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Dysmenorrhea and conservative approach to affect painful menstruation - questionnaire survey
Tipplová, Eliška ; Křivánková, Markéta (advisor) ; Hošková, Blanka (referee)
Title: Dysmenorrhea and conservative approach to affect painful menstruation - questionnaire survey Objectives: The aim of this thesis is to use a questionnaire survey to obtain information on how often painful menstruation (dysmenorrhea) occurs in women. Following this, an analysis of this data will be carried out in order to assess the possibilities of influencing and preventing painful menstruation using conservative methods, especially exercise. Methods: For the theoretical part of the thesis, a literature review was carried out. research from various sources, including the libraries of the Faculty of Physical of Charles University and the 3rd Faculty of Medicine Charles University, English-language articles, studies and university theses from databases Web of Science, Pubmed, and Theses.cz. The practical part consists of questionnaires survey and subsequent data analysis together with the results. Results: The results of my research indicate that out of a total of 576 respondents aged 15 to 30 years, up to 78 % of women suffer from painful menstruation, which indicates a high prevalence of this problem in this population. An interesting finding is that of the sample of 162 women taking contraceptives, 73 % still experience pain during menstruation, suggesting that contraception may not be a...
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Physiotherapeutic procedures in the treatment of postpartum stress incontinence
MARELOVÁ, Alžběta
This bachelor thesis focuses on physiotherapeutic procedures in the treatment of postpartum stress incontinence. It is divided into theoretical and practical parts. One of the aims of my thesis is to describe the therapeutic approaches that can be used to treat postpartum stress incontinence. Then, in the theoretical part, I focus on describing the postural changes caused by pregnancy and the period during the postpartum period. The last aim is to describe the effect of the chosen therapy on the woman's posture and the impact on quality of her life. In the theoretical part, information on the current state of the problem is given, as well as the anatomy and physiology of the organs in the body. The following chapter deals with stress incontinence, specifically its classification, epidemiology, etiology, diagnosis and treatment. The next chapter deals with the changes on a woman's body during pregnancy, and last but not least, there is a chapter discussing pelvic floor problems and the possibilities of physiotherapeutic procedures to affect (not only) the pelvic floor muscles. The practical part describes the methodology of the work, the examination content and the results are noted in the form of case reports. In total, there are case reports of 2 probands, who were at different times after childbirth and suffered from different degrees of stress incontinence after childbirth. For 10 weeks the probands practiced the given exercises, a description of which can be found in one of the chapters. At the same time, their examples can be seen in the photographs in the booklet, which is included in the appendices. The work can be an inspiration for physiotherapists who work with the pelvic floor area or specifically with women after childbirth. It can also be useful to anyone dealing with a problem in the pelvic floor area. The booklet can be the first step in solving it, as it contains educational information as well as basic exercises for the pelvic floor muscles.
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Evaluation of children with fecal incontinence.
Damková, Adéla ; Lepšíková, Magdaléna (advisor) ; Havlíčková, Michaela (referee)
The bachelor's thesis on the possibilities of objective examination of children with fecal incontinence is presented in the form of a review with case studies. The introductory theoretical part is devoted to the basic anatomical knowledge of the pelvic floor, the physiology of the defecation process, micturition, and the mechanism of fecal incontinence, as well as the often associated urinary incontinence. Furthermore, the causes of fecal incontinence with regard to the pediatric population are mentioned. The special section includes methods of evaluation and examination of fecal incontinence used in pediatric patients, and last but not least, the issue of biofeedback as a therapy aimed at strengthening the pelvic floor muscles is presented. The practical part of the thesis includes two case studies of patients, which include an initial kinesiological examination, therapy description, and photo documentation.
