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Rehabilitation after combinated tendon and nerve injury of the hand
ŽÁKOVÁ, Kateřina
This bachelor thesis aims to clarify the adequate rehabilitation procedures after lesions of the tendon and nerve apparatus of the hand, which were applied to the patient with a hand injury. The benefit of the selected rehabilitation methods was subsequently commented on in the discussion. The theoretical part deals with the anatomy and physiology of the hand, concretely with the flexor and nervous apparatus, which is essential for establishing the rehabilitation processes and improving collaboration between attending physicians. For a better orientation and understanding of the postoperative care, the thesis describes the procedures related to the surgical treatment of flexor tendons and nerves injury. It further introduces the most common rehabilitation procedures, soft tissue, antiedema and physical therapy, desensitization exercises, and adhesion prevention. Lastly, I comment on the protective splinting for the hand after tendon lesions and selection of splinting materials. In my bachelor thesis I applied qualitative research method. A patient from the Institute of Hand Surgery and Plastic Surgery in Vysoké nad Jizerou with a tendon and nerve lesion after trauma participated in the research. After the operation, a rehabilitation plan was created, applied and observed. The patient's condition was monitored from the day of the surgery for six months. Each checkup I cooperated with the surgeon.
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Clinical Anatomy of the Arteries of the Trumb and the First Web Space
Miletín, Jakub ; Kachlík, David (advisor) ; Stingl, Josef (referee) ; Měšťák, Ondřej (referee)
The thumb is absolutely essential for the flawless function of the hand, and the loss of the structure or function of the thumb almost always means a partial or total invalidation of the patient. Thus, salvage and reconstruction of the thumb is one of the foremost topics in hand surgery. Modern conservation and reconstructive procedures of hand surgery require a completely new insight into the knowledge of vascular anatomy. In order for the information to be comprehensible and well communicated, it is necessary to have a sufficiently detailed, clear and, above all, uniform nomenclature. When taking a closer look at the anatomy of the vessels of the hand, it turns out that authors often do not use generally accepted terms or do not agree on the interpretation of the correctly used ones. The above stated facts led us to the conclusion that, although the anatomy of the hand arteries seems to have been well studied and described in the past, there is still considerable room for sorting out the previously described data, revising the nomenclature, completing the missing detailed description of some anatomical variations and assessing the significance and usefulness of individual structures in relation to trauma and reconstructive hand surgery. This work describes in detail the systemic and topographical...
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Možnosti fyzioterapie po frakturách předloktí a ruky
KORBELÁŘOVÁ, Aneta
This bachelor thesis is focused on methods and possibilities that physiotherapy offers to patients after fractures of forearms and hands. It contains informations about the anatomy, characteristics of fractures and subsequent physiotherapy options. The research group consists of three adult patients after a fracture of the forearm and hand. A case report (i.e. research method dealing with description and comparison of similar cases of diseases or injuries) is listed for each of them based on anamnesis and kinesiological analysis. Based on aspect, palpation, and kinesiological analysis, selected probands underwent two months of therapy and a suitable exercise unit was created, which patients regularly exercised at home. After the end of the therapy, an output of kinesiological analysis was written, which, according to obtained values in comparison with the initial kinesiological analysis, confirms a significant improvement in range of motion, mobility and increase in muscle strength of upper limb after the fracture. In patients who initially showed typical elements of poor posture due to the immobility of the injured limb, an improvement in overall posture correction was noticeable after therapy. The aim of this work is primarily to draw attention to the importance of therapeutic rehabilitation after fractures of the forearm and hand. Next, describe the issue of fractures of the forearm and hand and the subsequent possibilities of physiotherapy after removal of fixation. The work can be used as an educational and information material for patients after fractures of the forearm and hand, or for physiotherapists. Another benefit of the work is an educational brochure according to patients after fractures of the forearm and hand can exercise at home as part of autotherapy.
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Occupational therapy treatment strategies in patients with upper limb peripheral nerve injury
Kořánová, Pavlína ; Humhej, Ivan (advisor) ; Kuželková, Anna (referee)
THESIS ABSTRACT Name, surname: Bc. Pavlína Kořánová Supervisor: MUDr. Ivan Humhej, PhD. Labor consultant: Bc. Olga Nováková, M. Sc. Thesis title: Occupational therapy treatment strategies in patients with upper limb peripheral nerve injury Thesis abstract: Peripheral nerve injuries of upper limb are often identified by sensory and motor control deficit. Limitations are most likely evident in their performance of activities of daily living (ADL), leisure and work activities. Significant neurogenic pain is a typically included and can cause poor quality of life. The result of injury is not only affecting the physical area, but also psychological and socio- economic aspects. Treatment is often time-consuming and there is an uncertain prognosis. The overview of the issue summarizes basic information, identification of specific peripheral nerve of upper limb (radial, median, ulnar) and their functional deficits. It also presents actual options of treatment, specially with an emphasis on occupational therapy. The purpose of this final thesis is to extend the knowledge and treatment options of evidence-based occupational therapy. The outputs represent an overview of occupational therapy treatment strategies in patients with upper limb peripheral nerve injury. Among the common effective occupational therapy's...
