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A case report of physiotherapeutic care of a polytrauma patient
Rozínková, Lenka ; Martínek, Milan (advisor) ; Valentová, Zuzana (referee)
Title: A case report of physiotherapeutic care of a polytrauma patient Objectives: The main aim of this bachelor thesis is to develop a case report of a patient after polytrauma during continuous professional practice in ON Kladno, to summarize the theoretical knowledge in relation to the patient's diagnosis and the use of specific physiotherapeutic procedures. Methods: The thesis is divided into theoretical part and case study. The general part contains theoretical knowledge about polytrauma, anatomy and biomechanics of the knee joint obtained by the method of research. Furthermore, the types of fractures and their classification, bone healing, osteosynthesis and the procedure of subsequent rehabilitation of the patient after osteosynthesis are described. A special section is devoted to the complete case report of the patient, including the initial kinesiological analysis, the daily record of therapeutic units and the output kinesiological analysis. The final section then discusses the effect of therapy. Keywords: polytrauma, pneumothorax, knee joint, fractures, proximal tibia, osteosynthesis, rehabilitation
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Case Study of Physiotherapeutic care of a Patient with Acetabular Fracture Diagnosis
Šilhavá, Alena ; Novotná, Irena (advisor) ; Stupková, Michaela (referee)
Title: Case study of physiotherapeutic care of a patient with acetabular fracture diagnosis Author: Alena Šilhavá Supervisor: Mgr. Irena Novotná Objectives: The aim of this bachelor thesis is to provide a detailed case study of a patient diagnosed with a condition following acetabular fracture, along with its theoretical background. Methods: The bachelor thesis was elaborated during the completion of continuous professional practice at the Rehabilitation Hospital in Beroun from 8. 1. 2024 2. 2. 2024. The thesis consists of a general and a specific part. The general part focuses on theoretical knowledge regarding the diagnosis of acetabular fracture and the possibilities of its treatment from both orthopedic and physiotherapeutic perspectives. The specific part includes the patient's medical history, initial kinesiological examination on the basis which a short-term and long-term therapeutic plan were made, followed by individual therapeutic units, an exit kinesiological examination and an evaluation of the therapy's effectiveness. Results: During the work with the patient, comprising 14 therapeutic units including initial and exit examinations, many positive changes occurred. It was possible to alter the gait pattern, improve overall weight-bearing, and strengthen the lower limb muscles. Further...
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A case report of physiotherapeutic care of a patient after double osteosynthesis of the humerus with postoperative paresis of the nerve radialis
Forst, Sabina ; Žáková, Lenka (advisor) ; Nováková, Tereza (referee)
Title: A case report of physiotherapeutic care of a patient after double osteosynthesis of the humerus with postoperative paresis of the nerve radialis Objectives: The aim of this thesis is the theoretical elaboration of knowledge concerning peripheral paresis with emphasis on the radial nerve, osteosynthesis of the humerus and the rehabilitation process. In a special part, the aim is to elaborate a case study of physiotherapeutic care, which focuses on postoperative paresis of the n. radialis after double osteosynthesis of the humerus, using both theoretical and practical knowledge from the bachelor's study. Methods: The thesis has two parts. In the theoretical part I have elaborated data on the shoulder joint, fractures, osteosynthesis of the humerus, peripheral nerves, paresis of the n. radialis and possibilities of rehabilitation in this diagnosis with the help of specialized sources. A special section is devoted to a complete case report of a patient with the given diagnosis. It includes patient's history, initial kinesiological analysis, 10 therapeutic units, output kinesiological examination and evaluation of the effect of therapy. Results: This thesis was prepared during the bachelor internship at Centrum léčby pohybového aparátu in Prague in January 2024. The therapies resulted in an...
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Case study of physiotherapeutic care for a patient after osteosynthesis of the radius head and proximal ulna
Novotná, Michaela ; Neuwirthová, Svatava (advisor) ; Homonická Pyšková, Barbora (referee)
Author: Michaela Novotná Supervisor: Mgr. Svatava Neuwirthová Title: Case study of physiotherapeutic care for a patient after osteosynthesis of the radius head and proximal ulna Objective: The main aim of my bachelor's thesis was to conduct and then document a case study of a patient after osteosynthesis of the radius head and proximal ulna. Then I compared this practical part with the findings from the theoretical section of the thesis. Methods: All procedures applied in this work are based on the knowledge acquired during the bachelor's degree program in physiotherapy at the Faculty of Physical Education and Sport. Results: Physiotherapeutic care resulted in an improvement in the patient's health condition. Keywords: physiotherapy, ulna, radius, fracture, osteosynthesis
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Case study of physiotherapeutic treatment of a patient with a pertrochanteric fracture of the femur
Dohnalová, Mariana ; Žáková, Lenka (advisor) ; Nováková, Tereza (referee)
Author: Mariana Dohnalová Supervisor: PhDr. Lenka Žáková, Ph.D. Title: Case study of physiotherapeutic treatment of a patient with a pertrochanteric fracture of the femur Objectives: The aim of this bachelor's thesis is to search for and summarize the theoretical knowledge related to pertrochanteric femur fractures and to develop a case study describing the physiotherapeutic procedures used in the rehabilitation of a patient suffering from this diagnosis. Methods: In the theoretical part, data collection from scientific literature concerning pertrochanteric femur fractures, their treatment, and patient care is utilized. Subsequently, the various physiotherapeutic methods applied in therapy with the patient are described. A special section focuses on managing therapeutic sessions with the patient after a pertrochanteric femur fracture, including initial and final examinations and evaluating the therapy's effect. The case study was developed based on continuous professional practice at the Léčebné a rehabilitační středisko Chvaly from January 8 to February 2, 2024. Results: Physiotherapeutic care led to a significant improvement in the patient's condition, particularly in muscle strength, joint range, joint mobility, and the occurrence of reflex changes. During the therapeutic sessions, there was a...
