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Case study of physiotherapeutic care of patient with impingement sydrom
Vontorová, Simona ; Říha, Michal (advisor) ; Hlavičková, Růžena (referee)
Title: The case report of physiotherapy care of a patient with the diagnosis of impingement syndrom. The objective of this bachelor thesis is introduction of physiotherapy of upper limb girdle with impingement syndrom. The thesis is dividend in two main parts. In the first part is described the girdle of the upper limb in the view of anatomy, kinesiology and biomechanics. There are listed procedures for testing and treatment and point of view of physiotherapy and surgical treatment by arthroscopic method.In the specialized part is described a detailed case of a patient with impingement syndrom, which consists of the patient's history, incoming examination, therapy, outgoing examination and effect of the therapy . Key words: rotator cuff, shoulder joint, physiotherapy, arthroscopy, impingement syndrom
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The case study of physiotherapy treatment of a patient with lesio of anterior cruciatum ligament in knee joint
Konětopská, Petra ; Nováková, Tereza (advisor) ; Hoskovec, Jakub (referee)
Author: Petra Konětopská Title: The case study of physiotherapy treatment of a patient with lesio of anterior cruciatum ligament in knee joint This Bachelor Thesis deals with the case of patient with lesio of anterior cruciatum ligament (ACL). The general part gives the information about incidence, aetiology, possible complications, conservative, and radical healing procedures. Furthermore, it points to usage of physiotherapist procedures which can be used for this diagnosis. The special part includes the case of patient with lesio of anterior cruciatum ligament. It was worked out during the special practices in the Centre of treatment for locomotive organs in Vysočany in the term of 10th January - 4th February 2011 The purpose of my work is first of all, the search procedure of the requested topic and secondly, the detailed case of patient with lesio of anterior cruciatum ligament. Key words: lesio of anterior cruciatum ligament, knee joint, arthroscopy, physiotherapy
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On the cutting geometry and kinematics of the arthroscopic forceps part
Pospíchal, Oldřich ; Polzer, Aleš (referee) ; Píška, Miroslav (advisor)
This Thesis presents a design innovation in arthroscopic forceps. Based on surveying the subject-matter literature on arthroscopic surgery of the knee, design changes are proposed to alter the cutting geometry of the functional end of the instrument to improve its utility. The proposed changes are imple-mented in a prototype, which is then compared with the current design. The comparison is made by testing the functioning of the instrument and the force required to shear the test material.
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Nursing care by children with arthroscopy of the knee joint.
ŠESTÁKOVÁ, Růžena
With the increasing sports and physical activity pursued by young people, the spectrum of the knee joint injuries is extending. At the present time, arthroscopy represents one of the basic diagnostic and therapeutic methods in the case of the knee joint injuries. Owing to this method, the attending physician can examine the joint directly using the endoscopic instrument and they can possibly execute surgical treatment thereof as well. Thanks to development, this method can be applied in children's patients with ever increasing frequency. The joint subject to most frequent arthroscopy treatment is definitely the knee joint. The treatment is executed in the operating theatre, most often under anaesthesia and it is careful, quick and accurate. Nevertheless, the children's patient must be hospitalized, which means, in addition to the planned treatment, considerable mental stress not only for the child but for the whole family as well. The way how the child and the parents will cope with the situation depends to a great extent on the nursing personnel. Therefore it is necessary to pay increased attention to the nursing care. The theoretical part of the bachelor's thesis describes the anatomy of the knee joint, possible damage thereto and this theory is followed by the nursing care prior to and after arthroscopy, rehabilitation nursing care, satisfaction of needs, information provided to the children prior to leaving hospital. The application part of the thesis focuses on the children's patients who were hospitalized in the Dětská klinika Nemocnice České Budějovice a.s. (Children's Clinic of the Hospital of České Budějovice) and underwent arthroscopy of knee joint. The following part deals with the nurses working with these children. The thesis is based on a qualitative research and the acquired information was summarized in case reports and interviews. Three research questions were determined for the research part. The purpose of the bachelor's thesis is to discover the specifics concerning nursing care for children undergoing the knee joint arthroscopy. The discovered specifics, such as care for Redon drain, use of French crutches or motor splint, education of the children and their parents can help the nurse become aware of these specifics, not perform them automatically and achieve a higher quality of the nursing care provision. Identification thereof may help perform the right determination of nursing diagnoses, goals and interventions in the nursing process in the patient prior to and after arthroscopy of knee joint. Another goal of the thesis was to determine what negative factors are perceived by the children most frequently. The fact that we have discovered the specifics of the care and that we accentuate them may mitigate the negative factors perceived by the children as well. Among them there are fear, redressing relating to the Redon drain removal, pain. The acquired results of the bachelor's thesis were processed to have the form of a standard nursing plan, which should contribute to achieving a higher quality of the nursing care for children undergoing arthroscopy of knee joint.
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Reliability of the SPECT examination in diagnosis of meniscal lesions of the knee joint
VYTOPILOVÁ, Helena
Menisci are located within the knee joint and therefore it is very difficult to diagnose the knee joint meniscus injuries. There are several examination methods, such as RTG, SONO and MRI to diagnose knee joint meniscus injuries. Attention is given to these examination techniques in a section of my thesis. The substantial part of my thesis is focused on the nuclear medicine {--} the ionizing radiation detection, imaging methods {--} but mainly on the non-invasive examination {--} bone scintigraphy and SPECT imaging. The SPECT method is a tomographic version of a common method of planar scintigraphy. The SPECT examination follows the three-phase scintigraphy which is a combination of a static and dynamic scintigraphy. Aother part of my thesis refers to the largely used invasive method, arthroscopy. Arthroscopy is an endoscopic technique enabling visual diagnostics from minimal distance and surgical procedures. The closing part of my thesis brings the comparison of results obtained in patients examined both by the SPECT method and by arthroscopy. The objective of my thesis is to publish the role of the SPECT method in knee joint meniscus injury diagnostics.
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