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A case study of physiotherapeutic treatment of a patient with total endoprothesis of the left knee joint
Vávra, Jan ; Maršáková, Kateřina (advisor) ; Sohrová, Jana (referee)
Title: A case study of physiotherapeutic treatment of a patient with total endoprothesis of the left knee joint Objectives: The aim of the thesis is to process a case study of physiotherapeutic treatment of a patient with total endoprothesis of the left knee joint. The case study was made during practise in the CLPA in Prague, based on the theoretical knowledge processed in the first part of the thesis. Methods: The case study consists of initial kinesiological examination, short-term and long- term physiotherapeutical plan, suggestion of therapy, nine described therapeutic units, final kinesiological examination and evaluation of the therapy effects. Results: Evaluation of the therapy effects clarifies positive improvement in the most key values. Keywords: knee joint, total endoprothesis, alloplasty, gonarthrosis, physiotherapy, case study
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Case report of physiotherapeutic care for a patient diagnosed with Implantation of TEP genus l dx.
Pathyová, Viktorie ; Nováková, Tereza (advisor) ; Strašáková, Anežka (referee)
Author: Viktorie Pathyová Title: Case report of physiotherapeutic care for a patient diagnosed with implantation of TEP genus I. dx. Objectives: The aim of this bachelor's thesis is a detailed special part, which is a case report of physiotherapeutic care for a patient after surgery of a total endoprosthesis of the right knee joint. Its processing took place during continuous professional practice at the Malvazinky rehabilitation clinic in the inpatient department. Part of the work is also a general part, which deals with a comprehensive theoretical introduction to this diagnosis. Methods: All the methods used in the bachelor's thesis were part of the physiotherapy curriculum during 3 years of study at FTVS. Results: The patient's health improved after the applied therapy, so it can be concluded that the chosen therapy was effective. Keywords: knee joint, total endoprosthesis, gonarthrosis, physiotherapy
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The case study of physiotherapeutic treatment of a patient with total knee replacement diagnosis
Kovářík, Jan ; Stupková, Michaela (advisor) ; Slezáková, Petra (referee)
Title: The case study of physiotherapeutic treatment of a patient with total knee replacement diagnosis Author: Jan Kovářík Head of the thesis: Mgr. Michaela Stupková Objectives: The main purpose of my bachelor thesis is to process a case study of physiotherapeutic treatment of a patient after a total knee replacement of the right knee joint. Part of the thesis is a complex theoretical introduction to the topic. Methods: This bachelor thesis is divided into 2 parts- a general part and a special part. The general part contains processed information concerning the anatomy, kinesiology and biomechanics of the knee joint. It also includes a chapter about gonarthrosis, which is the most common indication for the total knee replacement, its etiopathogenesis and options of treatment. In the end the general part describes the total knee replacement, its history, operative procedures and subsequent rehabilitation. In the special part of the thesis there is a listed the case study of a specific patient after the total knee replacement and a record of the therapeutic units within the related professional practise in the rehabilitation hospital in Beroun in a period from 18. 1. to 12. 2. 2021. Results: Physiotherapeutic treatment has shown improvement in the patient's clinical condition in almost all measured...
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Case study of Physiotherapeutic Treatment of a Patient with Total Knee Replacement
Deličová, Tereza ; Maršáková, Kateřina (advisor) ; Sohrová, Jana (referee)
Title: Case study of Physiotherapeutic Treatment of a Patient with Total Knee Replacement. Summary: The aim of this bachelor thesis is to present a complex overview of the topic of total knee replacement. The theoretical part covers the anatomy and the kinesiology of the knee joint, gonarthrosis, types of knee replacements, surgical therapy and subsequent rehabilitation treatment. The practical part contains case study of a patient with total knee replacement which comprises entry kinesiological analysis, short-term and long-term therapeutical plan, daily therapy records, final kinesiological analysis and conclusive evaluation of the therapy effect. The results of the physiotherapeutical treatment are greater range of flexion and extension in the subject knee, muscle strengthening in the area and overall improvement of clinical status of the patient. Keywords: knee joint, total knee replacement, physiotherapy, case study, gonarthrosis
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Case Study of Physiotherapy Treatment of a Patient with the Diagnosis of Left Total Knee Replacement
Faladová, Martina ; Ragulová, Michaela (advisor) ; Hankovcová, Eva (referee)
Title: A case study of physiotherapeutic treatment of a patient with total endoprothesis of the knee joint Objectives: The main objective of this bachelor thesis is to process a case study of a patient with total endoprothesis of his left knee joint. The case study is based on the theroretical information described in the first part of this thesis. Methods: The case study of particular pacient consists of complex kinesiologic examination at the begining and in the end as well, furthermore, it consists of short-term and long-term physiotherapeutical plan and eight therapeutic units. Finally there is an evaluation of the effects of the therapy. The case study itself was made during practise in the Military Hospital in Prague from 21st January 2020 to 30th January 2020. Results: Patient's range of motion (knee flexion) improved. Muscle strength of hip flexors and knee extensors improved as well. Overall, muscle balance surrounding the knee got better after completing all eight therapies. Keywords: knee joint, total endoprothesis, gonarthrosis, physiotherapy, case study, alloplasty
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Case Study of Physiotherapy Treatment of a Patient with total knee replacement
Hadwiger, Jiří ; Stupková, Michaela (advisor) ; Hankovcová, Eva (referee)