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Case Study of Physiotherapy Treatment of a Patient with osteosynthesis of proximal femur fracture
Zemanová, Natálie ; Vláčilová, Ivana (advisor) ; Mazancová, Iva (referee)
Author: Natálie Zemanová Supervisor: PhDr. Ivana Vláčilová, Ph.D. Title: Case study of physiotherapeutic care for a patient diagnosed with osteosynthesis of proximal femoral fracture Objectives: The aim of the thesis was to process a case study of a patient with osteosynthesis of the proximal femur and to theoretically elaborate on the basic knowledge of proximal femur fractures, including their surgical treatment using osteosynthesis. Methods: This work was created on the basis of continuous professional practice at Medicentrum Praha, a.s. and all used methods and procedures was based on knowledge acquired during my bachelor studies of physiotherapy. The theoretical part was drawn from the sources listed below. Results: The physiotherapeutic care had a positive effect on the patient's condition, and almost all goals set in the physiotherapy plan were achieved. The theoretical part provides an introduction to the topic of the fractures of proximal femur and operative treatment by osteosynthesis. Keywords: proximal femur, fracture, osteosynthesis, physiotherapy
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Methods of fixation of the upper limb fractures
Litera, Jan ; Marcián, Petr (referee) ; Florian, Zdeněk (advisor)
The presented bachelor thesis is focused on current methods of a fixation of upper limb fractures. Part of the thesis is a literature review and a description of the upper limb anatomy. This is necessary to solve the problems associated with upper limb fractures. The history of the treatment of upper limb fractures enables to gain an insight and a benefit of the current methods of the fixation of the upper limb. Based on the acquired knowledge, there is created a simple computational model of a humeral fracture fixation using a LCP and a classical plate. The computational model for the specific load models was solved in the Ansys Workbench 18.2 computing system. The biomechanical analysis based on the results presentation of the solution of the described simple model showed differences between the application of the LCP and the classical plate.
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Bone implants based on Fe
Bachmayer, Marek ; Vondrák, Jiří (referee) ; Sedlaříková, Marie (advisor)
This thesis deals with usage of metal materials in bone implats creation process. This work also includes information about structure and attributes of bones, body fluids and content of iron in human organism. Following part of the paper deals with osteosynthesis, therefore commonly used methods of treating bone defects. Next part of this bachelor’s thesis is discussing the issue of biomaterials, biocompatibility and biodegradability of metal materials. Sample preparion procedure and description of samples, electrochemical corrosion and microscopic observation is included altogether with a pictorial documentation at the last chapters of this paper.
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Biomechanical study of the upper extremity plates
Linhart, Lukáš ; Marcián, Petr (referee) ; Florian, Zdeněk (advisor)
This work deals with the possibilities and principles of fixation of fractures of the upper limb. It is divided into five chapters. The introductory chapter discusses the biomechanics and its inclusion in contemporary science. The next chapter describes a brief history of healing and fixation of fractures of the upper limb. The third chapter is devoted to the anatomy of the upper limb, knowledge of which is the effective fixation of fractures of the upper extremity necessary. Another chapter is devoted to the classification and description of the type of osteosynthesis internal fixation of the upper limb. Furthermore, this chapter discusses the principles and mechanisms of LCP fixation. The last fifth point is detailed study of specific humeral locking plate. To create a computational model was used SolidWorks software and ANSYS Workbench.
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Biomechanical study on upper extremity fixation
Rafaj, Svatomír ; Marcián, Petr (referee) ; Florian, Zdeněk (advisor)
This bachelor’s thesis deals with fixation and biomechanical aspects of fractures of the upper limb. The first part of the thesis discusses anatomy, knowledge of which is necessary for effective fixation of fractures. It describes the history of inner fixation of fractures and modern curing methods of fractures with a focus on locking compression plates. The second part of the thesis discusses strain-stress analysis of assemblage of humerus and applied locking compression. Computational model was created with the support of ANSYS Workbench 16.0 and SOLIDWORKS 2016 software. Computation was executed by finite element method using ANSYS Workbench 16.0 computational systém.
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