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Possibilities of pulmonary rehabilitation for oncological patients after lung resections
ŠVEC, Martin
The lung carcinom is one of the most common types of cancer in male population of the Czech Republic. The usual signs are chest pain, stuffiness, hoarseness and coughing. Lobectomy is usually done to the patients with smaller tumors. It is important to ensure the right preoperative education of the excercises. The priority after the operation is pain therapy, removal of the increased amount of phlegm, support of expectoration, improvement of the ventilation parameters and prevention of post-operative complications. The selected objective of this thesis was to map the problematics of pulmonary rehabilitation of oncological patients after lung resections and also to suggest an approach to the pulmonary rehabilitation of oncological patients after lung resections. The theoretical part describes the anatomy of primary and auxiliary respiratory muscles, the characteristics of the lung carcinoma and its chirurgical therapy and the techniques of pulmonary rehabilitations including different physiotherapeutic concepts like soft and mobilization techniques, the Brügger concept, proprioceptive neuromuscular facilitation and kinesiotaping. The practical part is consisted of qualiative research in which three oncological patients after the lung resetions participated. The research includes trigonometric and anthropometric examinations, muscle test, measurement of maximal exhaling and maximal inhaling pressure, the Borg's scale of percieved exertion and saturation of hemoglobin from oxygen. The therapy began the day before operation and ended before discharge on the seventh to eighth day. The results went back to previous values before the operation in some of the parameters and there were no negative effects of the therapy. It is safe to say that the therapy had a positive effect on the patients without any complications.
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