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Physiotherapy care of a patient after total hip arthroplasty
Trousil, Tadeáš ; Žáková, Lenka (advisor) ; Hejlová, Lucie (referee)
Author: Tadeáš Trousil Title: Physiotherapy care of a patient after total hip arthroplasty Aims: The aim of this thesis is to elaborate basic data concerning total hip arthroplasty followed by a case report of a patient after this procedure. Another aim was to evaluate the physiotherapeutic interventions presented in this case report in terms of their effectiveness. Methods: The general part contains information about anatomy, kinesiology, biomechanics and management of osteoarthritis of the hip joint. This is followed by a case report on physiotherapy care of the patient, which includes the initial and output kinesiological analysis, therapy design and therapeutic unit. Finally, an evaluation of the therapy and its results is presented. The concurrent professional practice, during which this work was prepared, took place in the period from 22 January to 16 February 2024 in the facility Poliklinika AGEL Italská. A total of 8 therapeutic units, each lasting 30 minutes, were conducted with the patient. Results: In the general part I have elaborated the theoretical knowledge about the diagnosis of total hip arthroplasty. In the special part I have developed a complete case report of a patient with this diagnosis. The effect of the therapy in the conclusion can be evaluated as positive, as the gait...
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Case Report of Physiotherapy Care for a Patient after Total Hip Arthroplasty
Kroužecký, Tomáš ; Novotná, Irena (advisor) ; Hejlová, Lucie (referee)
Author: Tomáš Kroužecký Thesis Supervisor: Mgr. Irena Novotná Title: Case report of physiotherapy care for a patient after total hip arthroplasty Objective: The aim of this thesis is the theoretical processing of information regarding the diagnosis and creation of a case study of physiotherapeutic care in a patient after the implantation of a total hip arthroplasty. Methods: The theoretical part consists of an introduction to the anatomy, kinesiology, and biomechanics of the hip joint, basic information on osteoarthritis and its treatment options, total hip arthroplasty, indications for surgery, surgical methods, and finally, I have included physiotherapeutic methods used in rehabilitation after total hip arthroplasty surgery. The special part contains the initial kinesiological examination, individual therapeutic units, the final kinesiological analysis, and an evaluation of the therapy's effect. I have tried to include current EBM findings into the theoretical part and discussion. Results: During eight physiotherapy sessions, the patient experienced positive changes. The course of therapy was smooth and without any complications. A detailed description of these therapies results is provided in the "Evaluation of Therapy Effect" section. Keywords: Physiotherapy, Total Hip Arthroplasty,...
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Analysis of biotribological properties of artificial hip joint
Laštůvka, Jan ; Burša, Jiří (referee) ; Návrat, Tomáš (advisor)
The development of total hip arthroplasty has reached a state when quality prostheses are made, whose longevity is influenced significantly by material properties, design, component fixation and rate of wear of the articulating surfaces. It is the wear rate which is the most important factor influencing successful results for the use of total hip prostheses. The aim of this thesis is to perform a research on the various combinations of hip prostheses and its loading conditions. Also an experimental measurements of Bovine serum lubricating film thickness between the artificial femoral head and a glass disc are performed for different contact kinematic conditions.
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Experimental Assessment of Influence of Polyethylene Liners' Position on Plastic Deformation in the Run-in Phase of Wear
Zeman, Jakub ; Daniel, Matej (referee) ; Ranuša, Matúš (advisor)
The diploma thesis is focused on the run-in phase of total hip replacement. Mutual adjustment of contact surfaces takes place in this phase and polyethylene acetabular cup shows notable creep behaviour. The magnitude of creep deformations is assessed experimentally in relation to acetabular cups orientation in human body after its implantation. The condition of articulating surfaces is also assessed as well as resulting coefficient of friction in run-in phase. Physiological load and kinematics of the artificial joint as well as physiological conditioning is achieved by new module of existing joint simulator, which is created as part of this thesis. Deformations and condition of articulating surfaces are assessed via optical methods and SEM. Findings about the run-in phase are compared with existing FEM analyses to evaluate simplifications used in these analyses. Measurement of creep deformations has also potential to improve the accuracy of acetabular wear diagnosis in clinical practice.
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Stress strain analysis of hip femoral stems
Čáp, Lukáš ; Thomková, Barbora (referee) ; Marcián, Petr (advisor)
This bachelor thesis is focused on stress and strain analysis of hip femoral stems used in total hip arthroplasty. At the beginning of the work, there is a description of hip joint anatomy, the nomenclature of individual parts of the implant, and hip stem division by type of fixation in bone, material, etc. The next part is devoted to the standards, by which are hip stems invented and manufactured. One part of hip stem development is testing either with the use of test equipment or with the use of computation modeling. For supplied hip stems there is made stress and strain analysis, according to the standards and studies which are focused on this problem. Hip stem geometry creation, setting boundary conditions, and evaluation of the results of the analysis are the content of the calculation part of this work. With these results and analysis, it is possible to compare hip stems between one and the other and decide which one of them is the most or the least statically stressed.
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Stress strain analysis of hip femoral stems
Čáp, Lukáš ; Thomková, Barbora (referee) ; Marcián, Petr (advisor)
This bachelor thesis is focused on stress and strain analysis of hip femoral stems used in total hip arthroplasty. At the beginning of the work, there is a description of hip joint anatomy, the nomenclature of individual parts of the implant, and hip stem division by type of fixation in bone, material, etc. The next part is devoted to the standards, by which are hip stems invented and manufactured. One part of hip stem development is testing either with the use of test equipment or with the use of computation modeling. For supplied hip stems there is made stress and strain analysis, according to the standards and studies which are focused on this problem. Hip stem geometry creation, setting boundary conditions, and evaluation of the results of the analysis are the content of the calculation part of this work. With these results and analysis, it is possible to compare hip stems between one and the other and decide which one of them is the most or the least statically stressed.
