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Case study of the physiotherapy treatment of patient with Achilles tedon rupture diagnosis
Honzková, Zuzana ; Novotná, Irena (advisor) ; Šáchová, Dana (referee)
Title: Case study of the physiotherapy treatment of patient with Achilles tendon rupture diagnosis Aims: The aim of this work is explanation and summary of theoretical and practical knowledge about the Achilles tendon rupture and a case study of patient with such diagnosis. Summary: The thesis consists of general and special part. The general part is a research of literature about the topic. At the beginning I focus on anatomical and kinesiological knowledge about the affected area, then I follow up etiology, pathogenesis, symptomatology and treatment of the injury. Special part is a case study of patient with the Achilles tendon rupture. This part consists of anamnesis, examination, follow-up therapy and concludes with the evaluation of the effect of the therapy. Keywords: Achilles tendon, rupture, physiotherapy, case study
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Case study of physiotherapy treatment of a patient with the diagnosis: the anterior cruciate ligament of the knee joint reconstruction
Hájek, Tomáš ; Novotná, Irena (advisor) ; Křížková, Štěpánka (referee)
Title: Case study of physiotherapy treatment of a patient with the diagnosis: the anterior cruciate ligament of the knee joint reconstruction. Objective: Summary of theoretical knowledge and processing of study reports of a patient with the diagnosis: the anterior cruciate ligament of the knee joint reconstruction. Abstract: This thesis consists of two parts. The general section includes anatomical and biomechanical aspects of anterior cruciate ligament, as well as epidemiology, diagnosis, the most common causes and treatment of rupture of the anterior cruciate ligament. The special section includes the case study regarding the physiotherapy treatment of the patient. Therapy was focused mainly on the patient's knee joint stability restoration. The case study was prepared at the time of the author's practice, from 14th February to 2nd March 2011, at the ambulance department of the Regional hospital in Kladno. The Ethics Committee expressed its positive attitude towards the case study. The original version can be found in the Annex, as well as the informed consent template. The signed original of the consent is in the author's possession. Keywords: Ligamentum cruciatum anterior, knee joint, anatomy, biomechanics, instability, rupture, damage.
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Case Study of Physiotherapy Care of Patient after Surgery: Suture of the Rotator Cuff
Jílková, Eliška ; Pavlů, Dagmar (advisor) ; Vosmíková, Simona (referee)
Author: Eliška Jílková Title: Case Study of Physiotherapy Care of Patient after Surgery: Suture of the Rotator Cuff This bachelor thesis focuses on the rupture of the rotator cuff. The thesis is divided into two main parts. The first section provides information about the etiology, complications, conservative and surgical treatment. The main objective is to point out on postoperative physiotherapy procedures. The second, special part includes detailed case study of patient after suture of the rotator cuff. This part was developed based on the work with the patient during the special practice in MediCentrum Praha in the period 16.01.2012 - 02.06.2012. Key words: rotator cuff, rupture, physiotherapy, case report
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Case Study of physiotherapy treatment of a patient with the diagnosis of state after Achille tendo rupture.
Malá, Martina ; Krumlová, Helena (advisor) ; Nikodýmová, Kateřina (referee)
AIM OF THESIS: Evaluation of a pacient's casuistry including an diagnosis after an Achille tendo rupture and mentioning the basic observations about this diagnosis. METHODICS: The general part brings closer the anatomy of the lower limbs, diagnosis of the rupture of the Achille tendo, It's etiopatogenesis, clinical outgoing and therapy. It also specifies the question of degenerative changes of the tendo within the middle- aged male population. The specialized part describes a pacient with a diagnosis rupture of the Achille tendo after taking off an underknee cast. A complete input and output kineziological anylysis is described here. The description includes a suggested therapy, both objective and subjective opinions and evaluations of each therapy. The end is a complete evaluation of the therapy's effect.
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Physiotherapy of soft tissue disorders due to overload
Goll, David ; Teyssler, Petr (advisor) ; Bitnar, Petr (referee)
The thesis " Physiotherapy of soft hand weavings disorders resulting from postneuritic over freight" is bent on weightiest consequence of over freight of hand flexor sinews, which is rupture and on one of weightiest consequences of accident states of sinews, which is transcision. Rupture and transcision of hand flexor sinews is cured in a similar surgical way, by suture and coincident is as well the subsequent alteration postoperative care. The aim of my diploma work that ties on my baccalaureate work, is rounded up from the expert literature, especially the foreign one, researching the information of possibilities and meaning of rehabilitative care in those specific problems and these information then virtually compare with the choice study sample inmates. I hereto directed everything, so as I could in the end answers the questions: what meaning has rehabilitation and whether there is any universal method that could be applied in the appropriate manner. In its experimental parts the diploma work succeeded to prove the evidence, that the rehabilitation holds irreplaceable space in therapy of hand flexor sinews after effected sutures. The study proves the obvious difference in results between the group that passed the rehabilitation therapy and the group that the rehabilitation didn't undergo. The tracked...
