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Effect of yoga therapy on quality of life and exercise tolerance in patients with COPD.
Nováková, Růžena ; Wanke, Ondřej (advisor) ; Smolíková, Libuše (referee)
This thesis deals with the effect of yoga therapy on exercise tolerance, quality of life, dynamic lung parameters, respiratory muscle strength and mental state of patients with chronic obstructive pulmonary disease (COPD). The aim of this thesis is to summarize the existing knowledge about the effect of yoga and yoga therapy on the health status of COPD patients, to develop a proposal for a specific yoga therapy, to elaborate this therapy into a patient information material and to verify its effect practically in a case study of a COPD patient. The theoretical part deals with the basic principles of yoga, description of COPD, development of a summary of current knowledge on the effect of yoga therapy on the health status of patients with this disease and design of a specific yoga therapy. The practical part is presented in the form of a case report of a COPD patient who underwent a 13week yoga intervention. The objective methods of assessing the success of the therapy are a six-minute walk test, anthropometric examination of chest dynamics, selected functional tests according to the Dynamic Neuromuscular Stabilization (DNS) concept, St. George Respiratory Questionnaire, COPD Assessment Test and quantification of breathlessness using a modified breathlessness scale Medical Research Council. The...
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Využití respirační fyzioterapie u pacientů po prodělání onemocnění Covid-19
BÍLKOVÁ, Klára
Covid-19 disease is caused by a new type of coronavirus, technically called SARS-CoV-2, which had not been identified in humans before December 2019. It is a droplet- and aerosolborne infectious disease mainly affecting the nasopharynx and lungs. Nowadays, numerous people suffer from the after-effects of having contracted Covid-19, the so-called post-covid syndrome. This is a set of different symptoms that can provide in essence the whole body. The most common complaints include shortness of breath and a persistent cough, deconditioning, headaches, back and chest pain to varying degrees, weakness and fatigue, as well as psychological problems such as anxiety and depression, concentration disorders and insomnia. From a physiotherapy perspective, these symptoms can be modified to varying degrees. For example, directly respiratory difficulties - influencing lung function, respiratory muscles, restoring the correct breathing stereotype. However, we can also influence posturalarticular functions and posture. The aim of the bachelor's thesis is to describe the most common health problems of patients after Covid-19 infection and to suggest appropriate physiotherapy approaches for the identified difficulties. In particular, the thesis focuses on breathing difficulties and the possibility of influencing them with respiratory physiotherapy techniques. A qualitative research strategy was chosen, the research population consisted of five adult patients, and during the course of the research the number was reduced to four probands. The condition for inclusion in the research was a history of SARS-CoV-2 infection, after which patients continued to experience some persistent health problems. Physiotherapy interventions were targeted to optimize respiratory function using selected respiratory physiotherapy techniques. The results were processed by comparing the input and output kinesiological analysis, measuring inspiratory and expiratory mouth pressures using the MicroRPM device and measuring the patient's lung function using spirometry. Improvements were achieved in walking ability, postural-respiratory diaphragmatic function, chest mobility, respiratory pressure values and subjective perception of health status. Some improvement in lung function was also noted by spirometry.
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The impact of Covid - 19 on paramedic's work
VYBÍRALOVÁ, Adriana
In this bachelor thesis I am dealing with a question of the impact of the COVID-19 pandemic on paramedic 's work in prehospital emergency care. In the theoretical part I am mentioning the COVID-19 disease itself. Furthermore, concepts of prehospital emergency care including emergency operations centre, paramedics, and specifics of their work during the pandemic of COVID-19 are defined. Concepts from the field of human needs are also included in the thesis. And because of the COVID-19 psychological impact on paramedics the issue of burnout syndrome is mentioned too. The research part consists of a qualitative research based on a semi-structured interview. The research sample are employees of the medical rescue service from the Vysočina Region with at least 2 years of working experience. The first goal of this thesis is to find out in which work activities the pandemic of COVID-19 has affected paramedics in providing prehospital emergency care. The second goal is to find out if paramedics perceive a difference between providing prehospital emergency care to patients before the pandemic and during the pandemic of COVID-19. The final goal of the thesis is to find out what fields of human needs paramedics are not satisfied in providing prehospital emergency care during the pandemic of COVID-19. Results of the bachelor thesis will be given to the Chief Executive of the Vysočina Region Medical Rescue Service to show support to their employees not only during the pandemic of COVID-19.
