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Quality of postural stabilization in patients indicated for total hip replacement compared to the population without advanced coxarthrosis
Vojtová, Anna ; Kobesová, Alena (advisor) ; Oplatková, Lenka (referee)
The aim of the study was to determine whether the quality of postural stabilization is impaired in patients referred for total hip replacement (THR) due to advanced coxarthrosis compared to the control group of age matching healthy subjects. Postural stabilization was assessed using four tests according to the Dynamic Neuromuscular Stabilization by a trained DNS therapist. Twenty-six patients referred for THR were included in the study. The control group consisted of 25 subjects without subjective and clinical signs of coxarthrosis. In the experimental group with advanced coxarthrosis, the quality of postural stabilization assessed by DNS functional tests (Respiratory stereotype test, Intra-abdominal pressure regulation test, Diaphragm test and Hip flexion test) was impaired compared to the control group (p<.001 for all tests). In the experimental group, the side of advanced hip arthrosis presented with significantly worse quality of postural stabilization comparing to the non-painful side (p = .012) and comparing to the control group, in which symmetrical quality of postural stabilization was confirmed (p= .379). Furthermore, a strong correlation was identified between the hip range of motion and postural stabilization (r = .467 - .695). A strong negative correlation was found between the hip...
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Abdominal wall activity in patients indicated for total hip replacement compared to the population without advanced coxarthrosis
Opichalová, Klára ; Kobesová, Alena (advisor) ; Oplatková, Lenka (referee)
Introduction: The aim of this study was to explore the relationship between postural stabilization insufficiency and severe coxarthrosis indicated for total joint replacement. Postural stabilization insufficiency was assessed by abdominal wall activity. Methods: 51 participants were recruited. 26 patients with hip arthrosis (13 males and 13 females) were included in the experimental group (mean age 70.5 years, SD 9.1) and 25 participants (10 males and 15 females) in the healthy control group (mean age 70.5 years, SD 7.7). The Ohmbelt device can be used to assess the intra-abdominal pressure indirectly via abdominal wall expansion measurement. The pressure sensor within the Ohmbelt device was attached to the abdominal wall at the area above the inguinal ligament (anterior sensor) and contralateraly at the trigonum lumbale (posterior sensor) by an adjustable belt. The pressure exerted by the abdominal wall wS monitored by the sensors. All subjects were measured twice (once with the anterior sensor, the second time with the posterior sensor) in 3 postural situations - resting breathing in the upright sitting position, the diaphragm test, and holding a 2kg dumbbell in front of the body in the upright sitting position. Results: No statistically significant differences (p>0.05) were found between groups...
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Case Study of Physiotherapy Treatment of a Patient with Diagnosis of Coxartrosis after Hip Endoprosthesis
Tamburini, Giorgio Saverio ; Žáková, Lenka (advisor) ; Vláčilová, Ivana (referee)
Title: Case Study of Physiotherapy Treatment of a Patient with Diagnosis of Coxartrosis after Hip Endoprosthesis Thesis aim: Theoretical description of the hip joint, coxarthrosis diagnosis, endoprosthesis, and practical description of therapy for the acute phase following hip endoprosthesis. Clinical findings: The patient is 62 years old due to coxarthrosis, she underwent endoprosthesis surgery on her right lower extremity, she has a reduction in ROM at the level of the hip in flexion, extension and abduction, she is unable to fully extend her right knee. Swallen anterior and posterior lateral aspect of the tight, muscle weakness in the right lower limb. Summary: The thesis is divided into two parts. The initial section is theoretical, with a brief summary of hip joint anatomy, biomechanics, and kinesiology, as well as coxarthrosis as a disease and its prevention, hip endoprosthesis surgery clinical views and approaches, and hip endoprosthesis rehabilitation protocol. The second component is a description of the patient case study, which includes a comprehensive initial kinesiological examination, treatments used, a final kinesiological assessment, and the result of the therapies utilized. Keywords: Coxarthrosis, Osteoarthritis, Endoprosthesis, Physiotherapy, Rehabilitation.
