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Usage of spa treatment to cure ankylosing spondylitis from a patient´s point of view
JANEČKOVÁ, Lenka
This work describes Bechterew{\crq}s syndrome (hereinafter referred to as Ankylosing spondylitis), how the syndrome occurs, in what age group it arises most frequently, what gender it is more common for, the causes, influences on the occurrence, symptoms and how it can be treated. Treatment options primarily focus on spa treatment, more specifically on spa facilities in Bechyne and Třebon. The work also includes a hands-on part which should provide responses to two established goals. Goal 1: To track the impact of spa treatment on improving the quality of life of patients with Bechterew{\crq}s syndrome. Goal 2: To evaluate the significance of the work of nurses in educating patient{\crq}s with Bechterew{\crq}s syndrome. Three hypotheses have been established for these goals. Hypothesis 1: After undergoing spa treatment, patients with Bechterew{\crq}s syndrome have improved mobility (measured by applying Thomayer{\crq}s distance). Hypothesis 2: Patients with Bechterew{\crq}s syndrome have reduced pain after undergoing spa treatment. Hypothesis 3: Nurses working in the spa facility educate patients with Bechterew{\crq}s syndrome on maintaining a healthy lifestyle following completion of their spa treatment. To confirm the first hypothesis I used secondary data analysis, where I searched the documentation kept by the physician at the spa facility, for necessary data for evaluation. To confirm the remaining hypothesis I used questionnaires (appendix no. 1 and 2) which I distributed to selected patients and nurses in the spa facility in Bechyne and Třebon. Goal 1 was fulfilled, as with the help of secondary analysis of data and evaluation of questionnaires I managed to map the impact of spa treatment on patients with AS. Goal 2 was also met. I successfully mapped patient education from the part of nurses. Established hypotheses 1 and 2 were confirmed. After evaluating the collected data, the results show that men suffer more commonly from AS, which is also confirmed by statistics of the Bechterew Club. Furthermore, the results show that women approach their illness more responsibly than men, they exercise more frequently and more in general, which also reflects itself in their improved mobility after completing spa treatment. Both men and women claimed they experienced a reduction in pain after undergoing spa treatment. Hypothesis 3 was not confirmed, as nurses in the spa facility informed clients, but mainly after being asked, which cannot be perceived as education.
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Physiotherapy for patients with Morbus Bechtěrev
KANTOROVÁ, Vanda
This Bachelor paper deals with physiotherapy given to patients suffering from the Bechterew's disease. The paper consists of a theoretical section and a practical section. The theoretical section describes the anatomical structures of axial skeleton, the biomechanics of spinal column, and it defines spondylarthritis generally. Moreover, the paper provides a detailed analysis of the Bechterew's disease (i.e. the ankylosing spondylitis), its examination, treatment and the application of physiotherapeutic procedures. The practical section depicts physiotherapy applied specifically to treat three randomly chosen patients of the Aurora Spa based in Třeboň, as the treatment was administered between 5 March and 9 April, 2010. The first objective pursued in the paper is the evaluation of some selected methods of physiotherapy used in treatment of the Bechterew's disease patients. In the second objective the paper tries to assess the effect that the methods could have on the disease prognosis. The paper relied on the methods of a qualitative survey, and the data were gathered using these techniques: anamnesis, interview, observation (kinesiologic analysis) and the secondary analysis of data. The paper can do the duty of study and instructional material for students, the lay public and for health-care professionals.
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Treatment of Patients in a Specialized Establishment - a Centre for the Cure of Rheumatological Disorders in the South Bohemian Region
Valentová, Monika ; Střítecký, Rudolf (advisor) ; Augustinová, Sevda (referee)
Rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis belong among serious disorders, that effect joints and connective tissue. The patients suffer from pain and stiffness. Disease modifying drugs are an important part in the management of rheumatical disorders. When disease modifying drugs are failing, than biologic treatment is applied. For biologic treatment are registred etanercept (Enbrel), adalimumab (Humira), rituximab (MabThera), abatacept (Orencia) and infliximab (Remicade). In the Czech Republic was established the National registry of rheumatic disorders. There is a need of long term observations of patients, who have biologic treatment, to evaluate safety and socioeconomic data of the biologic treatment.
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