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Injuries of knee joint and consequential physiotherapy after crossed ligaments plastic
ŠKABROUD, Libor
This work deals with questions of injuries of the fibrous apparatus of the knee joint, especially with the injury of ligamentum cruciatum anterius (LCA). The theoretical part summarizes the basic information relating to the problems of injuries of the fibrous apparatus of the knee. In the following, it offers an abstract of recent methods of physiotherapy used while dealing with patients with LCA plastic. The evaluation of the research, which compares the efficiency of the physiotherapy between two patients with LCA plastic (one active sportsman and the other a non sportsman), discovered that the therapy was more effective in the sportsman case, especially in term of faster growth of muscles.
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Physiotherapy in children and youth with poor posture and flat
SLAVÍČKOVÁ, Zuzana
Body posture is the picture of the life attitude. Therefore, an incorrect body posture is the speech of the body that is frequently the first one to warn us against future health troubles. There are a large number of causes of the incorrect body posture. It may be for instance stress, lack of movement, but also various deformities of legs. In my thesis I chose the pes planovagus as a possible diagnosis. Pes planovalgus, or flat foot, is one of the most frequent diagnoses occurring in the orthopaedic practice. This happens despite the fact that almost 99 per cent of children are born with healthy feet. Almost a third of these children come to the first class with feet damaged in various ways as a result of a bad life style. The objective of this thesis, in the theoretical part, was to process up-to-date information related to the diagnostic and therapeutic procedures in children suffering from pes planovalgus. In the practical part, I focused on drawing up the casuistry of patients with this diagnosis. The theoretical part describes the actual disease, its clinical demonstrations, causes of origin and especially its impact. Emphasis was put on prevention of this deformity and related consequences. The theoretical part explains key words associated with this thesis: functional muscle chains, gait, arch of the foot, foot, pes planovalgus, prevention, rehabilitation. Qualitative research method - case study was used for the practical part of the bachelor thesis. The research was conducted in the rehabilitation department of the District Hospital in Tábor, a.s. The tested set was made up of two testees with the flat foot diagnosis with the valgus position of the foot and incorrect body posture. Neither of the two testees was diagnosed as having a neurologic or eye illness. The objective of the research was to find out the influence of the pes planovalgus on the overall body posture and possibilities of influencing it. The results are drawn up in the form of casuistry. In the patients observed, the body posture, gait mechanism and, in general, the function of the foot improved. Both patients stated that pains have disappeared and the performance of the feet, especially in sports, has improved. The thesis contains a proposal of effective therapy of pes planovalgus at the child age, which may be beneficial for physiotherapists working with child patients. Further, the thesis may be used for the education of college students studying medicine branches, or it may serve as a source of information for the general public.
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The importance of Occupational Therapy in the rehabilitation of the elderly
PULKERTOVÁ, Jindřiška
Increasingly better living and working conditions, higher quality healthcare and social conditions are resulting in higher life expectancy more than ever. This is called population ageing. Illness or injury in older age causes various and specific problems which affect all personal areas of the elderly such as physical, emotional, social and spiritual status. It is the aim of rehabilitation to improve or restore those areas following personal injury or illness. One of the various professional disciplines contributing to the rehabilitation process is Occcupational Therapy. The main aim of the thesis is to clarify the role of Occupational Therapy in the area of elderly rehabilitation. It also aims to incorporate the World Health Organisation{\crq}s International Classification of Functioning, Disability and Health (ICF) into clinical work of Occupational Therapy and to find its practical use in this discipline.
