Case study of Physiotherapy Treatment of a patient with poly trauma of the right upper extremity
| Thesis title in Czech: | Kazuistika fyzioterapeutické péče o pacienta s polytraumatem na pravé horní končetině |
|---|---|
| Thesis title in English: | Case study of Physiotherapy Treatment of a patient with poly trauma of the right upper extremity |
| Key words: | Trauma, fracture, range of motions, shoulder, elbow, wrist, supination, pronation, upper extremity, ligament, tendon, muscle, joint. |
| English key words: | Trauma, fracture, range of motions, shoulder, elbow, wrist, supination, pronation, upper extremity, ligament, tendon, muscle, joint. |
| Academic year of topic announcement: | 2019/2020 |
| Thesis type: | Bachelor's thesis |
| Thesis language: | angličtina |
| Department: | Fyzioterapie (51-500400) |
| Supervisor: | Mgr. Kateřina Maršáková |
| Author: | hidden - assigned by the advisor |
| Date of registration: | 07.07.2020 |
| Date of assignment: | 07.07.2020 |
| Date and time of defence: | 30.06.2021 11:30 |
| Venue of defence: | FTVS UK, José Martího 269/31, Praha 6, UC1-1, C102, Seminární místnost katedry fyzioterapie |
| Date of electronic submission: | 25.05.2021 |
| Date of submission of printed version: | 28.05.2021 |
| Date of proceeded defence: | 30.06.2021 |
| Opponents: | Mgr. Ilona Kučerová |
| Preliminary scope of work |
| Careful preoperative evaluation, surgical timing, selected strategies of surgeries and early prolonged rehabilitation are one of the great importance in the influence of producing the most positive outcome for this type of traumatic injury.
In this thesis there are the theoretical and practical aspects of a case study of physiotherapy treatment of a patient with poly trauma of the right upper extremity and surgical repair of multiple fractures and dislocations of the right upper limb. The injuries include the fracture of the proximal humerus with dislocation, fracture of the olecranon process, communited fracture of the distal end of radius. The case study is based on clinical work performed at Oblastní Nemocnice Kladno during the time period of 26.01.21 – 22.02.21. The subject of study is a 64-year-old man who is hospitalized after having the surgery of right upper extremities due to the poly trauma due to the limited range of motions in his whole right upper extremity. Thesis is separated in to the two parts. First is general part which includes the anatomy, kinesiology, biomechanics of the whole upper extremities then the different kinds of the fractures and surgical approaches are being explained in the patient case. At the end there are some statics and information about the epidemiology of the trauma. The second part which is called special part, will start with the anamnesis of the patient complete information about the patient his chief complains, then it will be continued to the initial examinations by the therapist which has neurological, postural and muscular, joint, fascia and active of daily living examinations which started on the 04.02.2021 and 05.02.2021. Also, in these two days therapies were applied for the patient. Therapies were mostly emphasizing on the strengthening of the weakened muscles and decrease limitation of the fascia, muscle and the joints to increase the range of the motions of the right upper extremity. The methods used in the therapy for this case study was mainly manual techniques, active exercising and electro therapy. No invasive methods were used. There was a positive outcome of the applied therapy program. Both active and passive joint range of motion as well as muscle strength grades significantly increased at the affected shoulder, elbow and wrist joint, on the other hand the enhancement in the supination and pronation was observed but it was less prominent than other motions in the joints of the right upper extremity |
| Preliminary scope of work in English |
| Careful preoperative evaluation, surgical timing, selected strategies of surgeries and early prolonged rehabilitation are one of the great importance in the influence of producing the most positive outcome for this type of traumatic injury.
In this thesis there are the theoretical and practical aspects of a case study of physiotherapy treatment of a patient with poly trauma of the right upper extremity and surgical repair of multiple fractures and dislocations of the right upper limb. The injuries include the fracture of the proximal humerus with dislocation, fracture of the olecranon process, communited fracture of the distal end of radius. The case study is based on clinical work performed at Oblastní Nemocnice Kladno during the time period of 26.01.21 – 22.02.21. The subject of study is a 64-year-old man who is hospitalized after having the surgery of right upper extremities due to the poly trauma due to the limited range of motions in his whole right upper extremity. Thesis is separated in to the two parts. First is general part which includes the anatomy, kinesiology, biomechanics of the whole upper extremities then the different kinds of the fractures and surgical approaches are being explained in the patient case. At the end there are some statics and information about the epidemiology of the trauma. The second part which is called special part, will start with the anamnesis of the patient complete information about the patient his chief complains, then it will be continued to the initial examinations by the therapist which has neurological, postural and muscular, joint, fascia and active of daily living examinations which started on the 04.02.2021 and 05.02.2021. Also, in these two days therapies were applied for the patient. Therapies were mostly emphasizing on the strengthening of the weakened muscles and decrease limitation of the fascia, muscle and the joints to increase the range of the motions of the right upper extremity. The methods used in the therapy for this case study was mainly manual techniques, active exercising and electro therapy. No invasive methods were used. There was a positive outcome of the applied therapy program. Both active and passive joint range of motion as well as muscle strength grades significantly increased at the affected shoulder, elbow and wrist joint, on the other hand the enhancement in the supination and pronation was observed but it was less prominent than other motions in the joints of the right upper extremity |