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Complex rehabilitation after replacement of anterior cruciate ligament of knee joint and return to preoperative acitivites
BOOROVÁ, Pavla
As the topic of my bachelor thesis I chose "Comprehensive rehabilitation after replacement of the anterior cruciate ligament of the knee joint and return to preoperative activities". I chose this topic because the rupture of LCA is very common especially with athletes with whom I would like to work in the future. Another reason was the fact that I have a personal experience with the LCA rupture and I would like to get more into this issue. The anatomy, biomechanics and kinesiology of the knee joint is described in the theoretical part. I consider the chapter in which I deal with the mechanism of LCA injury interesting. I believe that this information could be beneficial not only for athletes. An important chapter the treatment of LCA injury is the one, where I describe both operative and conservative treatment and a chapter dedicated to physiotherapy after LCA sculpture, where I describe the various stages of rehabilitation and the techniques and procedures used. For the practical part I chose the method of qualitative research. The research group contained a total of four patients after LCA rupture. Two of them were treated operatively, and two conservatively. The therapy with surgically treated patients took place between 5th -10th postoperative week, and monitoring conservatively treated patients lasted 4 weeks. All patients were athletic people aged 32 to 52 years. Initial and final kinesiological examinations and appropriate therapy were performed within research. The aim of this work was to determine an appropriate rehabilitation plan that was optimal for patients after LCA surgery and to map alternative methods of treatment for LCA injury. The results of the research show that in the surgically solved patients regular exercise primarily resulted in an increase in joint extent, muscle strength and stability in the knee joint. In the conservatively solved patients we managed to ensure a better stability of the knee joint above all, which was most affected in both patients. This work can be used as a study material for physiotherapists in their clinical practice or for physiotherapy students interested in this issue.

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