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Case Study of Physiotherapy Treatment of a Patient after Fracture of external ankle
Berger, Daniel ; Holubářová, Jiřina (advisor) ; Hoskovec, Jakub (referee)
Title: Case Study of Physiotherapy Treatment of a Patient after Fracture of External Ankle Aim: The aim of this thesis is to get teoretical and practical knowledge about ankle fractures and their treatment. Method: The thesis includes research of literature about the problem. It consists of two parts: general and special. In the general part, there is a basic description of the anatomy and function of lower leg and ankle joint. Next there is the description of traumatology of this area, especially fractures. It studies the mechanism of fracture formation, surgical and conservative treatment and the possibilities of physiotherapy intervention. The special part is constructed as a case study. It includes detailed assessment of a patient, an initial kinesiology analysis which determines the aim and methods of the therapy. Next there is described the cousre of individual therapeutic units, final kinesiology analysis and a therapy efficiency evaluation. Key words: case study, ankle joint, fracture, rehabilitation, physiotherapy
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Case study of physiotherapy treatment of a patient with the diagnosis of sprain of left ankle
Maimaris, Stelios ; Malá, Jitka (advisor) ; El Ali, Zaher (referee)
Case Study Treatment of a patient diagnosed with inversion sprain of left ankle. My practice was performed at the C.L.P.A. (Centrum Léčby Pohybového Aparátu). Physiotherapy program started on Tuesday 9th of January 2012 and ended on Monday 20th of January 2012. My Bachelor Thesis is divided in two parts. 1) Theoretical part 2) Practical part In the theoretical part I analyse everything concerning the ankle joint, muscles, joints, bones, ligaments, nerves, arteries, veins and industrially. In the practical part I analyse every procedure we have done with my patient, all the tests, examinations, conclusions, therapies and results. Summary Patient came to Physiotherapy Centre and started therapies on Tuesday 10th of January 2012. Doctor recommended the patient should have 6 sessions. Goal of the therapy was to decrease the pain that he sustains on the left ankle area in a scale from 1(min) to 10 (max) that was 4/10, decrease swelling, increase ROM that was decreased, increase mobility and elasticity of skin and also improve strength and length of the injured left ankle joint according the examinations that I provide to the practical part. Finally in the last session of my patient, if we compare it with the first one it was obvious that L.M. made a big and very important improvement. Pain was decreased...
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Physiotherapy after osteosynthesis of the trimalleolar fracture
Medal, Jakub ; Dudová, Agnieszka (advisor) ; Hankovcová, Eva (referee)
Title of bachelor's thesis: Physiotherapy after osteosynthesis of the trimalleolar fracture. Aims: Concept, execution and evaluation of physiotherapeutic treatment of a patient affected by trimalleolar fracture of the ankle joint. Methods: The thesis is divided into two parts - theoretical and special. Theoretical part deals with basic principles of functional anatomy, kinesiology, biomechanics and traumatology of the ankle joint. It also includes information about possibilities of treatment - orthopedical (traumatological) and physiotherapeutic. Special part is focused on a case study of a patient with trimalleolar fracture. Results: Clinical state of the patient after execution of the therapy has improved. The range of movement in disabled ankle joint as well as muscle power of both legs have been increased. Swelling and nociception of the left ankle joint have been reduced. Key words: physiotherapy, traumatology, case study, ankle joint, trimalleolar fracture, osteosynthesis
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Case Report: Physiotherapeutic Treatment of a Patient Diagnosed with a Bimalleolar Ankle Fracture
Šindlerová, Barbora ; Kozáková, Alena (advisor) ; Novotná, Irena (referee)
Title: Case Report: Physiotherapeutic Treatment of a Patient Diagnosed with a Bimalleolar Ankle Fracture Thesis goal: The goal of this thesis is to present a theoretical outline of a bimalleolar ankle fracture diagnosis and a practical survey of the respective conservative medical treatment. The material and evidence required for these were gathered during a practical training experience in Kladno hospital. Methodology: The theoretical part of this thesis includes theoretical matter from the fields of anatomy, kinesiology, biomechanics, traumatology, and types of physiotherapeutic treatment of bimalleolar ankle fracture. The following special part of this thesis discusses the methodology, collects anamnesis data and includes the initial kinesiologic check-up on the basis of which a suitable therapy and a short-term physiotherapeutic schedule was designed. This part of the thesis further consists of an account of individual therapeutic procedures and of the final kinesiologic check-up which is compared to the initial check-up. In conclusion, there follows an argumentation of the efficiency of the chosen physiotherapeutic methods. Key words: physiotherapy, case report, ankle joint, fracture
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Case Study of physiotherapy treatment of a patient with Subtalar Dislocation
Koderová, Michaela ; Nováková, Tereza (advisor) ; Hoskovec, Jakub (referee)
Title: Case study of physiotherapy treatment of a patient with the diagnosis of subtalar dislocation Objectives: The main goal of this bachelor thesis is to work out a detailed case study of a patient with the diagnosis of subtalar dislocation and a literature search of this topic. Another goal is to acquire knowledge of anatomy, kinesiology and biomechanics of a subtalar joint, knowledge of orthopedics related to this diagnosis and knowledge of possibilities of physiotherapeutic care of such a patient and also active participation on the therapy of this patient. Methods: I used assays and physiotherapeutic approaches which I learned during the bachelor studies on FTVS UK. Background for the special part of this thesis was gained during the special practice in C.L.P.A s.r.o. since 10.1.2011 till 4.2.2011. The general part informs about anatomy, kinesiology and biomechanics of a subtalar joint, about subtalar dislocation and about physiotherapeutic care of this injury. Special part includes methodology of the work, anamnesis, opening kinesiologic analysis, individual therapies, outcoming kinesiologic analysis and the effect of the therapy. Results: I worked out a detailed case study of a patient with this diagnosis and a literature search of this topic. The work was beneficial especially because I...
