|
|
Specifics of physiotherapy in patients with bronchial asthma
KONEČNÁ, Tereza
The bachelor thesis deals with the possibilities of physiotherapy in patients with asthma bronchiale. The aim of the theoretical part of the thesis is to describe the problem of bronchial asthma and to describe the possibilities of physiotherapy for patients suffering from asthma. The theoretical part of the thesis includes a comprehensive description of the disease, specifically definition, prevalence, etiopathogenesis, clinical symptoms, diagnosis, classification of the disease and treatment options. The anatomy of the respiratory system, respiratory muscles, a description of physiological breathing and its pathology in asthmatics is also included. A relatively large part of the theoretical part consists of physiotherapy options. Asthma bronchiale is a chronic inflammatory disease of the respiratory tract manifested by symptoms of bronchial obstruction such as dyspnoea, cough, wheezing phenomena when breathing and chest pressure. The disease can be accompanied by asthma attacks of varying frequency and severity, which can be life-threatening. The cause of these difficulties is the presence of chronic inflammation in the bronchi together with their hyperreactivity. The prevalence of asthma continues to rise worldwide, along with the increasing prevalence of allergic diseases, which may be influenced by the worsening air quality. Asthma bronchiale is an incurable disease that affects people of all ages. With timely diagnosis and the use of pharmacological treatment, the symptoms of the disease can be eliminated and thus the disease can be controlled. Diseases of the respiratory system also have a negative effect on the musculoskeletal system, so physiotherapy has its place in the comprehensive treatment of asthma. Physiotherapy treatment focuses mainly on restoring the correct breathing pattern, correcting body posture, eliminating muscle imbalances and improving physical fitness. The aim of the practical part of the thesis is to propose physiotherapy procedures suitable for patients with bronchial asthma and to evaluate their effect. The form of qualitative research has been chosen for the practical part. The research includes 3 case studies of adult patients with asthma. Input and output kinesiology examinations have been performed, based on which comparison the results have been described
|
|
|
Respiration and posture influence on the activity of upper and lower esophageal sphincters
Bitnar, Petr ; Kobesová, Alena (advisor) ; Dolina, Jiří (referee) ; Malá, Jitka (referee)
Respiration and posture influence on the activity of upper and lower esophageal sphincters Abstract This work explores the effect of postural respiratory function on pressures in the upper esophageal sphincter (UES) and the lower esophageal sphincter (LES). UES and LES pressures were measured using a high-resolution manometry (HRM). Leg raise in a supine position results in significant pressure increase in the UES and LES. Traction of the cervical spine and chest stabilization maneuver significantly reduces pressure in the UES and significantly increases pressure in the LES. Abdominal wall activity, i.e. intra-abdominal pressure (IAP) affecting UES and LES function, was measured using Ohm Belt sensors. IAP is related to body position, i.e. posture. Using verbal and manual guides, the subject can be instructed to increase abdominal wall activity and thus regulate (increase) IAP. Of the five monitored positions (sitting, lying on the back with leg raise, "bear", squat and hang), the greatest increase in IAP occurred in the bear position, i.e. in the position on all fours with a support on both hands and feet. IAP activation, which is significantly dependent on diaphragm activation, can potentially affect LES pressure and UES pressures. Based on the systematic review, it can be concluded that breathing...
|
|
|
Shape changes in the axial system during respiration
Slawiková, Eliška ; Šorfová, Monika (advisor) ; Dudová, Agnieszka (referee)
The name of the work: Shape changes in the axial system during respiration Goal of the work: the main objective is to perform a case study of brass parameters and changes the shape of the trunk during the ventilation maneuver, prepare the correct methodology of research and to conduct separate measurements. The thesis will be divided into two parts, the first will contain the theoretical background to the subject, in the second part will then be described by the research, where I measured the change in the volume of the lungs in relation to time, assess the impact of implemented ventilation maneuver on the individual probands and examine the respiratory dynamics in selected ventilation maneuver. Methods: in the framework of the fulfilment of the tasks of this work have been carried out experiments with the use of 3D kinematic record with Qualisys and spirometric measurement. The experiment involved three probands aged 20 to 40 specific common features. Each of the proband performed during the measurement of quiet breathing, maximum inhalation and exhalation and ventilation maneuver. Measurements were carried out in one day under standard conditions, measurements made on the day of probands quiet breathing, maximum inhalation and exhalation and ventilation maneuver (5 min total). Data records were...
