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Research study of total endoprosthesis of temporomandibular joint
Horňas, Jan ; Borák, Libor (referee) ; Marcián, Petr (advisor)
This bachelor’s thesis deals with total joint replacements (TJR) applied for replacement of temporomandibular joint (TMJ). In the thesis, research study of solutions system is done for anatomy of TMJ, mandible and masticatory muscles. Main producers and ma-terials for manufacturing TJR is mentioned furthermore. Finally, stress strain analysis for TJR is done by computing modeling using finite element method on the basis of re-search study.
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Physiotherapy in patients before intended hip joint replacement within the concept of prehabilitation
OLAHOVÁ, Marie
This bachelor thesis deals with the possibility of physiotherapy before the planned hip joint surgery within the concept of prehabilitation. In this thesis I deal with the possibility of preparing patients for this extensive operation. In the theoretical part, I process the knowledge of anatomy and kinesiology of the hip joint, then I outline the issue of the concept of prehabilitation, which is becoming an increasingly discussed topic abroad. In the next part, I provide information related to the total hip arthroplasty and complications during this procedure. Then the possibilities of preoperative physiotherapy are described in the thesis. The aim of this thesis was to record the preparation and describe the physiotherapeutic intervention in a group of patients before the planned hip replacement, for which I used qualitative research methods. The research unit consisted of one man and two women, therapy was usually performed 1-2 times a week for 60-75 minutes, for approximately two months. The data were collected by using an initial and final kinesiological analysis, an interview and an observation. According to that, a rehabilitation plan based on kinesiological and physiotherapeutic procedures and individually tailored to patients was developed. All probands received an exercise unit, which they practiced at home. All patients improved and two of the three patients underwent surgery without complications and the recovery progressed without problems. A third patient did not undergo surgery for epidemiological reasons. The work can inform the professional public, physiotherapists or students of physiotherapy about the possibilities of preoperative rehabilitation.
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Keeping preventive measures of patients with total joint replacement as prevention of infectious complications development
DRATNÁLOVÁ, Dominika
Total joint replacement is already considered routine elective operation in orthopaedics. With the growing number of these operations, there are higher requirements for medical personnel, but also for patients. One of the complications that can occur with total joint replacement is infection. The objective of this research was to find out; how are patients involved in the prevention of infectious complications, to detect whether general nurses adhere to the standards of application of antibiotic prophylaxis and, last but not least, to determine which interventions performed by general nurses within the frame work of preventive measurements of infectious complications in patients before and after total joint replacement. Qualitative and quantitative research methods were used in the empirical part of the research. The first quantitative questionnaire was focused on orthopaedic patients and their involvement in prevention of infectious complication. The second questionnaire (record arch) monitored the patient's conditions before the operation and proper use of antimicrobial prophylaxis. General nurses from the anaesthesiology-resuscitation ward and from the orthopedic (orthopedic-traumatology) ward contributed to the completion of this record sheet. The focus group method was used in the qualitative part of research and it paid attention to the work of nurses from the orthopedic-traumatology ward. Outcomes of this research showed that orthopaedic patients are not involved enough in prevention of infectious complications and they could be engaged in the support of their health more. Both questionnaires showed that the biggest issue in the patients is overweight or some degree of obesity. From the results of the record sheet completed by the nurses, we can see there is an effort to follow recommended practice of antimicrobial prophylaxis. There was a significant improvement in this aspect of prevention of infectious complications compared to the audit of Ceske Budejovice Hospital from 2008. Results of the focus group method showed that general nurses know the interventions carried out to prevent infection well. But the investigation also revealed that for nurses, barrier care is routine procedure, therefore, they dont pay enough attention to this care. Based on the obtained results, a procedure was proposed to involve patients more in preoperative preparations and to inspire an interest in their health. Management of the orthopaedic ward and management of the antibiotic center of Ceske Budejovice Hospital were both informed about the result of the evaluation of the administration of antimicrobial prophylaxis. Active control system within the preoperative preparations was created for the general nurses from the Jihlava hospital's orthopaedic-traumatology ward.