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Basal stimulation and kinaesthetics and their integration into the the care of seniors with specific problems
POLICHRONOVOVÁ, Lenka
Summary In my bachelor's thesis I focus on an integration of a stimulatory care into daily activities of seniors with heavy motoric, cognitive or perceptional changes by the means of the concept Basal stimulation and by the means of the concept Kinaesthetic mobilisation. In a theoretical part I describe an old age with manifestations of involution, I marginally mention a neurorehabilitation, nursing in order to point out a penetration of rehabilitation into the care which is directed to therapeutic aim in a nursing way. Subsequently I deal with both concepts, with individual stimulations and with kinaesthetic principles of mobilization. In a practical part there was a qualitative research applied. A data sampling was implemented by the way of a secondary analysis of documents and by a method of observation. An observation was implemented both as involved and neutral one. There was an instrumental method of casuistics applied to describe an integration of concepts into the care. The diversity of sample was the main criterion at choice. There were 4 males and 2 females in the age range 53{--}95 years old in a set. The objective of work no. 1 was to create an integrated image of the possibilities of integration and of utilization of elements from a concept of basal stimulation and kinaesthetic mobilisation in the care of seniors with specific problems. The objective no. 2 was to support a theory that an interconnection of a concept of basal stimulation and kinaesthetics leads to the development of perceptiveness and to improvement of skills and capabilities. The objective no. 3 presupposes that concepts of basal stimulation and kinaesthetics contribute to a support of overall perception and to improvement of the quality of life of seniors with a somatic, sensoric and mental affection. The objective no. 4 was to find out whether the concepts are a suitable communicational and educational form in a fundamental nursing care in order to achieve a higher level of self-service and mobility. All the objectives were achieved in my opinion. An importance of rehabilitation and psychosocial educational care even in old age ensued from an elaboration of a theoretical part. By the way of evaluation of a practical part I came to my personal opinion that a stimulation care has a positive effect even in a developmental stage of an old age. The thesis could become a source of information at introduction of concepts into practice; it could be conducive for family members when taking care of their close relatives or eventually as a basis for the purposes of study of these problems.
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The "integrated" rehabilitation in extrapyramidal diseases
KREMZOVÁ, Adéla
In my bachelor thesis I focus on the issues of the "integrated" rehabilitation in extrapyramidal disease. Due to large spectrum of extrapyramidal diseases and syndromes I mostly focused in my work on the clients afflicted with the Parkinson{\crq}s disease. In the theoretical part I first define the notion of extrapyramidal diseases, further I am describing the issues connected with the Parkinson{\crq}s disease from the health and social point of view. The last chapter of the theoretical part is devoted to the "integrated rehabilitation{\crq}q and the sequence of its individual components. I also mentioned the International Classification of Functioning, Disability and Health. In the practical part I focused on ascertaining of the scope, means and the resulting effect of the "integrated" rehabilitation from the perspective of the clients afflicted with Parkinson{\crq}s disease. Therefore, it was suitable to use qualitative research. I used the method of questioning and the technique of semi-standardized interview. Further to that the secondary data analysis as well as case studies {--} casuistry were used. The clients for this research were chosen among the patients with the Parkinson{\crq}s disease, who are registered with the Center of extrapyramidal disorders of the General Teaching Hospital in Prague. The aim of my work was to answer the following questions: 1. Whether the clients ever underwent some of the components of the ``integrated{\crq}q rehabilitation described in the theoretical part of this thesis. 2. How were they satisfied with the performance of the rehabilitation. 3. Whether they missed some of the said rehabilitation components. The client{\crq}s answers to the above questions are stated in the explanation. The case studies show that the patients underwent mostly the treatment component of rehabilitation. In the majority of cases, they were satisfied with the way it was performed. Some of them, however, experienced lack of information on the social assistance within the framework of social rehabilitation. The work could help to those people, who are interested in the issues in question, especially in order to get an overview of the sequence of individual components of the "integrated" rehabilitation in the Parkinson{\crq}s disease. It could be further instrumental to the patients and their families and last but not least for study purposes of workers in helping professions.
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Activization of the paraplegick and kvadruplegick patient
ŠÍMA, Vojtěch
The activation of a paraplegic, quadruplegic patient is an in important part of the nursing care for the patient handicapped in this way. By a good and timely activation we achieve a better co-operation of the patient during the rehabilitation, practicing self-sufficiency; the patient communicates better with us and he co-operates. The activation is manifold; as for the hospital activation, the most known elements are books, television, radio, talks, co-operation with the family, internet. Other possibilities of activation are spinal units, rehabilitation center and e.g. the ambulant Paraple center providing the services in the following aid to the handicapped patients.
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The differencis of nurse treatment by Patients with TEP(total hip replecament) and with CCEP(cerviko capital replecament).
