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Physiotherapeutic treatment of a patient with disc herniation at L4/L5
Falidas, Konstantinos ; Vomáčková, Helena (advisor) ; Grmanová, Barbora (referee)
Title of the thesis: Physiotherapeutic treatment of a patient with disc herniation at l4/l5 Author: Falidas Konstantinos Work placement: Ustředni Vojenská Nemocnice in Prague. Summary In this bachelor thesis which was written and organized by myself, it is divided in two parts. The general part and the special part. The general part, which is the theoretical part, it includes all the anatomy of the lower back, specifically the vertebrae of the spine, the muscles, the lumbosacral plexus, joints, ligaments and fasciae of the lower back. The biomechanics of the lumbar spine and intervertebral disk. The kinesiology of the lumbar spine. Then, it is explained in details what is low back pain and disk herniation. Mentioning the common causes, etiology, symptoms, risk factors, physiotherapy examination, conservative and non-conservative treatment. The second part of the thesis, which it's the special part, it includes the whole case of my patient with low back pain due to disk herniation. In this parts it is also included the whole anamnesis/history of my patient, the whole examination (initial and final examination), and the therapy sessions which were 6. And finally the evaluation of the effect of the therapy sessions. Keywords Case study, low back pain, disk herniation, conservative treatment,...
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Effectivness of conservative and microdiscetomy treatment for patients with lumbar disc herniation
Homotetski, Denis ; Nováková, Tereza (advisor) ; Véle, František (referee)
Title Effectiveness of conservative and microdiscetomy treatment for patients with lumbar disc herniation Background Lumbar disc herniation is a common cause of the radiating leg pain and related disabilities that affects people mostly in the middle age. Patients that suffer from lumbar disc herniation respond well to conservative treatment, but for some amount of them surgery could be considered if conservative care is failed after 6 weeks. Although variety of conservative methods that common available in the treatment of lumbar disc herniation, there is conflicting evidence that one type of treatment is clearly superior to others and disagreement over superiority of either surgical intervention or longer conservative treatment for patients with persistent symptoms lasting more than 6 weeks without serious neurological deficit. Aim The main purpose of this thesis is to assess the efficacy of main types of conservative and surgery treatments of the lumbar disc herniation and factors that influence clinical outcomes in patients undergoing this treatment. Method This thesis is a literature review, reviewing articles from relevant journals and books. The relevant sources were searched and collected from database of PubMed, Cochrane library and ScienceDirect from beginning of 2012 to the middle of...
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Possibilities of conservative and surgical approaches for Dupuyter's contracture
Klímová, Michaela ; Demeková, Júlia (advisor) ; Babková, Lenka (referee)
Dupuytren' s contracture is a disease that is characterized by its slowly developing of flecture contractures of the fingers and is conditioned by pathological changes of the palmar aponeurosis. The bachelor's thesis "Possibilities of conservative and surgical approaches for Dupuytren's contracture" deals with the overall issue of Dupuytren's contracture. The thesis includes knowledge about anatomy of palmodigital aponeurosis, clinical picture, etiology, epidemiology, diagnostics, conservative and surgical treatment a nd points to a crucial influence of physiotherapy as an integral part of the treatment. A significant part of the thesis is focused on physiotherapeutic methods which are most frequently used for subsequent treatment of the disease. In the conclusion of the thesis, there is a brief description of physical therapy and occupational therapy. The thesis is supplemented with two case reports of patients with Dupuytren's contracture, treated with 2 different forms of treatment. Subsequently, final state of health of patients was evaluated depending on the method of treatment. Powered by TCPDF (www.tcpdf.org)
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Orthotic equipment of idiopathic scoliosis
Ivánková, Zuzana ; Černý, Pavel (advisor) ; Mikšíčková, Petra (referee)
Title: Orthotic equipment of idiopathic scoliosis Objectives: The aim of my work is a summary of information dealing with scoliosis of the spine. In the beginning of the theoretical part I will briefly explain the anatomy and biomechanics of the spine, which are necessary for understanding. In the chapter on scoliosis I will focus on treatment, both operational and fuselage orthoses , which I will detaily describe in the next section. I will bring all types ortheses for the treatment of scoliosis and I will focus primarily on the production process , application, negative and positive effects of conservative treatment. The practical part of the drafting case reports about patients affected by idiopathic scoliosis and to points out their orthotic equipment. In conclusion, I evaluate scoliosis treatment method using ortheses. Methods: To solve this problem I will apply the method of collecting data from the literature , magazines and publications related mainly to general issues of scoliosis. In chapters about the types of ortheses and it's manufacturin I use mainly my experience in practice. Results: Conservative treatment of idiopathic scoliosis depends not only on body brace and its proper construction , but also on patient's approach to the treatment, the relationship between patient and...
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Physiotherapy after fracture of ankle and foot
Hejčová, Mirka ; Molnár, Petr (advisor) ; Hamarová, Zuzana (referee)
82 Anotace (aj) Author: Mirka Hejčová Institution: Departement of rehabilitation medicine Title of Bachelor's thesis: Physiotherapy after fracture of ankle and foot Supervisor: Mgr. Petr Molnár Number of pages: 95 Number of attachments: 4 Year defense: 2013 Keywords: physiotherapy, fracture, ankle, joint, foot, osteosynthesis, conservative treatment In the theoretical part of this thesis is processed ankle and foot anatomy, kinesiology of ankle and biomechanics of foot. Another chapter involves traumatology of ankle and foot which lists types of injuries in this area and methods of treatment and diagnosis. The last chapter includes physiotherapeutic methods which can be used in therapy. The practical part includes a case study of two patients with trimalleolar fracture who attended the outpatient rehabilitation. One patient was treated conservatively and the other one surgically. Input and output kinesiology testing, short-term and long-term treatment plan are compiled at both patients, the course of their treatment is recorded and the success of therapy evaluated.
