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Case study of physiotherapy treatment of a patient diagnosed with femoral neck fracture treated with DHS
Sárazová, Daniela ; Novotná, Irena (advisor) ; Veselá, Irma (referee)
Title: Case study of physiotherapy treatment of a patient diagnosed with femoral neck fracture treated with DHS. Objectives: The aim of this thesis is a summary of theoretical knowledge of femoral neck fractures and a case study of physiotherapy treatment of a patient, who suffered this fracture and underwent an osteosynthesis with DHS. Methods: This thesis is divided into two parts. The first, general part is based on the research of professional literature. It describes the anatomy and kinesiology of hip joint, trauma of the proximal femur area, especially femoral neck fractures, options of their treatment and recommended physiotherapy approaches and methods. The second, specialized part covers the case study of physiotherapy treatment of a patient diagnosed with femoral neck fracture, which was treated with DHS osteosynthesis. The case study includes the physiotherapy assessment of the patient before and after the treatment, process of the physiotherapy treatment and evaluation of the treatment effect based on the assessments. Results: The result of the physiotherapy treatment was general improvement of patient's condition. The most apparent changes were muscle strength improvement, range of motion improvement, better condition of soft tissues, better gait skills and regained independence of the...
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Case of study of physiotherapy care of the patient after surgery of intervertebral disc in the lumbar spine
Císař, Tomáš ; Novotná, Irena (advisor) ; Reckziegelová, Petra (referee)
Title: Case of study of physiotherapy care of the patient after surgery of intervertebral disc in the lumbar spine Objective: Summarisation of theoretical findings and case report of the patient after surgery of intervertebral disc at L5-S1 segment. Summary: The thesis consists of two parts. The general part includes anatomical and biomechanical description of the spine with an emphasis on the lumbosacral area. Then there is brought closer pathophysiology of prolapse of intervertebral disc and the ways of its evaluation. A special section is dedicated to the case study and rehabilitation plan for the patient. Therapy aims to reduce pain, improve muscle strength and increased mobility of the patient. Case of study was elaborated during practice from 05. 01. to 30. 01. 2015 in ambulatory part of rehabilitation department in the Oblastní nemocnice Kladno a.s. Keywords: intervertebral disc, casy of study, neurology, prolapse, spinal surgery
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case study of physioterapy treatment of patient after hemoragic stroke with left hemiparesis
Waldmann, Tadeáš ; Novotná, Irena (advisor) ; Hamouzová, Dita (referee)
Title: Case study of physioterapy treatment of a patient after hemoragic stroke with left hemiparesis. Objectives: The aim of the thesis is to obtain academic findings about stroke concerning anatomy, pathology, therapetuic approaches and methods which can be utilised in cases of stroke. The specific part focuses on the therapeutic care of a patient after hemorragic stroke which was taken during a month practice at Regional hospital Kladno Spa Summary: The theory of the thesis discusses anatomy and pathology of human brain in terms of strokes. There is a brief mention of ischemic strokes and a detailed elaboration on hemorraghic strokes. Furthemore, the same part of the thesis epitomizes the risk factors and diagnosis of strokes. There is also a detailed treatise on the physioterapeutic care of stroke. The practice of the thesis introduces a case study of physioterapy treatment of a patient after hemoragic stroke with left hemiparesis. Keywords: Stroke, hemoragic stroke, hemiparesis, physiotherapeutic technique and methods.
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Case Study of Physiotherapy Treatment of a Patient after Proximal Humerus Fracture.
Doškářová, Tereza ; Novotná, Irena (advisor) ; Křížková, Štěpánka (referee)
Title: Case Study of Physiotherapy Treatment of a Patient after Proximal Humerus Fracture. Aim: Summary of theoretical knowledge and processing of case study of a patient after proximal humerus fracture. Method: Bachelor thesis is divided into two parts, theoretical part and special part. In the theoretical part I am focused on anatomical, biomechanical, kinesiological findings and facts. Furthermore I summarized examination and physiotherapeutical methods aimed on patients after nonoperative treated proximal humerus fracture. In special part you can find thorough case study and rehabilitation plan of the patient. Case study was processed in term 1.-19.2.2013 during clinical placement at Oblastní nemocnice Kladno. Key words: Fracture, proximal humerus, shoulder girdle, glenohumeral joint, nonoperative treatment, case study, physiotherapy
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Case study of physiotherapy treatment of a patient with the diagnosis multiple sclerosis.
Valková, Barbora ; Novotná, Irena (advisor) ; Křížková, Štěpánka (referee)
Title: Case study of physiotherapy treatment of a patient with the diagnosis multiple sclerosis. Goals of assignment: Goal of common part of assignment was through study specialized literature regarding multiple sclerosis and it is etiology, prevalence of disease, diagnostic, types of treatment methods and procedures of physiotherapy. In special part was goal processing patient's casuistry his illness, application theoretical skills methods of physiotherapy and follow - up effect executed therapy. Methodology of assignment: Bachelor assignment is concentrated on physiotherapeutic treatment of patient with multiple sclerosis. In common part is described briefly anatomy and kinesiology which is pertinent to illness. In characterization of illness I deal with the probably etiology prevalence, individual types of illness, clinical image and factors which can affect illness. I devote my attention to diagnostic, prognosis and treatment. The treatment is divides into pharmacological, alternative and physiotherapeutic ones. The special part is written in the form of casuistry of patient with diagnosis multiple sclerosis. After the incoming kineziological assessment, long - term and short - term, therapeutic plan, process of single therapeutic units which include goal of the therapeutic unit, suggestion of...
