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Analysis of adherence to application technique in COPD patients
Jachanová, Klára ; Hendrychová, Tereza (advisor) ; Ťupová, Lenka (referee)
Analysis of adherence to application technique in COPD patients Author: Klára Jachanová Tutor: PharmDr. Tereza Hendrychová, Ph.D. Consultant: doc. PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aims: Adherence is an sssential component of patient care and is also important for achieving treatment goals. Poor adherence leads to increased morbidity, mortality and healthcare expenditures. The aim of this study was to analyze adherence to application technique in patients with chronic obstructive pulmonary disease (COPD), taking into account inhaler device and patient characteristics. Methods: The Czech Multicenter Research Database of COPD, non-interventional observational prospective study, was used as a source of clinical data. Adherence to the application technique was evaluated using Five Steps Assessment. Patients were recruited to the study from August 2013 to December 2016 by 14 outpatient secondary health care centers providing respiratory physician- based care to patients with COPD throughout the Czech Republic. Each of the five consecutive steps was evaluated by a trained healthcare professional. The study evaluated dry powder inhaler and pressurised matered-dose inhaler. Physical and...
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The difference in the change in chest flexibility when using expiratory trainers in patients with COPD
Málková, Magdaléna ; Babková, Lenka (advisor) ; Janečková, Alexandra (referee)
Author's first name and surname: Bc. Magdaléna Málková Title of master thesis: The difference in the change in chest flexibility when using expiratory trainers in patients with COPD Department: Department of Rehabilitation and Sports Medicine, Motol University Hospital Supervisor: Mgr. Lenka Babková External examiner: Mgr. Alexandra Janečková The year of presentation: 2022 Abstract: The thesis deals with chronic obstructive pulmonary disease (COPD) and the effect of short-term expiratory training on chest flexibility in these patients. It is developed in the form of a research study to determine whether the use of an expiratory trainer during weekly training has an effect on increasing chest flexibility, improving the ability to activate the diaphragm and improving the subjective sensation of breathing. The practical part of the work was conducted as a randomized control pilot study to determine the effect of short-term therapy using the Threshold PEP trainer in COPD patients under the outpatient care of a pulmonary physician. Twenty patients with stage 2-4 COPD (10 males and 10 females) with a mean age of 70.2 ± 7.6 years and a mean disease duration of 11.1 ± 8.5 years participated in the study. The patients were divided into two groups - an expiratory training group and a control group. The data...
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Sensorimotor training - part of comprehensive treatment of chronic obstructive pulmonary disease
Bezděková, Tereza ; Smolíková, Libuše (advisor) ; Babková, Lenka (referee)
The thesis deals with the possibility to influence the values of the lung function in patiens with chronic obstructive pulmonary disease (COPD) after exercise carried out according to the Methodology of sensorimotor training. The thesis contains a summary of theoretical knowledge about the pathophysiologic expresion of COPD, including their consequences not only for the respiratory system, but musculoskeletal system as well. Furthermore the thesis includes the information about the Methodology of sensorimotor training, that was used to influence the posture correction in our research. Methods: The spirometric examination of flow-volume curves monitor the changes prior to and after the exercise according to sensorimotor training in patiens with COPD (mean age 60, 733 ± 11,817). Results: The using of sensorimotor training can provide correction of the position of the whole body, of the chest, and change a chest mobility and in total to set up conditions for more economical muscle activation. This enable the changes in the values of the lung functions in the patiens with COPD, that we measured. Not all changes showed statistically significant change. Conclusion: Using sensorimotor training have an objective effect on the values of the lung function in patiens with COPD.