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Detection, Extraction and Measurement of the Length of the Metacarpal Bones in X-Rays of the Human Hand
Chalupnik, Alexandr ; Rydlo, Štěpán (referee) ; Drahanský, Martin (advisor)
The aim of the bachelor thesis is the design and implementation of an algorithm for the detection, extraction and measurement of the length of the metacarpal bones in x-rays of the human hand. The first part is focused on the principles of x-rays and the anatomy of the human hand. The second part contains the design and implementation of the task. The algorithm is based on image processing methods, such as thresholding or edge detection. In the end, the measurement results are evaluated on a set of images, which were provided by the Department of Anthropology at Masaryk University.
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Case Study of Physiotherapy Treatment of a Patient with Diagnosis of Distal Radius fracture
Kakos, David ; Malá, Jitka (advisor) ; Vosmíková, Simona (referee)
Author: David Kakos Title: Case study of physical therapy of a patient with diagnosis of distal radius fracture. Aims: The goal of the theoretical part of this bachelor thesis is an introduction to the problems associated with distal radius fractures followed by possibilities of treatment and physical therapy. The practical part is focused on designing a therapy plan, leading and influencing patient through it and observing our outcome. Methods: This bachelor thesis consists of two sections which are theoretical and practical. The theoretical part is about anatomy and kinesiology of forearm and hand, classification of distal radius fractures and their possible complications followed by treatment and physical therapy of a patient with this diagnosis. In the practical part you can find complex entrance kinesiology examination and physical therapy plan set for the patient. There is also a process of working on patient's handicap and kinesiology examination, results and evaluation after the treatment. Results: The therapy process had a positive effect on my patient and her medical condition had gradually improved. There was a significant reduction of pain and swelling on her left hand and wrist. Also there was a restoration of joint play of small jointts on her left hand, an increase of a range...
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Case Study of Physiotherapy Treatment of a Patient Diagnosed with Distal Radius Fracture
Kerdová, Terezie ; Kučerová, Ilona (advisor) ; Mahr, Edwin (referee)
Author: Mgr. Terezie Kerdová Title: Case Study of Physiotherapy Treatment of a Patient Diagnosed with Distal Radius Fracture Objectives: This undergraduate thesis is aimed to introduce basic information about the distal radius fracture and treatment options of this diagnosis. The practical part is aimed to compose case report of the patient diagnosed with distal radius fracture. Methods: The thesis contains a theoretical part describing basic information about the structure and kinesiology of the forearm and hand, grips, fractures of the distal radius fracture and the treatment options for this diagnosis. The special part contains anamnesis, initial examination, description of therapy units, final examination and final evaluation of the therapy's effect. The case study was made during the continuous professional practice in CLPA in Prague 9 from 10.1.2022 to 6.2.2022 Results: Thanks to the therapies the weakened muscles strengthened and the wrist's and forearm's reduced range of motion increased. Also in the left forearm's and hand's area joint play restores, hypertonus released and swelling and pain decreased. Keywords: Fracture, therapy, injury, forearm, hand
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Case Study of Physiotherapy Treatment of a Patient After Subcapital Fracture of the Fifth Metacarpal
Dundrová, Monika ; Maršáková, Kateřina (advisor) ; Nováková, Tereza (referee)
Author: Monika Dundrová Title: Case Study of Physiotherapy Treatment of a Patient After Subcapital Fracture of the Fifth Metacarpal Objectives: The aim of the theoretical part of this bachelor's thesis is an overview of the theoretical knowledge regarding the problematics of metacarpal fractures, the possibilities of their treatment and physiotherapeutic intervention. The practical part concerns case report of a patient with subcapital fracture of the fifth metacarpal. Methods: The theoretical part of the bachelor's thesis deals with the functional anatomy of the hands and the general characteristics of fractures. It focuses on the topic of metacarpal fractures, their incidence, possible complications, prognosis, treatment and physiotherapeutic procedures. A substantial part is focused on the treatment of subcapital fractures of the fifth metacarpal. The special part consists of a case report of a patient with a diagnosis of the condition after subcapital fracture of the fifth metacarpal, which processing was performed using techniques, methods and knowledge gained during the study of physiotherapy. Results: During the four-week physiotherapeutic care, the patient's functional condition of his right hand improved significantly. At the beginning of the therapy, after the initial kinesiological...
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Case study of physiotherapy treatment of a patient with the diagnosis of the fracture of the distal antebrachium
Mašková, Klára ; Novotná, Irena (advisor) ; Kozáková, Alena (referee)
Titel: Case study of physiotherapy treatment of a patient with the diagnosis of the fracture of the distal antebrachium Goals: The goal of this thesis is to summerize theoretical and practical information about fracture of distal antebrachium, to peruse sources of this problems and to concieve adequate therapy. Methods: The theoretical part is describing anatomy and functional kinesiology of the antebrachium and hand, then fractures of the distal antebrachium. The thesis considers mostly conservative treatment, complications of treatment and following therapy. The practical part is the describing aplication of gained theoretical knowledges about concrete diagnosis. It contains incoming kineziological assessment and conclusion, which makes short- term rehabilitation plan. This part is also decribing the process of therapeutical units, outcoming kineziological assessment and final evaluation of the therapy. Key words: antebrachium, hand, accident, physiotherapy
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