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Prevention of complications in pregnancy after laparoscopic myomectomy
David, Martin ; Kučera, Eduard (advisor)
Gynecology and obstetrics monitor many clinical areas, which are very complex and not only medical side of things. Uterine myomatóza between such areas undoubtedly belongs. In the last time monitor several important phenomena occurring at the same time, giving rise to many questions. In recent years we have witnessed not only the rising birth rate but also shift to higher fertility age groups. According to data from 2007 significantly increased the number of pregnancies after twenty-fifthyear of age (> 70%) and rapidly increases the fertility of women between 30 and 34year (35%) [1]. In this age group is also a high incidence of uterine fibroids. We speak a very frequent clinical finding - fibroid is the most commongynecological tumor. It is therefore of considerable morbidity originator. So there is a growing group of women in roughly the same age, at where there is a fibroid, which are planning pregnancy andpregnant more often not. Symptomatic myoma is obviously an indication for its removal through various treatment modalities including surgical therapy. The result is a subgroup of patients who need to predict subsequent course of pregnancy, including mode of delivery, to analyze
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Physiotherapy Achilles tendo rupture incurred during sport
BERNÁ, Kateřina
The Bachelor thesis deals with the theme of "Physiotherapy of rupture of the Achilles tendon due to sport". The rupture of the Achilles tendon is most common by young men who are dedicated to professional or solely amateur sporting activity. Pathologies of the Achilles tendon are becoming more common due to an increase in sports facilities and better access to leisure sports. In the case of a tendon injury, the patient is forced to undergo treatment. Currently there are three ways of treatment: conservative, optative, and miniinvasive treatments by percutaneous technique. The latter two techniques are a popular choice among active people and athletes. The theoretical part summarizes the knowledge of the Achilles tendon, the anatomy, physiology and biomechanics. This part also deals with the emergence of rupture (its causes), clinical contexts and tests. Finally, there is a description of the various types of therapy of rupture, physiotherapy and possible contraindications during treatment. In the theoretical part, I also included a set of preventive measures which make it possible to prevent injuries. The importance of these principles is in the fact that their compliance is disappearing in the field of professional sports. The practical part was processed by qualitative research and includes targets and research questions, methods of work, the course of therapy and a description of the processed results in the form of case reports of patients. The task of set target is suggestion and realization of individual physiotherapy in patients with rupture of Achilles tendon. The research question focuses on monitoring changes in the investigated parameters after physiotherapy. The methodology section includes a characteristic of the study sample which consists of two patients diagnosed with total rupture of the Achilles tendon, both were treated at the Department of Rehabilitation of the Hospital in České Budějovice, JSC. Patients suffered an injury during sport activities (basketball, football) and subsequently they underwent operations in the form of an open operation. In this part of thesis a description of the input and output tests will be found. First, data was collected from anamnestic of patiens. Each examination of kinesiology analysis were then evaluated. The techniques of data collection were interviews and observations. The process of physiotherapy treatments recorded several local problems, which were necessary to focus while therapy was in occuring: swelling of the surrounding tissues, limitation of movement, change of soft tissue in the ankle and instep, weakened musculature leg and thigh, and rigidity of Achilles tendon. It was also necessary to conduct reeducation of walk and proprioception training with patients. After application provided physiotherapy treatment was observed in two patients improvement of values of somatometric measurements (circumference thigh, calf muscle, ankle, head of metatarsals), momentum in the ankle joint in dorsiflexion and plantarflexion and improve of muscle strength especially in the m. quadriceps femoris and m. triceps surae. Tasks of the thesis were fulfilles and the research question is answered. Results will be made public for professional physiotherapy public and the results should be useful for clinical practice of physiotherapists and for students in modern physiotherapy techniques in the diagnosis.
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Physiotherapy after Achilles tendo injuries
HERCOGOVÁ, Eva
At the present time there are more and more injuries of the Achilles tendon. We meet with varied opinions of the therapy which has connections with the injury status of the Achilles tendon. The task of this work is to find out the effect of two different physical therapy plans on the physical condition of patients. It follows the existence of differences in the total therapeutic length. It deals with the question of the application of the unit therapeutic plan for all the patients with the Achilles tendon injury. The synthesis of observations of Achilles tendon problems is the first aim of this work. The theoretical part of this work focuses on the synthesis of observations of Achilles tendon problems as well. The work defines different Achilles tendon injuries. The Achilles tendon rupture is described in detail. The pieces of knowledge about anatomy, investigation, diagnostic processes and possibilities of treatment which are mainly from physical therapy point of view are summarized. Complications, prognosis and prevention are mentioned in this work. The other aim of this work is to draw two different therapeutic plans of the homogeneous complex of two probands. The practical part of the work focuses on making varied therapeutic plans of the homogeneous complex of two probands since the time of removing the plaster bandage. The methodology of the qualitative research with techniques of the anamnestic conversation, observation and application of therapeutic plans withing the frame of two cases history one of which is total with the submission of physical therapy methods, concepts and physiatrics is mentioned and used. The other therapeutic plan misses physiatrics because not every rehabilitative places of work have the possibility to use the combined therapy. The results were evaluated by comparing of two output kinesiology analyses of the homogeneous complex of two probands. Both used therapeutic plans have positive effect in reference to motivation to a patient to another therapy, improving quantity of motion of ankle joint and increasing of muscular force. It is not possible to make the unified therapeutic plan for every patients with the Achilles tendon injury. It is necessary to follow the individualization which continues the detailed input checkup. It is also more profitable to include the complex physical therapy plan to the rehabilitaion.
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