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Physiotherapy in relation to functional infertility of women
KUKLOVÁ, Valerie
Infertility can be defined as a couple's inability to conceive during one year of unprotected intercourse, at least twice a week, or it can be defined as a woman's inability to deliver a viable fetus. In the Czech Republic, 20-25% of couples are involuntarily childless. Infertility as a disease can be treated by assisted reproductive techniques and many other methods, including physiotherapy treatment. The aim of this thesis was to describe some possibilities of physiotherapy treatment in relation to the functional infertility of women, then to describe the effect on the overall condition of the musculoskeletal system, pelvic floor and fertility of the woman. Based on the stated objectives, fertility disorders and their causes have been described in the theoretical part, as well as physiotherapy methods suitable for the treatment of functional female infertility. Several methods have been described; the method of Ludmila Mojžíšová has been described in more detail. In the practical part of the work, qualitative research was used, namely case studies in the form of case reports. The research took place at the Rehabilitace Borovany s.r.o. facility near České Budějovice. Women with diagnosed functional infertility were selected for the research. The aim of this research was to observe changes in the state of the entire locomotor system, especially the pelvic floor. These patients had an overall improvement in locomotor system, an improvement in posture. The condition of the deep stabilization system muscles, especially the pelvic floor muscles, improved further, and the respiratory stereotype was corrected. All the patients felt subjectively better. One of these patients reported a pregnancy during physiotherapy treatment. This bachelor thesis is an asset for learning about functional female sterility and its treatment methods. It can also be used in the clinical practice of physiotherapists interested in this issue.
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Possibilities of physiotherapy for patients with postdysplastic coxarthrosis
KRÁL, Tomáš
This bachelor thesis deals with the possibilities of influencing the health status of patient with conservatively treated posdysplastic coxarthrosis through physiotherapy, as well as maintaining patient´s highest possible quality of life. The theoretical part includes a description of the hip joint anatomy, including the description of surrounding muscles and their function, which take part in the hip kinesiology. More detailed kinesiology and biomechanics are defined in a special chapter. Another section of theoretical part deals with the topic of physiological development of the hip joint, as well as the description of the nature of dysplasia. Furthermore, this part deals with the topic of osteoarthritis, with focus on osteoarthritis of the hip joint, caused by dysplasia. This chapter is directly followed by description of physiotherapeutic solutions for this problem. As the conclusion of the theoretical part is the description of the operational solutions and their indications. The aim of the theoretical part was to summarize the information about the kinesiology of the hip joint and the possible consequences of disrupting its physiology into a comprehensive set. Furthermore, the aim was to provide the summary of information about physiotherapeutic approaches and other solutions to this problem. This can be used as a more detailed informational material for patients, or as an ancillary material for physiotherapists. The practical part was realized with the use of qualitative research, from which were the obtained data processed in the form of individual case reports, which include both inputand output- kinesiological examinations, course of those therapies and long-term and short-term therapeutic plan. Three patients diagnosed with postdysplastic coxarthrosis participated in the study. In all tested probands, there was a certain kind of influence on functional pathological changes. Post-exercise and resting pain were alleviated. The therapy also brought positive changes in hip stabilization and increased the HSSP activation. Overall, there was an improvement in soft tissue adhesion and a reduction in pain produced by tissue reflex changes. Two patients also had a slight improvement in gait stereotype and overall posture. One of the results was also the stretching and light strengthening of certain muscles and muscle groups.
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Case Study of physiotherapy treatment of a patient after the fracture of the proximal part of the humerus resolved by the osteosynthesis.
