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The use of physiotheraphy procedures for treating inflammatory rheumatic disease selected from the perspective of patients.
CIHLÁŘOVÁ, Irena
Rheumatology is a part of internal medicine that deals with diseases of musculoskeletal system. It is primarily devoted to diagnosis and treatment of these diseases. Rheumatoid diseases primarily affect joints and muscles, but other organs can also be affected endocrine glands, the nervous system, internal organs such as the kidneys, liver, lungs, human gastrointestinal tract, and skin. The diseases are classified as follows: inflammatory, degenerative, metabolic bone and joint diseases, extra-articular rheumatism, septic arthritis, etc. The causes of these diseases are unknown, but internal and external factors play an important role. They may be infectious, immunogenetic factors and effects of the external environment such as drugs and chemicals. The aim of this work is to map the use of physical procedures in the treatment of inflammatory rheumatic diseases. To do this, the following research questions were formulated: 1. Which are the most commonly used physical methods in the treatment of rheumatic diseases? 2. What effects does the application of physical therapy have on the patient? 3. How does inflammatory rheumatic disease affect the patient's life? 4. Which procedures can the patient apply in the home environment? 5. Are patients satisfied with physical therapy? Qualitative methods were chosen for the research part of this work and a semi-structured interview was used as the technique for data collection. The respondents were asked 28 questions. The research sample consisted of 10 respondents. The respondents were chosen from rheumatologic surgeries in Tábor and Pelhřimov. They consist of 5 respondents with a diagnosis of Bechterew's disease and 5 respondents with a diagnosis of rheumatoid arthritis. The interviews were conducted as previously arranged in the respondents' homes or via email. The results show that in most of the respondents the disease occurred between the ages of twenty and thirty. The first symptom was a painful and swollen joint. They most often use disease modifying drugs, anti-inflammatory drugs, and analgesic drugs for the treatment. Examples of disease modifying drugs include Methotrexate, Sulfasalazine, Aflamil, and Arava. Aulin is among the most commonly used NSA. Enbrel was mentioned by the respondents as a preparation used in biological therapy. Among the regime measures which the respondents take to reduce symptoms, were most often mentioned home workouts, changes of diet, compresses, ointments, and other compensation aids. As regard physical therapy, the respondents were most satisfied with balneotherapy, namely with massages and warm packs. The most used method is magnet. Physical therapy primarily helps to ease pain and relax muscles and stiff joints. Nurses educate patients about drug effects, the changes that are to come in their lives and to which they need to prepare; about the importance of workouts, rehabilitation, and compensatory aids. The quality of the respondents' lives is substantially limited by pain, stiff joints, and severe fatigue. For these reasons, the respondents are unemployed and have to receive a disability pension. In the initial period, the respondents suffered from the feelings of anxiety, helplessness, hopelessness, and depression. The family plays an important role in this context, helping and supporting the respondents. According to the data obtained it can be concluded that physical therapy helps to customers with rheumatoid inflammatory disease to relieve from pain and stiffness in joints. The course of the disease can be influenced by regular workouts that can help ease the symptoms. In some cases, the symptoms disappear for some time. It is very important to appropriately inform customers about their disease, therapy, rehabilitation and the changes they will have to undergo in life. The doctors and nurses deal those problems in the rheumatic clinics and spas. This thesis points to common problems of patients with inflammatory rheumatic diseases.
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Grips training supported by an occupational therapist using music therapy techniques
Zaňková, Veronika ; Gerlichová, Markéta (advisor) ; Čábelková, Alžběta (referee)
The bachelor thesis called Grips Training supported by an occupational therapist using music therapy techniques is divided into two parts - the theoretical and the practical one. The theoretical part deals with an introduction to the occupational therapy and music therapy, the music therapy techniques and their use in occupational therapy, upper extremity (discusses its importance, types and stages of handles) and basic information to the central paresis. The practical part processed 2 case reports of patients with quadriplegia after spinal injuries and overview of therapies, including photographs. The evaluation was performed based on observation and orientation testing. The aim is to determine whether music therapy techniques can be used to train grips.
