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Evaluation of functional biomechanical parameters of locomotion depending on the performed amputation in LL
Blažek, Michal ; Jelen, Karel (advisor) ; Šorfová, Monika (referee)
Title: Evaluation of functional biomechanical locomotion parameters depending on the performed amputation in LL Objectives: The goals of this thesis are the following: to compare asymmetry in step cycle time, pelvis, hip and knee movement and lower limb loading while walking, also to compare sagittal movement of pelvis while walking, postural stability in stance and subjective scoring of the functional skills and the quality of life in healthy controls, transfemoral and knee disarticulation amputees. Methods: 6 healthy controls and 3 amputees in each amputation group were included in this experiment. Qualisys motion capture system and Kistler force plates to collect objective data and specific sections of Prosthesis Evaluation Questionnaire for subjective scoring were used. The participants were observed while level walking forward and backward with self-selected speed and in a quiet stance with eyes either open or closed with narrow support base. Statistical analysis was carried out in Microsoft Excel. Results: In terms of asymmetry assessment of the selected ambulation parameters there were identified more symmetrical values in the knee disarticulation group in 63 % of 33 monitored parameters. However, statistical significance was exceeded only in a single parameter. Concerning pelvic movement in...
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A case study of physiotherapy care of a patient with transfemoral amputation
Vítečková, Kristýna ; Reckziegelová, Petra (advisor) ; Kacrová, Monika (referee)
Author: Kristýna Vítečková Title: A case study of physiotherapy care of a patient with transfemoral amputation Objectives: The objective of this bachelor thesis is to elaborate on theoretical knowledge about transfemoral amputation and to record the effect of the selected treatments in a case study of physiotherapy care. Methods: The thesis is divided into two parts - general and special. The general part contains information about transfemoral amputation in the form of a literature research. The special part is in the form of a case study of a patient with the given diagnosis, which was done as part of a clinical work placement at Rehabilitační klinika Malvazinky. This part includes the anamnesis, initial assessment, short-term and long-term therapeutic plan, record of the course of therapy, final assessment and evaluation of the effect of therapy. Results: The physiotherapeutic care resulted in a qualitative improvement of the gait pattern, improved functional ability and reduction of hip pain. Detailed results are summarized in the chapter Evaluation of the effect of therapy. Keywords: transfemoral amputation, case study, physiotherapy
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The Options of Prosthetic Equipment for Patients with Transfemoral Amputation Covered by Public Health Insurance
Vlková, Barbora ; Mikšíčková, Petra (advisor) ; Šolc, Zdeněk (referee)
TITLE: The Options of Prosthetic Equipment for Patients with Transfemoral Amputation Covered by Public Health Insurance OBJECTIVES : The aim of this work is to present a comprehensive overview of prosthetic equipment for adult patients with transfemoral amputations that are currently available in Czech Republic by health insurance. The theoretical overview is supplemented by three case studies of elderly patients whose improvement of mobility helped them to get special prostheses. METHODS: The basis of the analytical part is literary research and data collection of technical data sheets. The practical part is based on personal experience, consultation with experts and records of each case. RESULTS: The result of the work is a summarization of information related to the assembly of various types of TF prosthesis for adult patients with no special demands. KEY WORDS: amputation, transfemoral amputation, femoral prosthesis, prosthetic foot, prosthetic sockets, prosthetic knee joint
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Knee system C-Leg and its application to transfemoral amputation
Červený, Jan ; Pavlů, Dagmar (advisor) ; Véle, František (referee)
Title: Knee System C-Leg and its application to transfemoral amputation Objectives: Aim of this work is characteristic of knee system C-Leg prosthetic leg construction with knee system C-Leg applied in patients with transfemoral amputations, the possible setting, used in combination with a common type of Socket and compare the affect of the image of the patient's gait. Another target is a description of possible mistakes in the setting of the C-Leg and their manifestations in the initial use and walking Methods: In this work I used the method of analysis previously identified and published knowledge and experience with the knee of C-Leg, its buildings, the settings recommended by the manufacturer and walk to school transfemoral amputation. Compiling the various types of Socket used to walking training, the published results of therapy in patients amputated and its own experience, I worked under subsequent acts, which occurred during therapy. Results: In keeping with the recommended structure for the transfemoral prosthesis and knee system with the C-Leg and then comparing the different types of Socket and results of therapy in the rehabilitation wards, I described the side effects are possible in the image the patient's gait. The presented findings describe the possible recommendations for the...
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Transfermoral amputation and knee joint disarticulation, rehabilitation procedure after lower limb amputation
Konvalinková, Pavla ; Slámová, Adéla (advisor) ; Nováková, Petra (referee)
BACHELOR THESIS ABSTRACT Author: Pavla Konvalinková Supervisor: Ing. Adéla Slámová Tutor: Hana Kohoutová, DiS Title: Transfemoral amputation and knee joint disarticulation Subtitle: Rehabilitation procedure after lower limb amputation Abstract: This bachelor thesis deals with the issue of transfemoral amputations and exarticulations in the knee joint and the possibilities of rehabilitation care for patients after amputation of the lower limb. The work will offer both an earlier and a current view of the issue from the position of a doctor, prosthetist and physiotherapist. The work is divided into theoretical and practical part. In the introductory theoretical part, circulatory techniques are described in detail in terms of indications, design, history, advantages and disadvantages and possibilities of prosthetic equipment. Further work summarizes the knowledge about the possibilities of physiotherapeutic intervention from preoperative and postoperative care to equipping the patient with a prosthetic device. In the second practical part, two case reports of patients with selected two procedures are processed. The aim of the work is to bring the known knowledge on the issue of transfemoral amputations and exarticulations in the knee joint and then apply this knowledge and selected procedures in clinical...
