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Changes in working abilities in a patient of productive age after total arthroplasty of weight-bearing supporting joint of the lower limb
ŠIMKOVÁ, Jana
Total lower limb endoprosthesis was originally indicated in elderly patients, as the fear of wear and tear was ingrained in younger, more active patients. Nowadays, with advances in implant design and surgical technology, it has become a viable option for patients of productive age who are reducing pain in all aspects of life. The aim of this work is to evaluate the changes in working abilities in patients of productive age after total endoprosthesis of the lower limb, and to map the possibilities of physiotherapy that will be beneficial for returning to working life. The bachelor thesis is divided into theoretical and practical part. The theoretical part describes the anatomy of the hip and knee joint with their interconnection, types of total hip arthroplasty, its indications and contraindications. Furthermore, the theoretical part deals with the division of rehabilitation before and after implantation of a total endoprosthesis and other physiotherapeutic procedures. The term "work skills" and their changes are defined. The practical part is based on case reports of patients who are in different time horizons from TEP of the hip joint. A detailed initial kinesiological analysis was created with three probands together with therapy, short-term and long-term physiotherapy plan, final kinesiological analysis. A kinesiological analysis is created retrospectively with three other probands. The case studies are supplemented by a questionnaire. The results reflect the positive effect of physiotherapy on health status and changes in working abilities after total hip arthroplasty.
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