|
|
Spa therapy after total hip arthroplasty. Procedures, results.
ŠTIFTER, Šimon
Presented bachelor thesis is focused on the effect of spa treatment after total hip arthroplasty. The work is divided into two parts, theoretical and practical. The theoretical part of the bachelor's thesis contains the anatomy and kinesiology of the hip joint, including muscles description and functions, which are involved in the movement of this joint. Subsequently, there is information about total hip arthroplasty, including the types of endoprostheses, used materials, or indications and contraindications to this operation. Next, surgical approaches and possible complications that may occur in relation with implantation are described. A significant part of the theoretical part is devoted to the structure of posthospital treatment, namely spa treatment, which describes the individual procedures that can be used with this diagnosis in the spa environment. The objective of the work was to find out how spa treatment affects convalescence and for this reason, in the practical part, the method of qualitative research was used, in which the research group consisted of six probands aged from 61 to 74 years who underwent total hip arthroplasty. For objectivity of the research, the criterion was determined that all subjects were approximately two months after the operation. Probands were divided into two groups of three, one group of those who had undergone spa treatment and, for comparison, the second group of those who had not yet. All probands underwent eight therapies with the same exercise unit. The obtained data were then processed in the form of case reports, including input and output kinesiological analysis and the course of individual therapies. The results show that there was a positive effect on all probands, but the improvement was more noticeable in people who completed a spa stay. The bachelor's thesis can be used as a source of information either for students or the professional public, but also for patients who are currently waiting for an implantation or spa stay.
|
|
|
History, progress and possibilities of balneology in Czech Republic
SEDLÁČKOVÁ, Monika
The environment of our spa is manifest as a social phenomenon affecting many areas of human being. Thanks to its unique atmosphere, extraordinary reputation and seriousness in the social awareness, the spa does not intervene only in the area of tourism, but it is an integral part of the life of the citizens of spa resorts and spa visitors. The thesis, which mainly speaks about the history of balneology, also focuses on the current opportunities of using spa treatment in the Czech Republic and provides a comparison with world spa medicine. In this thesis I tried emphesize transformation of balneology, from history to present, with historical examples. It also deals with natural healing resources and their use, followed by more detailed elaboration in the stated spa. The areas of my attention ware the origins of the formation and development of three spa towns, which differ from the others by their services provided and the large amount of clients. I focused mainly on the spa Třeboň, Luhačovice and Karlovy Vary. To achieve this, I used the secondary data analysis method. On the basis of the collected data, I have compiled the current knowledge. The work could be used in the clinical practice of physiotherapists for acquiring orientation knowledge about balneotherapy and to serve as a informative material for the wider public who is going to visit the spa.
|
|
|
Mineral waters of "Mariánské Lázně" and their use in balneology and in human health care
Hanzlíková, Veronika ; Matula, Svatopluk (advisor) ; Miháliková, Markéta (referee)
The town Mariánské Lázně is known as a spa town belonging to the so called West Bohemian Spa Triangle together with Karlovy Vary and Františkovy lázně, where they occupy the youngest place. The town became famous especially with mineral springs, with their amounts, where on the small territory of the town Mariánské Lázně rises about forty springs and in the close surroundings is their amount given to a hundred, primarily with composition of carbonic Seltzer water. Mineral springs are known here for its diverse composition, which are alleged to find in other spa towns of the Czech Republic and they are considered to be so called balneologic unique.
Mineral springs are waters with dissolved minerals, coming from local rocks such as granite, gneiss and amphibolite, then coming from various compounds. They are gas-charged with carbon dioxide, thanks to it are they called as a Seltzer water. On the presence of carbon dioxide affects Mariánskolázeňský zlom, bounding Tepelská vrchovina. Mineral springs of Mariánské Lázně are gas-charged from 2,5 to 3 g/l. Their mineralization is a medium to very strong, moving in large span from 3000 mg/l to 11 570 mg/l. From the viewpoint of temperature, it is about cold mineral waters with their temperature of 6 °C to 10 °C.
The cure with mineral springs has been known since 18th Century, when the then doctors were analyzing and researching on individuals their therapeutic effects. The most important doctor, who treated patients with mineral springs as a first person and also had appropriately positive results, was MUDr. Jan Josef Nehr, whose personality is very popular for the town.
