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Physiotherapy at treatment of chronic pain
VAŇKOVÁ, Denisa
The title of my bachelor thesis is "Physiotherapy at Chronic Pain Treatment". In my thesis I have focused on chronic back pain. Ambulatory practice indicates the above by general diagnosis as vertebral algic syndrome (VAS). First part of my work consists of processing of theoretical basis related to the problem. Main sections focus on pain, function of the spine, vertebral algic syndrome, spine examination methods, physiotherapeutic procedures and prevention of VAS origination. The research part of my work includes two case reports with diagnosis of chronic vertebral algic syndrome. The objective of the theoretical part of the work was to focus from the physiotherapist's view on most common causes of chronic pain, namely vertebral etiology. This part is also aimed at analyzing basic causes of VAS, processing of current information for diagnostic, therapeutic and preventive procedures related to VAS. The objective of practical part of the work was to find out, based on the case reports, whether the physiotherapy relieves the patient from pain. In the practical part of the thesis I applied the method of qualitative research, case study. The research was carried out in Malvazinky Rehabilitation Center and in Medicentrum Chodov. The tested set consisted of two probands diganosed with chronic vertebral algic syndrome. The diagnoses were given by the doctor treating the probands. Results have been prepared in the form of case reports. Both monitored patients showed a relief from pain and rehabilitation objectives set in advance have been met. Providing that the patients shall practise self-therapy and pay attention to measures preventing origination of problems. The thesis may serve as a theoretical document for medical science students. For physiotherapists it may serve as an inspiration when preparing rehabilitation plans for chronic back pain treatment.
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Physiotherapy following shank and foot injuries
ŠPÍREK, Vlastimil
This thesis deals with the subject of injuries in the area of the crus and the leg. It consists of two main parts. The first, the theoretical part, describes all the anatomical structures of the lower extremity, further methodical procedures used in the therapeutic rehabilitation and physiotherapy, kinds of injuries, the complications thereof and ways of examinations. The objective of the thesis is to find out whether a timely action of rehabilitation treatment may influence the return of the extremity affected to the norm. The other, the research part, describes outpatient rehabilitation of the patient following a fracture of the shinbone. For this purpose, the qualitative kind of research was chosen, involving a free conversation in the course of the patient{\crq}s regular visits to the outpatient facility where he / she underwent his / her rehabilitation.
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PHYSIOTHERAPY AS A PART OF FERTILITY DISORDERS TREATMENT
ROHLÍČKOVÁ, Eva
Infertility is defined as inability of a couple to conceive a child within one year of having unprotected sex at least two times a week. In 1970s the World Health Organization classified the condition as a disease. The data indicate that approximately 20-25% of couples in the Czech Republic are involuntarily childless. There are many methods used to address this condition. One of them is a physiotherapeutic approach. The purpose of this thesis was to find new (modern) views of the issue or potentially also some of its causes, and to point to the potential use of modern physiotherapeutic approaches to infertility treatment. To achieve the objective I have focused in the theoretical section on various causes of fertility disorders and their diagnostics. Further, I have tried to map some methods used in infertility treatment. I have strongly emphasized the physiotherapeutic approach, particularly methods developed by Ludmila Mojžíšová. In the practical section I have used a qualitative research method {--} the case study. The research was conducted in the Rehabilitation and Regeneration Center in Borovany near České Budějovice. Women selected for the survey were diagnosed with infertility and palpation sensitivity of pelvic bottom muscles. Three women treated with a rehabilitation method for some types of functional female infertility. The objective of the research was to map changes in the condition of muscular dysbalances in their pelvis bottom areas. In the surveyed patients improvements were found in terms of posture, breathing stereotype and pelvic bottom function. During the treatment all the three women reported gradual improvement of subjective feelings. One of the women got pregnant during the treatment. The main contribution of this thesis is the mapping of the infertility phenomenon. From the viewpoint of physiotherapy this work may be used in clinical practice by physiotherapists involved in this area.
