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The usage of Manual physiotherapeutical correction method in the therapy of the radicular syndrome of lower limbs
Rotová, Kristýna ; Muchová, Renáta (advisor) ; Pitrmanová, Věra (referee)
This Bachelor thesis will compare the examination process and kinesiological analysis of two patients diagnosed with root syndrome of the lower limbs using the MFK method. I will examine whether the results in the MFK system confirm the kinesiology analysis, and whether using the MFK physiotherapy method on symptoms associated with root syndrome of the lower extremities can have a positive effect. MFK method is relatively new in the field of physiotherapy. I would therefore like to examine the above mentioned neurological diagnosis to see whether the myokinetic activation examinations with visualization of the motor system as used by the MFK method provides benefits to examination methods used in physiotherapy. Root syndrome is a disease based on structural damage to the spine, spinal canal or intervertebral discs, accompanied by functional subjective and objective manifestations. I have narrowed the selection of subjects to include patients with root syndrome caused by prolapsed intervertebral discs. Pain is the primary symptom, but root syndrome is accompanied by other sensory and motor symptoms. The patient's subjective symptoms significantly quality of life, and so will be an important indicator of the effectiveness of the applied methods.
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Case study of physiotherapy treatment of the patient with Vertebrogenic Algic Syndrome
Kadlec, Jan ; Jalovcová, Miroslava (advisor) ; Dušánek, Tomáš (referee)
Title of bachelor's thesis: Case report of physiotherapeutic care about patient with diagnosis vertebrogenic algic syndrome of lumbar spine Summary: This bachelor's thesis was compiled on the base of internship on Clinic of occupational therapy at Teaching hospital Královské Vinohrady in Prague during the time period from 24. 1. to 18. 2. 2011. The topic of this thesis is Vertebrogenic algic syndrome of lumbar spine. The work is divided into two main sections. The first, general part deals with theoretical findings which are related with this character of inconvenience. The second, special part encompasses detailed case report of a patient with diagnosis M54.5 - Vertebrogenic algic syndrome of lumbar spine. Key words: vertebrogenic algic syndrome, lumbar spine, stabilizing system of trunk, dorsalgia, low back pain Author of bachelor's thesis: Jan Kadlec Supervisor: Mgr. Miroslava Jalovcová Year: 2011
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Case study of physiotherapy treatment of a patient with the diagnosis of cervicobrachial syndrome
Jurčáková, Andrea ; Novotná, Irena (advisor) ; Křížková, Štěpánka (referee)
Name of bachelor′′′′s thesis: Case Study of physiotherapy treatment of a patient with the diagnosis of cervicobrachial syndrome Prepared by: Andrea Jurčáková Target: The aim of this work is to describe the problems cervikobrachial syndrome Methodology: This thesis deals with the processing of case reports of patients with cervicobrachial syndrome. The work is divided into general and special. General section focuses on the definition of the disease, causes, clinical features, therapeutic approaches to the issue. Special section is the most important part of the thesis. It concentrates on a specific diagnosis. It contains the methodology of work, history, input kinesiology analysis, short- and long-term plan, records of the therapeutic units, the output kinesiology analysis and evaluation of the effect of therapy. Key words: cervicobrachial syndrome, cervical spine, cervicothoracal transition, painful vertebral syndrome
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The effect of application distant electrotherapy /VAS-07/ on pain of patients suffering from back pain
KŘÍŽKOVÁ, Markéta
This thesis focuses on the back pain and possible ways of treatment of the pain it inflicts with distance elektrotherapy. Specifically, the impacts of the device VAS - 07 are discussed. The aforementioned device combines the effects of treatment based on the gate control theory of pain and phototheraphy The aim of this thesis is to map out the effects this therapy has on the pain of patients suffering from this disease. Nowadays, back pain is a disease affecting a large amount of patients and its etiology includes numerous structural and functional defects. Back pain befalls people from various social backgrounds and of all ages. Due to the rising incidence, this disease is becoming one of the most common reasons why people visit physiotherapeutical clinics. This is in turn caused by the lifestyle associated with our modern civilisation. There are many ways of dealing with this disease. Among frequently used techniques are kinesiotherapy, manipulation therapy, soft techniques, possitive termotherapy and different kinds of electrotherapy. One of the possible treatments is the distance electrotherapy, using the device VAS - 07. The theoretical part contains the fundamental information about the disease and the selected way of tretment. Namely, the anatomy and kinesiology of the spine, pain and its varieties, back pain, as well as distance electrotherapy and the device VAS - 07 itself are scrutinized. A qualitative research was carried out for the practical part of the thesis. The research is based on medical history of the patinets, kinesiology analyses of the patients and dialogs between each patient and the author. Both static and dynamic examinations are included in the kinesiology analyses. The research group