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Case report of physiotherapist's patient care with the diagnosis: condition after surgery for total endoprotesthesis of the right knee joint
Bačíková, Monika ; Kaizrová, Irena (advisor) ; Hankovcová, Eva (referee)
Title: Case report of physiotherapist's patient care with the diagnosis: condition after surgery for total endoprotesthesis of the right knee joint Objectives: The aim of this paper is to get to know both theoretically and practically the diagnosis status after total knee arthroplasty. Methods: The first part of this work includes theoretical area by research. This section describes the anatomy, kinesiology and biomechanics of the knee joint. The issue of gonarthrosis and its treatment.Then there is the more developed surgical approach, the application causes a total joint replacement prosthesis type, and physical therapy after surgery procedures that are appropriate to a positive effect on patients' health. The second part of this work is special - processed form of case reports. This part is based on theoretical knowledge acquired during studies, and their application in clinical practice. It contains entrance kinesiological analysis and conclusion, on the basis of which is developed short-term and long-term rehabilitation plan. In addition, this special section includes a description of individual therapeutic units and a final evaluation of the effect of therapy. Keywords: knee joint, total joint replacement, rehabilitation
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Information for patients about the treatment mode after hip surgery - Total joint replacement
Ondráčková, Eva ; Nikodemová, Hana (advisor) ; Tomová, Šárka (referee)
My bachelor thesis called "Patients' knowledge of therapeutic mode after surgery of hip joint - total endoprosthesis" deals with a problem of education of patients in case of mode after surgery on Orthopaedic department in St. Zdislava hospital in Mostiště. A theoretic part is focused on summary of findings about hip joint, causes of surgery, types of endoprosthesis, preoperative and postoperative cares, rehabilitation and potential complications after surgery of hip joint. In a practical part, there is introduced a method of research on Orthopaedic department, whose aim is to get into degree of patients' knowing, form of education and simple keeping of preventive measures. In a conclusion of my thesis the results of research and assessment of research acquisiton into practice are summarized.
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Comparison of Movement Activity and Sport between Patients after Resurfacing and Total Hip Replacement Surgery
Heidenreichová, Ivana ; Nováková, Pavlína (advisor) ; Levitová, Andrea (referee)
6 Abstract Title: Comparison of Movement Activity and Sport between Patients after Resurfacing and Total Hip Replacement Surgery Objectives: To summarize the available information about after-surgery regime and self- sufficiency after total hip replacement. To accent the differences between resurfacing and total hip replacement. To obtain the information about sport behavior and movement activity of patients after resurfacing and total hip surgery using questionnaire survey. To find out if they are able to return back to sport sctivity and how much do the total hip replacement limits them, to find out how the pain influences their movement activity. To compare the movement activity of patients after resurfacing with patients after total hip surgery. Methods: Thesis is worked out using quality assessment of information obtained by empiric way - using questionnaire survey. Results are processed using MS Excel into charts and graphs. Results: The objective of clear justification of advantages of hip resurfacing as a surgery method providing early return to movement activity has not been met. However the results cannot be simply generalized because of limited amount of respondents. Keywords: hip, total joint replacement, movement activity, sport
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Case report of therapeutic care of patient after total knee replacement.
Jurková, Magdalena ; Novotná, Irena (advisor) ; Vosmíková, Simona (referee)
Title: Case report of therapeutic care of patient after total knee replacement. Objectives: The aim of this work is to demonstrate both theoretical and practical information to the subject of total knee replacement. Showing on one side the therapeutic care of patient after total knee replacement and presenting on the other side the summary of theoretical knowledge about the topic of knee joint and total joint replacements. Methods: This study is divided into two main parts. The first part is theoretical and deals with the subject of knee joint seen from the anatomical, kinesiological, biomechanical and orthopedical perspective. Furthermore it contains basic information to the issue of knee replacements, their most common indications, possible complications and subsequent therapeutic methods and techniques after total knee replacement. The second part is a special section which shows in detail a case report of therapeutic care with patient after total knee replacement. It was established under the guidance of a private healthcare facility MediCentrum Praha during my university-internship . The case report includes patients anamnesis, an input kinesiology analysis, a short-term and long-term therapeutic plan, a detailed description of the course of therapy, a resulting kinesiology analysis and an...
