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POSSIBILITIES OF USING THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH IN PHYSIOTHERAPY
DRÁBOVÁ, Zuzana
At present, when an international communication across health systems is quite common, there is a growing need to establish a common language which could be used for an expert´s communications from different countries and disciplines. A uniform language for encoding a wide range of information is provided by classifications that belong to a Family of International Classifications of World Health Organization (WHO-FIC). International Classification of Functioning, Disability and Health (ICF) was officially approved in 2001 and it forms and a conceptual framework for describing the disability. In the Czech Republic the Communication No. 431/2009 Coll. came into effect from 1 July 2010; it introduces ICF classification into a clinical practice. The physiotherapy is a part of the comprehensive rehabilitation system and people with the disability form a target group of patients for this field of specialization. We use many specific methods to examine motion systems and all his parts, the most of them are subjective. Still, we must find a way how to code the information obtained during the examination under a single scheme and the universal language given by ICF. This thesis demonstrate an importance of ICF classification and it could be a suggestion how to use the classification for an evaluation of the patient´s functional status by selected examination methods in an everyday practice of physiotherapists.
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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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The purpose of physiotherapy in high-performance cycling for the physically challenged, focused on possible complications prevention
Hanušová, Renata ; Honzátková, Lenka (advisor) ; Sládková, Petra (referee)
My bachelor work is occupying with prevention and compensation problems of efficiency handcycling with handicapped sportsmen. Physically handicapped persons have an opportunity of sport activities relative same as persons with no handicap. Important is to look on their actual state of health. Especially height of spinal lesion affects in the handcycling choice of race handbike, suitable training plan and finaly also opportunities of use of compensative methods. Compensative methods are very important because of prevention against source of possibly complications. In the theoretic part of bachelor work I am occupying with neurological diagnosis of spinal leesion. Further familiarization with efficiency handcycling and with handbike. In the next charter I am devoting to problems of the most often arising complications of efficiency sport with physically handicapped. This chapter is divided on anatomy-kinesiologic and pathologic part. Practical part of my bachelor work contains research of the issue, which is analyzed by study of two casuistries. Research is especially occupied by the effect of therapy applied in clinic casuistries on two clients. Part of practical part is also the term of bachelor work and the research question. Further the description of chosen compensative methods of handcycling....
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Rehabilitace po artroskopické operaci ramenního kloubu
Matsangos, Paul ; Jalovcová, Miroslava (advisor) ; El Ali, Zaher (referee)
""Rehabilitation after Shoulder Arthroscopy"" Current Thesis introduces a postoperative state after Arthroscopy of shoulder joint. The operation, was performed on May 2011, due to partial tear of supraspinatus tendon, successfully. In this study I present the therapeutic process that I followed during my practice. Thesis is divided in two parts. In the first part of my study I describe the anatomy and movement complexes of shoulder joint. The enclose muscles and their relation with the outer forces from biomechanical view. In addition, I cite the development of Arthroscopy on Shoulder joint and the differentiation with Arthroplasty in our days. In the second part I review and record all the documents from the past and present state of the patient. I continue with detailed examination taking in mind all the related factors that can be possibly affected after the surgery. Finally, I retell and analyze the therapeutic methods that I applied during post operative state. Key words: Supraspinatus tendon tear, Arthroscopy, Physiotherapy.
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Periradicular therapy in the Hospital Český Krumlov a.s.
KUTIŠOVÁ, Magdalena
This bachelor thesis focuses on the issue of backache and its treatment. Backache is one of the most common diagnosis. The most affected are usually people in their productive age and therefore the economic and social consequences are very significant. There are many techniques used in diagnosis of backache, easier and cheaper techniques are used in the first place. The diagnosis consists of examination of the patient, medical history and clinical examination. The treatment depends on type and progress of the illness. The basic division is acute (4 to 6 weeks) and chronic case (more than 3 months). Another division is common backache, nervous radicular pain and serious illness of spine. I will mainly focus on nervous radicular pain. The basis of the therapy should be active treatment accompanied by physiotherapy. In addition to this therapy, pharmacological treatment is also used. The pharmacological treatment consists of application of nonsteroidal anti-inflammatory drugs, analgesic and also antidepressants. If the conservative therapy is not effective, it is possible to use the least invasive techniques. The most popular one is the periradicular therapy under CT guidance, which is also the subject of this thesis. During the periradicular therapy under CT guidance the needle is being inserted to intervertebral foramen in the area of radicular affected nerve where lytic mixture is then being applied. The lytic mixture is sometimes replaced by ozone with the same effect. When the PRT was first used, it was mainly applied in the area of lumbar spine. Nowadays, it is usually used in treatment of lesion in the area of cervical spine. The objective of this thesis is to describe anatomy of the examined area, physiological and pathological state, the main indications for the periradicular therapy and methods of implementation including the used tools and pharmaceutical. Following part is focused on development of application of this method in the Hospital of Český Krumlov, a.s. the radiodiagnostics department, and to analyse the effectiveness of the treatment. I have conducted analysis and processed data of performed periradicular therapies in the Hospital of Český Krumlov, a.s. from 2010, when the method was introduced, up to 2015. I have made a questionnaire survey of 40 people selected by chance and then I processed the data in order to create a general overview of obtained results. The result of the thesis is that the number of performed periradicular therapies is steadily increasing. One-third increase was recorded from 2010 to 2015. The number of women patients prevails, 53% of patients in the given period were women. The most common age category is 50 to 59 years, this category constitutes 37% of all patients. It was found out that most of the patients were treated just for one or two times. Only 7% of the patients were treated for more than two times. When processing the data from my survey, I have found out that most of the patients are satisfied with the effectiveness of the therapy, which corresponds with the results quoted in the bibliography.