consisted of four respondents of both sexes ranging between 40 and 55 years of age. All participants provided a written consent to the use of the amassed data in this thesis under the condition that they remain anonymous. The research was conducted in a rehabilitation clinic at the health center in Blatná. The results were mostly coincident among the participants. The employment of the therapy resulted in decrease of the pain level among all participants. Some of the participants further mentioned a change of the quality of the pain. There were also differences between the entrance and final examinations. Changes of posture were detected in the aspect examinations too. Most of the changes occurred in areas where patients experienced the pain or areas in close proximity. Adittionaly, changes were found in the mobility of spine segments and the mobility of the whole spine as well. After decerease in pain levels, the results of tests evaluating the mobility of the spine improved among all respondents. The inspected methods of treatment also caused the relaxation of soft tissue, which were previously less relaxed. This fact has elucidated when examined by the Kiblesr´s skinfold. Comparing the final kinesiology examinations to the initial one, an adjustment of hypertonic muscles was also detected.
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The influence of the sensormotoric stimulation by using special tools and physiotherapeutic practices on the feet of patients with the recurrent vertebrogenic syndrome
POLONIOVÁ, Veronika
Sensorimotor stimulation is closely linked to vertebral algic syndrome and is used for the treatment of functional disorders of the musculoskeletal system. The methodology consists of many exercises from which the most important are the elements in the vertical. Due to sensorimotor stimulation it comes to the incensement of afferents from the skin exteroreceptors and proprioreceptors, which are based on the muscles and joints. Therefore we can say that thanks to the sensorimotor stimulation, which is based at the bottom of the foot, we can prevent the formation of functional disorders of the musculoskeletal system, thus we can positively influence the recurrent vertebral algic syndrome. The purpose of the theoretical part is to provide information on the effect of the sensorimotor stimulation on the vertebral algic syndrome, provide general information about the anatomy of the spine and legs, and at last provide information about the origin of the disease, methodics and physiotherapeutic procedures while treating the vertebral algic syndrome on the basis of sensorimotor stimulation. The specialized part consists of a qualitative research, which compiles by case studies of three people. An input and output kinesiology examination was performed to the patients. Also, there was taken medical history of the patients. The therapy lasted for four months. I met the patients two to three times a month individually, depending on their time. The therapy took place at the Rehabilitation and regeneration center in Borovany. The aim of the specialized part was to outline whether the sensorimotor stimulation and other physiotherapy practices have a positive effect on the pain in the spine and other vertebral algic syndrome. The supplements include photo documentations of patients at the beginning and at the end of the therapy and also examination of the bottom of the feet of patients at the beginning and at the end of the therapy as well. Vertebral algic syndrome is a very extensive topic and certainly could be described in more detail and would expand in other professional work. This topic is very interesting and wide for further research and therapy.
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Possible uses of Tai Chi 24 form Yang in physiotherapy
MÁNI, Frederik
This bachelor thesis addresses the traditional Chinese martial art Tai Chi. The aim of this document is to outline the principles of Tai Chi, to conduct a survey of its possible uses in physiotherapy, to describe the effects of practicing this martial art on patients suffering from vertebrogenic pain syndrome and to evaluate the impact of this exercise on the given disease. This paper is divided into parts theoretical, practical and discussion. The theoretical part includes a complex view of Tai Chi, the roots from which it derives, and a brief historical summary. Chapters answering a few practical questions about Tai Chi practice are situated in this part. The most substantial chapter of the theoretical part discusses the impact of Tai Chi practice on health of human beings, which is divided into several aspects according to the World Health Organization. Various foreign studies are mentioned. The practical part includes a chapter about the vertebrogenic pain syndrome, in which the statistical data about the given disease is stated. The chapter also discusses etiology and also the conservative therapy of the disease. The research questions as well as the defining of the study group are the topics of the following chapters. The chapter about methodology includes the methods used for data collection and a description of the used physiotherapeutic examining methods. This section incorporates also a chapter containing the list of movements from the 24-form Yang style Tai Chi and a link to an internet video of the whole sequence. The case history of the patients can be found in the largest chapter of this section. The topic of the discussion section is the interpretation of the research results in the context of other studies conducted by foreign authors, who researched the effects of Tai Chi on various aspects of human health.
