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Physiotherapy impact on the stability of standing and selected clinical parameters in patients with multiple sclerosis
Honsová, Kamila ; Hoskovcová, Martina (advisor) ; Bitnar, Petr (referee)
Diploma thesis "Impact of physiotherapy on stability in stance and selected clinical parameters in Multiple Sclerosis patients" is aimed to study problems of disturbed postural stability in connection with this disorder. Research was made to evaluate the impact of two-month's physiotherapy, based on sensomotor learning, on the balance in stance, gait parameters and related functions. The sample of 6 patients with disability EDSS = 5, age 43 and more than five years course of MS on average, were undergoing a battery of clinical and paraclinical tests. Questionaire method was used for assessing quality of life parameters. Powered by TCPDF (www.tcpdf.org)
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Physiotherapy of soft tissue disorders due to overload
Goll, David ; Teyssler, Petr (advisor) ; Bitnar, Petr (referee)
The thesis " Physiotherapy of soft hand weavings disorders resulting from postneuritic over freight" is bent on weightiest consequence of over freight of hand flexor sinews, which is rupture and on one of weightiest consequences of accident states of sinews, which is transcision. Rupture and transcision of hand flexor sinews is cured in a similar surgical way, by suture and coincident is as well the subsequent alteration postoperative care. The aim of my diploma work that ties on my baccalaureate work, is rounded up from the expert literature, especially the foreign one, researching the information of possibilities and meaning of rehabilitative care in those specific problems and these information then virtually compare with the choice study sample inmates. I hereto directed everything, so as I could in the end answers the questions: what meaning has rehabilitation and whether there is any universal method that could be applied in the appropriate manner. In its experimental parts the diploma work succeeded to prove the evidence, that the rehabilitation holds irreplaceable space in therapy of hand flexor sinews after effected sutures. The study proves the obvious difference in results between the group that passed the rehabilitation therapy and the group that the rehabilitation didn't undergo. The tracked...
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Physiotherapy and It's Role in Impingement Syndrome
Mašek, Jiří ; Vacek, Jan (advisor)
Subacromial impingement syndrome is among the most frequent cases of shoulder pain and dysfunction in adults. It's reffered to as shoulder pain is third only to headache and back pain in freqency seen in the practitioner's office. It's known, SIS is a heterogenous entity, which can be caused by a lot of ethiological factors. These factors can have bad influence of architecture of the subacromial space. The tendons of the rotator cuff are passing trough this space and so that structures are most often affected by degenerative disorders. Clinical history and physical examination play a key role in diagnostics. Provocative manoeuvres (Neer's sign, Hawkin's test, Yocum manoeuvre) seem to be useful for identifying impingement syndrome. If there is a reasonable doubt in diagnostics we can use imaging methods. We should start with the minimally invasive and the most economic method. Commonly used course of action include x-ray, ultrasound and MRI. Well-timed and the most accurate diagnostics enable us to start suitable treatment. The treatment commonly starts with pain-relief drugs (NSAID, subacromial injection of mixture of corticosteroid and local anestethic). The combination of physiotherapy and manual therapy seems to be an effective treatment method. This therapeutic combination is good for improving function...
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Pain Mapping in the Senior Population : Pain as a Motivating or Limiting Factor for the Application of Physiotherapy
Lavičková, Romana ; Winternitzová, Irena (referee) ; Sládková, Petra (advisor)
In my bachelor thesis which is titled "Pain mapping in the senior population" I set a task to map the most common musculoskeletal pain bothering the senior population. I am also interested in the question of motivation for the application of physiotherapy. The semistructured interview was used for data collection (experimental sample contains 56 probands). To verify the success of physiotherapy as a suitable alternative of pain influence I have already created three case reports. The results clearly show that 89% of the seniors are limited by some type of the pain which is in 82% of cases connected to the locomotor system. The most frequently reported pains were in the area of knee (24% responses), lumbar spine (21.5%) and hip (19.5%). For 79% of all seniors is pain a motivating factor for the application of physiotherapy (motivating factor for active participation). I also elaborated further obtained information interesting for physiotherapy practice relating to the musculoskeletal pain and the willingnes of cooperation into synaptic charts. I noted the positive impact of exercise on pain in the case of case reports.