The spa treatment, or balneotherapy has its own meaning till today. In Mariánské Lázně, it is used external and internal balneology, whose best known procedures are especially drinking water treatment, then mineral baths, body wrap, subcutaneous application of spring gas, or inhalation. Doctor always prescribe treatment, with respect to patients´s health condition. Primary diseases, which are in Mariánské Lázně treated is illness of digestive tract, then illness of kidneys or airways. Balneotherapy is treatment combining mutually spa procedures, where climate of spa environment performs important role too.
|
|
|
Impact of the change in providing spa care according to the ordinance 267/2012 to the physiotherapy conception in the spa surrounding
PRAŽÁKOVÁ, Eva
My bachelor thesis deals with problems, that occurred after the cancellation of the Decree No. 58/1997 Coll. and the adoption of the Decree No. 267/2012 Coll. establishing a new indicator list for the Spa sanatorium rehabilitation care for adults, children and adolescents, when there have been significant changes in the area of Spa care. Significant changes occurred, for example in the length of stay in treatment, that was shortened to 14 days or 21 days and to changes in the overall indication of the spa treatment, when some disease it was not possible to draw a spa care at all. This resulted in serious problems for both the spa facilities, as well as for patiens. Physiotherapy as an important part of balneotherapy has a very close relationship to the overall concept of the Spa treatement and its effect depends to a large extent on the presence and frequency of other treatments. The first part of the theoretical work deals with a spa treatment, legislation of Spa care and impact which has occurred after the adoption of Decree No. 267/2012 Coll. The second theoretical part deals with the therapeutic methods in the Spa. The aim of the work was charting of physiotherapeutic procedures in the context of Spa care pursuant to decree 58/1997 Coll. and 267/2012 Coll.. For the processing of a qualitative research strategy was used the method of the personal case study. Research file consisted of three patients who have completed the three-week comprehensive spa treatment in Bertiny lázně in Třeboň. One patient was treated with rheumatoid arthritis and two patients with Bechterew's disease. All the listed patients visited the spa facilities regularly and repeatedly. For these respondents was conducted the subscription history, input and output kinesiological analysis. Input and output of kinesiological analysis contained the examination of aspects, palpation, examination of walk, antropometric examination, goniometric examination and examination of distance on the spine. Six individual therapies was done and a subjective evaluation of the results of therapy at the end. Physiotherapy treatment was evaluated according to the above regulations. For these three treated patients was noted a difference in the effect of the spa treatment in the three-week and the four-week stay. Extended stay brought the longer-term pain relief, improve mobility and overall had a long-term effect, thanks to the greater number of balneotherapy treatment and the greater number of physiotherapy. It also had a better effect on the psyche of the patient when the patient could rest during the longer stay and managed to learn exercises and consolidate new friendship. The good news is the adoption of the new law, when from 2015 the length of the Spa stay was set back to four weeks. In my bachelor thesis I'd like to point out the problems that caused the adoption of Decree No. 267/2012 Coll. Furthermore, public awareness on this issue could be improved in this way.
|
|
|
The Influence of Spa Treatment on the Person as a Biopsychosocial Unit
TREŠLOVÁ, Hana
The bachelor thesis deals with spa treatment of motion system and its influence on the person not only from the physical viewpoint but also from the psychosocial one. Although spa treatment specializes in specific diseases and during the therapy it mainly concentrates on the given problem, at present it is one of the few types of therapy, which has preserved a holistic approach to the person and treats both the physical and the mental aspect. This complex treatment is provided not only by the particular healing procedures, but also by the spa staff's approach to the patient, the good communication, the rest from everyday responsibilities and stress, meeting friends or making new friendships. Last but not least the beauty of the surrounding countryside and the local culture. The first part of the theoretical work describes spa treatment in general and the healing procedures in Bertiny lázně, it characterizes the diseases indicated for treatment and briefly describes their treatment both by physical means and by means of physiotherapy. The second part of theory deals with biopsychosocial viewpoint on the person and with spa treatment as holistic medicine. The aim of the practical part was to describe physiotherapeutic procedures and complex spa treatment in the interaction with biopsychosocial impact. The qualitative method of research in the form of interviews was used for processing. The research group was made of four chosen respondents with different diagnoses. Two of them were men and two were women at the age of 30 to 79. The research took place during physiotherapy, which was part of a three-week stay in Bertiny lázně, Třeboň. The respondents underwent case history, the entrance and the final kinesiological analysis, which was an objective evaluating parameter for gaining information about the degree of influence of the therapy on their physical condition. The entrance and the final kinesiological analysis included examination by aspection, palpation, auscultation, the examination of walk and a goniometric test. At the same time, the respondents underwent a final interview, which was chosen as a subjective evaluating parameter. Its aim was to gain information about the influence of spa treatment on their physical and psychosocial condition. During the interview I asked the patients basic questions, e.g. whether the pain had been relieved and the ability to move improved, how they felt mentally, whether and how the treatment had influenced their psychosocial condition. The interviews also took place during all the therapy and with their help I learnt more from the patients' lives. The gained information could help the therapy to be more effective. Also, at the beginning of therapy I created a short-term physiotherapeutic plan, which included various manual physiotherapeutic manoeuvres and exercise. Before finishing the therapy I created a long-term physiotherapeutic plan for the patients, in the form of individual movement regimen for improving or at least maintaining their current condition. On the basis of the gained results, a positive effect of spa treatment on both the physical and the psychosocial aspect was confirmed. The greatest influence of treatment on the physical condition was in the form of relieving the pain, improving the ability to move and energy recovery. The psychosocial condition was influenced by gaining motivation to start living a more active life style, meeting friends or making new friendships. The most commonly mentioned aspects, which had an impact on the psychosocial condition, was recreation, physiotherapeutic advice, active exercise and communication with other patients. The findings of this thesis can be used in the practice of physiotherapists in spas or for a higher awareness of students who practise lifelong education. They can also contribute to the present discussions about changing the reimbursement for spa care.
