneously becoming increasingly more often especially when we take into consideration the increasing age of population. Implanting total hip joint replacement results in improving the quality of life, which can only be achieved through interdisciplinary collaboration of doctors, complex rehabilitation treatment, and positive approach of the subject alone. The aim of this bachelor?s thesis was to process case reports of patients after total hip joint replacements and to put together rehabilitation plans for these subjects. With the established objective in mind, the author summarizes outcomes dealing with the issues relating to total hip joint replacement, physiotherapy, occupational therapy, and spa treatment following such operation. The research part of the bachelor?s thesis was accomplished by qualitative research. Data were collected by observing, interviewing and analysing documents. The data were gathered by individual in-depth interview and using case reports, which included author?s own observations, a draft of rehabilitation plan and implementation of the therapy, and subsequent outcomes from the assessment of therapy. The research corpus comprised of two patients who underwent a planned total hip joint replacement because they had been suffering from advanced primary coxarthrosis. The research was carried out at an in-patient orthopaedic department of the Hospital Pelhřimov in March 2011, when the subjects were being hospitalised. Quality and appropriately managed rehabilitation allows quicker improvement in the patient?s health following the operation. It is used as a prevention of complications, it improves engagement of functional potential in the operated joint and it consolidates appropriate motion stereotypes. The outcomes of the research confirm that such pre-operational and post-operational rehabilitation carried out during the stay in hospital leads to a decrease or complete removal of pain, an increase in joint?s mobility and muscular power, getting used to walking on flat surfaces and up and down staircases, and the level of independency in everyday activities.
|
|
|
Effectiveness of early Physiotherapy After the Operation Total Acetabulofemoral Articulation
MALECHOVÁ, Kateřina
In the bachelor thesis called Effectiveness of an early physiotherapy after an operation of the total hip joint replacement, there are theoretical bases related to the given issue in the first part. In the research part there are worked up case studies of two clients who had the same disease, were operated in the orthopaedic ward at the Hospital of České Budějovice and a total hip joint endoprosthesis was made to them. The aim of the thesis is a complex evaluation of physiotherapy methodologies at the patients after an operation of the total hip joint endoprosthesis and an evaluation what could be improved in this issue, so that the postoperative rehabilitation could be a little more efficient. At each patient during the hospitalization were differences in the success of the therapy. In conclusion it is possible to say, that an important role in the effectiveness of the postoperative treatment is a completing of a preoperative rehabilitation. The patient, who completed the preoperative rehabilitation, better managed a verticalization, walking and self-sufficiency after the operation in contrary to the patient who did not complete the preoperative rehabilitation. The significant problem was that she would have had to commute for the preoperative rehabilitation and it was a problem for the patient. Patients waiting for the operation of the hip joint replacement are often constrained by a pain while walking and they are discouraged by a thought to commute to the preoperative rehabilitation. I propose to carry out the preoperative rehabilitation already during the hospitalization, several days before the operation. The thesis can serve as a theoretical study background for students from Medical universities or it can become, in terms of physiotherapy, an inspiration in a clinical practice at physiotherapists engaged in those issues.
|
|
| |
|
| |
guest ::
