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Analysis of Kinematic and Dynamic of Knee Joint
Halama, Jakub ; Dočkal, Kryštof (referee) ; Urban, Filip (advisor)
The bachelor thesis summarizes present knowledge of the knee joint in terms of its mechanics, it compares joint kinematics and dynamics during various locomotor activities of daily living such as: gait, standing up from the chair, ascending and descending stairs, running. Furthermore, the thesis focuses on the changes in the motion and loading of the joint in the cases of osteoarthritis and knee replacement in comparison with healthy individuals. Lastly, it also describes the loading asymmetries between healthy and affected knee.
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The Case Study of Physiotherapeutic Treatment of a Patient after Total Hip Arthroplasty
Petr, Martin ; Maršáková, Kateřina (advisor) ; Nováková, Tereza (referee)
Author: Martin Petr Supervisor: Mgr. Kateřina Maršáková Title: The case study of physiotherapeutic treatment of a patient after total hip arthroplasty Objectives: The aim of this bachelor thesis is to summarize in the general part information concerning osteoarthritis and total hip arthroplasty and in the special part to elaborate a case study of physiotherapeutic treatment of a patient with this diagnosis. Methods: This thesis is divided into two main parts. The first is the general part, which contains information about osteoarthritis and hip alloplasty. The manifestations of osteoarthritis, its diagnostics, distribution, causes and treatment options are mentioned. For alloplasty, surgical approaches, complications associated with surgery, types of joint replacements and possible rehabilitation procedures are listed. The second part of this work is a special section, which includes a case study of a patient after total hip arthroplasty. It consists of medical history, initial kinesiological analysis, short- and long- term therapeutic plan, course of individual therapeutic units, output kinesiological analysis and therapy effect evaluation. Results: The stated goals of the short-term therapeutic plan were met. The patient left the rehabilitation clinic fully self-sufficient and, compared to the...
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Case study of physiotherapy treatment of a patient after Total Knee Replacement
Viktora, Adam ; Žáková, Lenka (advisor) ; Sohrová, Jana (referee)
iv Abstract Author: Adam Viktora Supervisor: PhDr. Lenka Žáková, Ph.D. Title of the thesis: Case study of physiotherapy treatment of a patient after Total Knee Replacement Objectives: The goal of this thesis is to gather and understand the theoretical knowledge of the knee joint, osteoarthritis, total knee replacement surgery and its rehabilitation, and then evaluate the therapeutic sessions that were applied. Clinical findings: This study evaluated the condition of a 73-year-old patient after total knee replacement of the right knee. The examination showed a reduced range of motion, reduced mobility of joints, muscle imbalances and differences in conditions of soft tissues. Methods: All methods used for this study were based on the knowledge learned and the literature provided by the Faculty of Physical Education and Sports, Charles University. Results: Following the eight therapeutic sessions, the patient had progressed well overall. Progress was seen in terms of pain, range of motion, muscle imbalances and condition of soft tissues. Conclusion: The therapies applied were effective and valuable in this specific diagnosis of the patient. Key words: knee joint, osteoarthritis, gonarathritis, total knee replacement, physiotherapy, case study, rehabilitation
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Case study of physiotherapeutic treatment of a patient with Rheumatoid arthritis after total hip replacement
Uhlíková, Barbora ; Žáková, Lenka (advisor) ; Vincová, Gabriela (referee)
Author: Barbora Uhlíková Supervisor: PhDr. Lenka Žáková, Ph.D. Title: Case study of physiotherapeutic treatment of a patient with Rheumatoid arthritis after total hip replacement Objectives: The aim of this thesis is the theoretical elaboration of information regarding the diagnosis and preparation of a case report of physiotherapeutic care in a patient diagnosed with rheumatoid arthritis with a condition after TEP of the hip joint. Methods: The theoretical part deals with the anatomy and kinesiology of the hip joint, information about rheumatoid arthritis and osteoarthritis, treatment options for osteoarthritis, hip arthroplasty and subsequent physiotherapy intervention after hip replacement. The special section includes initial kinesiological analysis, individual therapies, outcome kinesiological analysis and evaluation of the effect of physiotherapy intervention. The thesis also includes a comparison of the physiotherapy methods selected and used by me with the literature. All physiotherapeutic methods and procedures used during the therapy are within the framework of the Bc in Physiotherapy at UK FTVS. Results: During the physiotherapy intervention consisting of 9 sessions, the patient experienced several positive changes. The therapies were without complications. The results of the therapies...