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Case study of physiotherapy treatment of a patient with the diagnosis of the fracture of lateral malleolus
Černocká, Michaela ; Kozáková, Alena (advisor) ; Kučerová, Ilona (referee)
Title: Case Study of A Physiotherapy Treatment of A Patient with the Diagnosis of Fracture of Lateral Malleolus Aim: The aim of this bachelor's thesis is to present basic information on ankle fractures and to elaborate a case report of a patient with the above mentioned diagnosis. Method: The thesis consists of two parts: a theoretical part and a practical part. The theoretical part presents a discription of the anatomic structure and the function of the ankle joint, the kinesiology of the foot and the biomechanics of walking. Furthermore, it deals with traumatology of the ankle area focusing on fractures, diagnostic methods, treatment and physotherapy methods and on courses of action after ankle fractures. The practical part is conceived a case study. It includes an anamnesis of a patient, an entrance kinesiology analysis on the baisis of which aims and methods of the therapy were determined. The thesis presents a description of the course of the individual therapeutic units, an output kinesiology analysis and a therapy efficiency evaluation. Key words: ankle joint, fracture, rehabilitation, physiotherapy, case study
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Physiotherapy after soft tissue injuries of the ankle joint
Weissová, Marie ; Muchová, Renáta (advisor) ; Nováková, Petra (referee)
My bachelor thesis focuses on physiotherapy after soft tissue injuries of the ankle joint. This type of injury can affect both athletes as well as regular population during their daily activities. In the theoretical part of my thesis I discuss the anatomy of the ankle joint, specifically, its soft tissue; ligaments and muscles. Furthermore, I discuss kinesiology of the ankle joint and traumatology of the ankle joint's soft tissue. I particularly focus on the mechanisms of emergency of the injuries and majority of the injured structures. Included as well is a section on the instability of the ankle joint which is the focus of the practical part of my thesis. The practical part of my thesis contains two case studies where physiotherapy was applied, in particular, sensomotoric stimulation and spiral dynamic which are techniques suited to treatment of this type of injury. I explore their effectiveness. I have also included a description of these methods as well as tests examining the instability of the ankle joint. Both case studies examine patients who were injured more than two months ago and struggle with ankle joint instability, which is typical for this type of injury. The objective assesment of my therapy should be the measures on footscan. Key words: ankle joint, instability of the ankle joint,...
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Physiotherapy in patients after fracture of the ankle joint
ROKŮSKOVÁ, Pavla
This Bachelor?s thesis deals with the theme of physiotherapy of patiens with a fractured ankle joints. An injury of ankle joint is one of many kinds of musculoskeletal injuries. As a result of an injury in this area appears a pathological situation for human organism which results in changes of local and distant parts of human body. Among important local problems of the physiotherapy treatment belong pain, swelling, limited mobility of the surrounding tissue and malfunction of muscles. The main role of physiotherapy is an elimination of local problems and a restoration of the proper function of ankle joints. Then the techniques of physiotherapy aim to the reeducation of walking and to avoid any incorrect movement streotypes and compensatory mechanisms. Therefore this therapy does not focused only on the ankle joint itself, but contains whole postural function of muscles in the whole human body. In the theoretical part of this thesis I describe the anatomy of human feet and ankle joints, the kinesiology of ankle joint and the biomechanism of human walking. Then etiology, diagnostics , treatment and complications of traumas of the ankle joint are mentioned. As an individual chapter there are therapeutic guidelines used at the time during healing, and of course, after healing of the fractures. In the research part of this thesis the qualitative method of research was used. This chapter was prepared as a list of case reports, which contain case history, initial examination, design and description of the therapy, final examination and long term physiotherapeutic plan. The utilized techniques for collecting data were interview and observation. The researched group consisted of two patients with diagnosed fracture of the ankle joint. These patients were selected from two ambulatory departments. One of the department is part of the Nemocnice Ceske Budejovice, a.s., and the other is part of Centrum lecebne rehabilitace Marie Kotrbove, s.r.o. Total duration of therapy was four weeks in both cases. At the beginning of therapy these patients were informed about the procedure the goal of therapy. The goal of this thesis was using theoretical and practical knowledge gained during studying of physiotherapy for the most effective treatment of patients. The first goal was to introduce complete knowledge of kinesiology and physiotherapy of the fractures of ankle joints. This part was achieved in the theoretical chapter of my thesis. The second goal was describing the possibilities of the therapeutic care and the following practical effectinevess. At the beginning of the study the question was set: Are the recommended methods of physiotherapy of patiens with fractured ankle joints effective?. The progress and outcome of therapy was judged in conservative treated cases as well as surgical treated cases of fractured ankle joints. In the conservative treated fracture the terapy was effective, swelling has been gone, the muscle strenght increased and the motion range extended. In the surgical treated case terapeutic progress was slowed down. But even there after the complex physiotherapy treatment success was achieved. Maximum level of all functions will be matter of further therapy. The results of research part has shown, the proper terapeutic methods were chosen. The results of this thesis will be provided to the whole physioterapic community. Benefit in clinical practice is in present processing and pointing out all possibilities of local and complex therapy of fractures in the area of ankle joint.
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