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Prosthetic Solutions to Transmetatarsal Traumatic Amputation
Hráček, Karel ; Pavlů, Dagmar (advisor) ; Černý, Pavel (referee)
Title: Prosthetic solution of traumatic transmetatarsal foot amputation Objectives: The main goal of my work is to design a prosthetic solution for a patient after a traumatic transmetatarsal amputation of the leg with the intention of restoring the function of the leg with respect to its natural appearance, maximally reducing the risk of injury to the patient so that he can use normal sports shoes. A partial goal is to increase the mechanical resistance of the prosthesis during increased physical activity and to create a production procedure that can be used by other active patients. Methods: The bachelor thesis consists of a theoretical part and a practical part. In the theoretical part I primarily draw on professional publications and articles related to the given issue. The practical part consists of the actual case study of the patient with a focus on the production of a prosthesis according to his disability, which is based on the data obtained from the analysis of posture and gait. Results: The case report was processed within two months in the non-state medical facility Proteor CZ s.r.o. Ostrava, based on the specific needs of the patient. The resulting prosthetic product met all the goals we set together with the patient. The manufactured prosthesis improved the patient's movement...
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Case study of physiotherapy Early Phase Rehabilitation and Adaptation following Lower Limb Amputation
Fiala, Lucie ; Stupková, Michaela (advisor) ; Vomáčková, Helena (referee)
V Abstract (in English) Author: Lucie Fiala Title: Case study of Physiotherapy Treatment of a Patient with Transfemoral Amputation Objectives: The thesis is structured in three main parts. The first part provides background information on lower limb amputations, covering the etiology, prevalence, clinical picture, etiology, prevalence, types of lower limb amputations, prosthetics, prognosis, complications, and patho-kinesiology. The second part covers the physiotherapy and rehabilitation that goes into lower limb amputations and currently available treatments. The final part presents a case study conducted at the Nemocnice na Homolce, including detailed examinations, therapy interventions, results evaluation, and therapy effectiveness. Methods: All examinations and treatments are based on the knowledge I have acquired in the Faculty of Physical Education and Sports of Charles University. These include goniometry, anthropometric measurements, posture and gait examinations and training, breathing pattern, muscle strength tests, and movement pattern. The methods used for the patient therapy were primarily strengthening exercises, stretching, soft tissue therapy, and PIR. No invasive methods were used. The main goals of the therapy were to reduce the pain and edema, improve mobility, balance, and coordination,...
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Golf swing in subjects with amputation of lower extremity
Richtrová, Michaela ; Otáhal, Jakub (advisor) ; Šifta, Petr (referee)
Author: Bc. Michaela Richtrová Tittle: Golf swing in subjects with amputation of lower extremity Objectives: The study aims at evaluation of the technique of golf swing used by patients with a different type and level of lower extremity amputation as compared to able-bodied golfers. Another objective is determination of the relation between individual phases of the golf swing and weight transfer, using different golf clubs, as compared to able-bodied golfers. Method: By its topic the work is a pilot study. The research has been divided into three descriptive case studies. The experimental group included two amateur golfers and one professional golfer. The control group was represented by an able-bodied golfer. Evaluation of kinematic parameters (trajectory of shoulders, hips, knee joints) was based on the Qualysis Motion Capture System. Evaluation of dynamic parameters (weight transfer) in the course of golf swing was made using two dynamometric Kistler platforms. Results: The measuring has demonstrated that in terms of both kinematics and dynamics, the mode of movement of a patient with a trans-tibial amputation during a golf swing corresponds to that of an able-bodied golfer. The same results were achieved by the patient also with the use of another type of golf club. A change, both in terms of...