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The effect of endometriosis on pelvic floor function
Vaňková, Eva ; Šafářová, Marcela (advisor) ; Havlíčková, Michaela (referee)
Thesis focuses on the comparison of results obtained from the questionnaires MEDI-Q, PFIQ-7 and a questionnaire designed by the author between a group of women diagnosed with endometriosis who have not undergone surgery and a control group without dysmenorrhea. The theoretical part is dedicated to the etiology and clinical symptoms of the disease, mentioning risk factors, classification, diagnostical methods and treatment options. The thesis also mentions the typical postural findings in patients with endometriosis after a literature review. Methodology: A total of 110 women were included in the study, 49 with endometriosis and 61 in a control qroup. Women completed the above-mentioned questionnaires electronically on the 1st day of their menstrual bleeding. Recruitment of subjects was mainly through the social network. Results: Significant differences (p <0.001) were demonstrated between the two groups using the MEDI-Q and PFIQ questionnaires with the endometriosis group achieving higher scores. Different types of endometriosis have varying distributions of symptoms within pelvic floor dysfunction. Almost 9/10 women with endometriosis need to suppress pain associated with menstrual cycle with analgetics for more than 1 day and often suffer from chronic pelvic pain. Discussion: Women with endometriosis have...
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Prevalence and severity of sexual dysfunctions in patients with selected rheumatic diseases and the effect of specialized physiotherapeutic intervention on the sexual health of these patients
Heřmánková, Barbora ; Tomčík, Michal (advisor) ; Horák, Pavel (referee) ; Suchý, David (referee)
Introduction: Rare rheumatic diseases, such as systemic sclerosis (SSc) and idiopathic inflammatory myopathies (IIM), are severe autoimmune diseases characterized by multiorgan involvement and often significant functional impairment that are chronic and progressive in nature. Severe clinical manifestations of SSc and IIM are often associated with significant deterioration of all aspects of quality of life, including sexual function. Only a low number of studies have addressed sexual health in patients with SSc and IIM, which are limited by small sample size, the use of non-standardized scales, or poor methodological quality. In addition, none of the studies evaluated pelvic floor function and its relationship to sexual function in patients with these diseases. Objectives: The aim of this work was a cross-sectional evaluation of the prevalence and severity of sexual dysfunction and pelvic floor dysfunction in women and men with SSc and IIM compared to sex-/age-matched healthy controls (HC). Furthermore, we aimed to evaluate the association between sexual dysfunction/pelvic floor dysfunction and disease-related features. Finally, our goal within the pilot project was to evaluate the effect of an 8-week physiotherapy program on sexual function in women with SSc and IIM. Methods: This work consists of...
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Finding the proportion of levator and fascial trauma of the pelvic floor in the development of symptoms pelvic organ prolapse - the effect of vaginal birth
Horčička, Lukáš ; Krofta, Ladislav (advisor) ; Halaška, Michael (referee) ; Chmel, Roman (referee)
Determination of the proportion of levator and fascial trauma of the pelvic floor in the development of symptoms of the descent of pelvic organs - the influence of vaginal birth Abstract Injury of levator ani muscle (LAM) is a significant pelvic organ prolapse (POP) risk factor. The puborectalis (PRM) and pubvisceral (PVM) subdivisions are at Level III vaginal support structures. Null hypothesis - there were no significant differences in muscle injuries patterns among LAM subdivisions. This retrospective magnetic resonance imaging (MRI) study included: 64 nulligravidae controls without pelvic floor dysfunction (PFD) and 526 POP symptomatic women of different parity. Primary outcome was PVM and PRM morphology on axial planes 1/ the place of the attachment to the pubic bone, 2/ visible separation/border between PVM and PRM. The attachment was scored as "normal" or "abnormal". The "abnormal" was divided in two types: a) "Type I" - loss of the muscle substance, but maintenance of the overall muscle architecture, b) "Type II" - muscle detachment from the pubic bone. The puboanalis (PAM) subdivision was evaluated as representative part of PVM. PAM and PRM attachments and separation were distinguished in all control cases. PAM and PRM attachments did not significantly differ. POP group characteristics were:...