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Physiotherapy at the department of chronic resuscitation and intensive care
Sobotka, Daniel ; Drábková, Jarmila (advisor) ; Smolíková, Libuše (referee)
The principal aim of the thesis titled "Physiotherapy at Chronic Intensive Care Unit" (CICU) is to describe and analyze the not much known area of physiotherapy at the CICU and the various methods of its utilization. The thesis is structured in order to deal with the system at CICU, the typology of patients, physiotherapeutic methods and the ventilator modes. The patient should be taken care of by the multidisciplinary team which should cooperate in order to achieve a common goal - consecutive weaning followed by the liberating from the ventilator's support. The chapters about ergotherapy and psychological effects complete the overview of the topic. Practical part of the thesis consists of the survey file which represent the patient-family-doctor-physiotherapist point of view. Powered by TCPDF (www.tcpdf.org)
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Disorders of temporomandibular joint disc
Keilová, Marie ; Bitnar, Petr (advisor) ; Demeková, Júlia (referee)
The bachelor thesis is about disorders of temporomandibular joints. It focuses mainly on explication of the diseases that affect joint disc. It provides complete inforrnation about the etiology of the diseases and their clinical symptoms. The main aim of the thesis was to summarize inforrnation about treatment for those disorders. It has focused on conservative treatment, mainly on physiotherapy. Powered by TCPDF (www.tcpdf.org)
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The use of physiotherapeutic means in some types of tinnitus
Housová, Barbora ; Procházka, Miroslav (advisor) ; Smékal, David (referee)
This thesis is an update of the bachelor work entitled "The application of physiotherapeutic tools for some tinnitus types". The original work was complemented with the latest findings in pathogenesis field and in therapy by physiotherapeutic tool. The fundamental of this diploma thesis is a study examining the quality of patients' lives with tinnitus. The study was based upon a research using a modified questionnaire Tinnitus Handicap Inventory by Newman's et. al. (1999). Powered by TCPDF (www.tcpdf.org)
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The Effect of Personal Causality Orientation on Adherence in Outpatient Physiotherapy
Kuta, Igor ; Niederlová, Markéta (advisor) ; Hrachovinová, Tamara (referee)
(in English) This master thesis deals with themes of motivations and compliance to treatment recommendations in outpatient physiotherapy. In the theoretical section it brings an introduction to the issue of adherence as a part of medical rehabilitation. It sheds some light on the importance of the research in this field and structures its span according to prescribed diagnoses and other criteria. It also shows distinctions in concepts of compliance, concordance and adherence and summarizes the findings of the most relevant directions of motivation research in this area of study. The aim of the empirical part is to capture relations between the distribution of patients' personal causality orientation and their adherence to treatment. Based on the results of a DOPO method, self-assessment of adherence and evaluation of adherence by the treating physiotherapist, from the sample of 69 patients it concludes, that there is no statistically significant relation between the aforementioned variables.
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The influence of complex spa treatments on the return to work process
FORST, Lukáš
The aim of this work is to find out the effectiveness of comprehensive spa treatment therapy focused on the musculoskeletal system. I tried to map out the influence of medical methodologies used in spa facilities, specifically in Berta Spa Třeboň, and patients´ return to work. In the past few years spa treatment is a frequently discussed topic not only because of the recent change in the list of indications. At present there are 35 spas in the Czech Republic which have to fulfill strict requirements to ensure maximum beneficial effect in rehabilitation, resocialization, prevention and supportive treatment. Lately many people are seeking spa facilities rather only for relaxation and so the spas are losing the primary purpose. Spas have mainly curative effect and are used as a prevention as well as a treatment. Spa treatment is or should also be the last treatment before the end of incapacity. Incapacity is a significant topic in the current health and social issues. The average incapacity/sick leave then becomes also an important economic factor.
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Possibilities of Physiotherapy for chronical overload of the lumbar spine of female floorball players
SLADKÁ, Zuzana
The Bachelor's work deals with the topic of women's floorball from the physiotherapeutic point of view. Due to the basic playing posture in a continuous forward bend and the one-sided holding of the floorball stick, the lower back is being overloaded in long term. Stabilization of this region is secured by the deep stabilization system that works based on the interaction of the spine extensors and flexors. Is the activity not balanced, muscle disbalance and micro trauma occur, which have a negative impact on the player performance. Including of compensation and relaxation exercises into the training programme may work as prevention of development of such musculoskeletal overload. The aim of this work is to present the problems of women's floorball from the physiotherapeutic point of view and to offer possibilities of particular kinesiological and physiotherapeutic methods for prevention of injuries and spinal overload. The theoretical part describes the functional anatomy, the biomechanics of the lower back and the deep stabilization system assuring the stability of this spine region. Furthermore, the issues of floorball, the basic playing activities of individuals with the description of the floorball player posture are described. The theory quotes examination methods and therapy as well. This fulfils the first aim of the bachelor's work regarding closer description of the women's floorball issues. The research part of the work is processed by the quality research method. For analysis, the case interpretation of three floorball players of the FBC Liberec extra league team has been used. These three players had problems in the lower back region, mostly accompanied by pain. Every case interpretation involves input and output medical inspection with anamnesis definition, static inspection of aspection and palpation in the pelvis region, goniometric and somatometric inspection with function muscle test, dynamic inspection (Trendelenburg-Duchenne test), inspection of movement stereotypes, postural stabilization, hypermobility and shortening of muscle groups. Within this therapy, soft tissue techniques, stretching, method of the dynamic neuromuscular stabilization, parts of the Ludmila Mojžíšová method, sensomotoric stimulation and examination on a big gymnastic ball, have been used. Based on an assessment, both, the short-term and long-term individual kinesiotherapeutical plan has been developed and the second aim of the bachelor's work fulfilled show the possibility of particular kinesiology and physiotherapy methods for prevention of injuries and spinal overload. The therapy results are positive and the selected physiotherapeutical methods have proved to be effective. The posture in the lower back region has improved with all players and also symetrization of the trunk as well as reduction of pains as a result of the deep stabilization system could be observed. Both of the parties have evaluated the effect of the therapy as positive. The bachelor's work can be used in the physiotherapeutical clinic practice and as a resource for increasing the awereness of the sportspeople and trainers.
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