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Mapping of the availability of the Occupational Therapy for people with acquired brain damage in Prague and Central Bohemia
Babincová, Hana ; Svěcená, Kateřina (advisor) ; Sládková, Petra (referee)
As it is evident from the title, the main aim of this thesis is to map the availability of occupational therapy for people with acquired brain damage in Prague and the Central Bohemia region. The first half of the theoretical part focuses on causes, incidence and consequence of acquired brain damage. The other half deals with occupational therapy within this target group with a particular focus on methods of obtaining information (interview, observation, questionnaires) and standardized tests. The last chapter points out the situation of people with acquired brain damage in the Czech Republic. On one hand, the chapter describes the ideal course of rehabilitation and the common course of rehabilitation in the Czech Republic on the other. Another part of the thesis focuses on the research based on questionnaire survey among occupational therapists working with people after acquired brain damage. The next aim of the research was to determine the availability of individual components - local, time, financial and qualitative. Key words: brain damage, symptoms after brain damage, occupational therapy, availability, mapping
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Artetherapie and load regime for drug addicted youth
KALENSKÝ, František
This Bachelor thesis is focusing on the use of art-therapy with youngsters in the treatment and corrective facility Husův Domov in Dvůr Králové nad Labem. The theoretical part concerns generally the drug issue {--} historical development, types of abusing drugs. In the following chapters I focus on drug abuse concerning juvenile individuals. The clients scope in the facility where I work concerns juvenile males between fifteen and eighteen years of age. The major pillar of therapeutical treatment in this facility is heavy physical training . I am covering this topic together with the phases of correction in Husův domov. The practical part covers information about specific issues regarding art-therapy work in this type of facility. Least but last I am also focusing on the characteristics of the graphic approach the clients. I am also covering the methodics of creating artefacts in an alternative way during the everyday physical strain (riding bicycles, water rafting, long hikes, cross-country skiing etc.)
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The biologic treatment of patiens with Inflammatory bowel diseases
BARTYZALOVÁ, Martina
The thesis titled Biological Therapy in Patients with Inflammatory Bowel Diseases deals with the needs of clients with Crohn's disease and ulcerative colitis prior and after biological therapy. The role of nurses in biological therapy centres, including the application of this therapy, was also investigated. Crohn's disease and ulcerative colitis are inflammatory bowel diseases. They are chronic inflammatory diseases of the gastrointestinal tract, which are accompanied by ample extraintestinal symptoms. This thesis also deals with biological therapy that involves the administration of highly effective substances of biological nature that inhibit specific sites of inflammatory reactions. This therapy is provided in centres of biological therapy and is used not only in gastroenterology but also in rheumatology and oncology. Teams of experts work in biological therapy centres; the task of these teams is to provide a comprehensive holistic health care. The thesis is divided into a theoretical part and an empirical part. The theoretical part focuses mainly on Crohn's disease, ulcerative colitis and biological therapy that helps patients suffering from these diseases. The methodological section employed qualitative research using in-depth semi-structured interviews with patients suffering from idiopathic inflammatory bowel diseases and with nurses who deal with these patients when applying biological therapy. Since head nurses from gastroenterology departments did not wish to record the interviews with a recorder, they were recorded in writing and transcribed subsequently. The questions dealt with the issues of biological therapy in connection with inflammatory bowel diseases. All the acquired data was processed with the Atlas.ti programme, which is designed for encoding, processing and interpretation of large amounts of textual and graphic qualitative data. Based on the research, an educational brochure for patients suffering from inflammatory bowel diseases was complied as well as educational materials for nurses starting work in biological therapy centres. Furthermore, the results can be used by nurses in practice and nursing students too.
