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Možnosti fyzioterapie u syndromu panické ataky
MAŠEJA, David
The bachelor's thesis deals with the possibilities of physiotherapy in the context of panic attack syndrome or panic anxiety disorder. In the introduction of the theoretical part I dealt with the issue of anxiety disorders, specifically panic anxiety disorder. I tried to give the reader an overview of the characteristics, clinical course and treatment of the disorder. I also discussed studies that dealt with the possible relationship between postural and psychological state of the individual. The following part of the theoretical section is devoted to the anatomy of the spine and thorax, where I also described the pathologies I encountered and focused on during my therapy with patients. The aim of this thesis is to map postural disorders in individuals suffering from panic anxiety disorder and to propose a therapy aimed at eliminating these disorders. The research population consisted of three participants aged 21-26 years who were diagnosed with panic anxiety disorder. They were two males and one female. Seven sessions were conducted with each participant over a two-week period. In the first therapy, I conducted an initial assessment that included a kinesiological analysis. The first therapy also included an interview with the patients about the course of panic anxiety disorder. I tried to map the postural disorders that I would like to focus on in the following therapies. Each therapy I tried to influence these disorders primarily through manipulative treatment, with each proband having individually designed exercises to influence the musculoskeletal system. During the therapies, I discussed the psychological state with the probands and asked about changes in the course of the anxiety disorder. In the final session, I conducted an exit examination and recommended probands to continue the assigned exercises. The assessment was done by comparing the initial and exit examinations and using a visual analogue scale that was presented to the participants at the first and last therapy sessions. This bachelor thesis can serve as an inspiration and source of information for further research that deals with the influence of physiotherapy on the course of anxiety disorders.
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Comparison of postoperative analgesia in ICU
Trojanová, Eva ; Bruthans, Jan (advisor) ; Pavlíček, Bohumil (referee)
The thesis deals with comparing the postoperative analgesia with a focus on pacients after hip replacement surgery at the intensive care units. The quantitative study realized at the Fakultní nemocnice v Motole and Nemocnice Třebíč during November 2012 and February 2013. The main task of the theoretical part is to analyze the current trends in the field of post- operativeanalgesia by the patients undergoing hip joint surgery as well as the explanation the basicconcepts of this issue and overviewing the international postoperative pain treatments. The practical part is an objective comparison the postoperative analgesia byselected patients at the Fakultní nemocnice v Motole and Nemocnice Třebíč determined by questionnaire. The results of the questionnaire are processed into graphical representation and subsequently evaluated. The work serves to clarify the overall issue of post-operative analgesia. The focus is mainly on ensuring the quality of postoperative analgesia, the financial requirements administered analgesics and the possible complications associated with the use of analgesic therapy. Key words: Analgesia, pain, hip surgery, visual analogue scale, analgesics
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Assesment of quality of postoperative analgesic care
Rákosová, Andrea ; Burišková, Klára (advisor) ; Hakenová, Renata (referee)
Introduction: The acute postoperative pain management is recently a concern of many expert committees and professional associations. The evidence of an increased interest in this issue is the Practice Guidelines for Acute Pain Management released by American Pain Society. According to these recommendations, the pain should be monitored as a fifth vital function. As a logical consequence of modern trends of pain management, Czech Society of Anaesthesiology and Intensive Care Medicine issued guidelines for acute pain management in postoperative setting. This paper is an attempt to describe and evaluate the quality of postoperative analgetic care after total knee and hip replacements in a selected institution's department.………………………………..…………………………………… Methods: The aim of our empirical survey was to assess the level of quality of postoperative care and analgesia in the selected department. We focused mainly on the question of pain trivializing from the nurses side, their approach towards patients suffering from acute pain and, finally, the level of patient's awareness of pain intensity assessment systems and treatment options. Using the quantitative research methods, we evaluated the differences in perceiving of postoperative pain treatment quality from patient's and nurse's point of view. The survey...
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The application of combination therapy in the treatment of cervical and lumbar spine pain
Zakucia, Klára ; Musilová, Mirka (advisor) ; Demeková, Júlia (referee)
This bachelor thesis deals with the effect of combination therapy (simultaneous application of electrotherapy and therapeutic ultrasound) in the treatment of vertebral algic syndrome in the cervical spine and lower back with a significant functional component (trigger points) without radicular symptoms. Furthermore, the effect of the treatment is compared with the effectiveness of transcutaneous electroneurostimulation. The theoretical part of this bachelor thesis is devoted to the description of the vertebral algic syndrome and the used treatment methods. The research part is focused on verifying the effects of combination therapy and transcutaneous electroneurostimulation, using each method in combination with individual therapeutic exercise. A total of twenty adult participants were included in the study, ten of whom were treated with combination therapy and ten were treated with transcutaneous electroneurostimulation. The effects of the therapies have been evaluated using selected pain questionnaire methods (visual analog scale, short form of the McGill Pain Questionnaire, Neck Disability Index, Oswestry Disability Index) and combination therapy intended for diagnostic purposes. The results of these measurements showed that the use of combined therapy and TENS reduces the intensity of pain,...
