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Viscerovertebral relations focusing on GERD.
Švorcová, Barbora ; Pánek, David (advisor) ; Martínek, Milan (referee)
I Abstract Title: Viscerovertebral relations focusing on GERD Objectives: The thesis is focused on describing viscerovertebral relations focusing on GERD and physiotherapeutic possibilities of using these relations to influence this disease. It is divided into two parts - theoretical and research. The aim of the theoretical part is to summarize the current knowledge about GERD and mentioned viscerovertebral relations focusing on specific technique - stimulation of the Chapman points. The aim of the research part is to present the study to assess the effect of stimulation of the Chapman points in physiotherapy of patients with GERD. Methods: The study consists of the application of a physiotherapy intervention to probands randomly divided into two groups - control and experimental. The intervention consisted of individual physiotherapy lasting approximately 45 minutes, once a week for 4 weeks, and self-therapy at home based on instructions. The therapy of both groups differed by the inclusion of the Chapman points stimulation in the experimental group. As a method of testing the effect of therapy, two standardized questionnaires were used to assess the symptoms and quality of life of patients with GERD - "GERD-HRQL" and "Relux symptom index podle Belafského ", which were presented to the probands before the...
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Changes of intracerebral activity during stimulation of the chest trigger zone according to the Vojta principle
Martínek, Milan ; Pavlů, Dagmar (advisor) ; Angerová, Yvona (referee) ; Řasová, Kamila (referee)
Title: Changes of intracerebral activity during stimulation of the chest trigger zone according to the Vojta principle Objective: The aim of this study is to examine whether stimulation of the chest trigger zone according to the Vojta principle results in changes of the brain electrical activity in the primary and secondary motor cortical areas evaluated in the sLORETA program. Methods: Seventeen healthy women aged 20-30 (25 ± 6.4) were involved in the experiment. Registration of the scalp EEG was performed with a special EEG cap. EEG was measured in all individuals with eyes closed in order to reduce ocular artifacts and to reduce visual afferentation. EEG activity was registered for 5 min at rest (PRE CE) prior to the actual reflex locomotion stimulation. Subsequently, the electrical activity was followed for 15 min during chest trigger zone stimulation (VOJTA CE). The experiment was terminated with the registration of the resting EEG recording until 5 min after the reflex locomotion stimulation of the trigger zone (POST CE). The obtained data were then statistically compared in the sLORETA program using a pairwise t-test with logarithmic transformation of the aliasing parameter 0,5 with permutation method using 5000 randomizations at the significance level p ≤ 0,05 with correlation for repeated...
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Case Study of Physiotherapy Treatment of a Patient after a Cuboid Fracture
Bargain, Marion ; Martínek, Milan (advisor) ; Nováková, Tereza (referee)
Title: Case Study of Physiotherapy Treatment of a patient after a Cuboid Fracture Objectives: The purpose of this Bachelor thesis is to address my patient's diagnosis after he had an occupational accident, and to describe the physiotherapeutic processes that led to his rehabilitation. X-Ray imaging undertaken just after his accident showed that the plantar and proximal edge of the cuboid of his left foot were broken off, as well as the lamella with decalcification. Main objective is to gain theoretical background/knowledge and processing of a case report of a patient after Cuboid fracture Methods: This thesis report, written by myself, under my professor's supervision, is divided into two main parts: The general part and the case study. The general part details all aspects of Cuboid bone fracture. It highlights important information on characteristics, pathology, epidemiology, and its pathokinesiological consequences for the musculoskeletal system. It also provides detailed research information on its examination and physiotherapeutic methods, procedures and prognosis and the effect of therapeutic approaches and procedures at the high level of Evidence Based Medicine (EBM). The second part of the report details the case study I conducted at Centrum Léčby Pohybového Aparátu (CLPA) during my clinical...