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The Effect of Adapted Exercise Programs on Musculoskeletal System of Lower Limb Amputees
Sobotková, Ivona ; Hošková, Blanka (advisor) ; Pyšný, Ladislav (referee) ; Kálal, Jan (referee)
The subject of this dissertation was the creation of the adapted exercise program for unilateral transfemoral amputees and its verification in practice. The content of this program was chosen based on the practical experience and theoretical background in the field of anatomy, kinesiology, rehabilitation, lower- limb amputations and Motion Capture technologies. The four-month intervention program was designed as an adapted corrective exercise aimed at the major muscle groups influencing the posture, especially the position of the pelvic segment, which is the dominant element in the kinematic chain. The aim of this project was to ascertain whether this intervention can affect the pelvic tilt (in frontal and sagittal plane) of unilateral transfemoral amputees and so improve their quality of life. This was a project based on combination of quantitative and qualitative research methods. The measurement of the size of angles determining the pelvic tilt by Qualisys optoelectronic system was the essence of the quantitative part of the research. Qualitative data were collected through semi-structured in-depth interviews from persons who completed whole project. This research is by its nature and focus characterized as a set of case reports and as a pilot study, proof of concept respectively. 10 unilateral...
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Prosthesis for high amputation of geriatric patients
Cypris, Libor ; Čichoň, Rostislav (advisor) ; Půlpán, Rudolf (referee)
Title: Prosthesis for high amputation at geriatric patients Objectives: The aim of this work is to prove the importance of prosthetic device at geriatric pacients after amputation of the femoral part and comparison with functionality of knee joints at primary prosthesis, which can be applied according to the activity and financial possibili- ties of insurance companies in Czech Republic. Methods: For this pilot qualitative research will be applied empirical method and the use of controlled structured interview in probands with amputation in the thigh area. Results: After the amputation of femoral part, geriatric patients have got the opportunity for neces- sary prosthetic equipment and compensatory aid financially limited by the insurance com- panies. To live a full life, they are equipped with primary prosthesis, it is covered by insur- ance company and they can purchase the wheelchair from their own resources. Keywords: Amputation, prosthesis, knee joint, transfemoral amputation, compensatory aid, prosthesis aid
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Technique and methodology of skiing with one-sided above knee amputation on two skis
Hruša, Filip ; Hruša, Jan (advisor) ; Matošková, Petra (referee)
Thesis title: Technique and methodology of skiing with one-sided above knee amputation on two skis. Main objectives: Propose a methodical series for beginners with one-sided above knee amputation on two skis. Method: The work is of theoretical-empirical character, this is an explanatory case study applied to three probands, skiers with one-sided above knee amputation. Firstly, a content analysis of publicly available methodical publications will be carried out. Then the observation method with the following description will characterize probands technique by watching video records. Finally, we will propose a methodical series in which we will reflect the observed problems in the technique. Results: We found out in our bachelor thesis, that the same basic mistakes appear in amateur skier beginners, therefore we have proposed a theoretical methodological series that should lead to their elimination. Key words: above knee amputation, prosthetic, transfemoral amputation, prosthetic, skiing of amputees, skiing with prosthetic, ProCarve, C- leg, Genium.
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The Options of Prosthetic Equipment for Patients with Transfemoral Amputation Covered by Public Health Insurance
Vlková, Barbora ; Mikšíčková, Petra (advisor) ; Šolc, Zdeněk (referee)
TITLE: The Options of Prosthetic Equipment for Patients with Transfemoral Amputation Covered by Public Health Insurance OBJECTIVES : The aim of this work is to present a comprehensive overview of prosthetic equipment for adult patients with transfemoral amputations that are currently available in Czech Republic by health insurance. The theoretical overview is supplemented by three case studies of elderly patients whose improvement of mobility helped them to get special prostheses. METHODS: The basis of the analytical part is literary research and data collection of technical data sheets. The practical part is based on personal experience, consultation with experts and records of each case. RESULTS: The result of the work is a summarization of information related to the assembly of various types of TF prosthesis for adult patients with no special demands. KEY WORDS: amputation, transfemoral amputation, femoral prosthesis, prosthetic foot, prosthetic sockets, prosthetic knee joint
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Prosthetic equipment for transfemoral amputated patients
Dvořák, Daniel ; Mikšíčková, Petra (advisor) ; Černý, Pavel (referee)
Title: Prosthetic equipment for transfemoral amputated patients Objectives: The aim of this study was to establish basic educational material about the possibilities of prosthetic equipment after transfemoral amputations. For the completion of this work were added basic information about the transfemoral amputations and the economic efficiency of such equipment. Methods: This study is a theoretical work with in-depth research via the use of the qualitative research method of data collection from provided literature, technical articles, journals and other sources. Results: This work is an essential educational material about transfemoral prostheses suitable for students and the general public. Keywords: amputation, prosthetics, lower limb prostheses, transfemoral amputation, prosthetic knee joint, prosthetic socket, prosthetic foot
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