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Dechová rehabilitace u pacientů operovaných pro spontánní pneumothorax
DOLANSKÝ, Petr
This bachelor thesis deals with the issue of respiratory therapy after surgical treatment of spontaneous pneumothorax. Pneumothorax is defined as the presence of air or other gas in the pleural cavity. Patients experience high dyspnea, soreness, decreased respiratory parameters and changes in posture. The aim of the work was to map the possibility of respiratory rehabilitation in patients operated for spontaneous pneumothorax and to propose a procedure for respiratory rehabilitation in these patients. The theoretical part briefly describes the anatomy of the chest, describes the primary and auxiliary inspiratory and expiratory muscles. Furthermore, the problem of pneumothorax, its division, diagnosis, symptomatology, conservative and surgical treatment are described. At the end, the breathing rehabilitation techniques and other physiotherapeutic concepts, that can be used in patients after spontaneous pneumothorax surgery, are discussed. The practical part had been done in the form of qualitative research, in which three patients that were operated for spontaneous pneumothorax participated. Kinesiological examination took place the first day after the surgery. It consisted of the muscle test according to Janda, goniometric measurement of active range of motion in shoulder joint, anthropometric measurment of chest development, measurement of maximum inspiratory pressures using a Micro RPM, Borg's CR10 scale and measurement of hemoglobin oxygen saturation. In the following days, the therapy itself took place, ending with a final kinesiological examination. The measured values were compared with each other. Improvements were achieved in all probands, so it can be argued that the therapy had a positive effect.
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