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Physiotherapy and treatment of elbow enthesopathy
MRÁZKOVÁ, Lucie
The topic of my work with the name ?Physiotherapy and Treatment of Enthesopathy in the Ulnar Joint? is very current at present. A large part of the population suffers from it, in the consequence of excessive loading. Very often the first symptoms, which could prevent the problems, are not taken into account. It often starts after single hard work (computer typing, wood chopping, etc.), and that acute form very often changes into a chronic form. The treatment of such problems is usually very protracted. The choice of the treatment is difficult as well and no method of a correct procedure of therapy has been described yet, because each individual reacts in a different way. It is not possible to estimate how long it will take, before the everyday activities could be resumed. As the aim in the theoretical part of my work I chose to study and apply the current available information from various resources and thus create an educational material about the application of suitable treatment. The basic anatomy of ulnar joint, kinesiology, the most often factors and reasons of the origin are described there. Further there were special methods of examination and a clinical picture, therapy and prevention against the problems. For the practical part I chose a method of a qualitative research. Three cases of patients, who were treated by MUDr. Kunovsky in Tabor and who underwent physiotherapy there, have been studied and dealt with. The research was carried out by means of observation, anamnesis and discussions during the treatment, the documentation of the patients and special examination methods. The treatment methods I have focused on were mobilization, technique of soft tissues, pro-prioceptive neuromuscular facilitation, physiotherapy and taping technique. Some forms of applications had a positive effect on the patients and brought improvement, the others showed no changes. In my opinion the individual elements should be combined and applied for a longer period of time and the anamnesis of the patient should be thoroughly discussed, to find out the main reasons of the origin. The patients learned a procedure during the therapy how to face correctly the origin of that problem and how to apply efficiently the preventive measures to avoid the recurrence of the problems. My work could be used for the purpose of studies of future physiotherapists, for the patients, or a source of information for public.
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The possibilities of body composition alterations in full job women
Maroušková, Anna ; Bunc, Václav (advisor) ; Malá, Lucia (referee)
Title: Possibilities ofchanges of body composition of "employed" women Aim of thesis: To find out if raising the level of physical activity of employed women suffering from overweight and obesity by 90- 120 minutes a week together with changes of eating habits for 14 weeks leads to changes of quality of body composition in terms of reducing of fat mass, increase offat free mass and decrease of body weight. Methods: The level of physical activity was evaluated by a questionaire. Eating habits were monitored from the record of eaten food during a typical week. Body composition was measured by means of bioelectrical impedance. Results of the study: It was found out that raising the level of physical activity by 90- 120 minutes a week and change of eating habits with women suffering from overweight and obesity being employed in the office reached statistically significantly lower body weight and percentage of body fat after 14 weeks compared to a control group. There was no significant change in the quantity offat free mass. Key words: biolelectrical impedance analysis, body composition, overweight, obesity, physical activity
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Pain as indicating and limiting factor in physiotherapy
VONEŠOVÁ, Jana
This bachelor thesis focuses on the issue of pain. Pain is part of most of the diseases not only of the musculoskeletal system. This unpleasant sensation is a warning sign for the affected person, that there is some pathological process in his body, or there is going to be a pathological proces. The pain should not be underestimated, because its function is primarily protective. The pain is a subsequent process, during which is happening biochemical and neurofyziological interactions at different levels of irritation. It includes a wide range of predominantly negative perceptions of varying intensity and character. Painful mechanisms are handled by the nociceptors, thus aferent neurons with thin and thick myelinize fibres. It is conduct by the primary aferentn fibres mixed or sensitive peripheral nerves, with the way of back root into the spinal cord and ends in the substantia gelatinosa of the back corner of the spinal cord. But its intensity is very subjective and people with the same disease can experience totally different intensity. This thesis deals with the importance and possibilities of physiotherapy in the control of pain of the musculoskeletal system. The main objective of my work is to provide basic theoretical information about the pain, its distribution, examination, and treatment. The research part of my thesis will be map the possibilities of physiotherapy in some diseases. And in other part the reasons that bring the patients to the physiotherapy ordination. The first part of the theoretical work includes the definition of pain, its way via the human body and its basic division. The other two chapters of the theoretical part include the examination of pain and its treatment not only pharmacological, but also physiotherapy with a component of physical therapy, manual therapy, kineziotherapy and other methods. The practical part consists of two researches. The main, qualitative research, and in the second place, then research quantitative. The file for the quantitative research, consist of four patients. Two patients are after surgery of the lumbal spine for prolaps of the disk and their problems have been of a structural base. Another two patients don't have diagnosed structural changes, so their pain problems are of the basis of the functional changes. Every patient was sampling anamnesis, checkup by the sight and palpation examination and four times during the period of therapy was filled in a questionnaires. And there are also described the methods used in the therapies. He research consist of 152 people. In the chapter "Results" in the practical part you can find the advances and changes for all probands, the final examinations and their subjective evaluation and also the results of the qualitative work. My bachelor thesis can be used to increase knowing about physiotherapy in the case of treatment the pain, also can be instrumental towards educational material for professional and general public.
