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Case study of a patient with a primary diagnosis of ankylosing spondylitis
Volfová, Barbora ; Pavlů, Dagmar (advisor) ; Jarošová, Hana (referee)
Title: Case study of a patient with a primary diagnosis of ankylosing spondylitis Objectives: The aim is to become familiar with the general issues of ankylosing spondylitis and in a special section to develop a case report of physical therapy care for the patient with a diagnosis of ankylosing spondylitis. Methods: Bachelor thesis includes a case study of a patient with a primary diagnosis of ankylosing spondylitis. The work consists of a general part, which contains a brief description of the disease and possible complications of diagnostic and therapeutic methods. In the second part - special patient case report is processed, which was created during my professional experience in Rheumatology Institute in the period from 8.2.2013 to 14.1.2013. In addressing this diagnosis was not used any invasive techniques. Results: Performed after therapy there was a significant reduction in pain and restore proper movement stereotypes. Keywords: ankylosing spondylitis, m. Bechtěrev, case of study, rehabilitation
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Group exercise with elements of Pilates method in individuals with ankylosing spodylitis - comparison with control group
Bendzová, Pavlína ; Levitová, Andrea (advisor) ; Majorová, Simona (referee)
Title: Group exercise with elements of the method Pilates in individuals with ankylosing spondylitis - comparisons with the control group Objective: Find impact of group therapy with engaging Pilates method to movability of axial system, functional status, activity of disease and total health status of individuals with ankylosing spondylitis. Compare this method with compensation group motion program in individuals with ankylosing spondylitis. Methods: 26 individuals with ankylosing spondylitis of average age (38,25 ± 9,18) attending Institute of Rheumatology in Prague were chosen. Probands were split into two groups: experimental group, which were doing motion program with elements of Pilates (n=13), and control group, which were attending compensation group motion program in individuals with ankylosing spondylitis. It was empirical quantitative research, exactly comparative quasiexperiment, where was compared individual groups in between (inter-group) and, moreover, influence of individual motion programs (intra-group). Data gathering was executed twice - at the beginning of quasiexperiment (pre-test) and at the end (3 months after; post-test). Those parameters were examined: Bath Ankylosing Spondylitis Metrology Index for axial system region and expansion of chest, Bath Ankylosing Spondylitis...
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Physiotherapy in Ankylosing spondylitis
Hrůzová, Lenka ; Savková, Pavlína (advisor) ; Hamarová, Zuzana (referee)
Written by: Lenka Hrůzová Institution: Department of Rehabilitation Medicine at the Faculty of Medicine in Hradec Králové Title: Physiotherapy in Ankylosing Spondylitis Consultant: Mgr. Pavlína Savková Number of pages: 126 Number of insets: 3 Year of defence: 2013 Key words: Bekhterev's disease, ankylosing spondylitis, physiotherapy, kinesiotherapy, physical therapy The present bachelor's thesis deals with Bekhterev's disease, also called ankylosing spondylitis. The theoretical part describes the disorder, its epidemiology, aetiology, pathologic anatomy, classification, clinical picture and possible complications. It also deals with classification criteria and assessment scales - tools, which have been nowadays frequently used for assessing the disorder. The work describes diagnostic methods and an overview of treatments containing physiotherapeutic interventions which can be used to help treat the condition. The practical part presents two case histories, the purpose of which is to test the existing physiotherapeutic procedures and methods designed for people with different stages of ankylosing spondylitis by means of thorough kinesiological examination. The core of the thesis is the testing of home exercises adhering to prescribed routines, with the emphasis on correctness being controlled by a...
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Case study of physiotherapy treatment of the patient with the diagnosis of ankylosing spondylitis.
