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Physiotherapy for patients with Morbus Bechtěrev
KANTOROVÁ, Vanda
This Bachelor paper deals with physiotherapy given to patients suffering from the Bechterew's disease. The paper consists of a theoretical section and a practical section. The theoretical section describes the anatomical structures of axial skeleton, the biomechanics of spinal column, and it defines spondylarthritis generally. Moreover, the paper provides a detailed analysis of the Bechterew's disease (i.e. the ankylosing spondylitis), its examination, treatment and the application of physiotherapeutic procedures. The practical section depicts physiotherapy applied specifically to treat three randomly chosen patients of the Aurora Spa based in Třeboň, as the treatment was administered between 5 March and 9 April, 2010. The first objective pursued in the paper is the evaluation of some selected methods of physiotherapy used in treatment of the Bechterew's disease patients. In the second objective the paper tries to assess the effect that the methods could have on the disease prognosis. The paper relied on the methods of a qualitative survey, and the data were gathered using these techniques: anamnesis, interview, observation (kinesiologic analysis) and the secondary analysis of data. The paper can do the duty of study and instructional material for students, the lay public and for health-care professionals.
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Physiotherapy of patient with Morbus Scheuermann - casuistry
Muráňová, Jana ; Mende, Karel (advisor) ; Vacek, Jan (referee)
This thesis deals with the Scheuermann's disease, more precisely about passed Scheuermann's disease and its consequences. The theoretical part is focused on general information, such as etiopathogenesis, course of disease, diagnosis and treatment options, including surgery. There are two casuistries of two probands in a practical part, who after the clinical examination conducted mainly self-therapy. The practical part is focused on the influence of exercising on the overall health of the patient with diagnosis of Scheuermann's disease.
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Effect of exercise therapy to Morbus Bechtěrev patients
Kališ, Martin ; Strnad, Pavel (advisor) ; Levitová, Andrea (referee)
Title: Effect of exercise therapy to Morbus Bechtěrev patients Objectives: Aim of this Thesis is to collect and analyse the available information from Czech and foreign sources concerning the Morbus Bechtěrev disease. Aim of empiric part is to evaluate the effect of four-week spa therapy In the Lazne Bohdanec spa to the Morbus Bechtěrev patients. Methods: Method of work consists of the study of available sources, assembling of theory part, collection and analysing of data and their statistical evaluation. For this research was used the standardised questionnaire method with added questions needed for the evaluation of hypotheses. Results: By the analysing of 32 pairs of anonymous questionnaires was concluded that the effect of exercise therapy to patients is positive, but not permanent. It is necessary to look for new approaches to Morbus Bechtěrev cure and prevention. Keywords: Morbus Bechtěrev, ankylozing spondylitis, spa therapy, exercise therapy, physical therapy.
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The use of assistive devices for patients with Bechterev disease
KULHÁNKOVÁ, Barbora
The theoretical part of the thesis describes the actual disease. It is a rheumatic disease which includes inflammatory processes located in the spinal area. The disease is also called Ankylosing spondylitis. Typical symptom of the Bechterew's disease is stiffness and consequent back pain. Successful treatment must include use of nonsteroidal antirheumatic drugs and pain-relievers. However, the most crucial element is regular physical training, which must not be avoided otherwise the client may become permanently disabled and need assistance. The successful treatment also in cludes repeated spa stays. The thesis also deals with the role of a nurse, who together with a professional team, including physiotherapists, ergotherapists and social workers, care for the client's needs as well as for his/her education and his/her family members' education. The nurse should emphasize the importance of regular physiotherapies and use of prescribed drugs to the patients with such diagnosis. The most crucial part of the thesis deals with compensation aids which allow the clients relieving pain when moving and which get the patients back in their common lives. The patients start to use the compensation aids, such as walking sticks, wheeled walkers, and hygienic aids with long handle, in advanced stages of the disease, when common movements are difficult and painful for them. Furthermore, I am writing about the possibility of renting or purchasing such aids. There are compensation-aid rental companies and shops which offer such aids. Another part of the thesis deals with compensation allowance, which the clients may receive from their insurance companies.It also describes changes in the patient's life and environment, which may occur after receiving the compensation aids. The major goal of the thesis is to describe the possibilities of usage of compensation aids by the Bechterew's patients. To reach that I have chosen two survey questions. The first one reveals the type of compensation aids the clients prefer using and the way how they get these. The latter question explores influence of the compensation aids to the clients' lives. The survey was done by qualitative research method. For this purpose, semistructured in-depth interview was conducted with clients who suffer from the Bechterew's disease and who use compensation aids for their everyday routines. The obtained information shows that the most used aids are those which we are typical for people with movement disorders. Mostly, the clients pay for their aids by themselves. Vouchers prescribed by doctors are only used to get the forearm crutches. The Bechterew's disease is still an incurable disease. It may have very serious consequences for the patients unless they execute regular physiothe rapy, repeated spa curative stays and use the medicaments. The thesis may be used as a source material for special brochures created for mobility-impaired clients.
