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Possibilities of physiotherapy after knee arthroscopy
PAUKNEROVÁ, Linda
This bachelors thesis talks about the possibilities of physiotherapy after knee arthroscopy. The thesis is divided into many parts. The first theoretical part summarises important information about the anatomy, kinesiology and biomechanics of the knee joint. Then the mechanisms of knee injuries are described with their following arthroscopy treatment. The theoretical part ends with the list of possibilities of physiotherapy after knee arthroscopy where specific methods and concepts are explained. The research questions and goals of this thesis follow in next chapter. The first goal is to propose treatment and rehabilitation plan after knee arthroscopy. The second and the main goal is to focus on the problem of knee instability connected with this surgery. The third goal is completed by creating an information brochure with adequate exercises after knee arthroscopy. For my thesis I picked qualitative research. The research group was formed by 3 women between 35 and 58 years which underwent knee arthroscopy surgery. The reseach was done by regular meetings for 2 months. The methods of obtaining data were entrance and output kinesiology analysis. The results are presented in the form of case reports. The case reports contain the progress of therapy, short-term and long-term rehabilitation plan and the summary of all therapies. The final chapter contains evaluation of the research in the form of discussion where I list the strong and weak sides of this research. This thesis can be used in physiotherapy, by the public or patients after knee arthroscopy.
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Pressure pain threshold evaluation in relation to the knee joint position - pilot study
Čechová, Tereza ; Čech, Zdeněk (advisor) ; Jevič, Filip (referee)
The diploma thesis deals with the relationship between the level of stress of soft tissues and their pressure pain sensitivity. It aims to find out whether the level of tension in soft tissues, given by the position of neighbouring joints, affects the pressure pain threshold. The thesis assumptions were verified on a model situation with the sensitivity of the tissues of the ventral and dorsal sides of the thigh depending on the angular adjustment of the knee joint flexion. The theoretical part deals with the findings about biomechanical properties of soft tissues in relation to mechanical load and in the sense of tensile and compressive forces. It describes the mechanisms of tissue nociceptor activation and afferent signal transmission for processing by neurvous system. It distinguishes between the concepts of nociception and pain and deals with methods of their quantification, especially pressure algometry. A group of 30 (15 men and 15 women) healthy probands of younger adult age participated in the research. The values of the pressure pain threshold were measured for each person with an algometer from the ventral and dorsal side of the thigh with angular settings of 0ř, 45ř and 90ř flexion of the knee joint, with a constant position of the hip joint. The data set's statistical analysis did not show...
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Methodical procedures and comparison of various techniques of taping in the area of the knee joint
SYROVÁTKA, Tomáš
This bachelor thesis has theoretical and didactic character and it concerns with methodical procedures of taping in the area of a knee joint. Analytical part was made on basis of analysis of scientific literature, and it contains detail description of anatomy, kinesiology, and the most frequent injuries of the knee joint. In the thesis there is also described method of taping itself, division of the taping tapes on flex and stiff tapes. Next there are described concrete methods of taping, functionality, and principles of correct taping. Crucial part of this thesis is synthetic part. There are described and compared methodical procedures of taping in a knee joint. Compared methods were complete stabilization, lateral ligaments, patella and taping of injured ACL. Part of the synthetic part is photodocumentary of the procedures with stiff and flex tapes with detail description of the procedures. There is also comparison of the taping methods. The final result could serve as a tool for sport trainers or individuals, who are devoted to regeneration or to sport itself.
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Physiotherapy in patients before intended knee joint replacement within the concept of prehabilitation
SMÉKALOVÁ, Dita
This bachelor thesis deals with the concept of prehabilitation and its use in orthopedic surgery, specifically in total knee replacement, from the perspective of physiotherapy. Osteoarthritis is the most common degenerative disease of the knee joint, with total knee artrhroplasty being the standard procedure in the treatment of osteoarthritis in the late phase of the disease. In the theoretical part, this work is devoted to an overview of existing knowledge about the concept of prehabilitation in planned operations and current methods in treating gonarthrosis and the possibilities of physiotherapeutic intervention in the preoperative and postoperative period. This work aims to record the preparation and implementation of the physiotherapeutic intervention in a group of patients before the planned knee replacement and then evaluate its impact on the patient's condition. The research group consisted of 2 patients with advanced gonarthrosis who underwent therapy in the period of 7 weeks before the planned operation aimed at strengthening weakened muscle groups, increasing functional capacity, and raising awareness of the upcoming operation with subsequent rehabilitation. During the evaluation of the research, changes in the musculoskeletal system were found, especially the stability and strength of the lower limbs, the strength of the upper limbs, and the position of the pelvis. There was a positive effect on movement stereotypes. Both patients had a reduction in stress from the upcoming operation. The work can serve primarily as a comprehensive overview of the care of patients undergoing total knee arthroplasty for both the professional public and for patients or future physiotherapy students.
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Design of a set of targeted exercises aimed at compensating for anterior cruciate ligament injury
HELD, Martin
Bachelor's thesis, where the goal is to create a set of compensation exercises leading to the elimination of the consequences of injuries to the anterior cruciate ligaments. The analytical part of the thesis is devoted to the anatomy and kinesiology of the knee joint, further in this part we describe the injury of the fibrous apparatus and the principles of compensatory exercises. In the synthetic part, we are based on the findings that lead to the creation of the program, including detailed relaxation, stretching and strengthening exercises. All the exercises included in the created compensation program lead to an improvement in the state of health and eventually to a return to normal functioning within the framework of physical condition. The exercise program can be used not only by individuals from the ranks of amateur or elite athletes, but also by the general population.