Reinišová, Zuzana ; Vomáčková, Helena (advisor) ; Jarošová, Hana (referee)
Title: Case study of physiotherapy treatment of the patient with the diagnosis of ankylosing spondylitis. Objective: The main target of this bachelor's thesis was to take up with the issue of the ankylosing spondylitis, as the rheumatic disease and to outline the possibilities of its treatment. The next target was the elaboration of the case study of the patient with this diagnose, followed by the appraisal of the therapy's effect. Methods: In the general part is concerned with the Ankylosing spondylitis issue, namely with its symptoms, manifestations, methods of examination and a subsequent treatment of this disease. The second, special section of this bachelor thesis is focused on the individual patient with ankylosing spondylitis, physiotheapy assesment, subsequent therapy and the final effect of it. Results: The results of the physiotherapeutic care of the patient were observed to be positive in objective (clinical) and subjective way. The painful situations became milder and the patient assumed a positive approach to the kinesitherapy, which she didn't have till now. Keywords: case study, ankylosing spondylitis, pain, physiotherapy, treatment, movement.
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Case Study of Physiotherapy Treatment of a Patient with the Diagnosis of ankylosing spondylitis
Svoboda, Petr ; Maršáková, Kateřina (advisor) ; Zinková, Iva (referee)
Title: Case study of physiotherapy treatment of a patient with the diagnosis of ankylosing spondylitis. Aim: The aim of this thesis is to introduce the issue of disease of ankylosing spondylitis, focusing on physiotherapy treatment in this disease. Furthermore the thesis is introducing a case study of a patient diagnosed with ankylosing spondylitis. Summary: This thesis is divided into two parts, general part and special part. General part introduces the issue of ankylosing spondylitis. The general part describes symptoms of the disease, its diagnostics and ways of treatment, focusing on physiotherapy and physical exercise in general, furthermore possibilities drug treatment and surgery is mentioned as well as other ways of treatment. Finally it describes the prognosis of the disease. Special part introduces a case study of a patient diagnosed with ankylosing spondylitis. Based on the initial biomechanical assessment the short-term and long-term rehabilitation plan is evaluated, the therapy carried out according to rehabilitation plan. By comparing both initial and final biomechanical assessment, the effect of therapy was concluded. The materials to create this thesis, was gathered during my work experience in Revmatologický ústav, Prague which I undertook from 15. January 9. to February 2018. Key...
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Population differences in the distribution of HLA-B27 allele in ankylosing spondylitis
Lennerová, Tereza ; Hušáková, Markéta (advisor) ; Novota, Peter (referee)
Ankylosing spondylitis (AS) is a chronic inflammatory disease affecting mainly the spine and the sacroiliac joints. This disorder has a genetic background and is strongly associated with HLA-B27 gene which occurs in about 90 % of patients. The prevalence of ankylosing spondylitis usually correlates with the frequency of HLA-B27. The strength of association HLA-B27 with AS varies between different populations and is also distinct for individual alleles of HLA-B27 gene. Some alleles can increase a risk of ankylosing spondylitis while others may have a protective effect. This work deals with the population differences in the occurrence of HLA-B27 alleles and their relation to development of ankylosing spondylitis. Key words: ankylosing spondylitis, HLA-B27, allele, subtype, population differences
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Comparison of educational and compensation exercise programmes for ankylosing spondylitis patients
Levitová, Andrea ; Strnad, Pavel (advisor) ; Bartůňková, Staša (referee) ; Bečvář, Radim (referee)
Title: Comparison of educational and compensation exercise programmes for ankylosing spondylitis patients Objective: The objective of the research was to determine the effect of two educational and compensation exercise programmes on the mobility of the axial system, the functional status and disease activity (including inflammatory process activity) in individuals with ankylosing spondylitis. Methods: The research group included men and women (average age of 35.42 ± 7.15 years), all out-patients of the Institute of Rheumatology in Prague. This characteristic sample (n ═ 38) consisted of respondents who were randomised into three groups: The first experimental group (n ═ 13) attended an educational and compensation exercise programme in a group setting in a gym (twice a week) and an educational and compensation exercise programme in the form of a group exercise in a pool - hydrokinesiotherapy (once a week); the second experimental group (n ═ 13) attended the same educational and compensation exercise programme in a group setting in a gym (twice a week); the control group educational and compensation exercise programme in a group setting in a gym (twice a week) received no exercise intervention but its members were allowed to use "passive" physiotherapeutic procedures (e.g. hydrotherapy or...