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The Issue of Enteral Nutrition in Patients with a Diagnosis of Crohn's Disease
Kuchyňková, Monika ; Horová, Hana (advisor) ; Kubátová-Šafránková, Iva (referee)
Bachelor thesis is intended to bring the issue of use of artificial enteral nutrition in patients with inflammatory bowel disease called Crohn's disease. The theoretical part of this paper deals further with this serious illness, how and why it arises, its history and symptoms. Complications and treatment options. Further information on dietary measures, and finally describes in detail how the methods of administration of enteral nutrition, composition, types and recommended products. The paper defines the terms sipping, nasoenterální probe, endoscopic and other tests. The research is part of the questionnaire method for detecting not only the way patients with this disease receiving enteral nutrition, but also the difficulties and complications they bring. Whether rightly edukováni of enteral nutrition and truly understand the meaning of this treatment. Information was gathered from literature, which are listed in the conclusion. Key words: Crohn's disease, inflammatory bowel inflammation, sipping, artificial enteral nutrition, complications of enteral nutrition, education, nasoenteral probe.
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Kinesiotherapy of patients with Parkinson's disease
Kadeřábková, Michaela ; Savková, Pavlína (advisor) ; Molnár, Petr (referee)
Author: Michaela Kadeřábková Department: Department of rehabilitation medicine Title of the master thesis: Kinesiotherapy of patients with Parkinson's disease Supervisor: Mgr. Pavlína Savková Number of pages: 81 Number of attachments: 6 The year of presentation: 2012 Key words: Parkinson's disease, rehabilitation, tremor, rigidity Bachelor thesis deals with in the theoretical part about the origin, clinical symptoms and especially the treatment of PD. The treatments focuses primarily on rehabilitation treatment and analyzes kinesitherapy and its possibilities. The practical part is devoted to treatment of patients who suffer from this disease. Kinesiotherapy in selected patients is concentrated on major problems and their physical shortcomings.
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Obstacles in the lives for those with Von Hippel Lindau disease.
ŠEREDOVÁ, Eva
Morbus Von Hippel Lindau (VHL) is still an unkonwn term for many people. It refers to a genetic oncological desease affecting 1/39000 to 1/50000 persons. VHL is connected with a great deal of manifestation. It is a disease with a very unstable prognosis. Those diagnosed with VHL require medical care by a large number of specialists. However, an early detection may significantly improve the quality of patients´ life. The disease is manifestated by numerous negative side effects, which is the main topic of my bachelor thesis. The research deals with "Obstacles in the lives for those with Von Hippel Lindau disease." and identification of bio-psycho-social effects of the disease on the respondents and their families. Additionally, identification of negative factors that can influence the respondents´ lives. The research is based on four issues: What are the biological effects of the disease? What are the psychological effects of the disease? What are the social effects of the disease? What are the negative factors affecting the lives of respondents? The research part of the thesis results from a qualitative survey accompanied by the method of semistructured individual detailed interviews and case histories. The respondents of the survey are two women diagnosed with VHL, one of their close family members and a specialist taking care of the women the chief nurse of Ophalmology Department in Faculty Hospital in Brno. The survey was made in Jihlava and Brno. The answers recorded in pen and drafted in schemes in particular gave a comprehensive view of the most significant effects. The results showed that the disease can influence not only the biological aspect of patients diagnosed with VHL but also the social and mental one. The former mainly results from the variability of the disease. Both women account pain, dispepsia, pancreatic cysts and hemangioblastoma. Moreover, the respondent 1 reports progressive hamengioma retina resulting in the loss of eyesight and the respondent 2 serious DM and trombofilia. Naturally, these handicaps have effects on the social life of both respondents namely the loss of job. This refers to the respondent 1 due to the loss of her eyesight. Both report restraints in social activities, relationships and minimizing contacts with their friends. According to the survey results the mental effect is more or less the same for both the respondents, yet the least important. They mention mainly fears, hopelessness, determination and distrust. Other negative factors affecting the respondents´ lives are insecurity, isolation, lack of knowledge of the disease and stigma. The results showed the biological effect of the disease as the most significant followed by the social and psychological ones. The interviews proved that both laymen and professionals have inadequate knowledge about the disease which, in the Czech Republic, has very rarely been researched while foreign servers offer quite extensive studies on this issue. Especially in the US there are specialized clinics treating patients diagnosed with VHL which is, of course, a result of a large number of patients concentrated in this large territory. Thus, these factors enable patients be centred in specialized clinics. This bachelor thesis may be regarded as a comprehensive study of Von Hippel-Lindau disease. The output of the practical part is an information manual about this disease.
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Ankylosing Spondylitis and its Treatment Options in Terms of Physiotherapy
Dobrovolská, Zuzana ; Šlapáková, Kateřina (advisor) ; Tesařová, Martina (referee)
My bachelor thesis is focused on the disease called Bekhterev's disease, also known as ankylosing spondylitis. In the introduction to this thesis, I focused on my motivation and objective of this work, why I decided to write about this topic. I also mentioned the origin of this disease, its history and it's mechanism of occurence . In the practical part, I focused on the anatomical description of the human body, especially the back muscles, spine and root joints. There are even a detailed examination and diagnosis of the disease. I wanted to point out how the disease is incurable, how it occurs and whether the problems that entails can at least be partially be alleviated. I wanted to especially point out the methods of physical therapy which can be used to reduce progression of bekhterev's disease, teach affected people to live with this disease and be able to fit into the activities of daily life and ultimately find a job that is suitable for patients. I also wanted to compare two completely different stages of the disease: the patients with the fifth degree of disability with permanent movement restriction, and patients who have first degree of disability, which causes far more problems and of course, their individual approach to the disability and mental condition, both of which are very different. I...
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