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Case Study of Physiotherapeutic Treatement of a Patient with the Diagnosis of Unilateral Above - Knee Amputation.
Malošíková, Andrea ; Stupková, Michaela (advisor) ; Hankovcová, Eva (referee)
Title: Case Study of Physiotherapeutic Treatement of a Patient with the Diagnosis of Unilateral Above - Knee Amputation. Objectives: The aim of this work is a summary of theoretical knowledge about amputations of lower limbs and processing of case study of patient with the diagnosis of unilateral above - knee amputation. Methods: This bachelor thesis consist of two parts. The general part includes the literature review focused on the issue of amputations of lower limbs in relation to diabetes mellitus and its therapeutics and prosthetic options. Special part consists of case study of physiotherapeutic treatment of a patient with the diagnosis of unilateral above - knee amputation. This part describes anamnesis, complex kinesiological examination, the course of each therapeutic unit and a final evaluation of therapeutic intervention. Results: This case study was created during two weeks at the turn of January and February 2019 in Ústřední vojenská nemocnice Praha. Physiotherapeutic procedures contributed to improve patient's condition. Edema of stump was reduced, extension in right hip joint increased, shortened muscles were stretched, muscle strength of higher and lower limbs increased, standing posture and gait improved. Keywords: diabetes mellitus, amputation, physiotherapy, diabetic foot...
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Effect of therapeutic physical program of patients with 2nd type diabetes mellitus
Babková, Karolína ; Vařeková, Jitka (advisor) ; Malá, Michaela (referee)
Title: Effect of therapeutic physical program in patients with type 2 diabetes mellitus Objectives: The aim of my work was to examine the effect of 12 weeks therapeutic physical program on distribution of plantar pressure, muscle strength in plantar flexion, ankle range of motion and physical abilitity by patients with type 2 diabetes mellitus and diabetic foot syndrome. Methods: It was a quantitative research, randomized controlled trials. It was chosen 10 patients with type 2 diabetes mellitus and with diabetic foot syndrome. The patients were devided into 2 groups. In each group were four males and one female, aged from 54 to 73 years old. The first group included exercise patients and the second group nonexercise patients. The intervention took place 5 - 7 times a week and contained two types of training units. The first had 11 exercises, the second self mobilization of leg joint and walking. Basic anthropometric figures - height, weight, girth of waist and hipline (tailoring meter,weighing machine), ankle range of motion (goniometer), muscle strenght in plantar flexion (dynamometer), pressure distribution in stand (MobileMat), physical ability (Senior Fitness Test) were measured and compared in two groups after 12 weeks. The results were evaluated statistically in tables. Results: The...
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Case Study of Physiotherapy Treatment of a Patient with Unilateral Transfemoral Amputation
Němečková, Eliška ; Polák, Alois (advisor) ; Voráčová, Helena (referee)
Author: Eliška Němečková Title: Case Study of Physiotherapy Treatment of a Patient with Unilateral Transfemoral Amputation Objectives: Aim of this bachelor thesis is summary of theoretical knowledge about lower limb amputations and diabetes mellitus and processing of case report of patient after transfemoral amputation due to diabetes mellitus. Methods: This thesis consists of two main parts. The first part is devoted to summary of theoretical knowledge about diabetes mellitus, including general information about this chronical disease, its complications and treatment. It also contains summary of basic information about amputations, rehabilitation after lower limb amputation and prosthetic possibilities. The second part is practical and it is a detailed case report of physiotherapy treatment of patient after transfemoral amputation. It contains detailed complex kinesiology examination, itemization of individual therapeutic units and final evaluation of therapy effect. The case report has been prepared on the basis of practice in the rehabilitation center Vršovická zdravotní a.s. in the period from 14th January to 8th February 2019. Results: During the therapy, the patient's condition improved as well as his abilities and skills. The positive results are particularly visible in the transition from...
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Case Study of Physiotherapy Treatment of a Patient with the Diagnosis of Unilateral Below Knee Amputation
Palasová, Ivana ; Reckziegelová, Petra (advisor) ; Hamouzová, Dita (referee)
Title: Case Study of Physiotherapy Treatment of a Patient with the Diagnosis of Unilateral Below Knee Amputation Objectives: Summary of theoretical knowledge on the issue of amputation and processing of case study of the patient with the diagnosis of unilateral below knee amputation. Methods: The general part includes the literature review of texts about anatomy, biomechanics, amputations and prosthetics of lower limb. The thesis is focused on the amputations of diabetes mellitus patients. The rehabilitation of patients after lower limb amputation is described there. The special part consists of the case history, differential balance, input complex kinesiology examination and therapeutic plan of care for the patient after transtibial amputation. Executed therapeutic units are described. The effect of therapeutic care is evaluated on the basis of output complex kinesiology examination. Results: The applied therapeutic care positively contributed to the improved condition of the patient. Keywords: diabetes mellitus, diabetic foot syndrome, amputation, prosthesis, rehabilitation, case study
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Mikrocirculation in the diabetic foot syndrome
Tomešová, Jitka ; Lacigová, Silvie (advisor) ; Chlup, Rudolf (referee) ; Prázný, Martin (referee) ; Jirkovská, Alexandra (referee)
Abtrakt (EN) In spite of the fact that the diabetic foot syndrome is not considered a marginal complication of the patients with diabetes mellitus any more, its prevalence and incidence is not decreasing. The fact that early diagnosis and treatment or even prevention of foot ulcers is associated with a decrease in healthcare costs and, more importantly, with reducing patients' suffering, applies also in this case. The dissertation work originated in the Diabetologic Center of the Medical department I., University Hospital and Medical Faculty in Pilsen, Charles University in Prague, which has been dealing with diagnostic and therapeutic procedures in patients with diabetic foot syndrome for over 20 years. The examinations for diagnosis of the main etiologic factors, i.e. peripheral neuropathy and impaired perfusion, belong to already routine ordinary procedures here. My task was to move the diagnostics of this complication to earlier stages, even before the development of the ulcers, through diagnosing an impairment in skin microcirculation. The aim of the work was to evaluate reactivity of the skin microcirculation in patients with diabetes mellitus using laser doppler flowmetry and to introduce a new method - iontophoresis. Skin microcirculation assessment has become a center of interest of many studies...
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Local and systemic pathological processes in diabetic foot diasease and their management
Dubský, Michal ; Jirkovská, Alexandra (advisor) ; Rušavý, Zdeněk (referee) ; Karetová, Debora (referee)
Local tissue factors, ischemia and infection (which are often the cause of re-ulceration) are the main pathogenetic factors for diabetic foot disease (DFD). Neuropathic bone metabolism disorder leads to Charcot osteoarthropathy (CHOA). The aim of this dissertation was to assess experimentally the effectiveness of new skin substitutes, evaluate local vasculogenesis in different types of cell therapy of DFD, the role of infection in recurrence of DFD and scintigraphic parameters of activity of CHOA. Our studies concerning local pathological processes in DFD experimentally proved that gelatine nanofibers accelerate wound healing and can be suitable scaffolds for cell transfer and skin regeneration and also that acellular porcine dermis is more effective in healing of chronic wounds then xenotransplants. Our studies concerning therapeutic vasculogenesis confirmed that efficacy of stem cells (SC) harvested from bone marrow is similar in efficacy to SC separated from peripheral blood after stimulation. We found no evidence for systemic vasculogenesis by means of a significant increase of pro-angiogenic cytokines, which confirms the paracrine effect of injected SC. We proved a significant correlation between angiogeneisis inhibitor (endostatin) and the number of injected SC, which could be an indicator of...
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