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Effects of the rehabilitation program on a stage of patients with a total shoulder arthroplasty
Trnková, Martina ; Jalovcová, Miroslava (advisor) ; Nováková, Tereza (referee)
Title: Effect of rehabilitation on patient status after total arthroplasty of shoulder joint Objectives: This thesis in theoretical part informs about resources of total shoulder arthroplasty. The research of thesis concentrates on assessment of function of the shoulder joint after total joint replamcement. Method: The clinical part was processed using standardized questionnaire with 34 patients from the rehabilitation clinic Medicentrum at Praha. This part compares the data 3 months after total shoulder arthroplasty with preoperative condition obtained restrospective at the same time. Results: The results show influence of the indications, age of the patient and dominance of the operated upper extremity on the successfulness after total shoulder arthroplasty. Key words: arthroplasty, shoulder joint, rehabilitation
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Changes in deep and superficial sensations in depression
Janoušková, Marie ; Nováková, Tereza (advisor) ; Satrapová, Lenka (referee)
Title: Changes in deep and superficial sensations in depression Objectives: The theoretical part of this study aims to summarize the issues related to depression and sensory modalities in general. The goal of the practical aspect is to conduct an experiment that evaluates changes in superficial and deep sensations in depression at different stages of the mental illness in five patients. We evaluated sensations of thermal stimuli, tactile stimuli, vibrations and pain. Methods: The practical part describes the sensation analysis for each patient individually. The changes in deep and superficial sensations are compared in states of worse and lighter depression. There is also a suggested possibility for statistical evaluation of the interdependence between the severity of depression and selected modalities of sensation using the Wilcoxon test for two dependent samples. Results: The vibrating sensation in the upper left limb and algid sensation in the upper right extremity proved (on the chosen level of significance) the null hypothesis which stated that changes in sensation depend on changes in the state of depression. A sense of vibration in the upper right extremity, a sense of pain in the upper left limb and other sensory modalities present in both upper extremities were accepted (on the chosen...
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Case Study of Physiotherapy Treatment of a Patient After Stroke
Kofránková, Vlasta ; Nováková, Tereza (advisor) ; Hrdý, Tomáš (referee)
Title: Case Study of Physiotherapy Treatment of a Patient After Stroke Objective: To evaluate the effects of physiotherapy care on the patient. Methods: The first general part provides the description of the desease itself, its pre- valence in the Czech Republic, etiopathogenesis, clinical features, prognosis and current therapeutic approaches in acute, sub-chronic and chronic stages. Recommendations for primary prevention of cerebrovascular accident are described. Post-stroke patients with permanent disabilities run high risk of falling. Some selected methods (tests) are presented to evaluate the patient's balance ability (e.g. Berg Balance Scale, BESTest). The special part of this work presents a case study of a post-stroke patient, the course of the therapy and an evaluation of its effects. Results: The physiotherapy care has led to improvements of gross and fine motor skills and increased the patient's independence in everyday living. Balance ability of the patient is evaluated using the BESTest. Conclusion: It is important to maintain optimal health, independence and self- suffi- ciency of patients in the chronic stage. Specially developed functional tests can be used to evaluate the patient's condition and to choose an effective therapy. Keywords: cerebrovascular accident, brainstem stroke, falls...
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Influence of dynamic and static warm-up on muscle strength in climbers.
Formánková, Dita ; Vomáčková, Helena (advisor) ; Nováková, Tereza (referee)
Title Influence of dynamic and static warm-up on muscle strength in climbers. Objective The aim of the thesis is to assess the influence of dynamic warm-up with Thera-Band and static stretching on maximal muscle strength and its time parameters of finger flexors in dominant upper extremity in climbers. Methods Eight active climbers participated in this testing (age 32.4 ± 5.5, body weight 69.4 ± 6.5, height 176 ± 6.4). Actual performance RP was according to the French scale ranging 6b to 8a. Probands' measurements proceeded in three different days. After a specific warm-up on "boulder wall" and static stretching and dynamic warm-up with Thera-Band without stretching, there was maximal muscle strength of fingers flexors on dominant (preferred) upper limb measured by using a specific climbing test on hangboard. The second measurement assessed maximal strength of finger flexors muscle and its time parameters while proceeding of the maximum hand-grip using a hand dynamometer. Results In the experiment, none of the hypotheses came to be confirmed. There was no significant influence of static stretching and dynamic warm-up with Thera-Band on maximal muscle strength of finger flexors and the time parameters in climbers. Conclusion Despite the failure to prove the influence of the static stretching and...