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Possibilities of preventing painful menstruation and the specifics of women in sports
Strolená, Alena ; Křivánková, Markéta (advisor) ; Nováková, Pavlína (referee)
Title: Possibilities of preventing painful menstruation and the specifics of women in sports. Objectives: The aim of this thesis is to compare methods focusing on exercise eliminatig or alleviating menstrual pain and also describe the specifics of women in sports in more detail. Methods: The main research method of the theoretical part of this diploma thesis is a search of Czech and foreign literature available from the university libraries of the Charles University, the Regional Science Library in Liberec, and then expert articles from the scientific databases Web of Science, Scopus and Pubmed. The practical part uses a method of comparison. Results: Premenstrual syndrome is followed by both emotional and physical changes. The occurrence and intensity of this syndrome is caused by neurohormonal and neurotransmitter changes, but also by the woman's lifestyle (symptoms worsened by stress, poor nutrition). There is also a close connection with painful menstruation (so-called dysmenorrhoea) and improper function of the pelvic floor muscles. Well-known methods focusing on pelvic floor exercises include the Moses Method, Kegel exercises, DNS method, and hormonal yoga. Three studies focused on Kegel exercises showed an improvement in the course of PMS and a decrease of incontinence, with the DNS method...
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Myofascial pain syndrome in the pelvic area
Hujová, Kateřina ; Bitnar, Petr (advisor) ; Langerová, Marie (referee)
Myofascial pain syndrome (MFBS) in the pelvic region is characterized by the presence of trigger points (TrPs) in the pelvic floor (PF) muscles and pain that is localized directly in the pelvis but simultaneously radiates to surrounding structures. This pain is often difficult to distinguish from internal complaints, which are often mimiced or accompanied by the pain. This bachelor's thesis addresses the subject of pain in the pelvic region and TrPs, which are related to myofascial structures, particularly PD. In the theoretical part, it aims to bring together the existing knowledge on MFBS with a narrower focus on the pelvic region and to present a comprehensive examination procedure and treatment options. The examination of PD in MFBS should be comprehensive, including history, palpation, dynamic tests and pelvic region specific tests. Therapy is initiated with manual techniques (MT), includes therapeutic physical education (TPE) methods to integrate the pelvis into global movement patterns. Training awareness of PD and the ability to relax it play an important role as well. The psychological side of the person should not be neglected, as pelvic difficulties are related to the intimate parts, in many cases reducing the quality of life and limiting the performance of daily activities. For five...
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Možnosti fyzioterapie na zmírnění menstruačních potíží
MIZON, Ruby
The subject of the bachelor thesis are menstrual disorders and symptoms we may encounter in practice. The thesis describes functional disorders of the locomotor system that can be related to menstrual disorders. Via three case studies and available literary sources the thesis describes possible physiotherapy options to influence these conditions.
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The role of physiotherapy in pregnancy
MIXOVÁ, Gabriela
This bachelor thesis deals with the pregnancy and the role of physiotherapy in pain relief of musculoskeletal system during this period. The bachelor thesis includes theoretical and practical part. The goal of the theoretical part is to provide basic information about pregnancy and changes in the reproductive system, respiratory system, gastrointestinal tract, urinary tract, circulatory system and especially changes of musculoskeletal system, which accompany this period. Further in this part there can be found anatomy and kinesiology of the pelvic area, the spine area and the foot area. The theoretical part also deals with suitable and unsuitable physical activities in the pregnancy, principles of exercise during the pregnancy and finally the art deals with physiotherapeutic methods, which can be used in the pregnancy. The goal of the practical part is to assess the effect of the physiotherapy on problem solving of musculoskeletal system in pregnancy. Three pregnant women in the II. - III. trimester were used in the practical part. Women underwent a total of eight therapies 1x in 1 - 2 weeks. The case reports include anamnesis and initial examination. Further in this part there are described individual therapies designed for each respondent individually. An interview with the patient was conducted at the beginning of each therapy. During the interview I was examining what changed since the last meeting. After completion of all therapies an output kinesiological examination was performed and the results of the therapy were evaluated. The pregnant women may use this bachelor thesis for drawing inspiration for pain relief of musculoskeletal system. Further the bachelor thesis could be useful for both professionals and laypersons, who are interested in the issue.
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