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PHYSIOTHERAPY FOR BRONCHIAL ASTHMA
Šnajberková, Zuzana ; Savková, Pavlína (advisor) ; Hamarová, Zuzana (referee)
This thessis deals with the treatment of Asthma Bronchiale by using various physioterapeutic methods, especially respiratory physiotherapy. In Theoretical part there is given information about symptomatology of the disease, prevention, methods of examination, respiratory physiotherapy and devices like inhalers. The Empirical parts includes two case reports where the knowledge from theoretical part is applied. The main goal of this thessis is getting to know other methods of treatment than pharmacotherapy. And by this way influence the progress of the disease to improve quality of patients't live.
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Adenoid hypertrophy and adenodectomy from the viewpoint of the respirotory physiotherapy
Světlíková, Adéla ; Smolíková, Libuše (advisor) ; Matyášek, Michal (referee)
The aim of the thesis is the examination of respiratory and postural changes on examined group of children after adenoidectomy and evaluation, whether it is recommended in post- operative phase to indicate respiratory physiotherapy for the examined children. The theoretical part of the thesis deals with the anatomy, etiology and symptomatology, which accompanies adenoid hypertrophy. Furthermore, there is a description of the kinesiology examination and complete methodology of respiratory physiotherapy and more. In the practical part of the thesis there is a statistic analysis of the examination of 20 children after adenoidectomy and control group investigation. Examination content is the thoracic respiratory excursion (breathing amplitude) and orientational examination of lungs function (PEF, FEV 0,5, FEV 0,75 and FEV1) using digital Peak Flow Meter. The part of the thesis i also kinesiology analysis and questionnaire filled up before adenoidectomy and 3 weeks after operation.
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Handling in adults physiotherapy
Smutný, Michal ; Smolíková, Libuše (advisor) ; Zounková, Irena (referee)
The thesis Handling In Adults Physiotherapy summarizes the knowledge of respiratory handling in application on adult patients. Part of the thesis also covers the relationship between body position and respiratory motor control. Experimental part consists of a clinical study with 10 COPD patients. The patients were treated in 3 positions by respiratory handling therapy. The result demonstrates a significant change in blood saturation after the therapy in position on a side. It also proves appropriateness of the side position in comparison with sitting. Keywords respiratory handling, contact-stimulating physiotherapy, respiratory physiotherapy, oxymetry, NIRS
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Physiotherapy as part of multidisciplinary care for patients following a lung transplant operation
Benediktová, Květa ; Smolíková, Libuše (advisor) ; Maršáková, Kateřina (referee)
Title: Physiotherapy as part of multidisciplinary care for patients following a lung transplant operation Objective: To evaluate the mobility of patients in the first days after lung transplantation. To compare the quality of life according to Karnofsky index and Jones dyspnea index. To relate spirometric values FVC and FEV1 of patients in the period prior to lung transplantation with the values in the first year after lung transplantation. Check the link between the development of quality of life and development of spirometric values. Methods: It is a pilot study, which was attended by 18 probands (13 men and 5 women), aged between 14 and 68 years. The data were collected on regular intervals using questionnaires on quality of life (Karnofsky index and Jones dyspnea index) and spirometric examinations taking place at the Motol University Hospital. The data were statistically analyzed using MS EXCEL, mostly using correlations and pair T - test. Results: Results showed substantial changes in the level of significance of p <0,01 both in the development of the quality of life, and in the development of spirometric values compared during the first year after lung transplantation with values before the transpantion. Another important result was the negative effect of a prolonged stay at intensive care...
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Physiotherapy in patients with bronchial asthma
Pichová, Jiřina ; Hamarová, Zuzana (advisor) ; Němeček, Ondřej (referee)
Author: Jiřina Pichová Institution: Department of rehabilitation medicine of teaching hospital in Hradec Králové Topic of the thesis: Physiotherapy in patients with bronchial asthma Supervisor: Mgr. Zuzana Hamarová Number of pages: 69 Year of defences: 2014 Keywords: bronchial asthma, respiratory physiotherapy, risk factors Topic of this bachelor thesis is Physiotherapy of patients with bronchial asthma and it is divided into theoretical and practical part. The theoretical part deals with dangerous factors, classification, diagnosis and differential diagnosis, prevention, pharmacotherapy and other ways of the asthma treatment. Above all, this thesis is focused on physiotherapy metods how to manage this disease. The practical part contains one case report of patient with bronchial asthma. The own method of treatment and management based on the physical examination was suggested and applied.
