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A Case Study of Physiotherapeutic Care of a Patient with Diagnosis of Common Peroneal Nerve Palsy
Hunčovský, Tomáš ; Nováková, Tereza (advisor) ; Reckziegelová, Petra (referee)
Title: A Case Study of Physiotherapeutic Care of a Patient with Diagnosis of Common Peroneal Nerve Palsy. Objectives: A summary of existing theoretical findings concerning peripheral nerve palsies, especially common peroneal nerve palsy, and their application in practice of physiotherapeutic care of a patient with the stated diagnosis. Methods: The present bachelor thesis consists of two parts. The general part describes the anatomy of nervous system and the patophysiology of peripheral nervous system including the key processes of examination and the most important methods of physiotherapeutic care used for diagnosis and therapy of peripheral nerve palsies. A special part is dedicated to a case study of physiotherapeutic care of a patient with diagnosis of common peroneal nerve palsy and includes an entry kinesiological examination, a rehabilitation plan, a description of particular therapies and a final kinesiological examination having for purpose to assess the therapeutical effect. Results: An increase of joint mobility extent, a dicrease of sensitive disorder, motor manifestations of deep peroneal nerve reinnervation, a positive impact on swelling absorption, a partial renewal of joint play, an increase of muscular strenght of weakened muscles and an increase of flexibility of shortened muscle...
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Case Study of the Physiotherapy Treatment of a Patient with the Diagnosis of a Sprained Ankle
Hrušková, Natálie ; Neuwirthová, Svatava (advisor) ; Hoskovec, Jakub (referee)
Title: Case Study of the Physiotherapy Treatment of a Patient with the Diagnostis of a sprained ankle Objectives: The main aim of this bachelor thesis is to present the theory, followed by a case study of the rehabilitation of a sprained ankle. The theoretical portion summarizes the findings and approaches of ankle injury treatment. The following section introduces a case study of a patient with a sprained ankle, specifically the application of the theoretical portion in practice, in the format of a case report. Methods: This bachelor thesis is divided into two parts: general and special. The general part sums up the theoretical research conducted, referencing anatomy, kinesiology, biomechanic and traumatology of the ankle. The next part includes functional examination around the ankle and follow-up treatment and rehabilitation deemed appropriate after a sprained ankle. This special part of this thesis presents the case report of a patient in detail. This case report was conducted during professional practice at The Centre of Locomotive System Treatment (CLPA). It was conducted from the 15th of January to the 2nd of February in 2018 under the guidance of Mgr. Jakub Hoskovec. The case report proposed both a short-term and long-term treatment plan. Furthermore, the therapy process is described in...
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Case study of physiotherapy treatment of a patient with the diagnosis of pertrochanteric fracture of the left hip
Ioannou, Persia ; Stupková, Michaela (advisor) ; Kozderková, Romana (referee)
Title: Case study of physiotherapy treatment of a patient with the diagnosis of pertrochanteric fracture of the left hip joint. Thesis aim: The aim of this thesis is to initially review the anatomy, kinesiology and biomechanics underlying the patient's condition, as well as demonstrate, analyze and evaluate the therapeutic units that were provided. Clinical findings: This study was evaluating the state of a 40- year-old patient with the main diagnosis of pertrochanteric fracture of the left hip joint. The assessment showed reduced range of motion and mobility, with differentiation in the condition of the muscles. Also, there was atrophy of the left thigh muscles and the restricted movements. Methods: All the used procedures were based on the literature given thought by the Charles University in Prague, Faculty of Physical Education and Sports. Result: The patient made remarkable progress after only 6 sessions of therapy. The patient underwent great progress in terms of pain, range of motion and muscle imbalance in the area of hip. Furthermore, the therapies have shown to be very effective concerning the patient's diagnosis. Conclusion: The therapies that were performed were effective in this patient's concrete diagnosis. Keywords: Hip joint, fracture, pertrochanteric, PFN, DHS, treatment,...
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Postindustrial city Urban development study of Brno - east of the city
Bartoňková, Barbara ; Todorov, Petr (referee) ; Františák, Luboš (advisor)
The design of a residential complex in the post-industrial city Zábrdovice has a major role in the return of housing to the city and its immediate vicinity. The historically poor neighborhood with the background of the industrial panorama has great potential for future development. This thesis deals with the rehabilitation of this structure, will bring a fundamental restoration, improvement of the quality of housing and a safe environment. Also proof that even in this locality it is possible to create a fully-fledged place for its inhabitants.
