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Case study of physiotherapy treatment of a patient with diagnosis shoulder luxation with m. deltoideus pareses
Lacinová, Terezie ; Reckziegelová, Petra (advisor) ; Nováková, Tereza (referee)
Author: Terezie Lacinová Title: Case study of physiotherapy treatment of a patient with diagnosis shoulder luxation with m. deltoideus pareses Aims: The aim of this bachelor's thesis is to summarize the theoretical information about the shoulder luxation with concrete complication - paresis of deltoid muscle and to elaborate the patient casuistry of his physiotherapeutical care with the final evaluation of the therapy effect. Methods: The bachelor's thesis has two parts. The first one is general part which summarize the basic anatomy and kinesiology of shoulder, types and classification of shoulder luxation, its complications and resulting physiotherapy intervetion. The second one is special part which contains case study of the patient with this diagnosis with concrete complication. This part includes a complex input kinesiological examination, therapy developments, output kinesiological examination and final therapy effect evaluation. Outcomes: During a one month period the patient attended 8 therapy sessions in total, which has positive effect on the physical and mental health of the patient. This is confirmed by the comparison of the input and output kinesiological examination mentioned in the final chapter of this bachelor's thesis Evaluation of therapy effect. Key words: luxation, sprain,...
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Case Study of physiotherapy treatment of a patient with the diagnosis of fractured lower part of the upper arm bone
Hrubšová, Vendula ; Novotná, Irena (advisor) ; Kučerová, Ilona (referee)
Title: Case Study of physiotherapy treatment of a patient with the diagnosis of fractured lower part of the upper arm bone Objectives: Gain of theoretical knowledge about fractures and ostheosyntesis of distal part of humerus and elbow. Subsequent case study formulation of a patient with selected diagnosis made during coherent scholarly practice Methods: The general part of the bachelor thesis contains theoretical knowledge about fractures and subsequent osteosynthesis of distal part of humerus and elbow. The special part of the bachelor thesis is made in form of case study of selected patient with diagnosis of fracture of lower part of elbow Results: Improvement of active and pasive movement range, increase of muscle strenght in weakened muscles, elimination of reflective changes and restoration of joint play. Improvement of functional mobility of LUA. Conclusion: Indication of physiotherapy of a patient after fracture of lower part of upper arm bone and subsequent ostheosyntesis showed up as very beneficial for health improvement. Keywords: Elbow, upper arm bone, fracture, ostheosyntesis, joint movement range
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Directional asymmetry of upper limb and back muscle activity during bow draw; implications for bioarcheology
Véle, Dominik ; Sládek, Vladimír (advisor) ; Galeta, Patrik (referee)
This theses explores muscle activity during bow draw. The goal of his study is to evaluate whether muscle activity corresponds with increase in mechanical robusticity of the left humerus found in mezolithic osteological material. Muscle activity is measured by the means of surface electromyography. We measure activity of arm and back muscles. Activity was measured on m. deltoideus, m. infraspinatus, m. biceps brachii, m. triceps brachii and m. latissimus dorsi. Muscle activity was measured on 20 male archers, during bow draw of three wooden long-bows. Results of this study support the idea that change in robusticity of the left humerus could be caused by frequent bow use in post-glacial Europe.
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Case study of physiotherapy treatment of a patient after proximal humeral fracture
Richterová, Denisa ; Neuwirthová, Svatava (advisor) ; Vaňous, František (referee)
Title: Case study of physiotherapy treatment of a patient after proximal humeral fracture. Aims: The aim of this bachelor thesis is to summarize theoretical findings about the fracture of proximal part of humerus, to elaborate the patient casuistry and evaluate the effect of the therapy. Methods: In the first part I summarized theoretical basis to the topic of proximal humeral fracture. I mention anatomy and kinesiology of shoulder girdle, etiopathogenesis, diagnostics, classification, treatment and complications of the proximal humeral fracture. I did not focus on operation solutions in details as the doctors had chosen the non-operative treatment for the patient. Finally I describe the physical therapy and physical therapy modalities suitable for this diagnosis. The second part is focused on patient I. K. casuistry suffering from proximal humeral fracture. This special part is based on my bachelor practise in CLPA held in January 2016. It contains the anamnesis and initial musculoskeletal assessment on which bases the proposal and goals of the therapy were settled. Further I present all therapeutic units, final examination and therapy evaluation. Results: During one month therapy the edema and haematoma on the right arm were minimalized, the range of motion in the right shoulder joint increased,...
