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Case Study of physiotherapy treatment of a patient with the diagnosis of ankylosing spondylitis
Wilsonová, Sophia ; Krumlová, Helena (advisor) ; Jarošová, Hana (referee)
Author: Sophia Wilsonová Work title: case report of physiotherapeutic care about patient with ankylosing spondylitis dignosis Key words: ankylosing spondylitis, sacroiliatitis, entezopathy The presented bachelor work is concerned with rehabilitative treatment of a patient with ankylosing spondylitis dignosis including associated complications of this disease such as articular pains at shoulders and knees as well as entezopathy. The rehabilitative treatment insists foremost upon spinal flexibility maintenance which is herewith a part of the diseas progression prophylaxis. In case of disease acute phase, I carry elimination the complications associated with pains caused by fault motional stereotypes in particular. After pains alleviation, I focus on eliminating fault motional habits.
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Application of backstroke to a patient with ankylosing spondylitis
Horničárová, Eva ; Břečková, Gabriela (advisor) ; Čechovská, Irena (referee)
Title: Application of backstroke to a patient with ankylosing spondylitis Objectives: To evaluate the effectiveness of the application of backstroke with chosen parameters to a patient with ankylosing spondylitis. To compare the effectiveness of this swimming exercise programme with a traditional exercise programme held in a gymnasium. This work investigates whether it is suitable to recommend backstroke swimming to patients with ankylosing spondylitis as an effective form of physical exercise for improving range of movements and reducing pain. Methods: The effectiveness of a 9 week long swimming programme was evaluated using a range of movements of the glenohumeral and coxal joints and of the spine. The presence of pain was measured by the Bath Ankylosing Spondylitis Diasese Activity Index. The same parameters were measured for another patient with the similar activity of the disease who took part in group exercises in a gymnasium. At the end of the programmes the parameters were compared and evaluated. Results: The swimming programme has improved the patient's posture and has strengthened back muscles. Pain was reduced in some parts of the back and also general pain measured by BASDAI. The range of movements of both glenohumeral joints improved in all measured directions. The range of movements...
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The use of physiotheraphy procedures for treating inflammatory rheumatic disease selected from the perspective of patients.
CIHLÁŘOVÁ, Irena
Rheumatology is a part of internal medicine that deals with diseases of musculoskeletal system. It is primarily devoted to diagnosis and treatment of these diseases. Rheumatoid diseases primarily affect joints and muscles, but other organs can also be affected endocrine glands, the nervous system, internal organs such as the kidneys, liver, lungs, human gastrointestinal tract, and skin. The diseases are classified as follows: inflammatory, degenerative, metabolic bone and joint diseases, extra-articular rheumatism, septic arthritis, etc. The causes of these diseases are unknown, but internal and external factors play an important role. They may be infectious, immunogenetic factors and effects of the external environment such as drugs and chemicals. The aim of this work is to map the use of physical procedures in the treatment of inflammatory rheumatic diseases. To do this, the following research questions were formulated: 1. Which are the most commonly used physical methods in the treatment of rheumatic diseases? 2. What effects does the application of physical therapy have on the patient? 3. How does inflammatory rheumatic disease affect the patient's life? 4. Which procedures can the patient apply in the home environment? 5. Are patients satisfied with physical therapy? Qualitative methods were chosen for the research part of this work and a semi-structured interview was used as the technique for data collection. The respondents were asked 28 questions. The research sample consisted of 10 respondents. The respondents were chosen from rheumatologic surgeries in Tábor and Pelhřimov. They consist of 5 respondents with a diagnosis of Bechterew's disease and 5 respondents with a diagnosis of rheumatoid arthritis. The interviews were conducted as previously arranged in the respondents' homes or via email. The results show that in most of the respondents the disease occurred between the ages of twenty and thirty. The first symptom was a painful and swollen joint. They most often use disease modifying drugs, anti-inflammatory drugs, and analgesic drugs for the treatment. Examples of disease modifying drugs include Methotrexate, Sulfasalazine, Aflamil, and Arava. Aulin is among the most commonly used NSA. Enbrel was mentioned by the respondents as a preparation used in biological therapy. Among the regime measures which the respondents take to reduce symptoms, were most often mentioned home workouts, changes of diet, compresses, ointments, and other compensation aids. As regard physical therapy, the respondents were most satisfied with balneotherapy, namely with massages and warm packs. The most used method is magnet. Physical therapy primarily helps to ease pain and relax muscles and stiff joints. Nurses educate patients about drug effects, the changes that are to come in their lives and to which they need to prepare; about the importance of workouts, rehabilitation, and compensatory aids. The quality of the respondents' lives is substantially limited by pain, stiff joints, and severe fatigue. For these reasons, the respondents are unemployed and have to receive a disability pension. In the initial period, the respondents suffered from the feelings of anxiety, helplessness, hopelessness, and depression. The family plays an important role in this context, helping and supporting the respondents. According to the data obtained it can be concluded that physical therapy helps to customers with rheumatoid inflammatory disease to relieve from pain and stiffness in joints. The course of the disease can be influenced by regular workouts that can help ease the symptoms. In some cases, the symptoms disappear for some time. It is very important to appropriately inform customers about their disease, therapy, rehabilitation and the changes they will have to undergo in life. The doctors and nurses deal those problems in the rheumatic clinics and spas. This thesis points to common problems of patients with inflammatory rheumatic diseases.
