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Biomechanical study of the upper extremity plates
Linhart, Lukáš ; Marcián, Petr (referee) ; Florian, Zdeněk (advisor)
This work deals with the possibilities and principles of fixation of fractures of the upper limb. It is divided into five chapters. The introductory chapter discusses the biomechanics and its inclusion in contemporary science. The next chapter describes a brief history of healing and fixation of fractures of the upper limb. The third chapter is devoted to the anatomy of the upper limb, knowledge of which is the effective fixation of fractures of the upper extremity necessary. Another chapter is devoted to the classification and description of the type of osteosynthesis internal fixation of the upper limb. Furthermore, this chapter discusses the principles and mechanisms of LCP fixation. The last fifth point is detailed study of specific humeral locking plate. To create a computational model was used SolidWorks software and ANSYS Workbench.
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Rating scales in traumatology
PROKOPOVÁ, Martina
This diploma thesis is split into two parts - a theoretical and an empirical one. Most of the content of the theoretical part is created by description of individual scales and tests, used for different areas. There are briefly mentioned phenomena of traumatology, the history of trauma centers in the Czech Republic and the nursing care. In this part there is also information regarding nursing documentation which the evaluation scales are part of. The first unit of research part of the diploma thesis was realized in the form of quantitative survey on the basis of semi-structured interviews with nurses working at trauma department. The results of this survey were examined in details with help of categorization and coding. The most important answers of the people surveyed were shown in diagrams, which were created according to the defined categories. For the second unit was chosen quantitative research, performed in the form of non-standardized questionnaire with the total of 110 people surveyed. The results of the questionnaire survey were statistically processed. Regarding the questionnaire survey, five research questions and two hypothesis were identified. The aim of this paper was to research the use of evaluation scales for patients in traumatology and at the same time to map the point of view of nurses on the issue of evaluation scales and their use in nursing. According to the statistical results it is true that the opinion of nurses, regarding the scales, is affected by the length of their praxis and the level of education. The results of the research concluded that evaluation techniques are positively accepted by the nurses. With their help, it is possible to evaluate a patient´s skills, needs and problems with nursing care, in a simple way. According to the survey, nurses did not see some of the scales as objective because in case of some items, there might occur projection of personal perception into the process of evaluation. The reason is the lack of information which nurses are missing when using the scales. The nurses are aware of benefits of using these scales but they do mind the time spent for filling it. The struggle with time is a commonand constant problem the nurses have. It is given by the disproportionate number of tasks caused by the lack of staff. That is the reason why no greater interest can be expected. In traumatology, according to the result, the greater application of scales will be found with VAS and CGS scales.
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Case study of physiotherapy treatment of a patient with distortion of ankle joint
Hulinský, Filip ; Maršáková, Kateřina (advisor) ; Nováková, Tereza (referee)
Author: Filip Hulinský Title of the thesis: Case study of physiotherapy treatment of patient with distortion of ankle joint Supervisor: Mgr. Kateřina Maršáková Objectives: The goal of this Bachelor's thesis is to gather and present theoretical knowledge about ankle joint and distortion of this joint. This theoretical information's with addition of practical examination are collaborated to create patients specific case study. Summary: In this bachelor thesis I give attention towards the ankle joint. It is separated into two distinct parts which are theoretical and practical part. First is the theoretical part in which I introduce and present the anatomical, biomechanical, kinesiological, and overall functional structures and aspects of the ankle joint. Further more I dive into reasoning of different types of distortions, its reasoning behind why they occur, and possibilities of treatment. The second part is the practical where you may read about my experience in Centrum léčby pohybového aparátu (CLPA) where I worked with a patient that has suffered the ankle joint distortion. Practical part includes: methodical work, initial kinesiological examinations, treatment plan, day to day therapy where I explain step by step the methods of treatment that I have used and why, and final kinesiological...