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Physiotherapy of pelvic floor and its effect on menstrual problems in women
ŠTĚPÁNOVÁ, Kristina
The topic of my bachelor's work deals with issue of physiotherapy of pelvic floor and it's influence on menstrual difficulties among women. The main goal of this work is to describe possibilities of physiotherapeutical methods of exercising for pelvic floor among women with dysmenorhea. Partial goal is to create an educational leaflet for needs of these women. In order to make the probands feel better a periodic exercising was implemented. It contained special exercises focused on the right activation of the muscles of the pelvic floor. The theoretical part of the bachelor's work is focused on the anatomical relations and the function of the area of pelvis and pelvic floor. Furthermore it defines dysfuncions of pelvic floor. After that comes the definition of menstural cycle and it's hormonal indicators and list of malfunctions of menstrual cycle. In the last chapter of the theoretical part is covered a part which presents selected physiotherapeutical paradigms and supportive medical methods used for dysmenorhea. For preparation of the practical part was used the method of qualitative research.Three probands suffering from dysmenorhea and various symptoms of premenstruall syndorme were studied. The research group was between 24 - 30 years of age. The anamnesis of probands were made, the initial kineziological analyses were made and after the end of the therapy the final kineziological analyses were made. The founded data and the results of research have been worked into. For each of the probands was made an individual plan of rehabilitation by their diagnostics. Therapy took time from 20 weeks sice the first of January 2015 till May 2015. At the beginning the therapy was made once a week and in next day it was once in 14 days in duration of 45 minutes per exercise. 15 therapies should be made with each of probands. The research can be found helpful for probands, because the positive effects of the therapy were seen at each of them. The problems of dysmenorhea have became better, also the pain of locomotive system have been reduced, the patients condition have improved and the psychological problems have been reduced. Last but not least almost all the probands have stopped using analgesics in the context of dysmenorhea. This bachelor's work can be used for physiotherapeutical purposes not only for women suffering from dysmenorhea but even for women suffering from premenstrual syndrome. It can also be useful for students of physiotherapy and physiotherapists in clinical practice for comprehensive orientation in specified area and it also can be used as an information booklet for specialists and laymen.
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Possibilities of physiotherapy in movement disorders violinists
SIEGERTOVÁ, Tereza
Motion disorders of violinists are mainly due to long-term repetitive asymmetric stress while playing the violin at inappropriate motion stereotypes. Also sometimes with the lack of preparation of the body for the performance and a lack of compensatory activities. Playing the violin is challenging for fine motion skills and body posture. Motion disorders are therefore evident in the area of the shoulder girdle and free upper limb, collarbone and neck spin. Disorders can pass through the muscle loops and chains to other parts of the axial organ and the whole organism. The pain occurs as a result of overloading tendons, hypertonia and hypermobility. The first aim of this paper is to determine the principles of the motion disorders of players in the terms of anatomy and kinesiology. The second objective is realization of individual and targeted physiotherapy plan based on the kinesiology examination. Furthermore to determine the possibilities of preventing such disorders. In the theoretical part the basic informations about kinesiology and anatomy of the shoulder girdle and spine are given. The paper is also focused on describing violinists postures, creating stereotypes and subsequent automatism. In treatment the physical therapy, rest and medications are often used. But this is not a permanent solution. Because after treatment the patient returns to the original stereotype motion, which caused the difficulties. Therefore it is necessary to change the stereotype of motions, to find sufficient compensation activities and especially to master the elements of prevention. For this work the qualitative research was used, with two violinists as a study group. As a data collection method were used guided interviews and input and output kinesiology analysis with detection of motion stereotypes of shoulder girdle on electromyography. Therapy of violinists took nine weeks with each and was realized at the Centre for Physiotherapy at the Faculty of Health and Social Studies University of South Bohemia in České Budějovice. The proposed treatment includes treatment of detected reflex changes such as hypertonia, the trigger points, but also the attitudes of selected concepts to change of the motion stereotypes or activation of the deep stabilization system.
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