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The influence of physiotherapy for patients with ankylosing spondylitis treated in outpatient facilities and spa resorts
HRADILOVÁ, Ivana
This Bachelor´s thesis is concerned with influence of physiotherapy at patients with Bechterew´s disease, out of them one group of research sample undergoes therapy in outpatient facilities and the second one undergoes all-embracing balneotherapy. In theoretical part is briefly described the stability of backbone, functional anatomy and kinezilogy of axial system. Next part is concerned to a detailed description of Bechterew´s disease, concerned with its categorization to the group of serum-negative spondylartritid, with definition and classification of the disease, its occurrence, genesis and progress, prognosis and clinical picture of the disease. The main aim of this thesis is to evaluate the effects of physiotherapy on patients with Bechterew´s disease who were treated in outpatient facilities and spa sanatorium. To achieve the goal was used the qualitative research, in which four participants took part, out of them two were treated outpatiently, namely in Rehabilitation and regenerative Borovany and in Outpatient clinic Medipont, s.r.o. Next two participants attended complex curative therapy in Berta´s spa Třeboň. The patients had different stadium of the disease in the range between II. V. stage of disability. During the introductory meeting was executed preliminary kinesiological examination, next they were asked to fill up the informed agreement and Functional index BASFI (The Bath Ankylosing Spondylitis Functional Index), which is used to considering the patient´s functional abilities to solve common daily activities and which reflects impact of the disease to the quality of patient´s life. After therapy´s ending it was executed final kinesiological analysis together with repeated filling out the Index, in order to evaluate success rate of the treatment in range of theirs functional skills. With participants were as well executed not structured interview, in which they communicate their subjective evaluation to the realized research and compared outpatient and spa therapy from their pont of view to their contribution to themselves. The results of preliminary and final researches and physiotherapy course are placed upon record in practical part of Bachelor´s thesis. The Bachelor´s thesis can be used as study material for students, medics and non-professional public as well to improve knowledge about influence of the physiotherapy at patients with Bechterew´s disease, as well to teach patients about possibilities of their treatment.
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Usage of spa treatment to cure ankylosing spondylitis from a patient´s point of view
JANEČKOVÁ, Lenka
This work describes Bechterew{\crq}s syndrome (hereinafter referred to as Ankylosing spondylitis), how the syndrome occurs, in what age group it arises most frequently, what gender it is more common for, the causes, influences on the occurrence, symptoms and how it can be treated. Treatment options primarily focus on spa treatment, more specifically on spa facilities in Bechyne and Třebon. The work also includes a hands-on part which should provide responses to two established goals. Goal 1: To track the impact of spa treatment on improving the quality of life of patients with Bechterew{\crq}s syndrome. Goal 2: To evaluate the significance of the work of nurses in educating patient{\crq}s with Bechterew{\crq}s syndrome. Three hypotheses have been established for these goals. Hypothesis 1: After undergoing spa treatment, patients with Bechterew{\crq}s syndrome have improved mobility (measured by applying Thomayer{\crq}s distance). Hypothesis 2: Patients with Bechterew{\crq}s syndrome have reduced pain after undergoing spa treatment. Hypothesis 3: Nurses working in the spa facility educate patients with Bechterew{\crq}s syndrome on maintaining a healthy lifestyle following completion of their spa treatment. To confirm the first hypothesis I used secondary data analysis, where I searched the documentation kept by the physician at the spa facility, for necessary data for evaluation. To confirm the remaining hypothesis I used questionnaires (appendix no. 1 and 2) which I distributed to selected patients and nurses in the spa facility in Bechyne and Třebon. Goal 1 was fulfilled, as with the help of secondary analysis of data and evaluation of questionnaires I managed to map the impact of spa treatment on patients with AS. Goal 2 was also met. I successfully mapped patient education from the part of nurses. Established hypotheses 1 and 2 were confirmed. After evaluating the collected data, the results show that men suffer more commonly from AS, which is also confirmed by statistics of the Bechterew Club. Furthermore, the results show that women approach their illness more responsibly than men, they exercise more frequently and more in general, which also reflects itself in their improved mobility after completing spa treatment. Both men and women claimed they experienced a reduction in pain after undergoing spa treatment. Hypothesis 3 was not confirmed, as nurses in the spa facility informed clients, but mainly after being asked, which cannot be perceived as education.