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Case study: Physiotherapy treatment of a patient with the diagnosis of acute exacerbation of chronic obstructive pulmonary disease
Novotný, Ondřej ; Melli, Klára (advisor) ; Máchová, Jitka (referee)
The aim of this work is a record of physiotherapeutic care of patient with chronic obstructive pulmonary disease in acute exacerbation. First, there is described a characteristic of this disease including the exacerbation followed by a recherche of contemporary view of pulmonary rehabilitation and respiratory physiotherapy. There is a strong emphasis on the active cycle of breathing techniques in the therapy as a method of controlled and effective expectoration. The evaluation of the effect of the therapy is based on the difference of results in the mMRC and CAT questionnaires, functional examination 6-minute walk test and the BODE Index value gathered during the initial and the end examination. Powered by TCPDF (www.tcpdf.org)
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The impact of asthma on children's incorrect body posture
KORDOVSKÁ, Kateřina
This bachelor thesis deals with the relationship between asthma bronchial and a defective posture at children. Bronchial asthma is a chronic respiratory disease which incidence is still rising. One of the reasons is a growing number of children suffering from allergies. Their current role in the wrong lifestyle plays its part, too. During the attack, bronchial asthma causes narrowing of the respiratory tract which leads to increased breathing requirements. Some troubles persist even during attacks at some children who suffer with asthma. These increased breathing demands overload the auxiliary breathing muscles over a long period of time and it leads to a change of the breathing stereotype. Changes in the breathing stereotype are linked to problems such as a poor function of the diaphragm, which has impacts not only on the respiratory function but also the postural function. All of this leads to various muscle imbalances. And that's what we're getting to the issue of faulty posture. One of the goals was to find out and describe the relationship between asthma bronchial and faulty posture. In the theoretical part, the bachelor thesis deals with the description of asthma bronchial, its causes, symptoms, diagnostics and therapy. There is also physiotherapydescribed, suitable for bronchial asthma, which was one of the goals of my bachelor thesis, and various breathing aids. The third objective was to set up an exercise unit suitable for children with asthma bronchial, whose exercises would also have influence ontheir faulty posture. An exercise unit is a part of the attachments. In the practical part, I have described three case reports, where the probands were children of pre-school and younger school age. Asthma bronchial had been diagnosed at these individuals. I have described not only their examination but also their work which differs from working with adults in some respects. Therapies were going on from November 2016 to March 2017 irregularly, but the individualshad their task of practicing at home under the supervision of trained parents.
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Respiratory physiotherapy affects the quality of life of children with spinal muscular atrophy - How, when and why?
Havlištová, Michaela ; Smolíková, Libuše (advisor) ; Zounková, Irena (referee)
Bibliographic identification HAVLIŠTOVÁ, Michaela. Respiratory physiotherapy affects the quality of life of children with SMA - how, when and why? Prague: Charles University, 2nd Faculty of Medicine, Department of rehabilitation and sport medicine, 2012. 81 p. Supervisor Doc. PaedDr. Libuše Smolíková, Ph. D. Annotation This thesis deals with the influence respiratory function in children with spinal muscular atrophy (SMA). The theoretical part provides an overview of respiratory physiotherapy techniques that can be used in the care of the airways in people with SMA. The practical part deals with the question whether it is possible using the selected techniques of respiratory physiotherapy after six weeks of training to affect ventilatory parameters in children with SMA. The group of six probands with SMA I. - III. type in the range of the age from 3.5 to 12 years participated in this study. To objectively assess changes was performed spirometry efore the beginning of the therapy and after its conclusion. The main therapy was daily training with inspiratory breath simulator CliniFlo. After the finishing of therapy there was a positive change in all measured parameters except for vital capacity (VC) and maximal expiratory flow at 75% of FVC (MEF75), where the values didn't change. Statistically significant...
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Respiratory physiotherapy - part of a comprehensive treatment of Duchenne muscular dystrophy patients
Vargová, Zuzana ; Smolíková, Libuše (advisor) ; Slováčková, Lenka (referee)
Duchenne muscular dystrophy is a progressive muscular disease. This serious disease attacks not only the musculoskeletal system, but also the respiratory system. Respiratory system is one of the most influenced systems. The risks of respiratory problems increase with deteriorating condition of the patient due to muscle weakness. This work is focused on treatment of respiratory system. The aim of treatment is early prevention and solving of complications. These complications include not only scoliosis and cardial problems, but mainly inefficient cough, night hypoventilation, irregular night breathing and failure of respiratory system even during the day. The aim of the respiratory physiotherapy is to keep the right functionality of lungs for the longest time and to choose the correct method of the rehabilitation following the patient's condition deteriorating. Interventions suitable for the patients with the DMD are techniques that leads to increasing lung volume, manual and mechanical techniques of assisted coughing, and noninvasive ventilation. NIV is one of the preferred methods of treating nowadays. Another method is continual invasive ventilation and ventilation with tracheostomy. This treatment includes keeping hygiene of the airways, which is the basis for their throughput. The work also includes...
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