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Case Study of Physiotherapy Treatment of a Patient after a pertrochanterie fracture of the left femur
Zervidis, Petros ; Malá, Jitka (advisor) ; Hlinovská, Jana (referee)
Title: A case study of physiotherapy treatment of a patient after a pertrochanteric fracture of the left femur. Thesis aim: The aim of this thesis is to evaluate the effects of the physiotherapy treatment that was provided to a patient who suffered a pertrochanteric fracture of the left femur. The first part of the thesis is intended to provide theoretical knowledge of the anatomical, kinesiological, and aetiological background of the pertrochanteric fracture, while also discussing potential physiotherapeutic approaches. The second part of this thesis illustrates the practical physiotherapeutic approach to a patient who suffered a pertrochanteric fracture of the left femur. Clinical findings: This case study is evaluating the condition of an 85-year-old patient who underwent an osteosynthesis surgical procedure after experiencing a pertrochanteric fracture of the left femur. The assessment took place 4 days post-surgery and illustrated a significant limitation of ROM on the operated side along with several musculoskeletal defects. Methods: All the methods and procedures incorporated in this work were based on the literature suggested by Charles University in Prague, Faculty of Physical Education and Sports. Result: After 11 sessions of physical therapy there was a notable improvement in the...
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Comparison of the effects of manual techniques and radial shock wave in the area of the myofascial trigger point.
Bohatý, Pavel ; Malá, Jitka (advisor) ; Vomáčková, Helena (referee)
Author: Bc. Pavel Bohatý Title: Comparison of the effects of manual techniques and radial shock waves in the area of the myofascial trigger point. Objectives: The main focus of this thesis is to compare the effect of treatment using radial shock wave and selected manual techniques. Methods: In this diploma thesis, the Wagner FDIX Force digital pressure algometer was first used to evaluate the effectiveness of both experimental methods to examine the pressure pain threshold, then a Visual Analogue Scale for pain and a two-arm goniometer to examine range of motion to the lateroflexion of cervical spine to opposite side from the occurring MTrp. The outcome data was stored in Microsoft Excel 365. Basic descriptive statistic was used for data analysis using mean values, medians, standard deviations, etc. Due to the heterogeneity of input values in both groups, a regression model and nonparametric Mann-Whitney U-test was used. The significance level for statistical tests was set at α = 0.05. Results: A total of 31 probands were involved in the research, of which 16 underwent radial shock wave therapy and 15 using manual techniques. A statistically significant improvement was measured in the group undergoing radial shock wave therapy in the examination of the pressure pain threshold at the 1st session (by...
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Physiotherapy methods used in the treatment of cervicobrachial syndrome: literature review
Smutná, Dominika ; Pavlů, Dagmar (advisor) ; Malá, Jitka (referee)
Title: Physiotherapy methods used in the treatment of cervicobrachial syndrome: literature review Objectives: The aim of this thesis is to evaluate which physiotherapeutic methods are used in the treatment of cervicobrachial syndrome and to evaluate which ones appears to be the most effective. Also the thesis is summarizing the current knowledge of the cervicobrachial syndrome. Methods: The thesis is processed in the form of literature review and has an analytical-descriptive character. A total of 918 studies were searched using keywords in the online databases PubMed, Scopus, MEDLINE and Web of Science. Based on the established criteria and procedures, which are described in the methodology chapter, a total of 15 studies were selected and analyzed. Results: A total of 15 studies met the criteria of this diploma thesis. From the selected studies, it appears, that manual therapy is currently used the most. Specifically, the neural mobilization techniques, cervical traction, mobilization and manipulation techniques according to Maitland or mobilization techniques according to Mulligan. Due to the small number of the studies, however, it is not possible to clearly answer which method is the most effective, but the most studies were focused on manual therapy. Keywords: cervicobrachial syndrome,...