|
|
|
Clients´ Perception of Spa Services in Aurora Spa
KROČÁK, Ladislav
An importance of spa services is especially in the medical treatment, but their economic significance is also very substantial. It significantly affects investment activities and an employment and it contributes to a regional development. Aurora Spa in Třeboň specializes in treating of musculoskeletal disorders, rheumatic diseases, post-traumatic and post-operative conditions and overall recondition of the body. Spa services in Třeboň have been, since a long time ago, associated with a natural healing source, which is abundant in this locality ? a boggy soil. Aurora Spa is not determined only for ill clients, but it is frequently visited by healthy people who undergo reconditioning and relaxation stays. The current trend heads toward to the fact that in the future the spa care covered from the public health insurance, will be in some way limited and clients will have to pay either a part or the entire treatment from their own financial funds. For this reason it is necessary to concentrate with spa service operators on a great clients´ satisfaction with their spa stay, so that they would return to the spa facility. Since I have worked for five years in the area of providing of the treatment services, I followed my bachelor thesis ?Clients´ satisfaction with spa services? by this diploma thesis, in order to re-map the clients´ satisfaction with services provided in above mentioned spa. I wanted to find out whether clients´ attitudes to the provided services had significantly changed from the research in 2009 year in my bachelor thesis. I used for the research the same questionnaire as in the research in 2009 year. 220 respondents were chosen for the research in the period of September 2011; 110 respondents had their stay covered by some of health insurance companies, either in a form of a complex or a contributory spa care and 110 respondents paid their treatment stay from their own funds as private payers. I supposed that men would be more satisfied than women and clients to whom some of the health insurance companies paid the stay, would be more satisfied than clients paying the stay from their own funds. After processing the data, there were not found out any significant differences in the satisfaction between these groups of respondents and in comparison with the research in the bachelor thesis from 2009 year there were not apparent any significant variations in the clients´ satisfaction with the services provided, which confirms, that the spa services in Aurora Spa are still on a very high level. Results of this diploma thesis can be used by employees of Aurora Spa to enhance the quality of provided spa service in all areas and to improve staff access to their clients.
|
|
| |
|
|
The impact of balneology treatment on Health Related Quality of Life (HRQoL) and drug consumption in young subjects under 35 years of age
MORAVCOVÁ, Marta
The thesis ``The impact of balneology treatment on Health Related Quality of Life (HRQoL) and drug consumption in young subjects under 35 years of age.{\crqq} The theoretical part deals with balneology treatment and quality of life in general, its assessment, with chronic diseases of musculoskeletal system and their impact on quality of life. The objective of the thesis is stated and hypothes is set in the practical part by means of which the research itself was started. The following chapter ``Methodology{\crqq} describes the research technique and methods used to confirm or disprove given objective and hypothes stated. The next chapter ``Results{\crqq} contains charts and graphs with final values and their verbal description. Information obtained from the research is confronted in the discussion.
|
|
|
Quality of Life as instrument of Balneotherapy effects evaluation made by patients suffering from Bechtěrev disease in Berta Health Spa in Třeboň
ZEMAN, Marek
This diploma work studies quality of life of patients suffering from Bechtěrev disease (Ankylosing Spondylitis), who had global four-weeks cure in Berta Health Spa in Třeboň from 1st January to 31st July 2006. Hypothesis says that six months after the end of balneotherapy the quality of life of these patients will be higher than before. For confirmation or confutation of this hypothesis there was used quantitative method of research, in form of adjusted questionnaire for detection of quality of Life by SEIQoL concept (Schedule for the Evaluation of Individual Quality of Life). By this measure respondents are allowed to nominate five areas of life (aims of life), which are most important, together with percentage rate of their satisfaction with each and the relative importance of each. Average life-quality index of the respondents before balneotharapy was 60,4 %, six months after the end of balneotharapy it was 62,7 %. Thus six months after the end of the cure the respondents have higher quality of life. Then there were mentioned and discussed differences in perception of quality of life of various age groups and of gender. There was also accomplished order of the most often mentioned aims of life, as well an analysis of ``health{\crqq} as alife aim was done. This diploma work could be used in cultural work and for improvement of informedness in problematic of life quality. But mainly, it could be perhaps taken as a little controversial report to the discussion about using of assorted exploratory concepts for evaluation of quality of life.
|
guest ::
