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Effect of spine on stresses in abdominal aortic aneurysm
Lisický, Ondřej ; Horný,, Lukáš (referee) ; Polzer, Stanislav (advisor)
This thesis deals with stress strain analysis of an aortic abdominal aneurysm (AAA) and the influence of its contact with the spine on the extreme wall stress. The influence was tested on the idealized geometry, as well as on ten patient specific geometries obtained from computer tomography (CT-A) scans. Hyperelastic constitutive models were used for the AAA wall and intraluminal thrombus (ILT) tissue description. The prestress algorithm was used for reconstruction of the unloaded geometry to get more trustworthy results against the geometry from CT which was obtained under the blood pressure. Statistical analysis was used for the results evaluation. The maximal increase of peak wall stress was as high as 81 %.
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Effect of spine on stresses in abdominal aortic aneurysm
Lisický, Ondřej ; Horný,, Lukáš (referee) ; Polzer, Stanislav (advisor)
This thesis deals with stress strain analysis of an aortic abdominal aneurysm (AAA) and the influence of its contact with the spine on the extreme wall stress. The influence was tested on the idealized geometry, as well as on ten patient specific geometries obtained from computer tomography (CT-A) scans. Hyperelastic constitutive models were used for the AAA wall and intraluminal thrombus (ILT) tissue description. The prestress algorithm was used for reconstruction of the unloaded geometry to get more trustworthy results against the geometry from CT which was obtained under the blood pressure. Statistical analysis was used for the results evaluation. The maximal increase of peak wall stress was as high as 81 %.
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The influence of physiotherapy for patients with ankylosing spondylitis treated in outpatient facilities and spa resorts
HRADILOVÁ, Ivana
This Bachelor´s thesis is concerned with influence of physiotherapy at patients with Bechterew´s disease, out of them one group of research sample undergoes therapy in outpatient facilities and the second one undergoes all-embracing balneotherapy. In theoretical part is briefly described the stability of backbone, functional anatomy and kinezilogy of axial system. Next part is concerned to a detailed description of Bechterew´s disease, concerned with its categorization to the group of serum-negative spondylartritid, with definition and classification of the disease, its occurrence, genesis and progress, prognosis and clinical picture of the disease. The main aim of this thesis is to evaluate the effects of physiotherapy on patients with Bechterew´s disease who were treated in outpatient facilities and spa sanatorium. To achieve the goal was used the qualitative research, in which four participants took part, out of them two were treated outpatiently, namely in Rehabilitation and regenerative Borovany and in Outpatient clinic Medipont, s.r.o. Next two participants attended complex curative therapy in Berta´s spa Třeboň. The patients had different stadium of the disease in the range between II. V. stage of disability. During the introductory meeting was executed preliminary kinesiological examination, next they were asked to fill up the informed agreement and Functional index BASFI (The Bath Ankylosing Spondylitis Functional Index), which is used to considering the patient´s functional abilities to solve common daily activities and which reflects impact of the disease to the quality of patient´s life. After therapy´s ending it was executed final kinesiological analysis together with repeated filling out the Index, in order to evaluate success rate of the treatment in range of theirs functional skills. With participants were as well executed not structured interview, in which they communicate their subjective evaluation to the realized research and compared outpatient and spa therapy from their pont of view to their contribution to themselves. The results of preliminary and final researches and physiotherapy course are placed upon record in practical part of Bachelor´s thesis. The Bachelor´s thesis can be used as study material for students, medics and non-professional public as well to improve knowledge about influence of the physiotherapy at patients with Bechterew´s disease, as well to teach patients about possibilities of their treatment.
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Public education on the preventive options in medical rehabilitation
SEGEŠ, Patrik
This bachelor?s thesis focuses on the topic of public education concerning the possibilities of the prevention in the context of medical rehabilitation. The thesis consists of two major parts, a theoretical and a practical one. The primary focus is the prevention of vertebrogenic disorders as a large percentage of the patients visit the rehabilitation centre because of these particular syndromes. In the theoretical part I elaborate on the anatomy and kinesiology of the vertebral column, the muscle system as well as prevention in the context of medical rehabilitation, pathophysiology of formation of vertebrogenic dysfunctions, motion stereotypes and pain. The main goal of this part is to specify the meaning of the prevention in terms of physiotherapy. In the second part of my bachelor?s work I examine in depth the methods which were used for the therapy and prevention of three patients suffering vertebrogenic dysfunctions. These constituted the research sample for practical part of this thesis. The aim of the research is to suggest particular therapeutic solutions and changes in motion stereotypes of patients as well as their further education concerning the possibilities of prevention within the field of medical rehabilitation and evaluate the effects of such therapy.