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Physiotherapy of adolescents in specific sport exercise - kickboxing
MAŠKOVÁ, Adéla
It is a trend nowadays to have rather inauspicious sedentary lifestyle. One of the main factors which influence lifestyle of children and juvenile is family. If the parents are inactive then they frequently but unconsciously teach their descendants to see displeasure in doing any physical activity. Insufficient physical activity leads to development of numerous lifestyle diseases and as well is closely connected with problems of musculoskeletal system. Sports activities are substitution for a lack of exercise. Sports have positive impact on our physical and mental health. We should pay attention while choosing a specific sport particularly when it comes to choosing a sport for children and juvenile. We can find many sports activities which are focused one-sidedly. Such one-sided burdening leads to the formation of functional disorders, musculoskeletal pain and in case of a long-term duration without sufficient compensation it might cause health problems and poor posture. Functional and postural disorders have a negative impact on athletic performance, they might worsen the quality of musculoskeletal system and even to eliminate athlete from the training process. An ideal way how to avoid the musculoskeletal difficulties is the utilization of physiotherapeutic procedures and methods by means of those it will help the movement compensation and muscular harmonization. In the theoretical part I am describing a piece of knowledge, which is related to body posture. I introduce tests, which will help us to evaluate and clarify a poor posture. To help us understand the issue therefore the basic fighting techniques, which are used in kickboxing, are explained here its characteristics and the classification of racing disciplines. Furthermore I introduce physiotherapeutic methods, which we can use, for influencing the poor body posture. The main goal of my bachelor thesis was to find out, what influence has a kickboxing training on the body posture of adolescents and if the use of physiotherapeutic methods will have a positive impact on their posture. In the practical part of my final thesis the method of qualitative research was used. The research file was comprised of three probands visiting kickboxing lessons for at least one year. The probands went through entry and final Kinesiological examination, which evaluated their body posture. Everyone of them was diagnosed with functional disorders and muscular imbalance. Everyone slightly improved their posture after two months of therapy. For the complete improvement of the body posture would be needed longer period of time than a given two months time. Performed research led to the realization of my goals and to an answer of the research question. The Bachelor Thesis can serve the professional and non-professional public. Specifically it can be used by martial arts coaches to enhance the quality of training and to improve the sports performances.
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Physiotherapeutic procedures in patients with rheumatoid arthritis with maximum difficulties in the joints of the hand area
LEDVINOVÁ, Eva
This bachelor thesis is focused on physiotherapeutic methods used in patients with rheumatoid arthritis whose difficulties are mainly in the joints of their hand. Rheumatoid arthritis is a chronic inflammatory joint disease in most cases with a protracted course and it may cause joint deformations. These lead to handling issues which complicate normal daily activities of the patients. Thus this disease causes both physical disability of the patient and as well significantly disrupts their social and psychological life. In the first part, which is concerned with theory, I briefly outlined the functional anatomy and kinesiology of the upper limb and shoulder girdle. Furthermore there is a detailed description of rheumatoid arthritis, definition of the disease, its causes and occurrence, clinical features, laboratory and x-ray examination, differential and functional diagnosis and all the treatment possibilities. In the conclusion of theoretical part there is the prognosis of the disease and practical difficulties during the care of patients with rheumatoid arthritis. The aim of this thesis is to map the possibilities of physiotherapy in patients with rheumatoid arthritis and the use of physiotherapeutic procedures and methods in individual patients with this disease. The qualitative research method, in which three patients treated in Berta Spa in Třeboň participated, was used for the practical part of the thesis. The therapy was initiated by an entrance kinesiological analysis, including the specific examination such as the examination of joint-play in small joints of hands, examination of the gripping, palpation of muscle tonus in muscles of the upper limbs and goniometric examination of joints of the upper limbs. This was followed by nine individual therapies, during which we focused mainly on upper limb joints. At the last session an output kinesiological analysis was conducted and the patients were taught about the necessity to comply with regime measures. At the end they spoke about their subjective feelings connected with the therapy and with their Balneotherapy stay in the spa. The results of the treatment were recorded for each individual case. This bachelor thesis may serve as an educational material for students in medical fields, general public to increase awareness of rheumatoid arthritis and last but not least for patients themselves or their families.
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