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COMPREHENSIVE CARE IN CZECH AND BRITISH HEALTH CARE
SÝKOROVÁ, Michaela
The topic of this bachelor thesis is Comprehensive Care in the Czech and British Health Systems. We put the finger on the social policy of the Czech Republic and Great Britain, in two historically and culturally different countries. The aim was to map out and clarify basic concepts, principles, possibilities of solution and obstacles to comprehension care. This area of social policy is closely related to each of us, and therefore it is the most discussed topic. For this reason, it is important to know the basic facts and comparation within other countries which can help us in shaping our own strategy. The theoretical part deals with the historical development of the social policy of the two countries, with their importance, organizations, their determinants and models (especially in health and social areas). It also touches the current situation in the area of rehabilitation (basic concepts, transformation of meaning, legal anchoring, change of paradigm) from the point of view of the Czech Republic and Great Britain. To achieve the goals of my work, I chose a qualitative research strategy. After analyzing one case, specifically post-stroke patients, I created several questions for respondents. These sets of questions concerned post-health care, which could improve, simplify, or improve the situation of a patient in a given situation. My respondents were health and social workers from the Czech Republic and Great Britain. I acquired it through a method of deliberate choice. We used a semi-structured interview for data collection. The results of the observations were divided into six parts characterizing not only the overall view of healthcare professionals and social workers on the coordination of care and unified information, but also possible barriers and obstacles. The results are compared to each other. These comparison makes possible to assess the strengths and weaknesses of comprehensive care in the both countries. The most noticeable difference is evident in the coordination of health and social care; according to the results, it can be said that it does not work in the Czech Republic, Great Britain uses this institute quite commonly without any significant difficulties. In practice, it would be possible to use the knowledge gained by the research as a basis for the decision making of managers in the health and social sphere.
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Rehabilitation nursing of patients after cerebrovascular accidents.
ŠŤASTNÁ, Edita
The Bachelor thesis "Rehabilitation nursing of patients after cerebrovascular accident" are theoretical. It includes and describes rehabilitation nursing and the specifics of patient care after cerebrovascular accident. Rehabilitation nursing has significant influence on the patient's life quality. The main goals of the nursing care of such patients are prevention of the decubitus and muscle contractions, positioning, duly verticalization, conditional and passive breathing exercising, and reinsurance of psychological well-being. Equally important are elements of basal stimulation and kinesthetic mobilization, which support patient's activity. The great effort while processing of the thesis was to map and reinsure all the details not only about rehabilitation nursing, but also about areas which have influence on the emergence and development of the cerebrovascular accident and on the patient's life quality. Occurance of the CVA is increasing with increasing age, therefore the incidence of this disease will increase with a gradual increase in the population of seniors. Prevention of the emergence is very important, it begins with public education, continues with the prehospital organization and follows up on high quality treatment in a healthcare facility. Nowadays, in a busy times, we should take care of our health and react on the signals of the organism. Early diagnosis, immediate treatment and high quality rehabilitation are important for cerebrovascular accident. Part of complex cerebrovascular care is a multidisciplinary team that cooperates and complements each other. The aim of this work is to point out the importance of rehabilitation nursing in the care of patients after the CVA, to describe the cooperation of multidisciplinary team and family. The bachelor thesis will be the basis for a seminar on this subject, which is part of the education in the rehabilitation department.
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Rehabilitation and prevention of the most common injuries of judoists
NAVRÁTILOVÁ, Marie
Judo, like other sports, brings the danger of all sorts of injuries, the more that it is a combat sport. The task of the trainer and the judoka himself should be prevention of injuries. If an accident occurs, it should be taken care of with proper and long-term rehabilitation. Judokas often encounter injuries of joints especially knees, ankles, shoulders, elbows or knuckle joints. We can also meet with fractures and muscle injuries, their bruising or tearing. These injuries can be caused by insufficient warm-up. They can be influenced by tiredness, dehydration and by overload of individual muscle groups. When preventing the injuries, we should put emphasis on the right technique of exercise, sufficient warm-up, regeneration and use of compensatory exercises. The aim of this work is to find out the most common causes of injuries of judokas, suggest the possibilities of rehabilitation and prevention of these injuries. The practical part is elaborated in the form of mixed research. It contains a questionnaire for judokas fifteen years old and older, case studies of two probes from the judo club TJ Sokol Tábor, their input and output kinesiological analyses, semi-structured interview and therapy procedure. The last part deals with the possibility of inclusion of balance exercises into judo training, which could have the preventive effect of some injuries. This work could be used by sport physiotherapists and judo trainers. It can also be used as an educative material for sportsmen.