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Postoperative care for patients with leg amputation caused by diabetes
Cardová, Lada ; Šolc, Zdeněk (advisor) ; Půlpán, Rudolf (referee)
Title: Postoperative care for patients with leg amputation caused by diabetes. Objectives: The main aim of this work is to describe the matters of postoperative care for patients after leg amputation caused by diabetes and give possibilities of solutions from the aspects of prosthetics and physiotherapy. Methods: This work contains mainly references and documentary research. I used the method of data collecting mainly from medical resources such as scientific literature, magazines and other publications on the topic of postoperative care for patients with leg amputations. Results: The purpose of this work is the literature research that can be used as a source of information in the field of amputation surgery and postoperative care not only for diabetic patients. The text provides information for health professionals and also for the non-professional public. Keywords: leg amputation, amputation, diabetes mellitus, postoperative care, prosthetics, physical therapy, nordic walking
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Assessment of the effect of CDP training in patient after lower extremity amputation
Čermáková, Kamila ; Vomáčková, Helena (advisor) ; Nováková, Tereza (referee)
Title: Assessment of the effect of CDP training in patient after lower extremity amputation Objectives: The aim of this diploma thesis is to describe the influence of the individually set training programme on the computerized dynamic posturography (CDP) NeuroCom Smart EquiTest System (further referred to as EquiTest) independent of traditional therapeutic exercises in the patient after unilateral transfemoral amputation of the lower limb and to monitor the effect of this training on postural behaviour, ability of functional mobility and balance, frequency of falls and balance confidence in an individual after amputation. Methods: This is an experimental pilot case study that monitors the effect of an individually designed five-week training programme (with a frequency of exercises 2 times a week) on the EquiTest in one patient after unilateral transfemoral amputation of the lower limb. Examination of postural functions was performed by the EquiTest using SOT, MCT, and LOS tests. The ability of functional mobility and balance was tested using the functional Timed up and go test (TUG). The frequency of falls was detected from the proband's medical history. The balance confidence was determined using the Activities specific balance confidence scale (ABC). All measurements were made in two terms, i.e....
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Post operative care of diabetes patients after lower limb amputation
Kadlec, Petr ; Šolc, Zdeněk (advisor) ; Půlpán, Rudolf (referee)
Title: Post operative care of diabetes patients after lower limb amputation Objectives: This bachelor thesis focuses on post-operative care of diabetes patients with lower limb amputation and its physiotherapeutic and prosthetic aspects. Methods: The methods used are those of information research. The data were obtained through a qualitative method of data collecting as well as a secondary analysis of information coming from academic articles, journals and other publications. Results: The thesis is based on information research and information gathered is presented in a complex and coherent form. In medicine, the thesis can be used by experts as a source of information in post-operative care of patients suffering from diabetes as well some other health problems. A plus is that information presented is comprehensible to the general public. Keywords: amputation, lower limb amputation, diabetes mellitus, rehabilitation, post operative care, prosthetic devices, prosthetics, lower limb prosthetics
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Effects of movement lesson inspired by Feldenkrais Method on thorax and pelvis movement in individuals after leg amputation
Michalová, Petra ; Vařeková, Jitka (advisor) ; Křivánková, Markéta (referee)
Title: Effects of movement lesson inspired by Feldenkrais Method on thorax and pelvis movement in individuals after leg amputation Objectives: The aim of this bachelor thesis is to evaluate the monitoring of influencing the extent and perception of movement of the chest and masters after the intervention of an exercise lesson inspired by the Feldenkrais method (FM) in individuals after amputation of the lower limb. Method: It is a work with a theoretical-empirical structure, a quantitative approach with a controlled study. The topic of the research was monitoring the influence of the Feldenkrais method on the statics and dynamics of the pelvis, postural stabilization and subjective perception. The accuracy of pelvic reduction, the range of motion of the pelvis and chest were examined. The flexibility of the hamstrings and lumbar region was tested using the Sit and reach test. Subjective perception after the intervention was tested using a survey. A total of five probands were tested, each of whom underwent a separate intervention in the form of a Pelvic Lesson lesson from the Feldenkrais method. Results: After the intervention of the Pelvic Clock lessons from FM, the probands did not increase the smoothness of the stabilizing movements of the pelvis. There have been improvements in changes in...
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