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Back pain prevention nurses.
BERANOVÁ, Kristýna
The thesis: Backache Prevention in General Nurses, examines whether general nurses practice backache occurrence prevention. The following goals were set for the quantitative research: Goal 1: To find out whether general nurses are sufficiently informed on backache prevention in performance of their job. Goal 2: To find out whether nurses have an opportunity to participate in preventive programmes focused on backache prevention in the organizations they work for. The following hypotheses were set: Hypothesis 1: Backache, as a symptom of overload is a frequent health problem among general nurses. Hypothesis 2: Nurses practice backache prevention. Hypothesis 3: Nurses regularly keep fit. Hypothesis 4: Nurses that attend seminars or training sessions aimed at backache prevention are sufficiently informed on these problems. Hypothesis 5: Organizations where nurses work provide them with some preventive programme aimed at backache prevention. The method of anonymous questionnaire focused on general nurses working in a hospital was used for confirmation of the hypotheses. After assessment of the quantitative research results we discovered, that the first hypothesis in the quantitative research was confirmed. Hypotheses 2 and 3 were not confirmed by the research. Hypothesis 4 was conformed, nevertheless not many nurses participate in seminars or courses aimed at this issue. Hypothesis 5 was confirmed with the comment that an employer should do more for health of nurses. The research has shown that general nurses are actually aware of how to prevent backache occurrence, however not many of them use that. Neither the employer contributes remarkably to prevention of the fact that healthcare is the profession where backache occurs most frequently of all. I am convinced that thorough training of new healthcare staff should be sufficient for remarkable reduction of backache occurrence. A brochure that will be the output of this thesis may serve this purpose, as well as continuous training by a qualified physiotherapist or a physician together with provision of an all-hospital seminar.
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Training of the back at vertebrogenous patients
ZEISKOVÁ, Kateřina
The world statistics state that 80% of the population encounter pains in the back. These problems were accelerated by modern times, that thanks, to the technical comfort, brought to many people health troubles resulting from the lack of exercise. I chose the subject {\clqq} Training of the back`` because I work as physiotherapist and the people feeling pains in the back belong to my profession every day. I occupy myself with the given problems. Considering the present state of the given problems, I concentrated on the most important connection concerning the training of the back. First, I described the backbone as a part of the locomotory system. Another guideline that was interconnection of muscular groups of the back, chest, abdomen and of the pelvis, that build the muscular corset. I described locomotory stereotypes and disorders there of in particular relations. Integral part of the present state that is the origin of the pain, its cause, diagnosis and therapy. In the theoretical part I dealt with general principles as to the training of the back and with the importance of this training for the therapy of vertebrogenous patients. The aim of the work and of the research was to discover whether a change in locomotory stereotypes before and after therapy took place at patients with pains in lumbosacral part of the backbone and to propose for three different professions the therapy inclusive of necessary regiment measures. The hypothesis was proclaimed that the therapy including also the training of the back will bring about the change locomotory habits of the patients. Secondary analysis of data from health documentation in combination with directly watching the patents were used as technology of the research. The last form of the research is the questionnaire interviewing of the patients suffering from pains in the lumbosacral part of the backbone. It concerns an integral research with prevailing technologies of quantitative research. The basic check group, that are clients of the physiotherapeutical clinic, who suffer from back pains in the lumbosacral part of the backbone. 100 patients altogether underwent the therapy. They were given the same number of questionnaires. All of them were returned. Theoretical questionnaire investigation was under way from October 2007 to March 2008. I used diagrams in processing the collected data and show the results in percentages. I chose three different professions in the course of therapy, and that secretary, forester and student doing sport and I proposed for them the therapy of back pain, that included also the training of their backs and regimen measures as pain prevention. The proclaimed hypothesis was confirmed in connection with the aim of the work. The research work, I carried out, present analysis of particular locomotory stereotypes. The results showed that locomotory habits had been improved after the therapy in direction to psychology. If the patients observe the stereotypes, they learnt and continue the physiotherapy, I chose, and the part of which is also the training of the back, helped not only the patients themselves, but that it brought benefit for the whole physiotherapeutical clinic. The work will be exploited for organization of seminars on the given place of work.
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