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Recent findings in the therapy of postoperative scars and their complicatoin in the abdominal region - literature research.
Smolej, Július ; Malá, Jitka (advisor) ; Novotná, Irena (referee)
Title: Recent findings in the therapy of postoperative scars and their complicatoin in the abdominal region - systematic review Objective: The main objective of this diploma thesis is the evaluation of different therapeutic approaches in the therapy of postoperative scars in their proliferative phase of healing and postoperative scar pain in the abdominal region, based on the available resources corresponding to the established inclusion criteria. This thesis makes effort to evaluate which therapeutic method is most often used in the proliferative phase of healing and is most effective in acute and chronic postoperative scar pain treatment. The inclusion criteria for this review are the POSAS, VSS and NRS scales. Method: This thesis is processed in the form of a systematic review. The search of sources was carried out in specialized Internet databases and electronic portals UKAŽ, Google Scholar, Scopus, Springer Link, Pubmed, EBSCOhost, PEDro, Medline, Web of Science based on keywords. The first part of the thesis contains a theoretical introduction to scar tissues. The second part is descriptive-analytical in nature and contains an analysis of the individual studies included in the literature search examining different interventions in the treatment of postoperative abdominal scars. Results: A...
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Functional changes of postural syndrome in patients with a scar in the abdominal region
Znamenáčková, Radka ; Truc, Michal (advisor) ; Ježková, Martina (referee)
This diploma thesis brings together findings concerning the problematic of postsurgical active scars putting the stress on postsurgical abdominal scars. It deals with a patofysiology of active scars. First part summarizes case studies concerning diagnostic, manual treatment of active scar tissue and clinical importance of active scars. Second one presents examination of after-hysterectomy patients. Results suggest that active abdominal scar can disturb locomotor system function. In fact it can cause locomotor dysfunction and may contribute to painful conditions of the locomotor system. Powered by TCPDF (www.tcpdf.org)
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Functional changes of postural syndrome in patients with a scar in the abdominal region
Znamenáčková, Radka ; Truc, Michal (advisor) ; Ježková, Martina (referee)
This diploma thesis brings together findings concerning the problematic of postsurgical active scars putting the stress on postsurgical abdominal scars. It deals with a patofysiology of active scars. First part summarizes case studies concerning diagnostic, manual treatment of active scar tissue and clinical importance of active scars. Second one presents examination of after-hysterectomy patients. Results suggest that active abdominal scar can disturb locomotor system function. In fact it can cause locomotor dysfunction and may contribute to painful conditions of the locomotor system. Powered by TCPDF (www.tcpdf.org)
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Physiotherapy of scar in prevention and treatment of functional disorders
HRDÝ, Tomáš
The topic of the thesis is "Scar physiotherapy in the prevention and treatment of functional disorders." A scar is an inferior connective tissue resulting by the healing process, in various depths of soft tissues of various etiologies. A scar can never reach the original rheological properties of the given tissue, it is a regeneration product, replacing the original damaged tissue. A scar is physiologically healed into a thin, pale hair line, which does not affect local shunt and protraction abilities of soft tissues moving in accordance with the osteoarticular apparatus. If the healing process does not happen physiologically, a pathological scar is created, that scar can often become active, having a negative impact not only on its immediate vicinity, but also reflexively on the whole postural-locomotor system of the individual. The thesis is a comprehensive view on the scar as another "organ ", the activity of which can manifest itself in postural and movement patterns of the person. In the study the connection of a scar and its neurophysiological chaining are discussed, where an active scar may cause local changes in the muscle tone, skin sensitivity, it can lead to dysfunctions of internal organs and a limited mobility of the locomotive segment with the afferent link to the central level of motor control. Overlooking a scar as a possible provoking segment of a pathogenetic chain can lead to the failure of therapy and the relapse of symptoms. The method of this study was qualitative research based on a deliberate (purpose) data collection. The data were obtained by the method of observation, interview, document analysis and kinesiologic examination. The research group consisted of 4 probands, in which an activity of a scar at different levels of soft tissues linked to postural-locomotor system was found by examination. On the basis of continuous and a final examinations of the probands, the research questions were answered. The results show that appropriately selected techniques of physiotherapy had a positive effect on the health condition of a given patient. Using continuous and meaningful therapy including manual medicine techniques, physical therapy, balneology and pharmacology, the activity of the scar tissue with all its consequences was mitigated or completely stopped. The outcomes of the study can be used by physiotherapists as well as other members of the medical staff, and may also serve to physicians in differential-diagnostic considerations.
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