Duchačová, Alena ; Křížková, Štěpánka (advisor) ; Novotná, Irena (referee)
Title: Case Study of physiotherapy treatment of a patient after the fracture of the proximal part of the humerus resolved by the osteosynthesis Objectives: The main purpose of this paper was to get orientated in the professional literature in the field concerned. Another goal was to find out the author's abilities to examine and work with a patient, followed by stating a conclusion, suggesting an appropriate therapy as well as the way it is to be done. Methods: First part of the paper is dedicated to the theoretical basis of the issue of the patient who suffered from fracture of the proximal part of humerus that was resolved by the osteosynthesis. The anatomy and kinesiology of pectoral girdle and upper extremity, general theory of fractures and the solutions to it are all discussed, as well as miscellaneous ways to treat a fracture, most of them being done by an operation. In the end, the ways of rehabilitating with a fracture that are commonly used are stated. The other part is a casuistry of the patient O. N. with diagnosis state after the fracture of the proximal part of the humerus resolved by the ostheosynthesis. This special part is based on working with the patient for more than two weeks in Oblastní nemocnice Kladno (Regional Hospital Kladno) from 20th January 2011 to 3rd February 2011....
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Case study of physiotherapy treatment of a patient with the diagnosis of syringomyelia
Čapková, Šárka ; Hašková, Andrea (advisor) ; Haspeklová, Lenka (referee)
Title of bachelor's thesis: Case study of physiotherapy treatment of a patient with the diagnosis of syringomyelia Objectives: Gain of theoretical knowledge about the diagnosis of syringomyelia and subsequent case study formulation of a patient with this diagnosis during continuous work placement. Methods: The first part of the bachelor thesis contains theoretical knowledge about the diagnosis of syringomyelia, focused on its definition, classificaton, epidemiology, etiopatogenesis, diagnostics, symptomatology, therapy, physiotherapy treatment and prognosis. The second part includes a complete case study of my physiotherapeutic treatment of selected patient with the diagnosis of syringomyelia. Conclusions: Physiotherapy treatment proved effective in alleviation from pain and other problems but the possibilities of complex treatment were very limited due to progression of the ailment. Key words: syringomyelia, hydrosyringomyelia, syringobulbia, degenerative ailment of spine, progressive myelopathy, neuromuscular deformities of spinal column, scoliosis, physiotherapeutic methods
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Whiplash syndrome - evaluation of the therapy effect through various physiotherapeutic approaches
Kadeřábková, Diana ; Pavlů, Dagmar (advisor) ; Vomáčková, Helena (referee)
Title: Whiplash syndrome-evaluation of the therapy effect through various physiotherapeutic approaches Objectives: The aim of this diploma thesis is to find out which treatment method is the best suited for the reduction of the convalescence period in an acute whiplash syndrome and how the treatment can the most effectively affect chronic whiplash syndrome. This thesis also summarizes the most recent knowledge regarding this issue. Methods: The diploma thesis is processed in the form of a literary review, it has an analytic descriptive character. The thesis is divided into two parts, the first part deals with the theoretical point of view and the second part deals with the thesis methodology together with results. The theoretical part is dedicated to the problematic itself and physiotherapeutic methods used in the treatment of whiplash syndrome in the form of passive and active approaches. The second part describes a criteria methodology for studies which are included in the thesis. Conclusions of the studies are discussed together with their effects. Results: A total of 23 studies have been selected for this thesis. The recommended threatment for the acute whiplash syndrome is a form of the active approach. From the physiotherapeutical methods perspective - The McKenzie Method and therapeutic...
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Case study of physical therapy care of patient after ischemic stroke
Čížková, Michaela ; Hnátová, Iva (advisor) ; Hankovcová, Eva (referee)
Title: Case study of physiotherapy treatment of a patient after the ischemic stroke Objectives: The main aim of this study was to verify my ability to work with the patient, his examination, making conclusions, proposed treatment and its subsequent implementation. Other aim was mapping of the literature on the subject. Methods: The first part of my bachelor thesis is theoretical and it is aimed on stroke. There are described anatomy of cerebral artery, knowledge about stroke, its clinical symptoms and treatment options in this part. The description of spasticity with its influence on therapy and its treatment and the techniques used in physiotherapy are also there. The Brocca aphasia is described in the last section. The second part is the case report of a patient P. V. with diagnosis: ischemic stroke with dextral symptomatology. This special part is based on two weeks' work with the patient in the hospital (Ústřední vojenská nemocnice - Vojenská fakultní nemocnice Praha). This work lasted from 9th January 2012 to 3rd February 2012. The thesis includes: the entrance examination, the short-term and the long-term treatment plan, the descriptions of therapeutic units, the final examination, the comparison of the entrance and final examination and evulation of the therapy effect. The therapy was...