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Biomarkers of subchondral bone damage caused by inflammation in axial spondyloarthritis.
Bubová, Kristýna ; Pavelka, Karel (advisor) ; Horák, Pavel (referee) ; Hrnčíř, Zbyněk (referee)
Background: Axial spondyloarthritis (axSpA) is a chronic inflammatory rheumatic disease affecting primarily the spine and its adjacent structures. The disease is characterized not only by destructive joint changes but also by excessive osteoproduction, which can lead to gradual ankylosis of the spine and thus significantly reduce the mobility and quality of life. The pathogenesis of the disease is not yet fully understood, but a strong genetic background is suggested, along with dysregulation of tissue metabolism resulting from an imbalance of pro- and anti-inflammatory immune mechanisms. We are still lacking biomarker with sufficient sensitivity and specificity which could help to identify early diagnosis, to monitor subchondral damage, and to differentiate rapidly progressing patients. The aim of this work was to determine the levels of potential biomarkers of connective tissue metabolism, fat metabolism and new promising biomarkers for both disease subtypes, their relationship to disease activity and progressive structural changes. Results: We have shown increased serum/plasma levels of connective tissue metabolism biomarkers (especially matrix metalloproteinase mediated metabolites), which were able to differentiate patients with early and late forms of axSpA from healthy individuals (HC), were...
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Physiotherapy and life quality promotions patients with Bechterew disease
Strašáková, Anežka ; Zinková, Iva (advisor) ; Michalčinová, Klaudia (referee)
IN ENGLISH Name of title: Physiotherapy and life quality promotions patients with Bechterew disease Abstract: Subject of this bachelor's thesis is lifelong rheumatic disease - ankylosing spondylitis - from the perspective of patients and possible influence of physical therapy on disease's outcomes. Theoretical part deals with anatomical findings on axial skeleton, classification of ankylosing spondylitis within the group of rheumatic diseases, ethiopathogenesis, clinical manifestations, course of disease based on pathological and anatomical changes, examination, diagnostics, possibilities of medical treatment and therapy. Therapy is independant chapter, posing the first objective of this bachelor's thesis - description of different physical therapy approaches that can support the quality of life of patients with ankylosing spondylitis. Practical part deals with examination and description of subjective perception of quality of life of patients with axial form of ankylosing spondylitis during the course of disease. This bachelor's thesis can be classified as a descriptive type. Semi-structured non-standardized interview was used for data collection in practical part. Patients, who fulfilled criteria and signed informed consent, were interviewed. Recorded interviews were authentically transcripted....
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The case study of physiotherapy treatment of a patient with the diagnosis of ankylosing spondylitis and after resection of femoral head and femoral neck
Janovská, Kateřina ; Reckziegelová, Petra (advisor) ; Zinková, Iva (referee)
Title: The case study of physiotherapy treatment of a patient with the diagnosis of ankylosing spondylitis and after resection of femoral head and femoral neck Summary: The bachelor thesis is focused on the issue of rehabilitation treatment after rheumatic surgery resection of femoral head and femoral neck indicated due to ankylosing spondylitis disease. It consists of two parts - general and special. The general part includes theory of ankylosing spondylitis disease, its etiology, clinical presentation, diagnostics and treatment options, and rheumatosurgery of hip joint. The special part is focused on physiotherapeutic treatment of a patient with ankylosing spondylitis disease and after resection of femoral head and femoral neck. The case study of the patient was based on four-week practice in Institute of rheumatology in Prague in January and February 2020. Keywords: rheumatology, ankylosing spondylitis, physiotherapy, rheumatic surgery, hip joint
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