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Case Study of Physiotherapy Treatment of a Patient with Diagnosis morbus Parkinson
Silná, Karolína ; Martínek, Milan (advisor) ; Piruchtová, Karolína (referee)
Title: A case report of physiotherapeutic care for a patient diagnosed with Parkinson's disease. Objective: The aim of this bachelor's thesis in the theoretical part is to provide information on the diagnosis of Parkinson's disease, especially information on etiopathogenesis, diagnosis and treatment. The aim of the practical part is to process a case report of a patient suffering from this diagnosis and evaluate the effect of the performed physiotherapeutic intervention. Method: The general part includes theoretical information about Parkinson's disease in terms of pathophysiology, etiopathogenesis, clinical picture and other areas necessary for a comprehensive understanding of the diagnosis. There is also information on the treatment options for Parkinson's disease, including rehabilitation. The special part contains the case report of a patient diagnosed with Parkinson's disease, which arose within the bachelor's internships at Vršovická Zdravotní. Results: The goals of the theoretical and practical part were met. Following the evaluation of the effect of therapy, it can be concluded that the physiotherapeutic intervention described in the special section had a partial positive effect on the patient's condition. Keywords: Parkinson's disease, neurodegenerative disease, physiotherapy, case report
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Measuring electrical brain activity during stimulation of trigger zones from concept of Vojta principle
Martínek, Milan ; Pánek, David (advisor) ; Pavlů, Dagmar (referee)
Title: Measuring electrical brain activity during stimulation of trigger zones from concept of Vojta principle Objectives: The aim of this study is to clarify whether there is a change in the electrical brain activity evaluated by the sLORETA program during the stimulation of trigger zones according to the Vojta concept. The source activity during stimulation of trigger zones was scanned from the scalp EEG and compared with the sLORETA program with the source activity measured at rest, before and after the stimulation of the trigger zones. Methods: The research was conducted on 11 healthy adult subjects. The entire research group is consisted of women aged in range 19-32. The data was obtained from the scalp EEG before, during and after stimulation of trigger zones according to Vojta concept. For each proband the measurement of resting EEG with both open and closed eyes (2 x 10 minutes) was first performed, then the measurements were taken during the stimulation of trigger zones with open and closed eyes (2 x 15 minutes). Finally, a resting EEG was measured, alternating open and closed eyes after five minutes (4 x 5 minutes). There was a pause of at least 15 minutes between each stimulation of trigger zones. The order of open and closed eyes during resting EEG and during stimulation of trigger...
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Case Study of Physiotherapy Treatment of a Patient with the Diagnosis of Aquired Deformity of the Right Lower Limb
Opršalová, Jana ; Martínek, Milan (advisor) ; Šachová, Dana (referee)
This bachelor's thesis follows up on problematics of acquired deformation of the right lower limb on a complex scale. Thematically it divides into two main sections, general section, and special section. The general part deals with theoretical knowledge related to the diagnosis of the patient, description of anatomical structures in the areas of the shin bone and ankle joint, kinesiology of foot biomechanics, ossification of bones and fractures in ankle joint. The general part concludes physiotherapeutic care for the patient with this diagnosis. The Special (practical) part consists of the patient case report, namely the right lower limb deformity after the fracture of os tibiale externum which is treated surgically according to Kidner. During physiotherapeutic care non-invasive methods and approaches were used in scope of knowledge of physiotherapeutic bachelor study on Faculty of Physical Education and Sport at Charles University. The result of physiotherapeutic care was an improvement of the patientˊs clinical condition in almost all evaluated criteria. Key words: os tibiale externum, physiotherapeutic care, ankle joint, deformations of the lower limb
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Case study of physiotherapy treatment of a patient with a diagnosis of condition after distal radius fracture
Hrůzová, Eliška ; Martínek, Milan (advisor) ; Horáková, Alena (referee)
Title: Case study of physiotherapy treatment of a patient with a diagnosis of condition after distal radius fracture Objectives: The goal of this bachelor's thesis is to present the issue of distal radio fractures, based on the available literature and the elaboration of a case report, which describes the course of therapy of a patient after a distal radio fracture. Methods: The work consists of two parts. The general part describes the anatomy and kinesiology of the forearm and the hand. It contains the classification of fractures according to AO, diagnosis, and healing of fractures, as well as possible procedures for fracture therapy. Attention is then specifically focused on fractures of the distal radius, their classification, and the possibilities of physiotherapeutic care for the condition after. The second part contains a case report of physiotherapeutic care for a patient diagnosed with condition after a distal radius fracture, compiled at the MediCentrum in Prague in January 2021. The report provides the input and the output of kinesiological examination, a description of the course of individual therapies and the evaluation of the therapy. Results: During the therapy, the patient's condition improved in the following areas: reduction of swelling and pain, extension of joints, elimination...
