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Rehabilitation after combinated tendon and nerve injury of the hand
ŽÁKOVÁ, Kateřina
This bachelor thesis aims to clarify the adequate rehabilitation procedures after lesions of the tendon and nerve apparatus of the hand, which were applied to the patient with a hand injury. The benefit of the selected rehabilitation methods was subsequently commented on in the discussion. The theoretical part deals with the anatomy and physiology of the hand, concretely with the flexor and nervous apparatus, which is essential for establishing the rehabilitation processes and improving collaboration between attending physicians. For a better orientation and understanding of the postoperative care, the thesis describes the procedures related to the surgical treatment of flexor tendons and nerves injury. It further introduces the most common rehabilitation procedures, soft tissue, antiedema and physical therapy, desensitization exercises, and adhesion prevention. Lastly, I comment on the protective splinting for the hand after tendon lesions and selection of splinting materials. In my bachelor thesis I applied qualitative research method. A patient from the Institute of Hand Surgery and Plastic Surgery in Vysoké nad Jizerou with a tendon and nerve lesion after trauma participated in the research. After the operation, a rehabilitation plan was created, applied and observed. The patient's condition was monitored from the day of the surgery for six months. Each checkup I cooperated with the surgeon.
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Physio-therapeutical methods after injuries of the flexor and extensor tendons of a hand
BENDOVÁ, Markéta
This diploma thesis entitled ``Physio-therapeutical methods after injuries of the flexor and extensor tendons of a hand{\crqq} describes the anatomy of forearm and hand muscles, as well as fascia and tendon loops. The main objective is to summarize a basic knowledge on injuries of the hand{\crq}s flexor and extensor tendons and physiotherapy of this problem. The work also includes the application of this knowledge into practice by elaboration of case reports of patients with injuries of the hand{\crq}s flexor and extensor tendons, which, among others, reveal a necessity of individual approach of the therapist and patient{\crq}s cooperation. The other objective of this study is to compare the theoretical approach to the injuries of the hand{\crq}s flexor and extensor tendons from the viewpoint of the physiotherapist in the Czech Republic and in Finland. To achieve this aim, I used the method of qualitative research; the data were collected in interviews with selected physiotherapists in the Czech Republic and in Finland. The comparison showed that the methodology used in Finland is rather similar to that used in the Czech Republic. In both countries, the process of therapy is tailored to patients individually and it respects the physician's recommendation.
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