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Patients' Experience with Pain after Total Hip Replacement Surgery
HAVLÍN, František
Fear of postoperative pain is one of the most important concern of patients undergoing total hip arthroplasty and it is therefore important to address this issue in medical, and nursing care. In this research we focus on how patients experience pain after total hip arthroplasty. The diploma thesis is divided into two consecutive parts, namely the theoretical, and empirical part. The theoretical part describes the current state of total hip replacement, coxarthrosis, and postoperative pain management. From this part it is clear that the treatment of postoperative pain is dominated by pharmacological methods. In the empirical part, hypotheses were established which dealt with the measurement of the intensity of postoperative pain after total hip replacement surgery the use of pharmacological and non-pharmacological methods of pain treatment and the timeliness of postoperative pain relief. In the practical part of the work a quantitative survey was used. A query sheet was created which was then distributed to patients in the orthopedic patient department. The query sheets were filled out in the first, third, and fifth postoperative day and participation in it was voluntary. From a non-standardized query sheet the data were analyzed by statistics and the results are shown graphically in the thesis. The research survey shows that female and male respondents rate postoperative pain in the same way. The gradual reduction of postoperative pain is also the same for both sexes of the respondents. At the initial meeting with postoperative pain the medical staff instructed patients about the possibilities of pain treatment as the use of pharmacological and non-pharmacological pain treatment. In the query sheet the 87 (81 %) respondents choose the combination of both therapies on the first postoperative day. The 101 (94 %) respondents stated that they used 3 or more methods of non-pharmacological pain treatment on the fifth day. Research has shown that patients experienced less pain after surgery every day and the treatment of the postoperative pain was successful in terms of the rate of analgesic administration by a nurse according to the doctor's instruction. The use of non-pharmacological interventions in the treatment of pain also increased every day.
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Use of nordic walking after hip joint replacement
KASLOVÁ, Pavlína
This bachelor thesis deals with the use of Nordic walking after hip joint replacement. The theoretical part is divided into two parts. The first part describes the issue of Nordic walking and the proper technique of Nordic walking. Furthermore, this section describes the advantages and disadvantages of Nordic walking and the most common mistakes when walking with sticks. The second part briefly describes the anatomy of the hip joint, coxarthrosis as one of the most common indications for hip joint replacement and there are also mentioned types of hip replacements and subsequent rehabilitation after surgery. The practical part is processed in the form of qualitative research using case reports. The research group consisted of 3 probands who were no more than 1 year after hip replacement. At the first meeting I prepared an initial kinesiological analysis of all probands, according to which I treated them therapeutically and with each I learned the Nordic walking method. Probands walked with sticks regularly 2 - 3 times a week and at the same time performed the exercises I assigned them. After 3 months, I prepared an output kinesiological analysis for each proband and I obtained a subjective evaluation of the Nordic walking method from each of them. This bachelor thesis had a total of 3 goals. The first goal was to describe the issue of Nordic walking and the correct technique of walking with sticks. To describe the advantages and disadvantages of Nordic walking was another goal of the work. Both these objectives are part of the theoretical part. The last aim was to describe the possibilities of applying the Nordic walking method after hip replacement. I found out the results of this goal through the research part, where in all probands there was either a reduction in the pain of the operated hip joint or an increase in the range of motion and muscle strength in the area of the hip joint. However, there was also a positive effect on other parts of the body. For example, reduced neck spine pain. The bachelor thesis can be used as an educational material for physiotherapists who want to include the Nordic walking method in the medical rehabilitation of patients after hip replacement, or it can serve as a source of information for patients.
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Case study of physiotherapeutic treatment of a patient after implantation of total hip replacement
Košatková, Zuzana ; Chroustová, Kristina (advisor) ; Kacrová, Monika (referee)
Title: Case study of physiotherapeutic treatment of a patient after implantation of total hip replacement Aims: The aim of this thesis is to provide a case study of physiotherapeutic treatment of a patient after implantation of a total hip replacement which had been preceded by hip dysplasia. Methods: Examination techniques and methods, which are taught at the bachelor's degree level at FTVS UK were used within this case study observed at the Malvazinky Rehabilitation Clinic in Prague. As part of the patient's treatment the medical history was established and an initinal kinesiological analysis was performed, based on which the aims of the following therapy were determined. The therapy consisted of sort tissue techniques, joint play mobilization, individual kinesiotherapy and locomotion training. Emphasis was also placed on autotherapy. At the end of the treatment, a final kinesiological analysis was performed after which the effect of the therapy was evaluated. Results: During the treatment the swelling of the lower left leg and of the surroundings of the surgical wound dissipated. The pain of the operated joint and the left thigh alleviated. The range of motion of the left hip and knee increased. There was an increase in muscle strength of the weakened muscles and the joint play was restored....