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Conservative treatment of proximal humerus fractures in elderly people - literary research
Holubová, Šárka ; Šorfová, Monika (advisor) ; Malá, Jitka (referee)
Title: Conservative treatment of proximal humerus fractures in the elderly: literature review Objectives: The aim of this thesis is a search processing mostly foreign available sources in the field of proximal humerus fractures in the elderly. The analyzed studies focus on the effectiveness of early therapy using early mobilization and also on the aspects that lead to the persistence of problems related to this diagnosis in the elderly. These studies are evaluated and compared on the basis of theoretical knowledge of the issue. The purpose of this work is to obtain an up-to-date overview of the issue and to present evidence of the effectiveness of this type of treatment. Methods: The diploma thesis is processed in the form of a literary research. The sources were researched in the PubMed, PEDro, MEDLINE, EBSCOhost, Scopus and Web of Science databases. The first part of the thesis contains a theoretical introduction to the issue of aging and related changes, it also focuses on fractures of the proximal humerus and their treatment. The second part of the work has a descriptive - analytical character and contains an analysis of selected studies that focus on the evaluation of early therapy after fractures of the proximal humerus. Results: At the end of the search, 6 studies focusing on early therapy...
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Scheuermann's disease and its most recent approaches to conservative treatment - systematic review
Kapustová, Eliška ; Pavlů, Dagmar (advisor) ; Malá, Jitka (referee)
Title: Scheuermann's disease and its most recent approaches to conservative treatment - a systematic review Objective: This diploma thesis aims to evaluate the most commonly used therapeutic approaches in adolescents with Morbus Scheuermann and analyze which of the physiotherapeutic approaches are most effective. Methods: This diploma thesis is processed as a systematic review search using databases PubMed, Scopus, EBSCOhost, Web of Science, Science Direct. The first part of this thesis contains the current knowledge and theoretical bases of Morbus Scheuermann. The second part has a descriptive-analytical character. It contains an analysis of a study where was used conservative movement therapy. Results: After the final review of the studies, only 1 study was qualified to be included in this research. The study examined the effectiveness of treatment of Scheuermann's disease using the Schroth method. Because only one study was used in the review, it is not possible to evaluate the results of the studies. It is also not possible to interpret, which conservative therapy is the most effective. However, the study showed higher effectiveness of therapy in patients enrolled in the intervention group, using the Schroth method. Keywords Morbus Scheuermann; juvenile kyphosis; Scheuermann's kyphosis;...
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Effect of strength training in improving range of movement.
Hradcová, Veronika ; Malá, Jitka (advisor) ; Šorfová, Monika (referee)
Title: Effect of strength training in improving range of movement - a systematic review Objective: The aim of this diploma thesis is to find answers to research questions in a form of systematic review and to evaluate if strength training has effects on improving range of movement, or if it restricts it or if it doesn't affect it at all. This systematic review also aims to find out how many researchers are inclined to these individual influences of strength training. Method: The Google scholar, PubMed and Web of Science databases were selected for the study search, in which 140 studies were found on basis of established criteria, which were complemented by 4 studies from other sources, from which 128 were subsequently obtained after removing duplicates. An abstract of these studies was studied, of which 95 studies were unsuitable and were therefore excluded. The remaining 33 studies were further studied and, if they met the criteria of at least one research question, were subseqently included in present review. A total of 18 studies were included in present review, which were further classified into research questions according to additional criteria. For each research question, the studies were evaluated separately and the results of the studies were clearly recorded in a table for subseqent...
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Electromyographic study of selected neck muscles in patients with torticollis
Pospíchalová, Tereza ; Pánek, David (advisor) ; Malá, Jitka (referee)
Title: Electromyographic study of selected neck muscles in patients with torticollis Objectives: The aim of the study was to determine the electrical muscle activity and the symmetry of the electrical muscle activity of selected neck muscles in patients with torticollis during flexion in three different positions - standing, sitting, lying on the back. Methods: The study involved 8 probands aged 27 - 60 years. The Noraxon TeleMyo 2400T G2 surface electromyography device for telemetry data transmission technology with a sampling frequency of 1500 Hz was used for the measurement. The surface electrodes were applied to five target muscles bilaterally, namely the sternocleidomastoid muscle, scaleni muscles, suprahyoid muscles, infrahyoid muscles and trapezius muscle upper part. Subsequently, the probands performed cervical spine flexion fifteen times in a randomized order of positions in synchronism at the same speed by setting the metronome to 60 bpm. The electrical muscle activity of the examined muscles was used in average %MVC values in comparison right/left, as well as changes in average %MVC values depending on positions and symmetry of electrical muscle activity during neck flexion using Pearson's correlation coefficient. Results: The values of the average %MVC of the contralateral SCM against...