Author: Jiří Hadwiger Title: The case study of physioterapeutical treatment of a patient with total knee replacement diagnosis Objective: The objective of this thesis is processing of the case study of the physioterapeutic care of a patient with total knee replacement diagnosis during an internship at ORFM department at ÚVN hospital. Comprehensive theoretical introduction to this subject is also a part of this thesis. Summary: This thesis is divaded into two parts. The first part consists of the theoretical knowledge of the anatomy, kinesiology and biomechanics of the knee joint. Following is the gonarthrosis chapter as the most common indication for the total knee replacement, its ethiology and choices of treatement. At last to present is total knee replacement, its history, surgical procedure and following postoperative rehabilitation. Second part is a case study of the real patient with total knee replacement diagnosis lasting 8 therapeutical units. In the end of the study is comparison of the paatients condition before and after rehabilitation and evaluation of the effect. Key words: knee joint, total knee replacement, gonarthrosis, physical therapy, case study
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The case study of the physiotherapeutic care of a patient with total endoprothesis of a knee joint
Bartoňová, Markéta ; Novotná, Irena (advisor) ; Kaizrová, Irena (referee)
Title: The case study of the physiotherapeutic care of a patient with total endoprothesis of a knee joint Aim: The purpose of this bachelor thesis is the processing of a case study of the physiotherapeutic care of a patient after total knee replacement during an internship in the ÚVN hospital. Summary: This thesis is divided into general and special part. The general part sums up anatomy, kinesiology and biomechanics of the knee joint. Apart from that, there is some information about gonarthrosis, indications and contraindications towards total endoprothesis of the knee joint. Last but not least we look at the specifications of rehabilitation regarding this diagnosis and used physiotherapeutic methods. The objective of the special part is a case study of the patient. It consists of complex kinesiologic evaluation, therapies during the patiens stay and the outcomes of the rehabilitation. Keywords: knee joint, total endoprothesis, gonarthrosis, physiotherapy, case study
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Nursing specifics in the care of clients after high correction osteotomy of high proximal tibia over time.
BAČOVÁ, Emilie
Osteotomy means cutting a bone using a saw most often. It is used to adjust axial deviation, prolongation, or shortening of the bones. Over time, when there were changes in the development of the surgical technique of corrective osteotomy, changes in nursing care also occurred. This breakthrough concerns not only nursing staff, but also clients in particular. Because of the development of the surgical technique, the hospitalization time shortens and if the client does not perform a physically demanding job, where is a heavy load on the operated lower limb, the treatment time is reduced. This leads to a faster return of clients to normal life and employment. Nursing care becomes less demanding for staff than the older surgical method. The bachelor thesis is a theoretical work, which deals in the introductory part with knee joint anatomy, knee joint examination methods, explanation of the concept of gonarthrosis and the way of treating this disease. This part is followed by history of osteotomy and an explanation of the surgical method. An important part of the thesis is the description of nursing care of clients with high correction osteotomy as time goes by, which includes preoperative preparation, postoperative care and, last but not least, rehabilitation. The aim of the work is to describe, how the nursing procedures changed with the older surgical method. The second objective is to map out nursing procedures using a modern surgical method. There are the opinions of doctors and nurses of various medical disciplines, who have experienced nursing care of clients with high corrective osteotomy, mentioned. Gained knowledge could serve as a guide to nursing care of clients after high corrective osteotomy of the proximal tibia.
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Economic evaluation of surgery compared with pharmacological treatment for patients diagnosed with gonarthrosis
Hájková, Kateřina ; Lešetický, Ondřej (advisor)
The main purpose of my diploma thesis is the application of economic evaluation principles; costs quantification and the consequences quantification of two different approaches in the gonarthrosis therapy from the perspective of Health Insurance Company and from the perspective of the patient; furthermore the evaluation of the effectiveness and utility ratio and the final determination for more convenient option. Considered alternatives are the hyaluronic acid injection and the total knee arthroplasty realization. Effects for the expenditures at cost-effectiveness analysis are measured by WOMAC Index. Effects for the expenditures at cost-utility analysis are measured by HUI2 score system. The research includes two sections: (1) the case study of two patients and (2) the clinical trials and nationwide Health Insurance Company´s data analysis. Particularly because of the brief observation time period, the pharmacotherapy is quantified as a more convenient alternative.
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Case Study of Physiotherapy Treatment of a Patient with the Diagnosis Bilateral Gonarthrosis with Varus Deformity of the Right Knee
Tzioni, Sophia ; Satrapová, Lenka (advisor) ; Samková, Lenka (referee)
Title: Case study of physiotherapy treatment of a patient with diagnosis of bilateral gonarthrosis - grade 3, with varus deformity of the right knee Thesis aim: The aim of this thesis is to initially review the anatomy, kinesiology, and biomechanics underlying the patient's condition demonstrate and then analyze and evaluate the therapeutic units that were provided. Clinical findings: This study was evaluating the state of a 72-year-old patient with the main diagnosis of bilateral gonarthrosis and additional conditions as shoulder pain and ankles stiffness. The assessment showed reduced mobility and joint play with differentiation in the condition of the muscles as well as misalignment of the knee joint. There was deformity of the right ankle joint and bilateral stiffness. The shoulder joint has been painful with decreased mobility and muscle impairments. Methods: All the used procedures were based on the literature given thought by the Charles University in Prague, Faculty of Physical Education and Sports. Result: Following 14 therapeutic sessions for all three problematic areas, the patient underwent great progress in terms of pain, range of motion and muscle imbalance in the shoulder and knee joints, and moderate progress in the ankle joints. Conclusion: The therapies that were performed were...
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