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Recurrent Airway Obstruction in Horses - causes, manifestations and treats disease
POTCLANOVÁ, Barbora
The topic of this bachelor thesis is the shortness of breath of horses. It is one of the most common diseases of horses. Shortness of breath of horses is also called Chronic obstructive pulmonary disease (COPD) or RAO which stands for Recurrent airway obstruction. The research was undertaken by means of questionnaires that were filled in by owners and horse breeders who have horses that suffer from the disease. The research was carried out on forty horses which were of different age, breed and sex and also, they were stabled, fed and treated differently. The summary of thesis and the conclusion of seriousness of diseases and different treatments were based on the results and information needed. On the basis of the results it can be said that the disease most often affects horses between the age of 5. and 7. The disease is most influenced by the environment given that the symptoms of 32 horses decreased rapidly when surroundings were changed. Soaking hay is another way how to affect the development of the disease (59%) because the amount of dust is considerably lowered and the problems are alleviated. It was also demonstrated that in 42% of cases movement does not worsen the symptoms. On the other side, the symptoms improve in 18% of cases, which makes movement a good way to improve the health condition. The greatest deterioration occurs during the summer months due to high temperatures (above 25°C). The genetic predisposition also affects the disease in 20% of cases.
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Body schema in patients with chronic obstructive pulmonary disease
Bartošová, Kristýna ; Smolíková, Libuše (advisor) ; Máček, Miloš (referee)
Diploma thesis "Body schema in Patients with Chronic Obstructive Pulmonary Disease" is an experimental work which deals with body schema perception. As a part of the thesis there are particular tests of body schema included, which examine difference between control group and group of patients with chronic obstructive pulmonary disease. Research part of the work deals with current findings about body schema and with findings about chronic obstructive pulmonary disease. There is more detailed analyze of musculoskeletal questions in patients with chronic obstructive pulmonary disease included. In an experimental part of the thesis there are comments on results of the body schema tests. The tests are focused on stereognosis, on position sense, on perception of self body size and on the ability to achieve isolated movement. Powered by TCPDF (www.tcpdf.org)
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Comparison of performance of pediatric patients with diagnosis of cystic fibrosis before and after a lung transplantation
Chrz, Josef ; Smolíková, Libuše (advisor) ; Maršáková, Kateřina (referee)
Title: Comparison of performance of pediatric patients with diagnosis of cystic fibrosis before and after a lung transplantation. Objectives: To compare selected parameters of pediatric patients as an index of physical condition in time before and 1 year after transplantation. To compare a group of patients that undergone longtherm intensive physiotherapeutic treatment before transplantation with group of patients that did not using spirometric parameters FVC, FEV1 and BMI. To compare subjective signs of dyspnea between these groups using selected questionnaires. Methods: This theses was attended by 15 probands (7 boys and 8 girls) in age between 12 and 18 years. The data were collected by using selected dyspnea questionares and by using hospital documentation files taking place at the Motol University Hospital. The data were statistically analysed using Jamovi programme, mostly using correlations and paired T- test, and graphically analysed by using MS Excel programme. Results: We found changes of spirometric parameters in the level of significance of p < 0,001 (FEV1) and p = 0,003 (FVC) after transplantation in comparison with time before transplantation. Group that undergone longtherm intensive physiotherapeutic treatment before lung transplantation showed more physiological spirometric values...
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Cardiac failure in pre-hospital care
BEDNÁŘOVÁ, Nicola
The primary topic of study for this bachelor's thesis is prehospital emergency care of congestive heart failure. The theoretical section details the anatomy of the heart and its conductive system to allow for later discussion of the pathophysiology of heart failure. Types of heart failure, associated symptoms, therapeutic approaches, and complications are also described. The practical section addresses two distinct aims. The first studies how well emergency first responders understand the pathophysiology of left-sided heart failure and the associated treatments. The second focuses on right-sided heart failure. We utilized qualitative methods for data gathering and analysis. Data collection was performed via structured interviews of first responders from the Southern Bohemia District in Tabor and Jindrichuv Hradec. The results were grouped into twelve qualitative categories, which allowed us to complete both aims of the thesis. We demonstrate that emergency first responders have good knowledge of the basic pathophysiology of congestive heart failure including individual types. Understanding of heart failure etiologies is less common. There is also inconsistent mastery of the presenting symptoms and therapeutic approaches. In many instances, there was significant variability between individuals in the extent of their knowledge. Practical experience with diagnosis of congestive heart failure in the field was also variable, but it was consistently one of the most feared diagnoses for the first responders. The results of this thesis can serve as a starting point for the design of an instructional tool to be used for emergency first responder training in congestive heart failure pathophysiology, associated symptoms, and acute therapy. The goal of such a tool would be to provide more uniform understanding of this potentially life-threatening process and to allow for the delivery of higher quality prehospital care.
