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Physical and physiotherapeutic possibilities for treatment of scars and keloids
Stará, Nela ; Kymplová, Jaroslava (advisor) ; Táborská, Silvie (referee)
OF THE THESIS Name: Nela Stará Supervisor of the thesis: MUDr. Jaroslava Kymplová, Ph.D., MBA Opponent of the thesis: Title of the thesis: Physical and physiotherapeutic possibilities for treatment of scars and keloids Abstract of the thesis: This bachelor thesis deals with possibilities of scar and keloid treatment by physiotherapeutic methods and physical therapy. The goal of this thesis is to evaluate the effect of chosen therapies on chosen patients with problematic scars. The thesis is divided into a theoretical and practical part. The theoretical part is focused on origin and evolution of scars, both of which is crucial for its final shape. There is also description of the methods that a physiotherapist can use while treating the scar. Part of the thesis is also dedicated to a description of particular methods of physical therapy that can be applied by a physiotherapist or a doctor. Practical part of the thesis describes the objectives, processing methods and realization process. Then it contains five casuistries of patients of various age with different diagnoses and a post-operative scar which is placed in different locations. Therapy effect is assessed by observing the differences in results between initial and output examination focused on scar examination, pain scale evaluation and...
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Physiotherapy of scar in prevention and treatment of functional disorders
HRDÝ, Tomáš
The topic of the thesis is "Scar physiotherapy in the prevention and treatment of functional disorders." A scar is an inferior connective tissue resulting by the healing process, in various depths of soft tissues of various etiologies. A scar can never reach the original rheological properties of the given tissue, it is a regeneration product, replacing the original damaged tissue. A scar is physiologically healed into a thin, pale hair line, which does not affect local shunt and protraction abilities of soft tissues moving in accordance with the osteoarticular apparatus. If the healing process does not happen physiologically, a pathological scar is created, that scar can often become active, having a negative impact not only on its immediate vicinity, but also reflexively on the whole postural-locomotor system of the individual. The thesis is a comprehensive view on the scar as another "organ ", the activity of which can manifest itself in postural and movement patterns of the person. In the study the connection of a scar and its neurophysiological chaining are discussed, where an active scar may cause local changes in the muscle tone, skin sensitivity, it can lead to dysfunctions of internal organs and a limited mobility of the locomotive segment with the afferent link to the central level of motor control. Overlooking a scar as a possible provoking segment of a pathogenetic chain can lead to the failure of therapy and the relapse of symptoms. The method of this study was qualitative research based on a deliberate (purpose) data collection. The data were obtained by the method of observation, interview, document analysis and kinesiologic examination. The research group consisted of 4 probands, in which an activity of a scar at different levels of soft tissues linked to postural-locomotor system was found by examination. On the basis of continuous and a final examinations of the probands, the research questions were answered. The results show that appropriately selected techniques of physiotherapy had a positive effect on the health condition of a given patient. Using continuous and meaningful therapy including manual medicine techniques, physical therapy, balneology and pharmacology, the activity of the scar tissue with all its consequences was mitigated or completely stopped. The outcomes of the study can be used by physiotherapists as well as other members of the medical staff, and may also serve to physicians in differential-diagnostic considerations.
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