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Case report physiotherapy care of the patient with the diagnosis after total knee arthroplasty and ankylosis of the hip joint
Procházka, David ; Malá, Jitka (advisor) ; Biskup, Šimon (referee)
Title: Case report physiotherapy care of the patient with the diagnosis after total knee arthroplasty and ankylosis of the hip joint. Objective: The general part deals with the theoretical knowledge of the anatomy of the knee joint. Furthermore, the most common disorders of the knee. Iindikacích and contraindications total knee arthroplasty and rehabilitaci.Zahrnuje theoretical information about tuberculous koxitid and ankylosis. A special section covers the case of a patient, where it is processed history, input kinesiology analysis, course of therapeutic units, output kinesiology analysis and evaluation of the effect of therapy. Method: The general part deals with the theoretical knowledge of the anatomy of the knee joint. Furthermore, the most common disorders of the knee. Indications and contraindications for total knee arthroplasty and rehabilitation. It includes theoretical information about tuberculous koxitid and ankylosis. A special section covers the case of a patient, where it is processed history, input kinesiology analysis, course of therapeutic units, output kinesiology analysis and evaluation of the effect of therapy. Results: Increasing the range of motion and muscle force, eliminating swelling in the operated leg and the removal of joint blocks. Furthermore, removal of muscle...
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The case study of a physiotherapeutic treatment of a patient after reoperation of a total hip replacement
Králová, Barbora ; Maršáková, Kateřina (advisor) ; Zimermanová, Helena (referee)
Title: The case study of a physiotherapeutic treatment of a patient after reoperation of a total hip replacement. Objective: The aim of this bachelor's thesis was a comprehensive elaboration and summary of theoretical knowledge and practical skills related to physiotherapeutic care after reoperation of a total hip replacement. Method: The bachelor thesis consists of two main parts - general and special. The first, general part, contains knowledge of anatomy and kinesiology of the hip joint. It contains a chapter on coxarthrosis, its etiology and possibilities of its treatment. It also describes the various types og hip implants, the most commonly used surgical approches, indications, contraindicatios and complications of the surgery. It also includes a description of the cource of preoperative rehabilatition, early rehabilitation after surgery and subsequent medial rehabilitation. The second, special part, contains a case study of a patient after reoperatin of a total hip replacement, the course of treatment and evaulation of the effect of therapy. Results: The goals of the short - term therapeutic plan were fullfilled. The applied therapy increased the range of motion in the joints of the operated lower limb, increased muscle strength, stretched shortened muscles, affected hypertonic muscles,...
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The case study of physiotherapy treatment of a patient after total knee replacement
Zakonov, Filip ; Opatrná Novotná, Irena (advisor) ; Sohrová, Jana (referee)
Author: Filip Zakonov Title: The case study of physiotherapy treatment of a patient after total knee replacement. Head of the thesis: Mgr. Irena Opatrná Novotná Objectives: The main aim of this bachelor thesis is processing a casuistry of one patient after total knee replacement during the bachelor's practice. The case study is based on the theoretical information described in the first part of this thesis. Methods: The bachelor thesis consists of two parts - theoretical part and special part. The theoretical part contains an anatomical description of the knee joint and its kinesiology. It also covers the issue of knee osteoarthritis and information about total knee replacement with following physiotherapy. The special part introduces the case study after total knee replacement and includes a detailed plan of therapies performed in Rehabilitation hospital in Beroun. Results: The main improvement was in the range of motion of the knee, reduction of the swelling and bruising, increased muscle strength and restoration of the joint play of blocked joints. Keywords: knee joint, total joint replacement, osteoarthritis, physiotherapy
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