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Case study of physiotherapy treatment of a patient after Total Knee Replacement
Hanzlík, Jan ; Sohrová, Jana (advisor) ; Novotná, Irena (referee)
Author: Jan Hanzlík Title: Case study of physiotherapy treatment of a patient after total knee replacement Objectives: The aim of this work was to process the report of a patient after a total right knee replacement. This work was created as a part of a bachelor's practice, which was completed at the Rehabilitation Hospital Beroun. Part of the work is also a theoretical part, where the general issue is discussed. Methods: All of the methods used in the therapy are based on a bachelor's degree in FTVS. Results: At the end of the set of the therapies and the follow-up, improvements were noted in some indicators. Key words: gonarthosis, total knee replacement, case study of a patient, knee joint
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The impact of high intensity laser on the healing of soft tissues of the knee joint in patiens after arthroscopy
Rychnová, Eliška ; Plevová, Kristýna (advisor) ; Benešová, Lucie (referee)
Author: Eliška Rychnová Supervisor: Ing. Kristýna Plevová Consultant: Ing. Marie Plecháčová Title of the thesis: The impact of high intensity laser on the healing of soft tissues of the knee joint in patients after arthroscopy The bachelor's thesis deals with the issue of soft tissue healing of the knee joint after arthroscopy. The main goal of this work was to monitor the effect of high intensity laser on the healing of soft tissues of the knee joint after arthroscopy. The work consists of theoretical and practical part. The theoretical part focuses on the description of the anatomy and biomechanics of the knee joint. Further summarizes information about the scar, its formation, types, care options and rating scales. The technical parameters and effects of the laser with a focus on the high intensity laser are also described here. Then, based on the data collection and analysis, the current state of this matter in the Czech Republic and abroad was described and summarized. The research includes 16 studies, which were selected on the basis of selected keywords, data actuality, validity and at the same time their pros and cons were considered. In the practical part 4 case reports of patients after arthroscopy of the knee joint were processed. Only patients after meniscus surgery were included in the...
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Recondition program for individual after meniscus injury.
Janota, Petr ; Hráský, Pavel (advisor) ; Kaplan, Aleš (referee)
Title: Reconditioning program for individuals after meniscus distortion Student: Petr Janota Supervisor: PhDr. Pavel Hráský, Ph.D. Aims: The aim of the work was to assess the effectiveness of the reconditioning plan on the proband, which is after the injury and subsequent arthroscopy of the knee joint. The effectiveness of the reconditioning plan will be evaluated by improving the values in the pretest and posttest using a diagnostic test battery including postural stability, run analysis, muscle strength and kinesiological analysis. Methodology: After an initial literature search and subsequent pretest, a reconditioning program was compiled, which was then applied to the proband. During this reconditioning plan, body composition parameters were monitored using Tanita MC-980, strength of knee extensors and flexors using HumacNorm, locomotion symmetry using 3D running, lower limb circumference parameters, shortened muscle groups according to Janda. Results: I compared the comparison of pretest and posttest values on a selected proband and I noticed an improvement in the body weight parameter in the body composition parameter. Furthermore, the maximum strength of the knee extensors at the operated leg improved and the proband improved in many parameters in the locomotion symmetry parameter. There was...
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A Case Study of Physiotherapy Treatment of a Patient After Total Knee Replacement
Schwarzová, Eva ; Dvořáčková, Dominika (advisor) ; Vrbický, David (referee)
Author: Eva Schwarzová Title: A Case Study of Physiotherapy Treatment of a Patient After Total Knee Replacement Goals: The aim of the theoretical part is to look into the issue of arthrosis of the knee joint based on scientific literature. The practical part presents a case study of a physiotherapy treatment after a total knee replacement. Method: This thesis consists of a theoretical and a practical part. The theoretical part describes the scientific findings on the subject of the knee joint from an anatomical and kinesiological perspective. Furthermore, this part deals with the gonarthrosis, the total knee replacement, and the physiotherapy treatment. The practical part shows the physiotherapy treatment of a female patient after a total knee replacement. The case study took place during an internship at the Military University Hospital (ÚVN). It contains a kinesiological analysis, a short - and a long-term physiotherapy schedule, a description of the therapy sessions as well as a final evaluation of the effects of the therapy. Results: During the hospitalization, patient underwent eight therapy sessions which led to an increased mobility of the left knee joint, a reduction of the pain as well as a decreasing of the swelling. Furthermore, due to the therapy the strength of certain muscles was...
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A Case Study of Physiotherapeutic Treatment of a Patient with Total Endoprosthesis of the Left Knee Joint.
Ptáčková, Veronika ; Opatrná Novotná, Irena (advisor) ; Nováková, Tereza (referee)
Title: A case study of physiotherapeutic treatment of a patient with total endoprosthesis of the left knee joint. Aims: The aim of the thesis is to develop a case study of physiotherapeutic treatment of a patient with endoprosthesis of the left knee joint. Methods: The case study, a special part of the thesis, was developed in the context of a continuous professional practice in the Rehabilitation Clinic of Malvazinky, which took place during January and February 2022. Initially, a medical history was taken and an initial kinesiological examination was performed, based on which short-term and long-term goals of therapy were established. Subsequently, 10 therapeutic units were performed following the set goals. The whole therapy was concluded with a final kinesiological examination and evaluation of the effect of the therapy. Results: From the evaluation of the effect of the therapy, it was found that most of the key values were improved during the therapy sessions. Keywords: total knee replacement, knee joint, gonarthrosis, case study, physiotherapy
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