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Comparison between the Effectiveness of Extracorporeal Shockwave Therapy (ESWT) and the Surgical Approach in the Treatment of the Rotator Cuff Tendinopathy: A Literature Review
Saqqa, Mohammed Maher H ; Pavlů, Dagmar (advisor) ; Vomáčková, Helena (referee)
Title Comparison between the effectiveness of extracorporeal shockwave therapy (ESWT) and the surgical approach in the treatment of the rotator cuff tendinopathy. Objective The main goal of this research work is comparing the effectiveness of extracorporeal shock wave therapy and the surgical intervention (arthroscopic approach) in the treatment of calcific rotator cuff tendinopathy depending on the outcome measures of the Constant-Murley Score (CMS), and the Visual Analogue Scale (VAS) from the recent scientific publications. Methodology This thesis is systemic (literature) review. The studies which recruited in this research were randomized controlled trials, prospective studies, and retrospective case series studies which written in English language form, and published between the year 2000 to the year 2018. The studies were retrieved from following databases: EMBASE, PubMed, CINAHL, Medline, SpringerLink, ProQuest using different integrations of the key words. The participants in the studies were from both genders and all ages. The type of the pathology which included in this research was chronic calcific rotator cuff tendinopathy. Regarding the intervention types both Radial, and Focused ESWT with low, medium, and high intensities and the arthroscopic interventions were the main types of...
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Assesment of quality of postoperative analgesic care
Rákosová, Andrea ; Burišková, Klára (advisor) ; Hakenová, Renata (referee)
Introduction: The acute postoperative pain management is recently a concern of many expert committees and professional associations. The evidence of an increased interest in this issue is the Practice Guidelines for Acute Pain Management released by American Pain Society. According to these recommendations, the pain should be monitored as a fifth vital function. As a logical consequence of modern trends of pain management, Czech Society of Anaesthesiology and Intensive Care Medicine issued guidelines for acute pain management in postoperative setting. This paper is an attempt to describe and evaluate the quality of postoperative analgetic care after total knee and hip replacements in a selected institution's department.………………………………..…………………………………… Methods: The aim of our empirical survey was to assess the level of quality of postoperative care and analgesia in the selected department. We focused mainly on the question of pain trivializing from the nurses side, their approach towards patients suffering from acute pain and, finally, the level of patient's awareness of pain intensity assessment systems and treatment options. Using the quantitative research methods, we evaluated the differences in perceiving of postoperative pain treatment quality from patient's and nurse's point of view. The survey...
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Comparison of postoperative analgesia in ICU
Trojanová, Eva ; Bruthans, Jan (advisor) ; Pavlíček, Bohumil (referee)
The thesis deals with comparing the postoperative analgesia with a focus on pacients after hip replacement surgery at the intensive care units. The quantitative study realized at the Fakultní nemocnice v Motole and Nemocnice Třebíč during November 2012 and February 2013. The main task of the theoretical part is to analyze the current trends in the field of post- operativeanalgesia by the patients undergoing hip joint surgery as well as the explanation the basicconcepts of this issue and overviewing the international postoperative pain treatments. The practical part is an objective comparison the postoperative analgesia byselected patients at the Fakultní nemocnice v Motole and Nemocnice Třebíč determined by questionnaire. The results of the questionnaire are processed into graphical representation and subsequently evaluated. The work serves to clarify the overall issue of post-operative analgesia. The focus is mainly on ensuring the quality of postoperative analgesia, the financial requirements administered analgesics and the possible complications associated with the use of analgesic therapy. Key words: Analgesia, pain, hip surgery, visual analogue scale, analgesics
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The influence on postoperative analgesia by preemptive analgesia
Fricová, Jitka ; Stříteský, Martin (advisor) ; Štípek, Stanislav (referee) ; Kršiak, Miloslav (referee)
The aim of our study was to assess the changes of free radicals and other biochemical parameters after nociceptive stimulation in different experimental animal models. In patiens we detected whether preemptive analgesia had a positive effect on acute postoperative pain. Objective evaluation of pain intensity is a long-term problem because the objectification of using electrophysiological and imaging methods is currently difficult and expensive, and therefore in laboratories in the Czech Republic and many other places are used the evaluation by means biochemical methods. We implemented large experimental studies using mechanical, inflammatory and visceral nociception and we found out in particular that nitroxid and hydroxyl free radicals and singlet oxygen increased significantly after nociceptive stimulation. This increase can be suppressed by antioxidants. At the same time, we showed that some parameters of metabolism lipids, carbohydrates and proteins have also been changed. In particular, we measured the free hydroxyl radicals and singlet oxygen by EPR method in the tail of living and anesthetized rats. This method is absolutely a priority and has never been used before. Earlier experimental results were partially clinically verified using different types of acute and chronic pain in humans...
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Influence of compensatory exercises in hockey players focused on pain conditions of back
SKRYJA, Libor
The theory is aimed to familiarize the given issues. This part describes the basic anatomy of the spine, including the biomechanics of walking. Great attention is given to the sensorimotor stimulation and the options of its usage. The practical part was processed by means of qualitative research. The research part includes 5 respondents who play ice hockey and who suffer from back pain. In the practical part the anamnesis was removed and a functional diagnosis was executed. Standing was examined by complexion and a dynamic test in the standing position was carried to verify the possible infringement of the musculoskeletal system. Another two parts were testing of the shortened and weakened muscle groups and the stereotype of activation of specific muscle groups. The probands were educated on the issue by means of pictures and text; others additionally underwent palpation examination including the application of soft techniques and the use of PIR. The therapy included five visits over some time. Some probands were educated on the possible activation of HSS in the future therapies; a practical demonstration including exercises was demonstrated to some of the probands. At the end of each visit (15) a visual analogue scale (VAS) was collected to evaluate the pain perception. Some probands were examined, rehabilitated and assessed in groups, some as individuals. In terms of overall assessment of the possible improvements in removing the issue an output test of functional diagnosis was carried out and VAS was collected after the final fifth visit. The data were obtained by collecting VAS during the individual visits and through these data an overall pain perception in the context of possible removal was evaluated. The aim of this bachelor's thesis is to survey and process how back pain can be affected. The collected data shows that all the individuals who underwent group or individual therapy achieved a positive result. Back pain is typical when having poor posture and the increasing tension in the muscle tissue and the formation of so-called trigger points (TrPs) occurs.
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