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Case Study of Physiotherapeutic Treatment of a Patient with the Reverse Total Endoprosthesis of the Shoulder Joint Diagnoses.
Vachová, Anna ; Heřmánková, Barbora (advisor) ; Čejková, Klára (referee)
Title: Case Study of Physiotherapeutic Treatment of a Patient with the Reverse Total Endoprosthesis of the Shoulder Joint Diagnosis. Objectives: The aim of this thesis is an introduction and summary of theoretical and practical knowledge about reverse shoulder replacement and a case study of patient with with the diagnosis. Methods: This bachelor thesis has been devided into two main parts, the general part and the special part. The general part includes theoretical knowledge related to the topic of reverse shoulder replacement and the therapeutic methods used in physiotherapy. The special part includes a case report of the patient with reverse total endoprosthesis of the shoulder joint. This part contains kinesiological examination, diagnostic and therapeutic management and the final assessment of the physiotherapeutic effect. Key words: Shoulder joint, reverse endoprosthesis, rotator cuff, physiotherapy
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Physiotherapy for patients with rotator cuff lesion
PLÍHAL, Lukáš
I chose "Physiotherapy for Patients with Rotator Cuff Lesion" as a topic of the theses. This topic was chosen because I was interested in indispensable function of rotator cuff to stability and total shoulder joint functionality. Moreover, it is relatively often disorder of shoulder joint and that is why I wanted to complete my knowledge in this area. In the theoretical part I am focusing on the proper function of shoulder joint altogether. Following chapters in this part are explaining kinesiology of shoulder joint, clinical units of rotator cuff lesion and subsequent options of physiotherapy. In the practical part I am dealing with the quality research, where I look into the sample of three patients. Two of these patients were affected by rupture of rotator cuff, which was treated by operation, the last patient suffered from impingement syndrome. At the beginning the patient was physically examined. This was followed by eight therapies which were mainly focused on improving movement and muscle strength in shoulder joint. Patients affected by rupture were examined after six months after the surgery. The patient with impingement syndrome was examined after two weeks after the last therapy. According to results it is significant that there was improvement in movement and muscle strength in shoulder joint for all of the patients. The theses can be used by professional public, physiotherapists, possibly by students of physiotherapy for getting basic knowledge about rotator cuff, its pathology or possible physiotherapy procedures.
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Arthroscopic surgery of shoulder from the nurse's and patient's perspective.
ČERNÁ, Nikol
The purpose of this bachelor thesis is to find problems of preoperative and postoperative care from the point of view of the patient. The author of the bachelor thesis set another goal to find out the peculiarities of nursing care before and after arthroscopy of the shoulder. Information gathered from patients and nurses are categorized and compared. According to the research we find out how patients perceive arthroscopic operation of the shoulder and the related hospitalization. The theoretical part of the bachelor thesis deals with the history of surgical disciplines. It deals with the creation of orthopedics as a separate discipline, with the beginnings of anesthesia and with the need for a sterile environment in operating room. It describes anatomy of the shoulder joint, examination methods, indications and contraindications for arthroscopic operation of the shoulder joint. We focus on arthroscopy itself, describing the process of surgery and the types of arthroscopic procedures. In the practical part of the bachelor thesis is contained a research survey, which was realized for this work. We determine research questions for interview with patients and nurses in the department of orthopedic surgery. We use a pre-prepared semi-structured interview. Questions concern pre-operative preparation and post-operative nursing care in point of view of patient. The questions are focused also of patient awareness. We are looking for peculiarities of nursing care from the point of view of the general nurse. As an indication of the peculiarity of nursing care, the nurses have reviewed the sensitivity and momentum of the operating limb and the thorough hygiene of the operating field. Pre-operative preparation was found to be more positive in patients. And in post-operative care, it was found that there was too little active search to help patients. In the thesis, in connection with the realized research, has created an information brochure for patients, that contains results of the research survey.