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Chronic obstructive pulmonary disease and condition of lower limb
Zůna, Petr ; Smolíková, Libuše (advisor) ; Máček, Miloš (referee)
Chronic obstructive pulmonary disease (COPD) is serious illness which prevails more often in last decades. The main reason why this happen is smoking epidemic and worse environment. Beside primary impacts on respiratory system, COPD has some secondary non-respiratory consequences. The most serious of them is muscle dysfunction, which affects lower limb muscles the most. The aim of this work is to summarize the knowledge of functional, structural and metabolic changes in lower limb muscles and their etiology. Then we discuss general concepts of curing COPD and practical possibilities of medical affection of muscle dysfunction by applying rehabilitation programs. Powered by TCPDF (www.tcpdf.org)
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Clinical evaluation of postural balance functions in patients with chronic obstructive pulmonary disease
Hrdý, Tomáš ; Smolíková, Libuše (advisor) ; Špaňhelová, Šárka (referee)
Introduction: Chronic obstructive pulmonary disease (COPD) is one of the most common chronic respiratory diseases. Impairments in exercise capacity, kinesiology and skeletal muscle function are well established in these patients. Recently presented data also suggests impairments in postural balance and increased risk of falls in patients with COPD. The aim of this study is to examine postural balance functions in a group of patients and compare the results with a control group. Methods: Twelve patients (the average age 65,6 ± 7,1, 5 women, 7 men) with COPD hospitalized at the Pulmonary Clinic at the Faculty Hospital, Prague Motol and 10 healthy control subjects (the average age 58,6 ± 5,2, 7 women, 3 men) participated in this study. Participants were measured by The Activities-specific Balance Confidence Scale (ABC) and The Balance Evaluation Systems Test (BESTest). Results: COPD patients scored significantly worse (0,0099, p < 0,05) on the ABC scale total score compared to healthy controls, 78,38 ± 21,14 for COPD versus 97,78 ± 3,88 for controls. The total score and the six subsystem categories score of the BESTest were lower in COPD patients, but not significantly, compared to controls. Conclusion: Patients with COPD showed a lower degree of balance confidence and postural balance functions....
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Quality of life with chronic obstructive pulmonary disease (COPD)
Dostálková, Šárka ; Mareš, Jiří (advisor) ; Kollarová, Jana (referee)
Bakalářská práce se věnuje kvalitě života pacientů s chronickou obstrukční plicní nemocí (CHOPN). V teoretické části jsou definovány základní termíny a pojmy, jedná se například o definici CHOPN, její prevalenci, diagnostiku i terapii, popsán je koncept kvality života, zmíněny jsou metody užívané k jejímu zjišťování, přičemž pozornost je soustředěna zejména na dotazníky zjišťující kvalitu života pacientů s CHOPN. V empirické části je provedena analýza dotazníkového šetření realizovaném na 52 mužích v různých stadiích CHOPN. Dotazník byl vyhodnocen jak pro celý výzkumný vzorek, tak i pro jednotlivá stadia nemoci.
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Physiotherapeutic possibilities of alteration of respiratory mechanism of patients with chronic obstructive pulmonary disease
Nečasová, Zuzana ; Havlová, Martina (advisor) ; Froňková, Eliška (referee)
BACHELOR THESIS ABSTRACT Author: Zuzana Nečasová Supervisor: Mgr. Martina Havlová Title: Physiotherapeutic possibilities of alteration of respiratory mechanism of patients with chronic obstructive pulmonary disease Abstract: This bachelor thesis deals with the issue of chronic obstructive pulmonary diseases and physiotherapeutic possibilities of influencing the mechanics of respiration in patients with this diagnosis. Chronic obstructive pulmonary disease is a progressive disease of the airways, and physiotherapy may play an important role in slowing the progression and improving the quality of life in people with this diagnosis. The thesis is divided into theoretical and practical part. The theoretical part of the thesis describes chronic obstructive pulmonary disease and elements of pulmonary rehabilitation, the attention is focused mainly on the procedures of respiratory physiotherapy. The practical part is devoted to the work with a patient hospitalized at the 1st Department of Tuberculosis and Respiratory Diseases, who was admitted after prolonged exacerbations in order to improve the condition for the possibility of performing bronchoscopic volume reduction. The aim of this bachelor thesis was to compile a suitable combination of physiotherapeutic techniques in the treatment of patients with COPD. The...
