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Casuistic study of physiotherapy treatment of a patient with lower leg amputation
Štursová, Kristýna ; Reckziegelová, Petra (advisor) ; Hamouzová, Dita (referee)
Title: Casuistic study of physiotherapy treatment of a patient with lower leg amputation Objectives: Theoretical knowledge summary of lower limb amputations, processing casuistic study of a patient with lower leg amputation and documentation of changes in health status after physiotherapy intervention. Methods: This bachelor thesis is divided into general and special part. The general part is focusing on theoretical knowledge of lower limb amputations and their rehabilitation. The special part contains casuistic study of a patient with lower limb amputation. The casuistic study was undertaken during my internship in Kladno Regional Hospital. It includes input kinesiological analysis, short-term and long-term physiotherapy treatment plan, all therapeutic units and output kinesiological analysis. Results: Physiotherapy treatment was an essential aspect of preoperative and postoperative phase. It has contributed to the improvement of the health condition of a patient and prepared the optimal starting position for next rehabilitation with the patient. Keywords: amputation, lower limb, physiotherapy, prosthesis, casuistic study, phantom pain
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Case Study of Physiotherapy Treatment of a Patient with Unilateral Transfemoral Amputation
Němečková, Eliška ; Polák, Alois (advisor) ; Voráčová, Helena (referee)
Author: Eliška Němečková Title: Case Study of Physiotherapy Treatment of a Patient with Unilateral Transfemoral Amputation Objectives: Aim of this bachelor thesis is summary of theoretical knowledge about lower limb amputations and diabetes mellitus and processing of case report of patient after transfemoral amputation due to diabetes mellitus. Methods: This thesis consists of two main parts. The first part is devoted to summary of theoretical knowledge about diabetes mellitus, including general information about this chronical disease, its complications and treatment. It also contains summary of basic information about amputations, rehabilitation after lower limb amputation and prosthetic possibilities. The second part is practical and it is a detailed case report of physiotherapy treatment of patient after transfemoral amputation. It contains detailed complex kinesiology examination, itemization of individual therapeutic units and final evaluation of therapy effect. The case report has been prepared on the basis of practice in the rehabilitation center Vršovická zdravotní a.s. in the period from 14th January to 8th February 2019. Results: During the therapy, the patient's condition improved as well as his abilities and skills. The positive results are particularly visible in the transition from...
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The options of patients with hind limb amputation for physiotherapy treatments
DÖRNEROVÁ, Nicola
This work elaborates on the problematic of amputation of lower/hind limb and pitfalls associated with it. The theoretical part deals with the amputation from the historical and etiological point of view. I list all types of amputation interventions and their risk factors. A substantial part of the theoretical section is dedicated to physiotherapeutic procedures and possible prosthetic treatments, which are an important part of rehabilitation care for patients with amputations. The practical part of my bachelor work is processed by means of qualitative research. The research was conducted using case studies which, on the basis of anamnesis and examination contain kinesiology input analysis, procedures in physiotherapy and kinesi-ology analysis output. Using case studies I describe the application of theoretical knowledge in practice. The research was conducted at the Center of Technical Orthopedics in Ceske Budejovice. The research sample consisted of three patients with varying height of amputation intervention of the lower limb. All patients were men aged 50-65 years, with the first equipment of the prosthetic device, the first patient after exarticulation in the hip, the other after amputation in his thigh, and the third patient after amputation in his shin. Physiotherapy ran for 10 weeks, 1x a week for 60 minutes. I established an exercise set of five exercises for each patient that they were also supposed to practice at home by themselves. In addition to that, each patient received extra exercises for home practicing to suit their individual needs. I assessed the effectiveness of the therapy based on the results of input and output tests. The aim of this study was to map the practice of physiotherapy with patients after lower limb amputations. Among the most important tasks of a physiotherapist with patients with amputations I consider the care of the stump, the status of which is closely linked with the use of prostheses. During my practice I reassured myself that complications of the amputation stump significantly limit the use of prosthesis. A limited use of prosthesis consequently prolongs the patient's return to the society as its as equivalent as possible member, in accordance with the abilities and possibilities of each individual patient. The effect of locomotion with a prosthesis on the mental aspect of an individual after a leg amputation was in my practice also obvious. The results of the research part of my thesis show that the health state of all probands mentioned in my work improved after 10 weeks of treatment. During my internship, I reaffirmed the importance of early initiation of rehabilitation and awareness of patients about the possibilities of the prosthetic equipment, interdisciplinary cooperation of the nursing staff, age, cooperation and motivation of the patient. This work can serve as an educational material not only for health care workers, but also for the sick or for their family members.
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