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Physiotherapeutic treatment of a patient after patella fracture
Sokratous, Dimitris ; Holubářová, Jiřina (advisor) ; Mahr, Edwin (referee)
Title: Physiotherapeutic treatment of a patient after patella fracture. Název: Fyzioterapeutická léčba pacienta po fraktuře patelly. Author: Sokratous Dimitris Location of practice: C.L.P.A. (Centrum léčby pohybového aparátu) Summary This bachelor thesis is divided into two main parts. The first part is the theoretical one which consists of a brief description of the anatomy, biomechanics and kinesiology of the patella. However, for a better understanding, the mechanism of the injury is explained, the different types of patella fracture and their optimal treatments are being described in this part. On the other hand the second part is the practical one which includes the anamnesis and the kinesiology examinations of a thirty eight years old woman, after patella fracture. Physiotherapeutic procedures for seven sessions also were performed and described in details on a daily base. This part is referred as the special part of this thesis. Great deals of strengthening, relaxation and sensomotoric stimulation exercises which are performed, as well as hydrotherapy, are available for the reader. Results After seven sessions the situation of the patient is really improved. The main goals have been accomplished. A full range of motion (ROM) of the injured knee joint is present. The muscle balance of the...
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Kinezioterapie a fyzikální terapie skolióz
Kubíčková, Marcela ; Němečková, Michaela (advisor) ; Hamarová, Zuzana (referee)
Author: Marcela Kubíčková Institution: Rehabilitation clinic in Hradec Králové Title of Bachelor's Thesis: Kinesiotherapy and physical therapy of scolioses Bachelor's Thesis Supervisor: Mgr. Michaela Němečková Number of Pages: 102 Number of Enclosures: 0 Year of Assertion: 2012 Key Words: anatomy and kinesiology of the spine, scoliosis, risk factors, diagnostics, conservative treatment The Bachelor's thesis deals with the problems of scoliosis. It presents various scoliosis types, risk factors, prognosis, diagnostic procedures as well as treatment possibilities. A big emphasis is especially laid on conservative treatment including the most frequently used therapeutic methods and physical therapy which mainly solves secondary scoliosis symptoms. The bachelor's thesis also includes some items of case history describing children patients suffering from scoliosis. In these cases exercising on unstable plates, the therapeutic method of deep stabilization system activation as well as partly modified Klapp's creeping were applied.
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The physiotherapy posibilities in the Ib degree scoliosis of primary school age children
ČERMÁKOVÁ, Martina
Bachelor thesis deals with the possibilities of physiotherapy school age children who have been diagnosed with scoliosis Ib grade. Scoliosis is considered a deformity of the spine in the frontal, sagittal and transverse. It leads to the shape deformation of the vertebral due to pressure changes. The theoretical part is processed axial system from the perspective of kinesiology, deep stabilizing system of the spine and postural stability, definitions and classifications of scoliosis and surgical options and conservative treatment. In physiotherapy practice can be used several approaches that are primarily engaged in the treatment of scoliosis. In this work there are written methods that deal with the treatment of scoliosis, although not their main focus. One of these methods is, for example, sensorimotor stimulation from Janda and Vávrová (Janda, Vávrová, 1992), whose objective is to activate subcortical mechanisms that participate on motoric control and to reach automated activity of muscles that are needed for removing muscle dysbalance. The theoretical part of the study was to define scoliosis, write its problems and treatment options for scoliosis focus on conservative therapy with the classification of sensorimotor stimulation method. The second objective of this work was to suggest and then implement specific physiotherapy for school age children diagnosed with scoliosis Ib grade to which elements of sensorimotor stimulation were included. For the practical part of the thesis I used qualitative research methods. The research was conducted using three patients younger school age being in the care of the Rehabilitation Department of the Hospital České Budějovice, a. s. The results were presented in the form of case studies. The research was conducted for three months. In all patients, with whom I conducted therapy, were also included elements of sensorimotor stimulation. Then I recognized in the kinesiologic analyse that the spinal dynamic tests improved, some of the shortened muscles relaxed and patients learned how to breathe properly. They also mentioned better body posture perception and possibilities of its correction. Use of physiotherapy procedures designed to influence scoliosis curve using sensorimotor exercise can be an inspiration for physiotherapists, other practitioners or students.
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Carpal Tunnel Syndrome in Context of Physiotherapy
KRČOVÁ, Jana
This bachelor{\crq}s thesis provides information about carpal tunnel syndrome. The general part focuses on carpal tunnel anatomy, clinical symptoms, diagnosis of the disease and conservative treatment. Although not a topic of this thesis, surgery is referred to in this thesis as it is a frequently used treatment for carpal tunnel. The objective of this thesis is to evaluate physiotherapy techniques used in patients with carpal tunnel syndrome and to assess patients{\crq} subjective complaints before and after the application of these techniques. In this work, I did qualitative research using the following data collection techniques: study of documents, observations, free interviews, and secondary analysis of data. Case reports of three patients describe in particular the examination and rehabilitation of carpal tunnel syndrome patients using selected conservative physiotherapeutic techniques. I focused on the following techniques: laser treatment, ultrasound therapy, contact-free electrotherapy, manipulation of soft tissues, joint mobilization, proprioceptive neuromuscular facilitation, Butler{\crq}s neuromobilization techniques, and taping techniques. Generally, these methods were evaluated positively by patients and resulted in the improvement of symptoms. I believe the said techniques should be used on a long-term basis and I would recommend their combined use. In this way, the benefits of physiotherapy can be more effectively utilized. I further believe it is important to inform patients about this disease and its causes sufficiently and understandably. This approach would help patients understand their problems and increase their motivation to cope with the disease.
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