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Case study of physiotherapy treatment of a patient with Psoriatic Arthritis after Total hip arthroplasty
Enstad, Christian ; Maršáková, Kateřina (advisor) ; Jarošová, Hana (referee)
Title: EN: Case study of physiotherapy treatment of a patient with Psoriatic Arthritis after Total hip arthroplasty. CZ: Případová studie fyzioterapie léčby pacienta s psoriatické artritidy po totální endoprotézy kyčelního kloubu. Thesis aim: In this thesis I will aim to discuss the rehabilitation after a total hip arthroplasty in a patient with psoriatic arthritis. The thesis is divided into two parts, one theoretical where the aim will be to explain some of the current research concerning psoriatic arthritis and total hip replacement. It will be focused on the anatomical, bio-mechanical and kinesiological properties of the lower extremities as well as the surgical procedure of total hip arthroplasty and following rehabilitation. I will also briefly look at the epidemiology and etiology of psoriatic arthritis and associated symptoms. The second part will focus on a 67 year old woman with the mentioned diagnosis in the post-operative state 2 weeks after surgery. The practical part aim to describe examination, therapeutical approach and conclusions after one week of examination and therapy. 4
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Case of physiotherapy care for patients diagnosed with rheumatoid arthritis and the condition after total hip arthroplasty for traumatic fracture
Žarković, Dragana ; Nováková, Tereza (advisor) ; Jarošová, Hana (referee)
Title of bachelor's thesis : Case of physiotherapy care for patients diagnosed with rheumatoid arthritis and the condition after total hip arthroplasty for traumatic fracture Author : Dragana Žarković Supervisor : PhDr. Tereza Nováková, PhD. Academic year : 2012 Aim : Thesis accentuates the role of the physiotherapist, as part of a team of experts in the care of patients with rheumatoid arthritis, as well as the importance of a comprehensive rehab therapy and possible use of physiotherapy procedures. Part of the thesis is a detailed case report of a patient with rheumatoid arthritis and the condition after total hip arthroplasty for traumatic fracture. Methodics Thesis is divided into general and special parts. The general part is divided in the issue of rheumatology, orthopedics and traumatology, describes the problems of disease and types of surgical procedures. The following section describes the physiotherapy sessions for patients suffering from rheumatic diseases and also after total hip arthroplasty. Special part, case report describes a patient with a diagnosis of rheumatoid arthritis and the condition after total hip arthroplasty for traumatic fracture. This case report was prepared during clinical practice in the Institute of Rheumatology in Prague, in the period from 9.1.2012 to 3.2.2012...
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The case study of a physiotherapeutic treatment of a patient with stroke and total hip arthroplasty
Čechová, Alena ; Pavlů, Dagmar (advisor) ; Hankovcová, Eva (referee)
Title: The case study of a physiotherapeutic treatment of a patient with stroke and total hip arthroplasty. Aim: The aim of this thesis is to analysis a theoretical knowledge about stroke and total hip arthroplasty and elaboration of physiotherapy treatment schedule in the form of an patient with these two diagnosis case study. Methods: This bachelor thesis elaborate stroke and total hip arthroplasty for femoral neck fracture. The thesis is divided into two parts - general and special. I deal with patient's diagnosis in general part of thesis. I describe ethiopatogenesis of stroke, ischemia in carotid artery in detail and I deal with chronic stroke rehabilitation. Further I elaborate anatomy and kinesiology of hip joint, femoral neck fracture and its treatment. In the end I combine these two diagnosis because femoral neck fracture is common complication of a stroke. Special part include case study of a patient with ischemic stroke and total hip arthroplasty. The physiotherapy treatment is described here in detail, also input and output kinesiology analysis, short - term and long - term therapy plan and evaluation of therapy effect are here. The case study was processed during my internship in the Military University Hospital in Prague at the Department of Physical Medicine and Rehabilitation in the...
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Early rehabilitation after total hip replacement - the difference in patients operated from anterior and anterolateral approach.
Piruchtová, Karolína ; Teyssler, Petr (advisor) ; Ježková, Martina (referee)
Total hip replacement is one of the most common surgeries in orthopedics. Complete hip replacement can be addressed with several different types of surgical approaches. In this work we deal mainly with the anterior and anterolateral approach. The theoretical part of this work summarizes the basic knowledge about the anatomy, kinesiology of the hip joint and the prearthrotic causes leading to complete hip replacement. Furthermore, the types of surgical approaches, types of total endoprostheses are mentioned and the knowledge about soft tissue healing and early postoperative rehabilitation is summarized. The aim of this work is to determine whether rehabilitation will be faster in the first days after surgery in patients operated by the anterior approach, depending on the gentle approach and respect for anatomical structures, compared to the anterolateral approach. We present a group of 24 patients, 12 of whom underwent anterior approach and 12 anterolateral approach. In the practical part we evaluate and compare early postoperative rehabilitation in both approaches. The parameters we evaluate are the muscular strength of abduction, flexion and extension in the hip joint. Furthermore, the passive and active range of motion in the hip joint during abduction, flexion and extension. We also evaluate...
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