BUKÁČKOVÁ, Kristýna
This bachelor thesis focuses on the differences in nursing care of patients after TEP (total endoprosthesis) and after CCEP (cervical-capital endoprosthesis). The reason that led me to deal with this subject was the fact that I consider the knowledge of this matter as well as observing its principles by nurses for necessary. The objective of the thesis was to find out whether nurses know the difference in the nursing care of patients after TEP and CCEP, and whether they observe the differences in the nursing care. These objectives were fulfilled in the bachelor thesis. Two hypotheses were laid down. Hypothesis 1: Nurses know the difference in nursing care of patients after TEP and CCEP. Hypothesis 2: Nurses observe the difference in nursing care of patients after TEP and CCEP. The hypotheses were confirmed. The theoretical part of the thesis is focused on the anatomy and physiology of the hip bone and the historical development of endoprostheses. Further, the subject of the TEP and CCEP is dealt with here. It contains descriptions of the differences in the nursery care that nurses should put a lot of emphasis on and observe them. In the research part, the quantitative investigation by means of the questioning method, in the form of a questionnaire, and the qualitative research by means of the method of participating hidden observation, were chosen to verify the hypotheses. In practice, this thesis may be used in seminars, in which even the results of investigations may be dealt with, thus increasing the quality of the nursing care of patients after TEP (total endoprosthesis) and CCEP (cervical-capital endoprosthesis).
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Social and Psychological Situation in a Family with a Combined Disability Child
MAŠKOVÁ, Hana
The thesis focuses on social and psychological situation in a family with a child with combined disabilities, starting with the birth of the child and following reactions of the parents, family and society to this new situation. The thesis deals with different problems in the area of decision making in further possible steps concerning the child care and also with the way how to deal with given problems. The aim is to point to the parents who have a child with combined disability and to illustrate their situation from the beginning, showing how they cope with the situation. The practical part contains a research which is based on the questionnaire filled in by parents who have a child with combined disability. The questionnaire focuses above all on the parents, their situation and the change of their lives after the birth of their child, partnership, environment, help and other organizations that frequent the parents and their children.
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Handicapped Clients in Domestic Environments
PRŮCHOVÁ, Alice
This thesis deals with relationships with the physically disabled. In the context of national and international documentation. Lists of social care contributions and the social services offered to clients in the domestic environment are presented. Terms are explained regarding handicaps and systems of complete rehabilitation. The focus is on domestic care and its development towards a unification of offered services in the home. The quality of care in the home is praised. The conclusion summarizes all the presented remarks and theme of the thesis. The aim of the work is to present and clarify the concept of the disabled client in the home and present practical examples of carrying out this care.
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Work rehabilitation and its security provided by labour offices in the Ústecký region
JEŽKOVÁ, Jana
Working rehabilitation is the topic of my diploma thesis. Finding out the ways of securing working rehabilitation by the employment offices in the region of Ústí nad Labem on the basis of secondary sources and qualitative talks is the aim of this diploma thesis. So far in the Czech Republic hasn´t been the system providing comprehensive solution of the health handicapped employment. The Act Employment n.435/2004, Code introduces the institute of working rehabilitation in order to provide the access and comeback to the labour market for the health handicapped. Supporting the policy which enable to employ these handicapped people is the the next objective of this institute. The employment offices as the state administration bodies provide the employment facilities in a given region, they are independent subjects, territorially organized in districts and their legislative duties contain working rehabilitation securing. Research respondents were the particular employment offices in the region of Ústí nad Labem personnel who are interested in working rehabilitation and really practise it. The region of ústí nad Labem belongs to the Czech Republic area maintaining the primacy in the field of the unemployment. The unemployment as a result of labour market functioning is one of the contemporary world problems. Labour market is very dynamic phenomenon which reacts to technological development and economic situation. Nowadayas with the essential decrease in working positions there is a decrease in free working positions reserved for the handicapped and thus the participation of the handiccaped in the total number of job applicants has been steadily increased. The integration of these handiccaped to the labour market is affected by lots of factors among others by insuficcient awareness of their needs and weak points of the contemporary functioning from the legistation and practise view point. Creating procedures which enable to make provision for needs and skills of working rehabilitation participants and thereby increasing their participation at labour market was the intention of this diploma thesis. The targets were fulfilled so there were suggested three variants which show various possibilities of the initiation of working rehabilitation process and enable the effective usage of their particular forms. The diploma thesis results can be used either by the employment offices personnel throughout the Czech Republic or by the specialized experts who are interested in the problem of working rehabilitation.
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