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Physiotherapy of patients with artificial lung ventilation in chronic medical care
Dobrovolná, Iveta ; Hamarová, Zuzana (advisor) ; Holasová, Michaela (referee)
Author: Iveta Dobrovolná Institution: Department of Rehabilitation Medicine The Faculty of Medicine in Hradec Králové Title: Physiotherapy of patients with artificial lung ventilation in chronic medical care Supervisor: Mgr. Zuzana Hamarová Pages: 126 Inserts: 5 The year of presentation: 2013 Keywords: respiratory physiotherapy, artificial lung ventilation, weaning, chronic intensive medical care, hygiene of respiratory system The subject of my Bachelor thesis is the comprehensive therapeutic attitude in the cource of hospitalization and application of physiotherapeutic procedures to patients with articicial lung ventilation in chronic medical care. In the theoretical part I primarily present the basic physiotherapeutic methods used in therapy of patients dependent on artificial lung ventilation. As main topic I present respiratory physiotherapy and pulmonary rehabilitation during artificial lung ventilation and weaning. In the practical part I pressent two cases-history of patients and I describe the progresses during hospitalization.
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The impact of asthma on children's incorrect body posture
KORDOVSKÁ, Kateřina
This bachelor thesis deals with the relationship between asthma bronchial and a defective posture at children. Bronchial asthma is a chronic respiratory disease which incidence is still rising. One of the reasons is a growing number of children suffering from allergies. Their current role in the wrong lifestyle plays its part, too. During the attack, bronchial asthma causes narrowing of the respiratory tract which leads to increased breathing requirements. Some troubles persist even during attacks at some children who suffer with asthma. These increased breathing demands overload the auxiliary breathing muscles over a long period of time and it leads to a change of the breathing stereotype. Changes in the breathing stereotype are linked to problems such as a poor function of the diaphragm, which has impacts not only on the respiratory function but also the postural function. All of this leads to various muscle imbalances. And that's what we're getting to the issue of faulty posture. One of the goals was to find out and describe the relationship between asthma bronchial and faulty posture. In the theoretical part, the bachelor thesis deals with the description of asthma bronchial, its causes, symptoms, diagnostics and therapy. There is also physiotherapydescribed, suitable for bronchial asthma, which was one of the goals of my bachelor thesis, and various breathing aids. The third objective was to set up an exercise unit suitable for children with asthma bronchial, whose exercises would also have influence ontheir faulty posture. An exercise unit is a part of the attachments. In the practical part, I have described three case reports, where the probands were children of pre-school and younger school age. Asthma bronchial had been diagnosed at these individuals. I have described not only their examination but also their work which differs from working with adults in some respects. Therapies were going on from November 2016 to March 2017 irregularly, but the individualshad their task of practicing at home under the supervision of trained parents.
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Respiratory physiotherapy affects the quality of life of children with spinal muscular atrophy - How, when and why?
Havlištová, Michaela ; Smolíková, Libuše (advisor) ; Zounková, Irena (referee)
Bibliographic identification HAVLIŠTOVÁ, Michaela. Respiratory physiotherapy affects the quality of life of children with SMA - how, when and why? Prague: Charles University, 2nd Faculty of Medicine, Department of rehabilitation and sport medicine, 2012. 81 p. Supervisor Doc. PaedDr. Libuše Smolíková, Ph. D. Annotation This thesis deals with the influence respiratory function in children with spinal muscular atrophy (SMA). The theoretical part provides an overview of respiratory physiotherapy techniques that can be used in the care of the airways in people with SMA. The practical part deals with the question whether it is possible using the selected techniques of respiratory physiotherapy after six weeks of training to affect ventilatory parameters in children with SMA. The group of six probands with SMA I. - III. type in the range of the age from 3.5 to 12 years participated in this study. To objectively assess changes was performed spirometry efore the beginning of the therapy and after its conclusion. The main therapy was daily training with inspiratory breath simulator CliniFlo. After the finishing of therapy there was a positive change in all measured parameters except for vital capacity (VC) and maximal expiratory flow at 75% of FVC (MEF75), where the values didn't change. Statistically significant...