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Case Study of physiotherapy treatment of a patient with the diagnosis of fractured lower part of the upper arm bone
Hrubšová, Vendula ; Novotná, Irena (advisor) ; Kučerová, Ilona (referee)
Title: Case Study of physiotherapy treatment of a patient with the diagnosis of fractured lower part of the upper arm bone Objectives: Gain of theoretical knowledge about fractures and ostheosyntesis of distal part of humerus and elbow. Subsequent case study formulation of a patient with selected diagnosis made during coherent scholarly practice Methods: The general part of the bachelor thesis contains theoretical knowledge about fractures and subsequent osteosynthesis of distal part of humerus and elbow. The special part of the bachelor thesis is made in form of case study of selected patient with diagnosis of fracture of lower part of elbow Results: Improvement of active and pasive movement range, increase of muscle strenght in weakened muscles, elimination of reflective changes and restoration of joint play. Improvement of functional mobility of LUA. Conclusion: Indication of physiotherapy of a patient after fracture of lower part of upper arm bone and subsequent ostheosyntesis showed up as very beneficial for health improvement. Keywords: Elbow, upper arm bone, fracture, ostheosyntesis, joint movement range
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The issue of Nursing Care for the Patients with fractured Humerus.
JORDÁNOVÁ, Hana
Primary theoretical basis: The fractures of humerus are mostly results of hit or fall (15). The cure of humerus fractures is developing not only because of material options, but also thanks to medical technology development. (20). Purpose of the work: Main purpose of this bachelor work was to find out through qualitative research, if nurses have theoretical knowledge in the nursing care of the patients with fractured humerus. To this goal was defined research question: Do nurses have knowledge about nursing care for patients with fracture of humerus? Related investigation was about patients, with humerus fracture, preference needs during the time of hospitalization, according to his self-care deficit. To this goals were defined research questions: How big is the deficit rate in self-care with humerus fracture? Which patient's needs are on the first place during humerus fracture? Quantitative research with patients revealed Research questions were defined subsequently: How high is appearance of humerus fracture according to age? How high is appearance of humerus fracture according to hobby? How high is appearance of humerus fracture according to unsports or other leisure activities? Methodics: Empirical part of bachelor work was written on mixed research basis. Quantitative research was realized using data collection from Traumacentrum České Budějovice, a.s. patient's documentation. Research included 152 patient respondents. Qualitative research was realized using half structured interviews, on which participated nurses from Traumacentrum Nemocnice České Budějovice, a.s. and patients with humerus fracture here hospitalized. The research group consisted of six patients and six nurses. Data collection took place since May 2013 to June 2014. Results: From nurse research results came out following categories: Preoperative patient care, Post-operative patient care, Rebandage specifics, Rehabilitation factors, Complications and symptoms. In preoperative patient care five of six nurses focus on pain, sensitiveness, and perfusion. In post-operative on the other hand all nurses observe coverage and pain. In complication category were mostly recorded infections, nervus radialis harm and compartment syndrome. By nervus radialis harm all nurses recorded posibility of limb functional changes. As rehabilitation factors in this category five nurses mentioned as effect of infection, pain and size of the wound. By patients came out following categories: Self-care activities: Dressing, Day routine, Motions on the bed, Hygiene, Toilet, Eating, Preferred needs. In category dressing four patients can't put on T-shirt. Regarding category of eating, here all patients recorded complications with holding the food tray. Preferred needs category reveals that all six patients values family relationships. In quantitative part of work thanks to data collection formed these graphs: Percentage: Participation of patients, Average age, Age categories, Participation of age categories, Influence of activity on injury formation. As percentage participation was found out that 68% of patients are women in average age of 58 years. These data by men are 32% and 54 years. The injury is mostly appeared considering age in women category in the age of 66-70, in 9,21%. In men category in the age of 61-65, in 4,61%. Hobby injury appeared more in men category 8,55%, in women category are more frequent leisure activity injuries, 64,47% . Conclusion: From research result we can say the nurses have great knowledge. However in all categories are knowledge gaps leaving space for knowledge supplement. Patients mostly fumble with self-care activities deficit in all spheres, this category and family relationships are most preferred categories. In qualitative research is obvious that women are twice more hospitalized with humerus fracture.
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