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Options for physiotherapeutic care of women in the third trimester of pregnancy
BURIÁNKOVÁ, Andrea
This bachelor thesis describes the possibilities of physiotherapeutic methods that can be used in women in the third trimester of pregnancy to relieve painful musculoskeletal conditions. The thesis is divided into theoretical and practical parts. In the theoretical part of the thesis, I try to describe the basic information about the origin of pregnancy, the characteristics of its division and then the actual development of the fetus in the different periods of pregnancy. Furthermore, I describe the changes that a woman's organism undergoes during pregnancy. These are divided according to the different systems such as the respiratory, cardiovascular, urethropoetic or musculoskeletal system. Subsequently, the theoretical part describes the definition of childbirth and the detailed characteristics of its course in the different periods of labour. Finally, appropriate and inappropriate physical activities are described, and the most common issues regarding painful conditions are also described in detail, followed by options for physiotherapeutic intervention. The aim of the practical part was to apply possible physiotherapeutic methods to the most common occurring painful conditions in the third trimester of pregnancy and to observe the effect of these methods. The research population included three probands in the third trimester of pregnancy who suffered from the described painful conditions. Therapy sessions were conducted with the probands once every 1-2 weeks, where an initial kinesiological examination and detailed medical history were taken at the first appointment. According to the individual problems of each proband, appropriate therapy and a series of home exercises were performed. In each subsequent therapy session, we jointly consulted the effect of the previous therapy. At the end of the therapies, we jointly summarized the results achieved and again an exit kinesiological examination was taken. This work can serve as inspiration for physiotherapists on the possibilities of therapeutic intervention in practice or as an informational material.
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