|
|
|
Activity of lower oesophageal sphincter in healthy patients in various postural positions
Beranová, Kateřina ; Bitnar, Petr (advisor) ; Hlava, Štěpán (referee)
The aim of this thesis is to describe information about GERD, its etiology, anatomy, pathology, treatment options and rehabilitation in patients with GERD. Lower oesophageal sphincter and antireflux barrier. The study was approved by the ethics committee. 30 probands were included in the study and their health status was verified using the Health Related Quality of Life questionnaire. A manometric catheter was inserted, proband was instructed to maintain various postural positions. Lying supine with lower limbs elevated above the surface, lying supine with lower limbs elevated above the surface with head fixated manualy, sitting and standing position, load in the center of gravity 3/6/9 kg, load outside the center of gravity 3/6/9 kg, lifting of the office chair. It has been shown that LES pressure increases in all postural positions compared to resting pressure. The positions activate the diaphragm to demonstrate the postural function of the diaphragm. The most significant change in LES pressures was in the postural position of lying supine with lower limbs elevated above the surface, the LES resting pressure of 20.34mmHg changed to the pressure of LES 40.92mmHg. Clinical experience and studies have shown that patients with GERD have disposition for respiratory and / or vertebrogenic difficulties....
|
|
|
Effects of Vojta's reflex locomotion on lung function
Drábková, Lenka ; Smolíková, Libuše (advisor) ; Bitnar, Petr (referee)
Introduction: The aim of this thesis is to answer a question if it is possible to influence ventilation parameters with an application of Vojta's reflex locomotion, which is one of the neurophysiologic techniques. The thesis confronts actual knowledge and relation between respiratory and postural function of "respiratory" muscles and the diaphragm and possibility of its reflex affection. Methods: With a spirometry we assess the impact of short-time activation of Reflex locomotion on the lung functions in a group of 21 healthy subjects in age 18 - 33 years. The study evaluates the effect of activation in two situations. First, it is instantaneous effect of Vojta's method on lung function. Second situation is the assessment of the time duration of evoked effect of activation and make out, if the changes are seen also after 25 minutes over the end of Vojta's stimulation. Results: Based on the interpretation of the both monitored situations, we set up an observation that short time activation of Vojta's reflex therapy has an effect on respiratory mechanics and thus on the spirometric values. At the other side we realize that not all of the changes were significant and some of them were unadvisable. Moreover all of them had very short persistency, after 25 minute none of the observed changes of lung...
|
|
|
Deep stabilization system - contemporary findings, ways of testing and possibilities of physiotherapeutical influence
Hanzlová, Andrea ; Kotýnková, Martina (advisor) ; Brožová, Kamila (referee)
1 Abstract: Deep stabilizing system is a system of deep placed muscles, which are responsible for spine stability in calm position and during movement. Composition of this system is not totally explicit. Different authors, either native or foreigner, have different opinion on it. Kolář says, that this system includes deep cervical muscles, deep muscle system of the spine, muscles of the pelvic floor, stomach muscles and mostly diaphragm and its postural function. The content of this work in theoretical part is clarification of the term deep stabilizing system, introduction of its function and single elements in terms of anatomy, descriptoin of their basic functions, explanation of basic terms, which are relevant to this topic (for example posture, stabilization and stability). You can also find there different ways of testing and possibilities of physiotherapeutical influence of deep stabilizing system. Practical part of this work is qualitative research. For one month, I did therapy of two patiens, who have chronic back pain. After series of special tests, I detected disfunction of deep stabilizing system. I chose program of progressive dynamic stabilization of lumbar spine. You can find not only casuistry but also pictures of single elements of deep stabilizing system, few tests and program that I used in...
|
|
|
Definition of new referential values of maximum inspiratory and expiratory pressures and P0.1 values in normal population aged 14 - 15 years
Kepková, Jana ; Šulc, Jan (advisor) ; Koudelková, Alena (referee)
The aim of this study is definition reference values including reference equations for parameters PImax, PEmax and P0.1 of the normal Czech population aged 14-15 years. 102 subjects were examined for this purpose (55 boys and 47 girls). Except the reference values for boys and girls, this work includes correlations of mouth pressures with anthropometric data and also with other spirometric parameters. In case of boys were found a significant correlation of PEmax parameter with weight, BMI and PEF. In group of boys we also found a correlation of PImax with BMI and PImax with IC. Parameter P0.1 correlates only with VT. In group of girls we found a significant correlations of PImax, PEmax and P0.1 with PEF and MEF25.