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Influence of regularly repeated asymmetric load on the locomotor system in sweep rowers
Mikulík, Lukáš ; Malá, Jitka (advisor) ; Maršáková, Kateřina (referee)
Title: Influence of regularly repeated asymmetric load on the locomotor system in sweep rowers. Objectives: Aim of this diploma thesis is to compare posture, foot loading symmetries and prevalence of low back pain in a group of sweep rowers with groups of scull rowers and non-rowing probands based on the results of the pedobarographic assessment, assessment of the posture using method of moiré topography and the results obtained from the clinical assessment. Methods: Number of 21 sweep rowers, 20 scull rowers and 23 non-rowing peers were enrolled to the study of this diploma thesis. Each subject was assessed using DIERS formetic 4D and DIERS pedoscan devices. Additionally, participants in each group were assessed by FAIR test, Cluster of Laslett, triggerpoint palpation of the m. piriformis and Visual analog scale, that was used to assess intensity of pain in the lumbar region. Results: In comparison with observed scull rowers, sweep rowers showed greater rotational deviation of the trunk at the level of the L3 vertebrae and larger sway area of the COP on the left leg during quiet stance on both legs. Subsequently, sweep rowers displayed greater magnitude of scoliotic angle during walking throughout single support phase on the left leg and double support phase in the transition from the left leg to...
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Evaluation of cryotherapy efficacy in medial and lateral epicondylitis.
Huňáček, Ondřej ; Malá, Jitka (advisor) ; Reckziegelová, Petra (referee)
Title: Evaluation of cryotherapy efficacy in medial and lateral epicondylitis Objectives: Finding out whether the combination of cryotherapy and manual physiotherapy statistically significantly affects the pain and function of the elbow joint in lateral and medial epicondylitis. Furthermore, a comparison of the group undergoing manual physiotherapeutic treatment with cryotherapy as an additive component of rehabilitation versus the group undergoing manual therapy only. Methods: Data collection was performed using a standardized Patient-Rated Elbow Evaluation (PREE) questionnaire with Visual Analogue Scale (VAS), through which probands evaluated the effect of procedures used in the control and experimental group on elbow pain and function. To determine the efficacy of examined intervention, the data collected before and after the experiment were used. To compare the control and the experimental group, the differences achieved for each group were used. For the statistical analysis the parametric tests were used, since Shapiro-Wilk tests showed a normal distribution of the data. A two-sample t-test was used to determine the homogeneity of the groups and also to compare the results between the groups. Paired t-test was used to test the change in condition before and after the experiment. All...
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Influence of activation of the deep stabilization system of the spine on speed of shot in ice hockey players
Vojtěchovská, Tereza ; Malá, Jitka (advisor) ; Šťastný, Petr (referee)
Title: Influence of activation of the deep stabilization system of the spine on speed of shot in ice hockey players Objectives: The aim of this thesis is to clarify whether the excercise focused on the deep stabilization system of the spine affects the quality on its function and the speed of shot in ice hockey players. Methods: The theoretical part is developed in the form of research. In the practical part, is 26 male probands who participated in this experiment. In the initial measurement, the speed of shot with a puck into the goal, was measured with a special radar in all players and the quality of the deep stabilization system was looked into by 8 tests according to Kolář. Furthermore, they were randomly divided into experimental and control groups, while the experimental group underwent a physiotherapeutic intervention focused on the deep stabilization system of the spine for 3 months, while the control group underwent only regular hockey training. After the intervention, the measurement was performed again in the same way. The obtained values from the checkups and measurements were registered to Microsoft Office Excel 2021 and further statistically processed for which the Shapiro-Wilk normality test was used to determine the distribution of data. The parametric T-test was used in case of...
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