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Hippotherapy as an effective healing method for scoliosis
LIŠKOVÁ, Andrea
The bachelor thesis deals with hippotherapy as supportive therapy for patients with scoliosis. The thesis is divided into a theoretical and a practical part. The theoretical part is divided into two chapters, first addresses hippotherapy and the second scoliosis. The chapters explain the basic concepts necessary to get familiar with the given issue. In the subchapters of the first chapter I deal with the composition of the hippotherapeutic team, course of hippotherapy in general, positioning, indications, contraindications and with the treatment principle. In the chapter scoliosis I describe the basic terminology and the classification of scoliosis, the risk factors, therapy and therapeutical approaches. In the practical part, I introduce the aims of the work and the research itself. This part is elaborated through a qualitative survey - case study, mixed research. The research is carried out in the form of case studies of three probands with diagnosed scoliosis. Probands visited once a week the farm called "U Lištičky" in Úlehle, where they practiced hippotherapy. Each proband passed 12 hippotherapeutic units. The method of data acquisition was kinesiological analysis (on entry and exit), systematic observation and an interview. The work includes initial examination, evaluation of the initial examination, individual therapy, concluding examination, evaluation of the concluding examination and of the therapy. The individual case reports are supplemented with photo-documentation from the entrance and concluding examinations, from the course of the hippotherapeutic units and the results tables. Methods used for data collection were the following: anamnesis, aspects, pelvic examination, Adams test, plummetal examination, spinal function tests, hypermobility examination, muscle examination, two-scale stand test, Véle test, trigonometric examination, anthropometric examination, movement stereotypes and neurological examination. The aim of the work was to map out the effects of hippotherapy as a supportive treatment for scoliosis and to evaluate the results before and after the influence of hippotherapy on probands with scoliosis. The results of all three probands confirmed, that due to hippotherapy, there was a reduction in asymmetry, improvement in posture, pelvic anteversion, increased muscle strength, improvement of movement stereotypes, influencing breathing functions and stability of sitting on the horse's back. The influence of hippotherapy was demonstrated also in some functional tests and in the plumbing examination. At the same time, despite their initial concerns, the psyche of all probands was positively influenced and their relationship to the animals was deepen. Based on the evaluation of the results that were recorded, I would like to state, that hippotherapy as a supportive treatment of people with scoliosis is beneficial. The outcomes of this bachelor thesis could be used in practice as well as educational material for students of physiotherapy, therapists themselves, or as a basis for further research in this field. This work is the result of an effort to deepen the awareness of Hippotherapy as a supportive method for the treatment of scoliosis, both in professional and amateur audiences, and to point out the positive effects of hippotherapy on humans.
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Comprehensive therapeutic rehabilitation of patients after surgery of Dupuytern's contracture
DYRYNKOVÁ, Pavlína
The topic of this bachelor thesis is concerned on problematic of Dupuytren's contracture. In the theoretical part I describe palmodigital aponeurosis, kinesiology, Dupuytren's disease, its classification, symptomatology, relation with gender, age, nationality, possible association with diseases and further description of treatment options. The aim of the thesis was to compile and propose a therapeutic plan and then to evaluate it in terms of proband's subjective perception and to compare it with the measured results. In the practical part, I made three case reports of probands who underwent Dupuytren's contracture operation. I obtained the data by taking a history and processing the input and output kinesiological analysis, followed by observation and a semi-structured interview. The first two probandes underwent ten therapies in my bachelor thesis and third only four, because he had to end the therapy prematurely for health reasons. In the first two cases, the extension was the most limited, and in the third proband there was the greatest limitation in reduced muscle strength and gait pain. According to the initial kinesiological analysis, I created a short-term plan and focused on the therapy. I used the aspect, palpation, anthropometric examination, goniometry, muscle test, table top test, sensitivity and grip assessment, and I always asked propand about subjective perception of his illness. Outcomes showed overall improvement in both patients. The other patient had no restrictions after the end of therapy. The first patient, despite visible improvements, still suffered from hand stiffness in the morning and increased manual labor and tingle I. - III. finger for the probably starting carpal tunnel syndrome. Achieving goals during therapy can be understood by creating individual rehabilitation plans, evaluating objective tests and subjective perception of probands.
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Motion Analysis
Hudec, Jiří ; Čmiel, Vratislav (referee) ; Sekora, Jiří (advisor)
Bachelor thesis is dealing with how to analyze human walk with Vicon camera system. In the first chapter are described elementary ideas for gait analysis and principal methods of Vicon system. There is also discussed basic layout of cameras in the laboratory and layout of markers attached at a human body. The second chapter is also about synchronisation of multiple cameras and description of CVS format. Further, in the third chapter are discussed four algorithms created in Matlab for a description of gait analysis. In the last fourth chapter are discussed the results of the software from Matlab and comparison these results with results made in the laboratory of gait analysis.
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