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National Repository of Grey Literature 1 records found  Search took 0.00 seconds. 
Physiotherapy after anatomical shoulder replacement
 MARKOVÁ, Monika
For my bachelor thesis I have chosen the topic "Physiotherapy after anatomical shoulder replacement". I have made this choice because of my own interest in this issue. During my study of physiotherapy I encountered literature describing the replacement of the knee and hip joints countless times and also in practice I met many patients after these operations. However, when I came into contact with a patient after shoulder replacement, I found out that I did not have much information about this type of surgery and the issue is not much described in available literature. Because of this reason I decided to focus on this issue and to gather necessary information. In the theoretical part I deal with anatomy and kinesiology of shoulder complex. The important chapter is total shoulder replacement, where I focused specifically on anatomical shoulder replacement. The most important one is the chapter "Rehabilitation", where I described the techniques and methods mostly used after anatomical shoulder replacement. In the practical part I did qualitative research which I divided into two parts. The research was carried out in eight weeks. The research sample consisted of four patients after anatomical shoulder replacement. The first part of the research was performed with two patients. The results were processed by using input and output of kinesiological analysis and clinical examination of the shoulder. This part was focused on chronic problems occurring in a connection with shoulder replacement so I chose the patients who were more than 5 months after the operation. The second part was focused on mapping of the condition before surgery and on the first days after surgery. This part was also performed with two patients at the department of orthopaedic surgery in Nemocnice České Budějovice a.s. The first kinesiological analysis was made the day before the operation, the therapy was done at the department every day from the operation day to the day of discharge. I gave a brochure to the patients with information and description of the physiotherapy after operation. I have found out from the research that regular exercise has increased the range of movement, muscle strength and stability in the shoulder joint. I observe the improvement especially during the examination of goniometry and muscle test. Positive results are also in appearance of ADL (activities of daily living). Conversely, some pathological stereotypes still persist or they are just slightly changed. This bachelor thesis can be used as a study material for orthopaedic staff and physiotherapy students. The brochure can be used for patients after anatomical shoulder replacement.
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