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Bronchial asthma in the practice of paramedic
ŠEBEST, Jakub
Astma bronchiale is a lifelong chronic respiratory illness which affects all the age categories of population. The aim of this final work is to obtain knowledge and to analyse paramedics´ approaches used during a diagnosis and providing prehospital urgent care to patients affected by this illness.The bachelor´s work is divided into a theoretical and a research part. The theoretical part deals with the anatomy of the respiratory system, process of breathing, diagnosis and treatment in prehospital urgent care.The research of this work was realized by using recorded interview with paramedics. The aim of this research is to show the reader more viewpoints to this issue and to outline the experience of paramedics with treatment of this illness. This research demostrates that paramedics get in contact with the asthma bronchiale several times in a month, they are familiar with this illness and they know methods of its treatment. The result of the work shows how difficult the diagnostics of this illness is. Differential diagnostics also points to broad-spectrum of illnesses. Eventually, we can also enroll a wrong feedback between emergency service and medical facility. Results of this work in the theoretical part help the reader to get objective information about this matters, diagnostics and treatment of this illness in prehospital urgent care. The main contribution of this work should also be the view to the methods, approaches and experiences of paramedics during the treatment of the asthma bronchiale in prehospital urgent care. The output of the bachelor´s work is a brief manual for paramedics showing how to proceed during diagnostics and treatment of the asthma bronchiale.
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PHYSIOTHERAPY FOR BRONCHIAL ASTHMA
Šnajberková, Zuzana ; Savková, Pavlína (advisor) ; Hamarová, Zuzana (referee)
This thessis deals with the treatment of Asthma Bronchiale by using various physioterapeutic methods, especially respiratory physiotherapy. In Theoretical part there is given information about symptomatology of the disease, prevention, methods of examination, respiratory physiotherapy and devices like inhalers. The Empirical parts includes two case reports where the knowledge from theoretical part is applied. The main goal of this thessis is getting to know other methods of treatment than pharmacotherapy. And by this way influence the progress of the disease to improve quality of patients't live.
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Pulmonary embolism in the practice of paramedic
KAHOUNOVÁ, Šárka
The bachelor thesis discusses the issue of states of dyspnoea, specifically pulmonary embolism from the perspective of a paramedic working in the area of pre-hospital emergency care. In the theoretical part, a brief characteristic of pre-hospital emergency care is given, the paramedic branch is briefly defined and further on, the basic anatomy and the physiology of the circulatory and respiratory systems is given. Dyspnoea is defined from a general perspective, its causes, diagnosis and risk factors are mentioned. Diagnostically and therapeutically, the thesis is focused on specific characteristics of dyspnoea within pulmonary embolism, including the main causes of their origin. The research part of the thesis was implemented based on semi-structured, anonymously processed interviews. The research file was made of randomly chosen paramedics of the Ambulance in South Bohemia and Central Bohemia. The analysis of the obtained data was focused on the awareness of the paramedics themselves concerning the given issue of dyspnoea, including the presentation of their perspective on the implementation of professional preparation in the dyspnoea issue from their employer´s side. Further on, the procedures of differential diagnosis and pulmonary embolism treatment in pre-hospital emergency care were evaluated. The implemented research has found out that the paramedics from South Bohemia are not sufficiently educated in the issue of dyspnoea, including pulmonary embolism. The paramedics from Central Bohemia are, compared to that, educated by the relevant educational and training centre, educated enough concerning states of dyspnoea. Based on the findings, the thesis results might be presented to the educational and training centre of the South-Bohemian and Central-Bohemian Ambulances to perhaps consider the future aiming of educational and training programmes concerning dyspnoea issues, including the specific aiming at the awareness about pulmonary embolism diagnosis and therapy.
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