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The use of high intensity laser in physiotherapy
Kremlíková, Lucie ; Kymplová, Jaroslava (advisor) ; Jeníček, Jakub (referee)
Title: The Use of High Intensity Laser in Physiotherapy Abstract: This bachelor thesis is concerned to the use of a high performance laser in the physiotherapy, especially at patiens with painful or functional disorders of shoulder joint. The thesis is dividend into the oretical and practical part. The aim of this work is to raise the awareness of the use of a high performance laser in the physiotherapy and by there a search compare the results of the therapy with laser and without at selected patients. The theoretical part is devoted to laser problematic. This part provils informations about basic laser principals and effects, indication and contraindication, but also presents different types of lasers and their use. The second part deals with shoulder joint, its anatomy, kinesiology and phatology. The practical part is based on research of the effects of high performance laser therapy at patiens with painful or functional disorders of the shoulder. The effect of therapy is judged in terms of pain and active range of movements. Patients are divided in two groups (target and control group). The results of research provide the informations on the positive effect of the therapy by using a high performance laser at monitored patients. The discussion of the work focuses on the evaluation of the effect of the...
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The nursing care of the patient after Arthroscopy of the shoulder
JELÍNKOVÁ, Petra
The theoretical part describes the history of orthopaedics development, the anatomy of the shoulder joint, clinical examination of the shoulder joint, injuries divided into the shoulder joint bones fractures and other injuries of the shoulder joint and the arthroscopy itself. This part is followed by the description of the client's needs in the postoperative period, which include self-sufficiency; furthermore the client's pain and the rehabilitation after surgery. The practical part is focused on clients after arthroscopy of the shoulder joint and nurses attending to clients after the procedure. The thesis was compiled as a qualitative research. The technique of data collection was carried out using a semi-structured interview. The research part included three research questions. Based on these questions, we examined the role of nurses in the care of clients after arthroscopy of the shoulder joint. Furthermore, the negative factors most clients perceive after the surgery and what the specifics of nursing care for clients after arthroscopy of the shoulder joint are analysed. The aim of the thesis was to investigate the role of nurses in the care for clients after arthroscopy of the shoulder joint. The most important tasks include education of clients before the procedure and during the hospitalization. The preoperative preparation consists of the explanation of the informed consent to the client, the preparation of the surgical field, legs bandaging, the management of preoperative examinations and the administration of the prescribed medication Other objectives were to determine the specifics of nursing care for the clients after arthroscopy of the shoulder joint. The specifics of nursing care reported by the nurses themselves including checking the blood circulation and peripheral sensitivity of the operated upper limb, shimming the operated arm, increased need for hygiene in the armpit of the operated extremity. The third objective was to identify the problems perceived by the clients after the arthroscopy of the shoulder joint. The main problems perceived by the clients included pain. Furthermore, they mentioned the lack of privacy, discomfort in association with the selected fixation and the lack of information about the need for the fixation system. The answers from clients and the nurses were divided into individual categories and then compared in the interaction between the nurse and the client.
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Case Study of Physiotherapy Care of Patient after reverse total shoulder arthroplasty
Pfeiferová, Zuzana ; Kubová, Simona (advisor) ; Mazancová, Iva (referee)
Title: Case Study of Physiotherapy Care of Patient after reverse total shoulder arthroplasty Objectives: The aim of this thesis is to summarized knowledges about reverse total shoulder arthroplasty and to framed case study of Physiotherapy care after this operation. Methods: Bachelor thesis is divided into two parts, general part and special part. General part is research elaboration of literature about reverse total shoulder arthroplasty. Special part contains case study of Physiotherapy care with this diagnosis. It consists of input kinesiological examination, performed therapies, output kinesiological examination and valorization of efect of the therapy. Results: Output examination demonstrated improvement of patient's health condition, especially enlargement of ROM in operated shoulder and enlargement of muscle strenght. Efficiency of selected procedures in this diagnosis were demonstrated. Keywords: reverse total shoulder arthroplasty, shoulder, physiotherapy, case study
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Case of physiotherapeutic care of a patient with a diagnosis of reverse total endoprosthesis of the shoulder joint
Nippertová, Nicole ; Polák, Alois (advisor) ; Kaucká, Eva (referee)
Title: Case of physiotherapeutic care of a patient with a diagnosis of reverse total endoprosthesis of the shoulder joint. Objective: The main aim of this work is to summarize the theoretical knowledge about the shoulder joint and its reverse substitution. A part of the thesis includes a case- record of patient care with this diagnosis. Methods: This bachelor thesis contains of two parts. The first part is focused on the theoretical knowladge of the shoulder joint, describing the anatomy of the bone structure, the muscular apparatus, the movements in the joint. Furthermore also kinesiology, instability in the shoulder, therapeutic methods and physical therapy. The second - practical part shows the case history of a patient in a physiotherapeutic care during a clinical practice in the Medicentrum polyclinic in the period 29 January 2018 - 15 February 2018. During the practise, medical history was taken, followed by an initial examination and then proposing of a short-term and long-term plan. Description of the therapies is included. The patient was an outpatient who visited the clinic 2x - 3 times a week. The conclusion of the work ends with an overall assessment of the effect of the therapy. Results: Techniques in therapy improved the problem and helped slowly approach the set goal. The range of...