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Role of Respiratory Physiotherapy for Patients suffering for adenoid hypertrophy
Koubíková, Jana ; Smolíková, Libuše (advisor) ; Groh, Daniel (referee)
The bachelor's thesis deals with the adenoid hypertrophy problems. It is divided into a theoretical and a practical section. The theoretical one consists of a general and a special part. The theoretical section summarizes anatomical knowledge related to upper airway, describes some of the respiration physiology aspects and it also deals with the most frequent upper airway pathologies. The special part goes into details about the adenoid hypertrophy problems. It describes symptomatology, diagnostics and therapy possibilities. It widely investigates physiotherapy possibilities, breathing re-education in particular. The practical part contains outputs of a questionnaire research which took place at the ORL children clinic of the 2nd Faculty of Medicine, Charles University. It gathers information about each aspect of the problems. Based on the questionnaire research, an examination and a training of a selected group of patients suffering from adenoid hypertrophy, it compiles a possible training methodology and offers an information brochure to parents
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Possibilities of physical therapy in patients with chronic form of respiratory diseases at the pulmonary disease sanatorium
Švehlová, Eliška ; Smolíková, Libuše (advisor) ; Babková, Lenka (referee)
The aim of the thesis is to prove that active techniques of respiratory physiotherapy together with aerosol inhalations contribute effectively to treatment of acute and chronic respiratory problems and also to prove that this therapy increases patient's motivation to realize the importance and effectiveness of respiratory exercises . Benefits of above-mentioned therapy influence patient's professional life. Quality of life has also impact on family and social relationships of respective patient. The aim is to prove the importance of pulmonary rehabilitation as a complex and multidisciplinary program of care for patients with chronic respiratory disease. Powered by TCPDF (www.tcpdf.org)
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Options of respiration physiotherapy in patients at a spinal unit
Bartošová, Kristýna ; Smolíková, Libuše (advisor) ; Oplatková, Lenka (referee)
Bachleor thesis "Possibilities of the Respiratory Physiotherapy in Spinal Cord Unit Patients" deals with respiratory problems of the patient with spinal cord injury. It debates problems of the patient in general, introduces the classification of spinal cord injuries and also informs about a clinical manifestation of the injuries. It includes a comparsion of respiratory kinesiology in healthy man to a man with spinal cord injury. It also informs about common respiratory complications. The work mentions the assessment of the patient. It also shows the most frequent techniques of respiratory physiotherapy which either prevent or suppress respiratory complications. The work compares the therapeutic effect of some techniques on basis of the evidence based studies. Powered by TCPDF (www.tcpdf.org)
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Physiotherapy in children with cystic fibrosis
TOMÁŠKOVÁ, Monika
The theme of this thesis is children´s cystic fibrosis and the impact of using the methods of physiotherapy. The thesis consists of theoretical and practical part. In the theoretical section is summarized the findings of cystic fibrosis, its history, diagnosis and treatment. Next, in theoretical parts are included the methods of respiratory physiotherapy and other methods of physiotherapy that can positively affect the lives of individuals with cystic fibrosis. Cystic fibrosis is a serious life-threatening disease. Currently there is no effective treatment leading to a complete cure. This disease is characteristic of excessive formation of thick mucus, which most frequently occur in the organs of the respiratory and digestive systems. Thick mucus is the basis for the emergence of various microorganisms which an individual is suffering from cystic fibrosis threatened. The main symptoms of cystic fibrosis are chronic respiratory diseases manifested by cough, expiratory dyspnea and a feeling of inability to breathe. Another typical symptom is a high concentration of electrolyte salt in sweat that causes patients salty taste of sweat. An important aspect is the early diagnosis of disease and early treatment. The key is to combinate pharmacological therapy with daily implementation methods of respiratory physiotherapy. Complementary forms of treatment may be the use of physiotherapy; it can significantly boost the quality of life of the individual. In the practical part is used qualitative research method, case study. The research was conducted in the home of the patient. The research sample was consisted of one patient diagnosed with cystic fibrosis, which was monitored over a period of several months. In the beginning was made entry kinesiology analysis, from which unfolded subsequent individual therapy. This was mainly focused on defective posture and partially covers methods of respiratory physiotherapy. At the end of therapy was conducted final kinesiology analysis. The results are processed in the form of case studies.
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Physiotherapy for recurrent respiratory diseases of infants in home environment
ŽITNÍKOVÁ, Ivana
This thesis deals with physiotherapy for recurrent respiratory diseases of infants. Respiratory diseases belong to the most common childhood diseases. Therefore it is necessary to pay attention to this issue. The first two goals of this thesis are to cover an issue of respiratory physiotherapy in infants, both theoretically and practically. The third aim is to create a visual guide for parents of infants with respiratory diseases. To achieve these goals, it was necessary to study literature and to become familiar with the therapy in practice. Methods of qualitative research including direct observation techniques, casual interview with mothers, secondary analysis of data and taking photographs were applied in this research. The research group consisted of three infants with respiratory diseases, who come into the care of the pediatrician prof. MD. M. Velemínský, PhD., Dr. H. C., prof. H. C. Indirect anamneses were taken and through aspecting I assessed their postural activity. During three visits over the time horizon of 10 days, mothers of infants were gradually familiarized with the application of techniques of respiratory physiotherapy in order to realize the therapy in the home environment. On the basis of briefing I wrote a manual. I would like to inform the general public about the possibilities of this treatment. I tried to trace the responses of the infants to the application of the techniques of respiratory physiotherapy, to find a correlation between the character of their breathing and the postural activity and, last but not least, I focused on the problems that appeared during the training. This thesis can be beneficial not only for parents of the infants with respiratory diseases but also for the students of physiotherapy. I believe, that the manual I made could above all facilitate the parents of the ill children to participate on their treatment.
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Rehabilitation of patients with asthma bronchiale
NOVÁK, Lukáš
The topic of my thesis is the recovery of patients suffering from bronchial asthma. Asthma Bronchial (next asthma) is one of the most frequented civilisation diseases the prevalence of which has been increasing dramatically in the last 20 years. It is a chronic inflammatory disease of respiratory tract, which may appear at any age. The four major symptoms of asthma are whistling breath, shortness of breath, cough and tightness in the chest. Physiotherapy enables considerably a complex treatment of patients suffering from asthma. The complex treatment program takes into consideration the breathing and moving abilities of the patient, primarily the current state of his or her deep stabilisation system. The theoretical part of my thesis is focussed on a general description of asthma and its possible treatments, in terms of physiotherapy. The main aim of my thesis is to set up and practise a physiotherapeutic program in order to mitigate the asthma symptoms. The particular set-ups are focused on the respiratory and motion physiotherapy respecting their individual needs. The practical part of my thesis is based on a quantitative survey made by a semi-structured interview focussed on revealing the patient history, direct observation (examining the patient and realising the rehabilitation program). The survey was made within a group of three patients of a different sex and age undergoing the treatment in Luhačovice Spa, as well as one patient of a pre-school age treated in her home environment. The premises of a successful treatment following the rehabilitation scheme reflect an individual attitude to patients and their active participation in the recommended exercising and physiotherapeutic activities in their free time. My thesis can be used as a brief asthma bronchial outline for the public and for study purposes of future physiotherapists.
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