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Physiotherapy after the forearm and the hand injuries
POLÁKOVÁ, Jana
My bachelor thesis dealing with the topic Physiotherapy after forearm and hand injuries, describes not only the complete anatomy of the forearm and hand, characteristics of the particular injuries and the complications thereof, but also examination methods and possibilities of rehabilitation, by means of which the patients frequently regain former functions of the extremity affected. The thesis aims to find out whether patients are able to return to their original occupations as well as their original hobbies. The research part, in which the casuistic method and that of a free conversation with patients in the course of their attendance to rehabilitation procedures were used, contains descriptions of diagnoses and examinations of two patients with a different therapy success. The conclusion of the thesis resulted in the fact that the convalescence success of patients and their return to work largely depends on how complicated their diagnoses are and on the character of their work. In my opinion patients should be provided with a complex care, which includes timely medical help and subsequent physiotherapy and ergotherapy. A very substantial problem that is omitted is the patients{\crq} mental state, and for that reason the convalescence process should involve possible visits to a psychologist. Another essential thing is to inform the patient systematically on his/her state and future, and his/her motivation for his/her effort of improvement.
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The Training System of Pilates and Effects on Movement Body System
GLIEROVÁ, Jaroslava
At present there are a fast growing number of physiotherapists and their clients who discover Pilates, a form of body and mind exercises that have a positive influence on the rehabilitation of injuries (Wilson, 2005). The principles of the Pilates method are identical with some physiotherapeutic concepts and methods (e.g. Mensendieck, Feldenkrais). The application of the Pilates exercises is spread especially among physiotherapists in the USA. In this country it is practiced a part of fitness exercises. This thesis deals with connecting the principles of the Pilates method with physiotherapeutic methods, their application in practice and confirming their positive effect on the change in body posture. The theoretical part deals with the analysis of the information as yet achieved on the Pilates exercises. It defines the Pilates exercises, sums up information from the history of the exercises, mentions the basic principles and their principal connection. The principles of breathing and describes the ``centre{\crqq} by the effort for explaining the subject matter from the professional point of view, and finally, it deals with the subject matter of the incorrect body posture. The practical part presents a set of exercises applicable in the prevention of the incorrect body posture, as a reason of vertebrogenic troubles. The quantitative strategy was used for the reasons of the empirical part. To confirm the effect of the Pilates exercises on the change in body posture, the development of the thoracic vertebral column in flexion and extension, I used Otto{\crq}s test. The results were statistically evaluated by the pair t-test. RESULTS: the positive influence of Pilates on body posture was confirmed.
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Injuries of knee joint and consequential physiotherapy after crossed ligaments plastic
ŠKABROUD, Libor
This work deals with questions of injuries of the fibrous apparatus of the knee joint, especially with the injury of ligamentum cruciatum anterius (LCA). The theoretical part summarizes the basic information relating to the problems of injuries of the fibrous apparatus of the knee. In the following, it offers an abstract of recent methods of physiotherapy used while dealing with patients with LCA plastic. The evaluation of the research, which compares the efficiency of the physiotherapy between two patients with LCA plastic (one active sportsman and the other a non sportsman), discovered that the therapy was more effective in the sportsman case, especially in term of faster growth of muscles.
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Physioterapeutic impact on apparatus of movement during pregnancy and preparation to the labour
KOTRŠALOVÁ, Jana
This bachelor work was aimed at the effect of individual physiotherapy on apparatus of movement during pregnancy and preparation to the labour. The first objective of my research was to find out whether the women who underwent individual physiotherapy in their pregnancy, in addition to the above stated courses, suffered minor problems connected with the locomotive apparatus before and during the parturition than the women who did not undergo individual therapy. I also addressed parturition, particularly duration of the first delivery period and pains during the delivery. Both objectives of my research have been attained. The anamneses of the women were obtained, kinesiological analyses were made and for one of the women a short-term plan was elaborated according to which the therapy was undertaken; subsequently the final analysis of the obtained results was performed. Two hypotheses have followed from my research. According to my first hypothesis, individually controlled physiotherapy undertaken during pregnancy can positively influence the locomotive apparatus of every pregnant woman. The second hypothesis claims that individual physiotherapeutic care has no significant effect on the course of the parturition.