|
|
|
Effect of breathing training and DNS on lower esophageal sphincter and back pain in patients with gastroesophageal reflux disease
Jandáková, Vladana ; Mádle, Kateřina (advisor) ; Babková, Lenka (referee)
This thesis focuses on lower esophageal sphincter and low back pain in patients with gastroesophageal reflux disease (GERD). Common etiological factor of both GERD and low back pain frequently present in GERD patients is diaphragm dysfunction. Diaphragm fulfils respiratory, postural and sphincter functions, all these functions are interrelated which we benefit from in therapy. Theoretical section presents anatomy of the esophagus, upper and lower esophageal sphincters, diaphragm, follows etiology, diagnostic methods and treatment of GERD and LBP as well as common therapeutical approach by means of postural and respiratory physiotherapy. Basic principles of Dynamic Neuromuscular Stabilization and Respiratory muscle training are presented and their use in the treatment of GERD and LBP. Practical section contains a case study of a patient diagnosed with GERD, kinesiological analysis, high resolution manometry of esophagus and therapy focused on diaphragm activation achieved by improving trunk stabilization and by optimising patient's breathing stereotype.
|
|
|
Relationship between pulmonary function and function of the diaphragm in patients with obstructive pulmonary disease
Hellebrandová, Lenka ; Bunc, Václav (advisor) ; Smolíková, Libuše (referee) ; Herget, Jan (referee)
Problém: Obstrukce dýchacích cest a průtoková limitace, způsobená chronickou obstrukční plicní nemocí (CHOPN) nebo astma bronchiale (AB), může způsobit změny tvaru, pozice a pohybů bránice v důsledku zvýšení plicních objemů. Hypotézy: U pacientů s obstrukčním respiračním onemocněním se bude funkce bránice lišit oproti kontrolní skupině zdravých jedinců, což se projeví na jejím postavení a rozsahu pohybu. Existuje vztah mezi plicními funkcemi a polohou a pohyby bránice. Cíl: Cílem práce bylo zjistit, zda pozice, tvar a pohyby bránice u ležících pacientů s průtokovou limitací během maximálních dechových a posturálních manévrů se liší od tvaru, pozice a pohybů bránice za stejné situace u jedinců bez patologie respiračního systému. Zkoumali jsme rozdíly mezi pacienty s CHOPN, pacienty s AB a zdravými jedinci. Cílem bylo také stanovit tyto vztahy v kontextu vážnosti průtokové limitace, resp. obstrukce dechových cest. Metodika: Soubor tvořily 3 skupiny probandů, celkem 31 dospělých: 10 jedinců s klinicky stabilním AB (5 žen a 5 můžů), 11 jedinců s klinicky stabilním, středně těžkým CHOPN (7 mužu a 4 ženy) a kontrolní skupinu tvořilo 10 zdravých jedinců (5 mužů a 5 žen). Všichni probandi podstoupili komplexní měření plicních funkcí a kardiopulmonální zátežové vyšetření. Bránici jsme vyšetřovali pomocí...
|
|
|
Impact of a posture on the vocal performance
Koverdynský, Luděk
The aim of the dissertation thesis is to clarify the impact of a posture on the quality of voice performance. Through the method of a natural experiment, the authors carries out a research about the importance of a postural function in connection to building up basic voice skills. We will observe, both from theoretical and practical point of view if and through which means can we influence the incorrect postural habits and how these changes affect voice performance. The methodological handbook is a natural output which takes into account the relation of the postural function, breath and its development with assistance of vocal hearing as a corrector of the quality of voice performance. The outcomes of the research that helped to verify the new methodological approach approved correctness of suggested methods and their general validity. As a result, a knowledgeable teacher can use the new teaching method at all levels of students'musical development. KEY WORDS: Voice performance, postural function, diaphragm, vocal hearing, breath excercises with fonation. Powered by TCPDF (www.tcpdf.org)
|
guest ::