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Case study of physiotherapy treatment of a patient after total knee replacement
Šimůnková, Tereza ; Martínek, Milan (advisor) ; Sohrová, Jana (referee)
Title of the thesis: Case study of physiotherapy treatment of a patient after total knee replacement Author: Tereza Šimůnková Head of the thesis: Mgr. Milan Martínek Year of defense: 2021 Objectives: The purpose of my bachelor thesis is to compose a case study of physiotherapeutic treatment of a patient after total knee replacement due to knee osteoarthritis during her stay at CLPA. Also, to present the theoretical foundation for the practical part of the thesis which focuses on the knee joint, knee osteoarthritis, conservative and surgical treatment, total knee replacement and following rehabilitation. Method: This bachelor thesis is divided into theoretical and practical part. In the theoretical part the topics of knee joint, knee osteoarthritis, total knee replacement and following rehabilitation are discussed. The practical part contains entry and leaving examination of a patient, goals and plans for rehabilitation and description of therapeutic units. The latter part is based on bachelor practice at CLPA in May 2020. Results: The physiotherapeutic methods used were effective. The physical condition of the patient improved.
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Case study of a physiotherapeutic treatment of a patient after total hip replacement
Králová, Petra ; Martínek, Milan (advisor) ; Nováková, Tereza (referee)
Author: Petra Králová Title: The case study of a physiotherapeutic treatment of a patient after total hip replacement Objectives: The objectives of this bachelor's thesis is to provide theoretical framework, to assess problematics of implantation of total hip arthroplasty and to introduce case study of a patient after total hip replacement and its subsequent rehabilitation care. Summary: The thesis is devided into two parts - general and specialized. General part provides conceptual framework and builds on existing literature of anatomy, kinesiology and biomechanics of the hip joint. It further informs about the most common diseases affecting the joint and analyzes problematics of total hip replacement for coxarthrosis. It serves as theoretical framework for second part. The specialized part contains a case study of a patient after total hip replacement and following rehabilitation care. During this case study, the author solely used noninvasive methods and approches, which had been acquired during bachelor's studies at The Faculty of Physical Education and Sport, Charles University. The conluding remarks of the bachelor's thesis include evaluation of the therapy results and effectivenes of each of the therapeutical approaches. Key words: hip joint, total endoprosthesis, osteoarthrosis, rehabilitation
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Case study of the physiotherapeutic treatment of a patient with total knee replacement
Blažek, Michal ; Martínek, Milan (advisor) ; Sohrová, Jana (referee)
This thesis deals with problematics of total knee arthroplasty (TKA) in a complex range. It is divided into two parts - the general one and the special one. The general part of the thesis targets on theoretical knowledge of the anatomy and kinesiology of the knee joint, knee arthritis and TKA as the most performed method of therapeutic intervetion in advanced stages of knee arthritis. Secondly, the special part contains the case study of the physiotherapeutic treatment in patient after TKA. Non-invasive methods and approaches in a range of the knowledge of the bachelor's studies on the Faculty of Physical Education and Sport, Charles University, were used during the pshysiotherapeutic treatment. Improvement of the patient's clinical status in almost all sections was the result of the physiotherapeutic intervention.
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