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Case study of physiotherapy treatment of a patient with polytrauma.
Hons, Ondřej ; Novotná, Irena (advisor) ; Křížková, Štěpánka (referee)
Title: Case study of physiotherapy treatment of a patient with polytrauma. Summary: The general part of the bachelor thesis deals with the topic of polytrauma. For a better understanding of this issue here will be briefly and chronologically described how to care for the affected patient with polytrauma. The possible damage to the tissue and its healing. I focused mainly on the bone tissue and its complication with emphasis on bone fractures. I deal in detail the anatomy of the bone tissue, its function, blood supply, and especially the very fractures, its healing and rebuilding. I also deal with the disturbances of bone healing and other possible complications associated with this issue. Finally i discuss general physiotherapy procedures and its usage in the diagnosis. In the practical part of the thesis there will be described case study of the patient treated for polytrauma. The case study contains kinesiological analysis, therapeutic units and evaluation of their effect. Keywords: polytrauma, bone tissue, bone fracture, bone healing, physiotherapeutic methods, therapy
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Case report physiotherapy care for a patient with a diagnosis of whiplash injury.
Vojtová, Karolína ; Novotná, Irena (advisor) ; Holländerová, Dita (referee)
Title Case report physiotherapy care for a patient with a diagnosis of whiplash injury. Objective The aim of my thesis is to gain theoretical knowledge of whiplash injury, related relationships in the cervical spine and physiotherapeutic approaches used in this diagnosis. In the special part was the aim of producing case studies of selected patient with a diagnosis of whiplash injury during my month work placements in the Regional Hospital Kladno, as Summary The general part of the thesis contains theoretical knowledge of kinesiology cervical spine of injury, soft tissue status and therapeutic approach for whiplash injury. The practical part includes a case report of a patient with a whiplash injury. Key words Whiplash injury, neck pain, stretching the soft tissues of the neck, rehabilitation.
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Analysis of electromyographic activity of selected muscles in exercises on selected balance surfaces.
Pospíšilová, Nikol ; Pavlů, Dagmar (advisor) ; Novotná, Irena (referee)
Title: Analysis of electromyographic activity of selected muscles in exercises on selected balance surfaces. Objective: The objective of this dissertation was to document, compare and analyze electromyographic activity of m. gluteus maximus et medius, of m. erector spinae at the level L3 and of m. quadriceps vagus medialis et lateralis in exercises on selected unstable surfaces - on a cylindrical board and in balance sandals. Methods: The work was elaborated as a pilot study. Surface electromyography was used for objectification. The researched group consisted of 7 volunteers (5 women and 2 men), who had no serious injuries and surgeries in their anamnesis and none of them did any sports for a long period. Electromyographic activity of the above mentioned muscles was compared when doing two clearly defined exercises (stand on one lower extremity and hovering/gait on the spot) in balancing sandals and on a cylindrical board in sagittal plane. Results: The results only confirmed two hypotheses out of five ones. Namely it was the hypothesis no. 2 that the lowest activity of m. gluteus maximus was reached while doing exercise no. 3 - hovering/gait on the spot on a cylindrical board and the hypothesis no. 3 that the highest activity of m. erector spinae was reached while doing exercise no. 4 -...
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Interrater reliability of assessment set of clinical features of patients with multiple sclerosis
Marková, Pavla ; Řasová, Kamila (advisor) ; Novotná, Irena (referee)
Title: Interrater reliability of assessment set of clinical features of patients with multiple sclerosis Objectives: The aim of this thesis is to verify interrater reliability of the assessment set of clinical features of patients with multiple sclerosis which purpose is to evaluate sensitivly and comprehensivly the stage of the patients' clinical condition. Methods: According to the inclusion criteria, the patients with MS were selected by an independent neurologist who determined the EDSS score and duration of the disease. After, patients were evaluated by the assessment set by two independent physiotherapists. The assessment set of clinical features incluedes Low-Contrast Letter Acuity Test which tests contrast vision, Nine Hole Peg Test investiges fine motor skills, Timed 25 - Foot Walk evaluates walking speed over a distance of 7,5 m, Paced Auditory Serial Addition assesses cognitive function, Motricity Index tests muscle strength, Modified Ashworth Scale spasticity, Berg balance Scale equilibrium. Furthemore, the tests for evaluation of righting, equilibrium and protective reactions, the test evaluating knee hyperextension, the examination of dysdiadochokinesia and ataxia. Results: High interrater reliability was confirmed in all tests in the examinig set (ICC: 0,80 - 1), except for MAS...
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Testing of the postural stabilization in relation to weight changes of breasts
Korábová, Pavlína ; Rašev, Eugen (advisor) ; Novotná, Irena (referee)
Title: Testing of the postural stabilization in relation to weight changes of breasts Objectives: Aim of this study is to assess postural changes after breast reduction. To capture the level of postural stability before and after surgery and to evaluate changes between these states. Methods: This thesis is a clinical trial of one group of persons (n=12). It has been created as a quasi experiment. For testing there was used diagnostic method of postural somatooscilography (PSOG) which includes performing postural provocation test on the platform Posturomed under standard conditions. The testing was performed three times. The measurement was recorded by program Microswing 6.0, the collected data was evaluated by program Posturomed Commander and further analyzed by one - way Analysis of Variance in statistical program OpenStat. Results: Managed to prove, that breast reduction has a positive influence on postural stabilization at women suffering from gigantomastia. Status of postural stability was significantly improved two months after surgery. Keywords: postural stability, Posturomed, postural somatooscilography, gigantomastia, reduction mammaplasty
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