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Case study of the physiotherapy treatment of a patient with reverse total shoulder arthroplasty
Máca, Ondřej ; Polák, Alois (advisor) ; Čajka, Vladimír (referee)
Title: Case study of the physiotherapy treatment of a patient with reverse total shoulder arthroplasty. Objectives: The main thing of these study is to get to know about the reverse total shoulder arthroplasty and then detail analysis of whole shoulder knot including patient case study with that kind of diagnosis. Summary: This bachelor thesis has been divided into two main parts. First part is theoretical and contains information regarding implant joined with analysis upper limb and shoulder joint searched by anatomy, kineziology and biomechanic vision where proffesionaly literature has been used. The second part of mine bachelor thesis contains patient case study with litteral diagnosis what I have searched during mine proffesional practice. Mine proffesional practice was located at Medicentrum Praha and I have worked there from 15.1. 2018 till 9.2. 2018. Results: During the terapy patient got better especially in the active mobility in shoulder joint of the operated limbin all movement planes. Later on we had increased the mussel strenght and the shoulder stability in the joint as well. Keywords: reverse endoprosthesis, shoulder joint, rotator cuff, rehabilitatio
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Case Study of patient After Tear of Tendon of Pectoralis Major Muscle
Al Makki, Maytham Essa M ; Malá, Jitka (advisor) ; El Ali, Zaher (referee)
Abstracts Title: Case Study of patient After Tear of Tendon of Pectoralis Major Muscle. Goals: The aim of this thesis is to discuss the rehabilitation of patient after fixing the rupture tendon of pectoralis major muscle and to review the anatomy, kinesiology and rehabilitation of this type of injury. Methods: Methods used in this study are all based on the literature given by the Faculty of Physical Education and Sport. Results: After 8 therapy sessions results of therapy were in reduction of pain level, increasing ROM in the shoulder joint and muscle imbalances. Keywords: Pectoralis major, Tendon tear, Tendon rupture, shoulder joint, shoulder pain,
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Physiotherapeutic Techniques in Shoulder Joint Instability using Kinesio Taping Method
PELEŠKOVÁ, Michaela
This bachelor thesis deals with the topic of physiotherapeutic techniques in shoulder joint instability using the Kinesio Taping Method. It is divided into two parts. In the first theoretical part you can find a chapter dealing with anatomy of the shoulder, biomechanics, kinesiology and instability itself, its types, possible causes, symptoms and treatment including the possibility of conservative as well as operative therapies. The second practical part focuses on various examinations, methods that can be used. There are also the results of the qualitative research which was based on casuistries. I examined four patients at the age range from 21 to 30. The patients underwent an in-and-out kinesiological analysis, a therapy where I tried to find suitable methods for stabilization of the shoulder joint. I also made a long term rehabilitation plan. The first goal of my thesis was to verify the effects of the chosen physiotherapy. The second goal was to prove the suitability of the therapeutic method Kinesio? Taping into therapy. The question of the research was if the planned therapy can improve the shoulder joint instability in case of the chosen patients. Improvement was reached in all cases, however it was not striking. The biggest factor was the cooperation during the therapy, especially the excercises at home. Each person preferred different exercises and different types of Kinesio Taping methods. This thesis can be used in the physiotherapeutic practices and as educational material for patients switch this diagnosis.
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