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The Progress of Muscular Dysbalances by University Students
BÖHM, Pavel
This bachelor work was aimed at the progress of muscular dysbalances by university students. The aim of the thesis was to survey a rough structured profile of weekly physical activities of a university student and determine the most critical motoric activities leading to the muscle imbalance development. To achieve the objectives quantitative research was used. The case study technique was applied when the person observed took a record of his physical activities during a twenty-four hour period on a work day.
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Physiotherapy as part of comprehensive treatment in patients with acquired temporomandibular joint dysfunction
NĚMCOVÁ, Barbora
The subject matter of my undergraduate thesis is acquired dysfunctionality of the temporomandibular joint. The concept incorporates a number of funcional and structural changes and pathological conditions affecting not only the mandibula as such but also the overall posture of the organism as a whole due to sequential spasms. Temporomandibular disorders have a multifactor etiology and very diverse clinical image, which often makes diagnostics quite difficult. Generally, increasing psychic tension, emotional stress, and occlusive relations are believed to count amongst the main causes. According to some studies, up to 50 % of the population suffers from some type of disorder of the temporomandibular joint. As treatment of these conditions can be problematic and time-consuming, both the pacient and the therapist have to be patient. The theoretical part of my thesis concentrates on mapping the problems arising from dysfunctionality of the temporomandibular joint, whereas the practical part contains causalistic elaboration of two female patients diagnosed with this condition. My research was conducted using the method of qualitative causalistics. The first female patient was diagnosed with degenerative changes in the right mandibular joint causing diminished mobility of the lower jaw, affecting the functionality of the patient{\crq}s right ear and body posture. The second female patient suffered functionality disorder in the form of dislocation of the mandibular joint{\crq}s disk, asymmetric movement of the jaw when opening her mouth, and irregular stereotype of breathing. In both patients, the therapy was adjusted to the diagnosis and each patient{\crq}s momentary condition. Primarily, their treatment was focused on their hypertonic muscles and sequential spasms, followed by relaxation of their chewing muscles, training of symmetrical mouth opening, breathing stereotypes, and sensomotoric elements. The patients were instructed how to do suitable autotherapeutic exercises. The therapeutic sessions took place twice a week over a six-week period. In both patients, the results were satisfactory. With the first patient, her ability to open her mouth and her overall posture improved. With the second patient, the unpleasant noise phenomenon when opening her mouth was removed and the asymmetry of mouth movement was diminished. Moreover, she learned to adopt a regular breathing stereotype. My thesis can be useful in the clinical practice of physiotherapists, physicians, and other medical personnel, as well as a source of information for patients.
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Physiotherapy for patients with Morbus Bechtěrev
KANTOROVÁ, Vanda
This Bachelor paper deals with physiotherapy given to patients suffering from the Bechterew's disease. The paper consists of a theoretical section and a practical section. The theoretical section describes the anatomical structures of axial skeleton, the biomechanics of spinal column, and it defines spondylarthritis generally. Moreover, the paper provides a detailed analysis of the Bechterew's disease (i.e. the ankylosing spondylitis), its examination, treatment and the application of physiotherapeutic procedures. The practical section depicts physiotherapy applied specifically to treat three randomly chosen patients of the Aurora Spa based in Třeboň, as the treatment was administered between 5 March and 9 April, 2010. The first objective pursued in the paper is the evaluation of some selected methods of physiotherapy used in treatment of the Bechterew's disease patients. In the second objective the paper tries to assess the effect that the methods could have on the disease prognosis. The paper relied on the methods of a qualitative survey, and the data were gathered using these techniques: anamnesis, interview, observation (kinesiologic analysis) and the secondary analysis of data. The paper can do the duty of study and instructional material for students, the lay public and for health-care professionals.
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