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Stress - strain analysis of total hip replacement - type Santori
Huťka, Pavel ; Fuis, Vladimír (referee) ; Florian, Zdeněk (advisor)
Submitted Diploma thesis deals with stress-strain analysis of deformation proximal end of femur with applied total hip joint endoprosthesis (replacement) – shortcut type. To identify deformation and tensity (stress) was used computational simulation by method of final elements. Have been created two computational models TEP- type Santori and type DePuy Proxima. Geometry model Santori was created on low level model geometry through the use of X-ray photograph. Principle of geometry model type DePuy Proxima was real Femoral stem endoprosthesis which was scanned on scanner ATOS. Geometry of both these replacements were set up in program Rhinoceros 4.0 and then execute in program CatiaV5R17. Data for geometry model of femur were gained from CT chains. Material model of femur have been crated in two variants. The first one looks at structure bone tissues and the second one were created by Gruen´s zones. Femoral Stem was weighted by static equivalent resultant force acting in hip joint. Computational model of system and self solution, including depiction results, was done by ANSYS Workbench 11.0 for four model variants.
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Influence of viscosupplementation on cartilage lubrication
Ondra, Martin ; Horák, Zdeněk (referee) ; Ranuša, Matúš (advisor)
This work deal with the determination of the effect of viscosupplementation on the lubrication of articular cartilage in the beginning phase of osteoarthritis. This effect was evaluated based on the development of CoF measured by a tribometer in configuration pin-on-plate. The tribological model of incipient osteoarthritis was simulated by using two articular cartilages lubricated with osteoarthritic synovial fluid to which viscosupplementation agents were added. These preparations differed mainly in cross-linking and molecular weight of hyaluronic acid (HA). Measurements have shown that viscosupplementation may be effective in the beginning phase of osteoarthritis. The efficacy of viscosupplementation preparations with cross-linking HA was significantly higher compared to the efficacy of viscosupplementation preparations without cross-linking. These results support the use of viscosupplementation to delay the advanced stage of osteoarthritis.
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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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Case study of physiotherapy treatment of a patient after total ankle replacement
Kovárník, Petr ; Vláčilová, Ivana (advisor) ; Feherová, Martina (referee)
Author: Petr Kovárník Supervisor: PhDr. Ivana Vláčilová, Ph.D. Title: Case study of physiotherapy treatment of a patient after total ankle replacement Objectives: The goal of my work was to study and summarise the knowledge about the artrosis of an ankle joint and the condition after total ankle replacement. Part of this work is a practical part, which presents a case of study of a pacient with this diagnosis. Methods: Every method used in this work comes from bachelor's study of physiotherapy at FTVS. Results: Fyziotherapy treatment provided improvement in almost every criteria of the clinical state of the pacient. Conclusion: Summary of the work Keywords: ankle joint, total ankle replacement, arthrodesis, osteoarthrosis, physiotherapy
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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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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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Influence of viscosupplementation on cartilage lubrication
Ondra, Martin ; Horák, Zdeněk (referee) ; Ranuša, Matúš (advisor)
This work deal with the determination of the effect of viscosupplementation on the lubrication of articular cartilage in the beginning phase of osteoarthritis. This effect was evaluated based on the development of CoF measured by a tribometer in configuration pin-on-plate. The tribological model of incipient osteoarthritis was simulated by using two articular cartilages lubricated with osteoarthritic synovial fluid to which viscosupplementation agents were added. These preparations differed mainly in cross-linking and molecular weight of hyaluronic acid (HA). Measurements have shown that viscosupplementation may be effective in the beginning phase of osteoarthritis. The efficacy of viscosupplementation preparations with cross-linking HA was significantly higher compared to the efficacy of viscosupplementation preparations without cross-linking. These results support the use of viscosupplementation to delay the advanced stage of osteoarthritis.
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