Physiotherapy for Women after Caesarean Section and Puerperium
Fyzioterapie u žen po porodu císařským řezem a v šestinedělí
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České vysoké učení technické v Praze
Czech Technical University in Prague
Czech Technical University in Prague
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Bakalářská práce se zabývá vlivem fyzioterapie na ženy po porodu císařským řezem v období šestinedělí. V kapitole současný stav je popsána anatomie a kineziologie břišní stěny, dále problematika císařského řezu zaměřující se na operační techniku, komplikace a zásady po porodu. Jsou zde shrnuty poznatky o jizvě včetně možností péče a poznatky o šestinedělí. Kapitola metodika je věnována vyšetřovacím a terapeutickým postupům použitým v praktické části. Speciální část je tvořena šesti kazuistikami žen ve věku 23-39 let. Každá kazuistika obsahuje vstupní vyšetření, rehabilitační plán, terapeutické jednotky a výstupní vyšetření. Ženy jsou rozděleny do dvou skupin, kdy první skupina absolvuje aktivní cvičení a manuální terapii na jizvu, zatímco druhá skupina využívá cross tejpy na jizvu. V závěru práce jsou prezentovány výsledky a shrnuty účinky terapie u obou skupin. Z výsledků vyplývá, že terapie u první skupiny měla pozitivní vliv na celkový stav žen, zatímco u druhé skupiny došlo k ovlivnění na lokální úrovni.
The bachelor thesis deals with the effect of physiotherapy on women after caesarean section during the postpartum period. In the current state chapter, the anatomy and kinesiology of the abdominal wall is described, as well as the issues of caesarean section focusing on the surgical technique, complications and the principles of physiotherapy after delivery. There is information about the scar including the possible therapeutic approach and information about the postpartum period. The methodology chapter is dedicated to the examination and therapy methods used in the practical part. The special part consists of six case reports of women at the age of 23 to 39. Each case report contains the initial examination, rehabilitation plan, therapy units, and the final examination. The women are divided into two groups, where the first group undergoes an active exercise program and manual scar therapy, while the second group applies cross tape over the scar. In the final part of the thesis, the results and the effect of therapy on the groups is presented. The results show that the therapy for the first group had a positive effect on the women´s overall condition, while the second group was affected on a local level.
The bachelor thesis deals with the effect of physiotherapy on women after caesarean section during the postpartum period. In the current state chapter, the anatomy and kinesiology of the abdominal wall is described, as well as the issues of caesarean section focusing on the surgical technique, complications and the principles of physiotherapy after delivery. There is information about the scar including the possible therapeutic approach and information about the postpartum period. The methodology chapter is dedicated to the examination and therapy methods used in the practical part. The special part consists of six case reports of women at the age of 23 to 39. Each case report contains the initial examination, rehabilitation plan, therapy units, and the final examination. The women are divided into two groups, where the first group undergoes an active exercise program and manual scar therapy, while the second group applies cross tape over the scar. In the final part of the thesis, the results and the effect of therapy on the groups is presented. The results show that the therapy for the first group had a positive effect on the women´s overall condition, while the second group was affected on a local level.