| Popis: |
This bachelor thesis deals with the possibilities of influencing the health status of patient with conservatively treated posdysplastic coxarthrosis through physiotherapy, as well as maintaining patient´s highest possible quality of life. The theoretical part includes a description of the hip joint anatomy, including the description of surrounding muscles and their function, which take part in the hip kinesiology. More detailed kinesiology and biomechanics are defined in a special chapter. Another section of theoretical part deals with the topic of physiological development of the hip joint, as well as the description of the nature of dysplasia. Furthermore, this part deals with the topic of osteoarthritis, with focus on osteoarthritis of the hip joint, caused by dysplasia. This chapter is directly followed by description of physiotherapeutic solutions for this problem. As the conclusion of the theoretical part is the description of the operational solutions and their indications. The aim of the theoretical part was to summarize the information about the kinesiology of the hip joint and the possible consequences of disrupting its physiology into a comprehensive set. Furthermore, the aim was to provide the summary of information about physiotherapeutic approaches and other solutions to this problem. This can be used as a more detailed informational material for patients, or as an ancillary material for physiotherapists. The practical part was realized with the use of qualitative research, from which were the obtained data processed in the form of individual case reports, which include both inputand output- kinesiological examinations, course of those therapies and long-term and short-term therapeutic plan. Three patients diagnosed with postdysplastic coxarthrosis participated in the study. In all tested probands, there was a certain kind of influence on functional pathological changes. Post-exercise and resting pain were alleviated. The therapy also brought positive changes in hip stabilization and increased the HSSP activation. Overall, there was an improvement in soft tissue adhesion and a reduction in pain produced by tissue reflex changes. Two patients also had a slight improvement in gait stereotype and overall posture. One of the results was also the stretching and light strengthening of certain muscles and muscle groups. |