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Case Study of Physiotherapy Treatment of a Patient after total hip replacement
Skjaanes, Mona ; Vláčilová, Ivana (advisor) ; Kratochvílová, Pavla (referee)
Title of thesis: Case Study of Physiotherapy Treatment of a Patient after Total Hip Replacement. Work placement: Fakultní Nemocnice Královské Vinohrady Summary: This bachelor thesis consists of two parts, one theoretical and one special part. The first theoretical part includes anatomy, kinesiology, biomechanics and pathology of the hip joint. The special part consists of a case study that is based on observations and clinical work at FNKV of a 59- year old woman after operation of total hip replacement. It includes initial and final kinesiological examination, day-to-day therapy and a conclusion of the whole process. The main goal is for the patient to became self-sufficient and be able to do activities of daily living without pain. The methods used in the therapy for this thesis were mainly manual techniques and exercises based on active movements to strengthen and increase range of motion in the operated hip joint. No invasive methods were used. Keywords: total hip replacement, hip joint, rehabilitation, coxarthrosis, degenerative joint disease, physiotherapy
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Kinematic analysis of gait in patients with hip osteoarthrosis
Říhová, Barbora ; Malá, Jitka (advisor) ; Stupková, Michaela (referee)
Author: Barbora Říhová Title: Kinematic Analysis of Gait in Patients with Hip Osteoarthrosis Objectives: The aim of this thesis was to analyse the gait patterns in probands with Stage III osteoarthritis of the hip joint, to compare these patterns with published norms and to confirm a set of pre-established hypotheses. Method: The thesis was designed as a case study, the purpose of which was to observe changes in the pelvis and trunk extension during gait, associated with significant degenerative changes in the hip joint. A total of 9 probands with Stage III osteoarthritis of the hip joint (6 females, 3 males) took part in the study. A complete physiotherapy assessment was carried out as part of the study. The temporal gait parameters were used to measure the probands' walking speed and relative stance phase duration. The following variables were measured in the frontal plane: lateral displacement of the pelvis and trunk toward the stance limb (cm) and pelvic obliquity toward the swing limb (degrees). A 3D motion analysis and evaluation of kinematic parameters were carried out using the Qualisys motion capture system device consisting of 6 infrared cameras. Gait was measured at different walking speeds during a 10-second time frame and the data was subsequently subtracted from a minimum of 5 gait...
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Case study of physiotherapeutic treatment of a patient with the diagnosis of total hip replacement.
Havlíková, Karolína ; Neuwirthová, Svatava (advisor) ; Vosmíková, Simona (referee)
Title of bachelor's thesis: Case study of physiotherapeutic treatment of a patient with the diagnosis of total hip replacement Aims: The aims of the bachelor thesis are to improve theoretical knowledge as well as practical skills connected with the diagnosis of total hip replacement and physiotherapeutic methods used after the implantation of an artificial hip joint. Summary: The thesis is divided into two parts. The first, general part, deals with the anatomy and kinesiology of the hip joint; it also deals with the osteoarthritis, which is the most common cause leading to the total hip replacement. Particular types of implants and operating approaches are dealt with, as well. A significant part of the thesis deals with the rehabilitation plan for patients with this diagnosis, including preoperative rehabilitation, early rehabilitation after the operation and following rehabilitation. The second, specialisted part, deals with the casuistry of a patient after the implantation of an artificial hip joint, including evaluation of the effects of the therapy by comparing the kinesiological analysis before and after the treatment. Key words: physiotherapy, case study, coxarthritis, hip joint, total hip replacement
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Validiation of walking tests in patients with coxarthrosis
Suljakovićová, Sabina ; Špaňhelová, Šárka (advisor) ; Smolíková, Libuše (referee)
Práce posuzuje možnosti využití chůzových testů u pacientů s koxartrózou. Na skupině třiceti pacientů se třetím stupněm koxartrózy kyčelního kloubu bylo provedeno měření pěti různých testů: dotazník Harris Hip Score, Timed Up And Go Test (TUG), Ten Meter Walk Test - desetimetrový test chůze (10MWT), Two Minute Walk Test - dvouminutový test chůze (2MWT) a Six Minute Walk Test - šestiminutový test chůze (6MWT). Následně byly porovnány výsledky jednotlivých testů a zjištěny jejich specifické výpovědní vlastnosti. Cílem studie bylo zjistit jejich vzájemné souvislosti, limity v použití, případně navrhnout jejich úpravu a doporučit cílové skupiny pacientů pro jednotlivé druhy testů. Během měření a při zpracování studie byly zjištěny statisticky významné skutečnosti, pomocí kterých by bylo možné zpřesnit hodnocení kvality terapie a zvýšit efektivitu vyšetřování pacientů s koxartrózou. Byla prokázána shodná výpovědní hodnota testu 2MWT ve srovnání s delšími testy (6MWT) a také výhody provedení testu TUG, jako zdroje doplňujících informací k vyšetření pomocí dotazníku Harris a běžných chůzových testů.
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