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The influence of physioterapy in adult pacients with flatfoot and chronic vertebrogenic algic syndrome in cervical region
KUŽELOVÁ, Blanka
This thesis deals with problem of flat foot in adults with the occurrence of chronic pain responses vertebrogenic syndrome in the cervical spine. In the system of motion the foot is the most important part that primarily allows locomotion and provides support for upright posture. Due to the large number of proprioception we get information about the ground in which we are moving in. The foot is through muscular chain segments connected with higher incidence of musculoskeletal and its dysfunction can lead to chain malfunctions and subsequent formation of pain around the knee and hip joints as well as the entire spine, including the cervical section. Flat foot in the adult population is a frequent static deformity developed on the foot originally normal and can arise at any age. Most often it happens after a long-term abuse, such as prolonged standing, heavy lifting, and prevalence of overweight but in the first place it is caused by wearing inappropriate footwear. Above all, women are subject of fashion trends and wear tight pointy shoes, especially on high heels, which is the main cause of flat feet. It is most often accompanied with deformities such as bunions or hammer toes. As a result of flat feet it is reduced its flexibility, joints and spine are no longer protected against bumps. Lower limbs and the whole spine are under an abnormal loading. Vertebrogenic algic syndrome is due to sedentary lifestyle and are one of the most common cause of disability. There are signs of faulty posture and muscle imbalance in the cervical spine. The work includes theoretical and practical part. The theoretical part deals with problem of decrease foot arch, its connection to the cervical spine, therapy and prevention. There are also described muscle imbalances of the cervical spine, the anticipating and treatment options. In the practical part there was used a qualitative research method that involved four students with significant reductions in the instep and a pain in the cervical spine. The techniques of observation and subsequent processing of case studies were used, and that was accompanied with a questionnaire about the effectiveness of the treatment according to subjective feelings of patients. The meetings with patients were conducted every week for eight weeks of therapy. Each session lasted approximately 45 minutes during which the hypertonic muscles along with trigger points were unblocked and the foot was stimulated. Further exercises from the previous treatment were controlled and subsequently were given the new ones. The patients performed exercises 1-2 times daily for about 20 minutes. The aim of this work is to outline the relations between the dysfunction in the form of flat feet and cervical spine, and further to design and implement short-term rehabilitation plan, which cause a mitigating the effects of flat feet for specific patients. For each patient the exercise unit was compiled according to his needs individually, and new exercises were added every week. If the patient did not accomplish some of the exercises, these were included into the next treatment. And the final goal was to design a set of exercises that will serve as a precaution against the functional changes of the spine due to flat foot. The research shows an overall improvement of posture by all patients. There was a significant reduction of pain in the cervical spine and strengthen in the plantar arch. The therapy was also focused on the treatment of bad breath stereotype, which was manifested by upper respiratory type, and its consequence occurred the overloading of the cervical section. A great importance was also given onto strengthening lower shoulder blade fixators, which were by all patients really weakened. This work can serve not only for students and their study purposes. It can be an inspiration for physical therapists in clinical practice for the treatment and, finally, it can serve as a source of information for the general public.
