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Impact of the change in providing spa care according to the ordinance 267/2012 to the physiotherapy conception in the spa surrounding
PRAŽÁKOVÁ, Eva
My bachelor thesis deals with problems, that occurred after the cancellation of the Decree No. 58/1997 Coll. and the adoption of the Decree No. 267/2012 Coll. establishing a new indicator list for the Spa sanatorium rehabilitation care for adults, children and adolescents, when there have been significant changes in the area of Spa care. Significant changes occurred, for example in the length of stay in treatment, that was shortened to 14 days or 21 days and to changes in the overall indication of the spa treatment, when some disease it was not possible to draw a spa care at all. This resulted in serious problems for both the spa facilities, as well as for patiens. Physiotherapy as an important part of balneotherapy has a very close relationship to the overall concept of the Spa treatement and its effect depends to a large extent on the presence and frequency of other treatments. The first part of the theoretical work deals with a spa treatment, legislation of Spa care and impact which has occurred after the adoption of Decree No. 267/2012 Coll. The second theoretical part deals with the therapeutic methods in the Spa. The aim of the work was charting of physiotherapeutic procedures in the context of Spa care pursuant to decree 58/1997 Coll. and 267/2012 Coll.. For the processing of a qualitative research strategy was used the method of the personal case study. Research file consisted of three patients who have completed the three-week comprehensive spa treatment in Bertiny lázně in Třeboň. One patient was treated with rheumatoid arthritis and two patients with Bechterew's disease. All the listed patients visited the spa facilities regularly and repeatedly. For these respondents was conducted the subscription history, input and output kinesiological analysis. Input and output of kinesiological analysis contained the examination of aspects, palpation, examination of walk, antropometric examination, goniometric examination and examination of distance on the spine. Six individual therapies was done and a subjective evaluation of the results of therapy at the end. Physiotherapy treatment was evaluated according to the above regulations. For these three treated patients was noted a difference in the effect of the spa treatment in the three-week and the four-week stay. Extended stay brought the longer-term pain relief, improve mobility and overall had a long-term effect, thanks to the greater number of balneotherapy treatment and the greater number of physiotherapy. It also had a better effect on the psyche of the patient when the patient could rest during the longer stay and managed to learn exercises and consolidate new friendship. The good news is the adoption of the new law, when from 2015 the length of the Spa stay was set back to four weeks. In my bachelor thesis I'd like to point out the problems that caused the adoption of Decree No. 267/2012 Coll. Furthermore, public awareness on this issue could be improved in this way.
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