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Comparative analysis of the effect on disease-modifying drugs and biological therapy in functional ability in patients with rheumatoid arthritis.
Sýkorová, Veronika ; Vomáčková, Helena (advisor) ; Nováková, Tereza (referee)
Autor: Bc. Veronika Sýkorová Title: Comparative analysis of the effect on disease-modifying drugs and biological therapy in functional ability in patients with rheumatoid arthritis. Objective: The aim of the thesis is to compare the effect of disease-modifying drugs and biological therapy on quality of life using the disability index, which is achieved by evaluating the HAQ, grip strength the small muscles of the hand, which is tested a hand dynamometer and standing stability, which is detected by measuring on stabilometric platform. Methods: This is a pilot study using subjective and objective examination. Stabilometric and dynamometric examination and the Czech version of the Stanford Health Assessment Questionnaire validated by Rheumatology Institute in Prague 2010 were used to the analysis. Evaluation of the collected data was done using two-way analysis of variance with repetition. Results: Biological therapy and disease-modifying antirheumatic drugs have significant impact on quality of life, the strength of the small muscles of the hand and standing stability in patients with rheumatoid arthritis. Disease-modifying antirheumatic drugs have reached significant results than the biological therapy in quality of life, forces the small muscles of the right hand and standing stability. Biological...
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The case study of physiotherapeutic treatment of a patient with The Postpoliomyelitic syndrome
Lusková, Michaela ; Nováková, Tereza (advisor) ; Biskup, Šimon (referee)
Title: The case study of physiotherapeutic treatment of a patient with The Postpoliomyelitic syndrome Objective: Summarization of theoretical knowledge concerning The Postpoliomyelitic syndrome. Preparation of case study of a patient suffering The Postpoliomyelitic syndrome, followed by appraisal of the therapy's effects. Methods: The Theoretical Part is concerned with The Postpoliomyelitic syndrome's theme, namely with its possible cause of the syndrome, clinical features and options of therapeutic approaches. The Special Part of Bachelor Thesis presents case study of female patient in the course of particular therapies, and overall therapy's effect. Results: Physiotherapeutic care of the patient was observed to be helpful and positive results were reached not only in the objective, but also in subjective way. As the most effective is considered respiratory physiotherapy especially for activation of stabilizing muscles of the spine, then soft tissue techniques and positive thermotherapy. The reduction of muscle dysbalance was achieved, also as improvement of decompensation of scoliosis and stability. These improvements affected gait stereotype positively. Conclusion: The cooperation with patients suffering the postpoliomyelitic syndrome demands daily care of medical start, and primarily, active...
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Analysis of upper limbs muscles involvement during playing the drums
Štumpfová, Lenka ; Nováková, Tereza (advisor) ; Véle, František (referee)
Title: Analysis of upper limbs muscles involvement during playing the drums. Objectives: The aim of this thesis is to compile information about playing the drums and summerize the most frequent musculosceletal disorders of upper extremities of these musicians. The main aim is analyzing and comparing the involvement of muscles or muscles groups of the right upper limb while drumming. Methods: The theoretical part follows up the given issue as a research and theoretical overview of the current findings based on czech and foreign literature. The practical part is dedicated to evaluation of surface electromyography and 3D kinematics analyses of movements while drumming under specified conditions of one single proband. Results: Results of measurement demonstrate that m. biceps brachii is the most active muscle during playing on hi-hat, snare drum and floor tom with forte dynamics and m. extenzor carpi uln. is is the most muscle active during play with piano dynamics. Wrist flexors were the least active during all measurements. M. extenzor carpi rad. was measured too and its activity was on second place. A close relation between changes of muscles activity and changes of angles of the elbow and wrist have not been established in this study. This research was implemented only with one proband so the...
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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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