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Relationship between pulmonary function and function of the diaphragm in patients with obstructive pulmonary disease
Hellebrandová, Lenka ; Bunc, Václav (advisor) ; Smolíková, Libuše (referee) ; Herget, Jan (referee)
Problém: Obstrukce dýchacích cest a průtoková limitace, způsobená chronickou obstrukční plicní nemocí (CHOPN) nebo astma bronchiale (AB), může způsobit změny tvaru, pozice a pohybů bránice v důsledku zvýšení plicních objemů. Hypotézy: U pacientů s obstrukčním respiračním onemocněním se bude funkce bránice lišit oproti kontrolní skupině zdravých jedinců, což se projeví na jejím postavení a rozsahu pohybu. Existuje vztah mezi plicními funkcemi a polohou a pohyby bránice. Cíl: Cílem práce bylo zjistit, zda pozice, tvar a pohyby bránice u ležících pacientů s průtokovou limitací během maximálních dechových a posturálních manévrů se liší od tvaru, pozice a pohybů bránice za stejné situace u jedinců bez patologie respiračního systému. Zkoumali jsme rozdíly mezi pacienty s CHOPN, pacienty s AB a zdravými jedinci. Cílem bylo také stanovit tyto vztahy v kontextu vážnosti průtokové limitace, resp. obstrukce dechových cest. Metodika: Soubor tvořily 3 skupiny probandů, celkem 31 dospělých: 10 jedinců s klinicky stabilním AB (5 žen a 5 můžů), 11 jedinců s klinicky stabilním, středně těžkým CHOPN (7 mužu a 4 ženy) a kontrolní skupinu tvořilo 10 zdravých jedinců (5 mužů a 5 žen). Všichni probandi podstoupili komplexní měření plicních funkcí a kardiopulmonální zátežové vyšetření. Bránici jsme vyšetřovali pomocí...
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Physiotherapeutic possibilities of alteration of respiratory mechanism of patients with chronic obstructive pulmonary disease
Nečasová, Zuzana ; Havlová, Martina (advisor) ; Froňková, Eliška (referee)
BACHELOR THESIS ABSTRACT Author: Zuzana Nečasová Supervisor: Mgr. Martina Havlová Title: Physiotherapeutic possibilities of alteration of respiratory mechanism of patients with chronic obstructive pulmonary disease Abstract: This bachelor thesis deals with the issue of chronic obstructive pulmonary diseases and physiotherapeutic possibilities of influencing the mechanics of respiration in patients with this diagnosis. Chronic obstructive pulmonary disease is a progressive disease of the airways, and physiotherapy may play an important role in slowing the progression and improving the quality of life in people with this diagnosis. The thesis is divided into theoretical and practical part. The theoretical part of the thesis describes chronic obstructive pulmonary disease and elements of pulmonary rehabilitation, the attention is focused mainly on the procedures of respiratory physiotherapy. The practical part is devoted to the work with a patient hospitalized at the 1st Department of Tuberculosis and Respiratory Diseases, who was admitted after prolonged exacerbations in order to improve the condition for the possibility of performing bronchoscopic volume reduction. The aim of this bachelor thesis was to compile a suitable combination of physiotherapeutic techniques in the treatment of patients with COPD. The...
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Evaluation of the functional activity of inspiratory muscles in patients with COPD
Konfrštová, Tereza ; Smolíková, Libuše (advisor) ; Babková, Lenka (referee)
The theoretical part of the thesis summarizes essential knowledge about COPD, inspiration function and its pathological changes in COPD patients. It also deals with appropriate ways to diagnose and measure the inspiratory activity. It further deals with the effect of the body position on the monitored respiratory functions, appropriate method of inspiratory muscle training as well as with utilization of an inspiratory device. It also deals with the relevance of patient adherence for COPD treatment. The aim of the practical part is to evaluate whether the functional activity of inspiratory muscles changes in different body positions (lying-sitting-standing). The measurements were performed using the Powerbreathe K5 device by assessing S-index, Pif and Volume levels in 21 COPD patients and 8 probands representing a control group. The obtained data were then statistically processed and analyzed. The initial hypothesis regarding a change in measured values in different body positions has not been proved to be statistically significant. The change in measured values relating to the change in the body position, however, did manifest in individual patients, testing of the appropriate body position should therefore not be omitted in assessing the appropriate IMT parameters. Keywords: COPD, inspirational...
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