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Physiotherapy treatment options in patients with unstable chest wall after cardiac surgery
KUBEŠOVÁ, Alžběta
This bachelor's thesis talks about complications after cardiac surgery, particularly unstable chest wall. The thesis describes what kind of complications occur in wound healing disorder and what kind of risk factors are connected to wound healing disorder. There are many precautionary measures that help to prevent the development of unwanted wound healing disorders. It is more than desired to treat patients with unstable chest wall using physiotherapy methods, as it shows the patient how to manage the wound, it helps with expectorating and increases the quality of life. The aim of the thesis is to describe physiotherapy treatment options and utilise them during the treatment sessions with patients. Theoretical part of my bachelor´s thesis is focused on sternotomy and it's healing, risk factors which represent higher possibility for development of postoperative complications and unstable chest wall. Thesis also talks about the current situation of postoperative complications and what are the possibilities of curing them. The text also talks about physiotherapy treatment options. The end of theoretical part describes different types of respiratory trainers. Some of them are therapeutical, some of them are diagnostic. It allows us to measure the strength of breathing muscles. The research part is carried out in the form of qualitative research, specifically as a case report method using two probanders with unstable chest walls after cardiac surgery conducted through median sternotomy. The patients were hospitalized in the cardiothoracic unit in Nemocnice České Budějovice, a.s. Each proband was thoroughly examined, a kinesiological analysis was carried out and physiotherapy treatment started. Each proband was treated for a different time period, because their sternotomy wound healed in different pace. The positive effect of the therapy and the resulting profits for patients with unstable chest walls was recognised because of measurement of chest development by tailoring meter, measurement of breath strength using MicroRPM and by subjective sensations of the probands.
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Respiratory physiotherapy in neurology
Srp, Martin ; Jech, Robert (advisor) ; Baláž, Marek (referee) ; Konečný, Petr (referee)
Pneumonia is the leading cause of death in a large proportion of neurological diseases. Respiratory physiotherapy serves as a non-pharmacological option for supporting airway hygiene. However, current awareness of respiratory physiotherapy in neurological patients is not satisfactory. The aim of this thesis is to verify the effectiveness of expiratory muscle strength training (EMST) in three neurological diseases: multiple sclerosis (MS), Parkinson's disease (PD) and multiple system atrophy (MSA). The results of this thesis show: 1) EMST led to a significant increase in expiratory muscle strength and voluntary peak cough flow in patients with MS. Therefore, we have shown that EMST is an effective method of respiratory physiotherapy in promoting airway hygiene in patients with MS. 2) We found in a demographic study that the PD healthcare model in Czechia is suboptimal. The utilization of a respiratory physiotherapy is low, and therefore its reorganization is needed. 3) We developed and patented a mobile application SpiroGym which provides visual feedback during training and sends the training results via a secure server directly to the therapist for telemedicine needs. In a pilot study, we verified its feasibility in patients with PD. The study results indicate that EMST coupled with the SpiroGym...
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PHYSIOTHERAPY FOR BRONCHIAL ASTHMA
Šnajberková, Zuzana ; Savková, Pavlína (advisor) ; Hamarová, Zuzana (referee)
This thessis deals with the treatment of Asthma Bronchiale by using various physioterapeutic methods, especially respiratory physiotherapy. In Theoretical part there is given information about symptomatology of the disease, prevention, methods of examination, respiratory physiotherapy and devices like inhalers. The Empirical parts includes two case reports where the knowledge from theoretical part is applied. The main goal of this thessis is getting to know other methods of treatment than pharmacotherapy. And by this way influence the progress of the disease to improve quality of patients't live.
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