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Physiotherapy after osteosynthesis of the trimalleolar fracture
Medal, Jakub ; Dudová, Agnieszka (advisor) ; Hankovcová, Eva (referee)
Title of bachelor's thesis: Physiotherapy after osteosynthesis of the trimalleolar fracture. Aims: Concept, execution and evaluation of physiotherapeutic treatment of a patient affected by trimalleolar fracture of the ankle joint. Methods: The thesis is divided into two parts - theoretical and special. Theoretical part deals with basic principles of functional anatomy, kinesiology, biomechanics and traumatology of the ankle joint. It also includes information about possibilities of treatment - orthopedical (traumatological) and physiotherapeutic. Special part is focused on a case study of a patient with trimalleolar fracture. Results: Clinical state of the patient after execution of the therapy has improved. The range of movement in disabled ankle joint as well as muscle power of both legs have been increased. Swelling and nociception of the left ankle joint have been reduced. Key words: physiotherapy, traumatology, case study, ankle joint, trimalleolar fracture, osteosynthesis
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Case report of physiotherapeutic care of a patient with diagnosis status after intra-articular fracture of the proximal tibia
Vodičková, Kamila ; Michalec, Radim (advisor) ; Jiráň, Jan (referee)
Title: Case report of physiotherapeutic care of a patient with diagnosis status after intra- articular fracture of the proximal tibia Aim: The aim of this bachelor's thesis is processing of the case study of a patient with diagnosis condition after intra-articular fracture of the proximal tibia, a summary of theoretical knowledge, designing therapy and monitoring its progress. Method: This thesis was created as a research with case study during continuous professional practice held from 7.1.2013 to 1.2.2013 at Rehabilitation clinic Malvazinky in Prague. The thesis is divided into two parts - general and special. The first (general) part deals with the theoretical knowledge of kinesiology of the knee joint, includes information on fractures (their classification, possible solutions, healing and complications) and the possibilities of physiotherapy procedures in the postoperative period. The second (special) part describes case study of a patient after intra-articular fracture of the proximal tibia, the process of suggested therapy and evaluation of its effect. Keywords: knee joint, tibia, osteosynthesis, physiotherapy, traumatology, rehabilitation
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Case report of physiotherapeutic care of a patient with diagnosis status after bikondylar fracture of the proximal tibia
Rissová, Kristýna ; Nováková, Tereza (advisor) ; Voráčová, Helena (referee)
Title: Case report of physiotherapeutic care of a patient with diagnosis status after bikondylar fracture of the proximal tibia Objectives: The aim of this work is processing of the case study of a patient with diagnosis condition after bikondylar fracture of the proximal tibia, a summary of theoretical konwledge, designing therapy and monitoring its process. Methods: This work was created as a research with case study during continuous professional practice held from 21. 1. 2013 to 15. 2. 2013 in Vršovická zdravotní, a. s. The work is divided into two parts - general a special. The first (general) part deals with theoretical knowledge of anatomy, kinesiology of the knee joint, includes information on fractures (their classification, possible solutions, healing and complications and the possibilities of physiotherapy procedures. The second part (special) describes case study of a patient after bikondylar fracture of the proximal tibia, the process of suggested therapy and evaluation of its effect. Keywords: knee joint, tibia, osteosynthesis, physiotherapy, traumatology, rehabilitation
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Physiotherapy case study of a patient with ankle fracture
Olarová, Jevgenia ; Kučerová, Ilona (advisor) ; Křížková, Štěpánka (referee)
Title: Physiotherapy case study of a patient with ankle fracture Objectives: The aim of this thesis was to obtain and process the theoretical knowledge about anatomy and kinesiology of the ankle, phylogenesis and ontogenesis of the foot and about the mechanisms of a traumatic injury. Then there are also diagnostic and therapeutic methods mentioned. The aim of the practical part was a case study of the patient with such diagnosis together with the design of the therapy and its practical application. Methods: This thesis consists of 2 parts, a theoretical one and a practical one. The theoretical part delas with facts connected to the diagnosis of an ankle joint trauma, specificaly anatomy, kinesiology, biomechanice of the joint during walking, traumatology and treatment options. The practical part is devoted to the case study of physiotherapeutic care of a patient with such diagnosis. It contains an initional kinesiological analysis, short-term and long-term therapy schedule, therapy itself and the output kinesiological analysis together with an evaluation of the efect of therapy. The practical part was elaborated during the clinical practise at the Regional Hospital Kladno in a term of 8th January - 2nd February 2018. Results: After completing the set of therapies, the condition of the patient was...