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The issue of prevention and early detection for patients with vertebrogenic syndrome in the cervical spine
HORKÁ, Michaela
This bachelor thesis deals with preventive measures and early detection of the vertebrogenic algic syndrome in the cervical spine. Vertebrogenic algic syndrome is a pain in different parts of the spine, which is one of the most common reasons for doctor visits. An alarming fact is that up to 80% of adults face these difficulties up and age of patients is constantly decreasing. Most common cause is poor posture, cervical spine injuries, mental health, degenerative changes, tumors and more. Part of this work is devoted to the prevention of vertebral problems. In these modern times, when the use of computers, laptops, tablets, became the ordinary matter, it is necessary to raise awareness of the basic ergonomic principles when using these devices, modifying work and home environment. The theoretical part is supposed to inform about the causes, mechanisms and physiotherapy practice in the treatment of vertebrogenic algic syndrome. It includes basic knowledge of anatomy, biomechanics of the cervical spine and preventive measures concerning the ergonomics of the working environment, sleeping position and appropriate sports activities. For the practical part of the thesis has been used qualitative research method. Qualitative research was done in the form of case studies of three persons. Each was subjected to an input and output kinesiology examination and history-taking in the form of a structured interview. The probands were interviewed regarding home and work ergonomics. The therapy lasted five weeks at the Health centre Medipont in České Budějovice. The task of the practical part was to use physiotherapy techniques to alleviate pain in a particular segments of the cervical spine and report about basic preventive measures. The result is the production of an educational booklet that contains exercises to stretch and release the cervical spine, basic ergonomic positions accompanied by photographs. This brochure will be available at the front desk at the Health centre Medipont in České Budějovice, in waiting rooms of general practitioners in Jemnice as a practical and synoptical helper in the fight against the problems in the cervical spine. This bachelor thesis could increase an awareness among general public about preventive measures and how to prevent pain in the cervical spine. Furthermore, it can be used by clinical practice physiotherapists in the treatment of vertebrogenic algic syndrome.
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Use of acupuncture in rehabilitation of vertebrogenic algic syndrome
NOVÝ, Filip
The topic of my thesis is a description of the possibilities of using acupuncture in the treatment of VAS. The thesis is divided into two parts, theoretical and practical. In my work, I focus on the current state of knowledge about acupuncture: the history of acupuncture, Eastern philosophy, its principles, acupuncture meridians and points. In terms of modern rehabilitation, I focus in the theoretical section on the issue of trigger points (TrPs), which have a highly significant position in modern studies on acupuncture. The second part of the theoretical work is concentrated on the phenomenon of pain, which is an important element in understanding VAS and the operating principles of acupuncture. In the third part I attempt to describe and compare modern techniques and alternative acupunctures used in the treatment of VAS. To address the efficiency and reliability of the techniques I analyzed data from reputable international studies. The practical part begins with a list of the methods employed and a definition of research objectives and research questions. The aim of the research was to consider the possibilities of the use of acupuncture in the treatment of VAS and, by means of a questionnaire, to assess its analgesic effect.
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Physiotherapy at treatment of chronic pain
VAŇKOVÁ, Denisa
The title of my bachelor thesis is "Physiotherapy at Chronic Pain Treatment". In my thesis I have focused on chronic back pain. Ambulatory practice indicates the above by general diagnosis as vertebral algic syndrome (VAS). First part of my work consists of processing of theoretical basis related to the problem. Main sections focus on pain, function of the spine, vertebral algic syndrome, spine examination methods, physiotherapeutic procedures and prevention of VAS origination. The research part of my work includes two case reports with diagnosis of chronic vertebral algic syndrome. The objective of the theoretical part of the work was to focus from the physiotherapist's view on most common causes of chronic pain, namely vertebral etiology. This part is also aimed at analyzing basic causes of VAS, processing of current information for diagnostic, therapeutic and preventive procedures related to VAS. The objective of practical part of the work was to find out, based on the case reports, whether the physiotherapy relieves the patient from pain. In the practical part of the thesis I applied the method of qualitative research, case study. The research was carried out in Malvazinky Rehabilitation Center and in Medicentrum Chodov. The tested set consisted of two probands diganosed with chronic vertebral algic syndrome. The diagnoses were given by the doctor treating the probands. Results have been prepared in the form of case reports. Both monitored patients showed a relief from pain and rehabilitation objectives set in advance have been met. Providing that the patients shall practise self-therapy and pay attention to measures preventing origination of problems. The thesis may serve as a theoretical document for medical science students. For physiotherapists it may serve as an inspiration when preparing rehabilitation plans for chronic back pain treatment.
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