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Case study of physiotherapeutic care of a patient after ischemic stroke
Jindráková, Eliška ; Lorencová, Kateřina (advisor) ; Hlavičková, Růžena (referee)
Title: Case study of physiotherapeutic care of a patient after ischemic stroke Objectives: To evaluate a case study of a patient after ischemic stroke and create a theoretical basis for the given area applying academic literature. Summary: This paper concerns the area of stroke and is divided into two parts. The general part involves the characteristics of stroke, its division, symptoms, risk factors, prognosis and diagnostic methods. Further, it talks about individual phases of the healing process, applied physiotherapeutic approaches and information about additional care after hospitalization. The special part is a detailed case study of a patient after ischemic stroke. This part was created based on a practise in the Military University Hospital in Prague during 6th - 31st January 2014, which allowed me to lead my own therapeutic units with a patient under professional surveillance. Keywords: stroke, neurorehabilitation, spasticity, physiotherapy methods
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Case of physiotherapy care for patient diagnosed with hemoragic stroke
Frühbauerová, Lenka ; Maršáková, Kateřina (advisor) ; Hrdý, Tomáš (referee)
Title of bachelor's thesis: Case of physiotherapy care for patient diagnosed with hemoragic stroke Objectives: The aim is to emphasize the issues about stroke and subsequent treatment. Thesis emphasizesusing physiotherapy and physioterapeutic methods as an important part of treatment of pacients after stroke. A special part includes a detailed casuistry of patient after hemoragic stroke. Methods: The thesis is divided into the general part and the special part. The general part describes the classification, diagnostic methods and risc factors of stroke. The theory focuses on chosen consequences of stroke as a poststroke depression syndrome, a neglect syndrome, hemiplegic shoulder pain and a Thalamic syndrome and it also describes special physiotherapeutic methods, which are used in the cure of pacients after stroke. The special part of thesis introduces the physiotherapeutic care of pacient after hemoragic stroke with left hemiparesis. It is formed by the casuistry, which includes the list of therapies. The casuistry was created during a month bachelor praxis at the Rehabilitation clinic in Vršovická zdravotní a.s. Keywords: physiotherapeutic methods, poststroke depression, shoulder pain, Thalamic syndrome.
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Case Study of physiotherapy treatment of a patient after acute brain stroke
Pytlová, Lucie ; Maršáková, Kateřina (advisor) ; Voráčová, Helena (referee)
Title: Case Study of physiotherapy treatment of a patient after acute brain stroke. Objective: To officialy to confirm the ability to work well with patiens after a stroke. To gain the needed theoretical knowledge about the given issue and to utilize the practical physiotherapeutic skills. Method: The first part of the bachelor thesis is theoretical. It describes the origin, risk factors and consequences of a stroke. Further described are typical clinical symptoms, possibilities for treatement and technical uses od physiotherapy. The thesis is also dedicated to the subluxation of the paretic arm and the neglect syndrom. The second part contains casuistry of the chosen patient after the ischemic stroke with left - handed symptomatology. Results: Improvement of the walking stereotype, reduction in the painfulness of the paretic arm, increased strength in the paretic lower arm and improvement of the exterior and deep perception. Conclusion: The use of physiotheraphy on a patient after a stroke appeared to be very important, due to partial return of damaged functions. Key word: vascular stroke, hemiparesis, painful arm, physiotherapeutic methods
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