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Case Study: Physiotherapeutic Treatment of Ankle Distorsion
Padevětová, Eliška ; Reckziegelová, Petra (advisor) ; Těšitelová, Pavlína (referee)
Title: Case Study: Physiotherapeutic Treatment of Ankle Distorsion Goals: The goal of this work is data collection and processing of theoretical information about ankle distorsion. Summary: The thesis consist of two parts, a theoretical one and practical one. The first one deals with facts connected to the diagnosis of ankle distorsion. Anatomy, kinesiology, possible causes and treatment options. The second part contains an initial kinesiological analysis, short-term and long-term therapy schedule, therapy itself and the output kinesiological analysis together with an evaluation of the effect of therapy. The practical part was conducted at The Centre of Locomotive Systém Treatment from 11.1. - 11.2. 2021 Keywords: physiotherapy, case study, ankle joint, traumatology, treatment of distortion
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Utilization of standardized tests in traumatology from physiotherapist point of view
Chaloupková, Veronika ; Nováková, Petra (advisor) ; Havlová, Martina (referee)
Title of bachelor thesis: Utilization of standardized tests in traumatology from physiotherapist point of view Abstract: This bachelor thesis brings a complete overview and comparison of standardized tests for lower extremities in patients after trauma of lower extremities. The thesis is divided into theoretical and practical part. The theoretical part describes the classification of injuries, general characteristics of standardized tests and standardized tests for lower extremities. The practical part consists of mutual comparing tests for evaluation of lower extremities, that could be used in a patient after trauma of lower extremities in terms of basic characteristics and parameters. Simultaneously three case studies are performed, where self-sufficiency has been evaluated using selected tests: Barthel Index and Modified Rivermead Index of Mobility and evaluation of functional lower extremity assessment using selected tests: Berg Balance Scale, Harris hip score, Oxford hip score, Oxford knee score, 2 minute walk test and Foot and ankle disability index. The testing was demonstrated at the beginning and end of the rehabilitation program with one-week distance. The results were evaluated and then compared. Key words: lower extremity, standardized tests, traumatology, measurement properties
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Rating scales in traumatology
PROKOPOVÁ, Martina
Modern lifestyle (technology, increasing intensity of sport activities, motor sports) results into increasing number of injuries and traumas and their seriousness. Injuries are at the first place in the assessment of cause of death among children and adults. Traumatology deals with prevention, diagnosis and treatment of injuries involving soft tissues, bones and joints. Traumatology should be considered as a complex diagnostic-therapeutic process, which includes medical history, clinical examination and imaging methods. Based on this examination, the diagnosis is made. Then comes therapeutical considerations and possibly a patient is indicated for surgery. Evaluation scales in nursing are elementary and integral part of nursing documentation. With their help, it is possible to define the object of observation and the way of evaluation (scoring of selected manifestations). Based on the received information it is then possible to precisely identify, objectify and document the problems arising in connection with nursing care. The result is finding an adequate solution to the problem and improving the quality of nursing care. Therefore, nurses should be equipped with basic skills on how to use the scales and how to work with them. The thesis is divided into two parts, a theoretical and an empirical one. The theoretical parts contains information about traumatology, its history and trauma centers in the Czech republic. It also contains information about nursing documentation, which includes assessment scales. We mainly focused on individual assessment scales for evaluation of state of consciousness, the risk of bedsores, the risk of falling and scales for evaluation of the degree of self-sufficiency. Among other scales we dealt with pain assessment, nutritional screening and screening tests for cognitive function evaluation. We have discussed these scales further in the text. The first part of the research part of this diploma paper was carried out in the form of a qualitative survey based on semi-structured interviews with nurses, working in the traumatology department. The interviews included basic and supplementary questions which were asked later, in case of need during the interviews with interviewees. The survey was conducted in April, in a trauma center in the Czech Republic. After finishing the interviews, the results were examined into detail by coding and categorization. The most important answers of the respondents were shown in the diagrams, which were created according to the defined categories. For the second group, a quantitative research, conducted in the form of an anonymous survey, was chosen - a survey with 50 respondents. This technique was chosen as a support for the received qualitative data. The goal of this thesis was to find out the use of assessment scales for evaluation of a patient in traumatology and at the same time to map the nurses´ point of view of the issue of using assessment scales in traumatology. To achieve the goal, following questions were formulated. RQ1: What assessment scales are used in traumatology for evaluation of patients? RQ2: How can the assessment scales contribute to improving the patient care? RQ3: Are the assessment scales actively used for determining the patient care intervention? RQ4: What is the opinion of nurses on using the assessment scales in traumatology? RQ5: What assessment scales are comfortable and beneficial for nurses to use in traumatology? During the research was found out that using of assessment scales results into improving the patient care, it helps us to regularly evaluate patient´s condition and to assess the risks the patient is during his/her hospitalization, endangered with. Although the nurses see the scales as beneficial, the scales are just another administrative burden for nurses in the traumatology department. However, the results of these scales are actively used to determine suitable intervention.
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