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Case Study of Physiotherapy Treatment of a Patient with Diagnosis of Coxartrosis after Hip Endoprosthesis
Tamburini, Giorgio Saverio ; Žáková, Lenka (advisor) ; Vláčilová, Ivana (referee)
Title: Case Study of Physiotherapy Treatment of a Patient with Diagnosis of Coxartrosis after Hip Endoprosthesis Thesis aim: Theoretical description of the hip joint, coxarthrosis diagnosis, endoprosthesis, and practical description of therapy for the acute phase following hip endoprosthesis. Clinical findings: The patient is 62 years old due to coxarthrosis, she underwent endoprosthesis surgery on her right lower extremity, she has a reduction in ROM at the level of the hip in flexion, extension and abduction, she is unable to fully extend her right knee. Swallen anterior and posterior lateral aspect of the tight, muscle weakness in the right lower limb. Summary: The thesis is divided into two parts. The initial section is theoretical, with a brief summary of hip joint anatomy, biomechanics, and kinesiology, as well as coxarthrosis as a disease and its prevention, hip endoprosthesis surgery clinical views and approaches, and hip endoprosthesis rehabilitation protocol. The second component is a description of the patient case study, which includes a comprehensive initial kinesiological examination, treatments used, a final kinesiological assessment, and the result of the therapies utilized. Keywords: Coxarthrosis, Osteoarthritis, Endoprosthesis, Physiotherapy, Rehabilitation.
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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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A case study of physiotherapeutic treatment of a patient with total knee replacement
Kozubíková, Alžběta Marie ; Dvořáčková, Dominika (advisor) ; Feherová, Martina (referee)
Author: Alžběta Marie Kozubíková Title: A case study of physiotherapeutic treatment of a patient with total knee replacement Objectives: The aim of theoretical part of the thesis is a thorough and complete introduction into gonarthrosis. The aim of the practical part of thesis is to present a case study of a female patient with total knee replacement. The patient, who had been diagnosed with gonarthrosis, underwent treatment in a private medical facility MediCentrum Praha. The treatment was followed by post-surgical rehabilitation, consisting of a series of therapeutical procedures whose effect is assessed. Methods: The present bachelor thesis consists of two parts. The theoretical one provides some basic information about the anatomy and kinesiology of the knee joint. The chapter called Gonarthrosis discusses the condition in detail, as patients with gonarthrosis are the most common candidates for total knee replacement. The chapter also explains pathomechanics, symptoms, occurrence rate and treatment options. Other chapters give an overview of efficient methods and techniques that physiotherapy can offer, following total knee replacement. The special part focuses on the details of physical therapy of the patient after the above-mentioned surgery and assessment of its effectiveness. It is based on...
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Case Study of Physiotherapy Treatment of a Patient with Diagnosis of Total Knee Replacement of the Knee Joint
Salavová, Barbora ; Stupková, Michaela (advisor) ; Sohrová, Jana (referee)
Title: Case report of a physiotherapeutic care patient with a diagnosis of total knee replacement of the knee joint Aims: The main aim of my bachelor thesis is to process a case report of a physiotherapeutic care patient with a diagnosis of total knee replacement of the knee joint. Part of the work is also a comprehensive theoretical introduction to the topic. Methods: This bachelor thesis consists of a general and a special part. The general part contains informations about the anatomy and kinesiology of the knee joint, information about osteoarthritis which is the most common indication for total knee replacement, it's etiopathogenesis and it's treatment. It also contains a chapter on total knee replacement, it's history, types of endoprostheses, indications and contraindications of this procedure and especially the subsequent rehabilitation and effect of therapeutic procedures used in physiotherapeutic care. The special part is processed in the form of a case report of a patient after total knee arthroplasty. It contains anamnesis, complete initial kinesiological analysis, short-term and long-term physiotherapy plan, therapeutic units, final examination and evaluation of the performed therapy. Results: Physiotherapeutic care showed an improvement in the patient's clinical condition in almost all...
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The expression of interleukin 20 and its role in rheumatoid arthritis
Yadollahi, Benjamin ; Šenolt, Ladislav (advisor) ; Krulová, Magdaléna (referee)
Rheumatoid arthritis (RA) is a chronic autoimmune disease that is associated with formation of autoantibodies, activation of inflammatory cascade and up-regulation of several cytokines. These processes lead to persistent synovial inflammation, joint damage and systemic manifestations. The aim of this diploma thesis is to characterize the role of a novel cytokine interleukin-20 (IL-20) in the pathogenesis of RA and to investigate its involvement in different stages of the disease as a potential surrogate biomarker. In this work, several methods including Enzyme-Linked Immunosorbent Assay (ELISA), Immunohistochemistry and Real-Time quantitative Polymerase Chain Reaction (RT-qPCR) have been employed. We demonstrated increased expression of IL-20 in the synovial tissue of RA compared with control osteoarthritis (OA) patients. Along with the up-regulation at sites of inflammation, concentrations of IL-20 were higher in the synovial fluid compared with circulating levels of IL-20. Furthermore, serum and synovial fluid IL-20 levels significantly correlated with RA disease activity. Synthesis of IL-20 was significantly increased in peripheral blood mononuclear cells (PBMCs) and synovial fibroblasts upon stimulation with some TLR ligands and pro-inflammatory cytokines. Although not regulating PBMCs functions in...
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