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Rheumatoid arthritis versus ankylosing spondylitis from the view of dependence to social network
JELENOVÁ, Michaela
The number of rheumatic diseases has been increasing in Europe. It is estimated that currently up to a quarter of Europeans suffer from some type of rheumatism. Rheumatoid arthritis and Bechterew's disease (ankylosing spondylitis) are chronic diseases manifested by pain, stiffness, inflammation of joints and the back. The theoretical section is divided into two parts; the first part defines rheumatoid arthritis and Bechterew's disease from the health point of view. The second part is devoted to the social area that is often neglected. The aim of the practical section of the thesis is to reveal how rheumatoid arthritis differs from Bechterew's disease in terms of the use of social assistance, as well as employability or participation in social life. For the data collection, qualitative research methods and interviewing techniques were used. The addressed respondents were patients of rheumatology consulting rooms of the Medipont Plus Ltd., who were divided into two groups ? patients with rheumatoid arthritis and those with Bechterew's disease. The research has shown that persons suffering form rheumatoid arthritis are more likely to get a disability pension than those with Bechterew's disease and they also more often use social contributions, most frequently the extra benefits for people with disabilities ? ZTP cards. This is related to a lower work capability in patients with rheumatoid arthritis compared to those with Bechterew's disease. The research results are influenced by the age of the respondents, the length of the illness, the difference in the roles of men and women and last but not least, by personality characteristics. The research has proved that patients suffering from rheumatic diseases as well as those suffering from Bechterew's disease and undergoing biological treatment are more self-sufficient due to this modern treatment. It has also been found that the respondents who are not fully self-sufficient are not informed about the possibilities to get social benefits and contributions and do not know where to get this information. The thesis could provide an impetus for the strategy when rheumatic diseases are not considered only a medical issue, because these diseases significantly influence the lives of the people affected and thus become a serious psychosocial issue.
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Physiotherapy for patients with Morbus Bechtěrev
KANTOROVÁ, Vanda
This Bachelor paper deals with physiotherapy given to patients suffering from the Bechterew's disease. The paper consists of a theoretical section and a practical section. The theoretical section describes the anatomical structures of axial skeleton, the biomechanics of spinal column, and it defines spondylarthritis generally. Moreover, the paper provides a detailed analysis of the Bechterew's disease (i.e. the ankylosing spondylitis), its examination, treatment and the application of physiotherapeutic procedures. The practical section depicts physiotherapy applied specifically to treat three randomly chosen patients of the Aurora Spa based in Třeboň, as the treatment was administered between 5 March and 9 April, 2010. The first objective pursued in the paper is the evaluation of some selected methods of physiotherapy used in treatment of the Bechterew's disease patients. In the second objective the paper tries to assess the effect that the methods could have on the disease prognosis. The paper relied on the methods of a qualitative survey, and the data were gathered using these techniques: anamnesis, interview, observation (kinesiologic analysis) and the secondary analysis of data. The paper can do the duty of study and instructional material for students, the lay public and for health-care professionals.
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Quality of Life as instrument of Balneotherapy effects evaluation made by patients suffering from Bechtěrev disease in Berta Health Spa in Třeboň
ZEMAN, Marek
This diploma work studies quality of life of patients suffering from Bechtěrev disease (Ankylosing Spondylitis), who had global four-weeks cure in Berta Health Spa in Třeboň from 1st January to 31st July 2006. Hypothesis says that six months after the end of balneotherapy the quality of life of these patients will be higher than before. For confirmation or confutation of this hypothesis there was used quantitative method of research, in form of adjusted questionnaire for detection of quality of Life by SEIQoL concept (Schedule for the Evaluation of Individual Quality of Life). By this measure respondents are allowed to nominate five areas of life (aims of life), which are most important, together with percentage rate of their satisfaction with each and the relative importance of each. Average life-quality index of the respondents before balneotharapy was 60,4 %, six months after the end of balneotharapy it was 62,7 %. Thus six months after the end of the cure the respondents have higher quality of life. Then there were mentioned and discussed differences in perception of quality of life of various age groups and of gender. There was also accomplished order of the most often mentioned aims of life, as well an analysis of ``health{\crqq} as alife aim was done. This diploma work could be used in cultural work and for improvement of informedness in problematic of life quality. But mainly, it could be perhaps taken as a little controversial report to the discussion about using of assorted exploratory concepts for evaluation of quality of life.
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Treatment of Patients in a Specialized Establishment - a Centre for the Cure of Rheumatological Disorders in the South Bohemian Region
Valentová, Monika ; Střítecký, Rudolf (advisor) ; Augustinová, Sevda (referee)
Rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis belong among serious disorders, that effect joints and connective tissue. The patients suffer from pain and stiffness. Disease modifying drugs are an important part in the management of rheumatical disorders. When disease modifying drugs are failing, than biologic treatment is applied. For biologic treatment are registred etanercept (Enbrel), adalimumab (Humira), rituximab (MabThera), abatacept (Orencia) and infliximab (Remicade). In the Czech Republic was established the National registry of rheumatic disorders. There is a need of long term observations of patients, who have biologic treatment, to evaluate safety and socioeconomic data of the biologic treatment.
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