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Influencig painful menstruation with the help of physiotherapy
VACKOVÁ, Zuzana
This bachelor thesis deals with how physiotherapy can influence a painful menstruation. The aim of this thesis is to describe how women can utilise physiotherapeutic methods, which can be practised at home, while experiencing difficulties with a painful menstruation. Another aim was to determine how these methods influence muscles of the pelvic floor. Research question is focused on subjective perception of this therapy by women. Although the aim of this thesis is to describe physiotherapeutic methods applicable even at home, I also decided to include methods of physical therapy which cannot be practised without specialised equipment. There are a lot of methods in the field of physiotherapy which can somehow influence and mitigate pain during menstruation, and a lot of other methods can be found in other fields of medicine. Due to a limited extent of my thesis, I wasn't able to focus on all approaches, only on the most used. All therapeutic procedures, which women would like to include in their life, should be consulted with a professional who shall explain an outcome of this therapy, who shall show them how to use this therapy properly and who shall point out errors which should be avoided. A part of my thesis also focuses on methods that aren't closely connected with physiotherapy, but which can nicely add to it. For my research part of my thesis, three young women with a long-term menstrual pain have been selected. At the beginning of my research, they were all using hormonal contraception. Detailed anamnestic data were collected from a direct and a semi-structured interview. During the first meeting, a kinesiological analysis was created, probands were examined and therapy started. After that, an exercise unit was checked and errors were corrected. At each therapy, interviews were conducted with probands and they were asked if some exercises hadn't been too difficult and if they hadn't caused them pain. For a therapy of this group of women, a set of exercises was selected, which contained some elements from a method of Ludmila Mojžíšová, dynamic neuromuscular stabilization and spiral dynamics. During the research, probands P1 a P3 reacted fairly well to the selected therapy. Considerable remission of difficulties and also general contentment during regular appointments were apparent. A noticeable progress wasn't, however, experienced by a proband P2. This fact was mainly due to her stress experienced in her school. Even with this very small sample of women, it is possible to register an influence of therapy on a peace of mind, therefore, it is imperative that physical and mental aspects of this therapy are not separated.
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Physiotherapy of pelvic floor and its effect on menstrual problems in women
ŠTĚPÁNOVÁ, Kristina
The topic of my bachelor's work deals with issue of physiotherapy of pelvic floor and it's influence on menstrual difficulties among women. The main goal of this work is to describe possibilities of physiotherapeutical methods of exercising for pelvic floor among women with dysmenorhea. Partial goal is to create an educational leaflet for needs of these women. In order to make the probands feel better a periodic exercising was implemented. It contained special exercises focused on the right activation of the muscles of the pelvic floor. The theoretical part of the bachelor's work is focused on the anatomical relations and the function of the area of pelvis and pelvic floor. Furthermore it defines dysfuncions of pelvic floor. After that comes the definition of menstural cycle and it's hormonal indicators and list of malfunctions of menstrual cycle. In the last chapter of the theoretical part is covered a part which presents selected physiotherapeutical paradigms and supportive medical methods used for dysmenorhea. For preparation of the practical part was used the method of qualitative research.Three probands suffering from dysmenorhea and various symptoms of premenstruall syndorme were studied. The research group was between 24 - 30 years of age. The anamnesis of probands were made, the initial kineziological analyses were made and after the end of the therapy the final kineziological analyses were made. The founded data and the results of research have been worked into. For each of the probands was made an individual plan of rehabilitation by their diagnostics. Therapy took time from 20 weeks sice the first of January 2015 till May 2015. At the beginning the therapy was made once a week and in next day it was once in 14 days in duration of 45 minutes per exercise. 15 therapies should be made with each of probands. The research can be found helpful for probands, because the positive effects of the therapy were seen at each of them. The problems of dysmenorhea have became better, also the pain of locomotive system have been reduced, the patients condition have improved and the psychological problems have been reduced. Last but not least almost all the probands have stopped using analgesics in the context of dysmenorhea. This bachelor's work can be used for physiotherapeutical purposes not only for women suffering from dysmenorhea but even for women suffering from premenstrual syndrome. It can also be useful for students of physiotherapy and physiotherapists in clinical practice for comprehensive orientation in specified area and it also can be used as an information booklet for specialists and laymen.
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Dysfunction of the pelvic floor muscles and tailbone in relation to the functional disorders of other segments of the spine
KOMÁRKOVÁ, Kateřina
This bachelor thesis is concerned with what influence a pelvic floor muscular dysfunction has on the coccyx as well as on other spine segments and also on the posture as such. In principle, this represents a shortening of the muscles attached to the coccyx, which causes a broad scale of problems, which are usually confined to other parts of the body. Back pain is a common problem in today's population. It is an impediment to normal life and causes such pain that it often leads people to an addiction to analgesics, be it in the form of drugs or sprays. Thus the treatment only addresses the symptoms and not the real cause, wherefore it lacks long-term effectiveness. The movement apparatus is greatly influenced by the current lifestyle. Very often, over long time, people only get very little movement, while, at times, they put their bodies under extreme load with negative health effects. Due to sedentary work, an inactivation takes place, of the musculature of the deep stabilizing system of the spine, an important part of which is, notably, also the pelvic floor, which supports the internal organs from bellow and plays an important role in the stabilization of the body center. Psyche and stress also play an important role in this problem. Especially in women with pelvic floor problems, the complaints are not confined to back pain, but they also appear in other areas, such as the stopping of the menstrual cycle or other menstrual irregularities, functional sterility, incontinence. If we respect the body as a whole, instead of focusing solely on the area afflicted with pain, we can improve the effectiveness of therapy and improve the living standard of a patient long-term. By relaxing the coccyx and pelvic floor musculature, in combination with the correct mode of breathing, the body is capable to rid itself of problems in higher segments of the spine. The main goal of this thesis is to find out to what extent it is possible to influence the dysfunction of the pelvic floor musculature and thus mitigate the problems in other spine segments. This is to be achieved, among other things, using exercise developed by Mojžíšová, which aims to complexly improve the dynamics of the entire spine and to strengthen muscular groups of the whole body. This bachelor thesis can be used as a source for clinical practicing physical therapists who are interested in the relationship between pelvic floor muscular dysfunction and other spine segments It can also be used as educational material for women suffering from this affliction.
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Urinary incontinence in the elderly over 75 years of age and core stability system
ŠERHÁKOVÁ, Petra
The topic of my bachelor thesis focuses on influencing the urinary incontinence mainly of the immobile individuals over the age of 75. The main objective of this thesis is to map the influence of physiotherapy on seniors with incontinence problems through individual exercises aimed at strengthening the core stability system and the pelvic floor. Partial objective of this work is education of the patients about the preventive measures concerning this problem. To improve the quality of physical condition of the selected individuals, regular physical exercise sessions to practice specifically selected exercises were implemented. These exercises were focused on activation of the core stability system, particularly of the pelvic floor muscles. The theoretical part of this work focuses on the problems related to ageing and old age, this part includes description of the changes that occur in this particular phase of life. In addition, the theoretical part of the thesis includes a basic summary of the knowledge concerning the urinary incontinence and basic description of the anatomy and physiology of the lower urinary tract and the pelvic floor. The last chapter of the theoretical part contains introduction of the core stability system, a short description of its anatomy, function and diagnostics. The practical part of this work was made based upon a qualitative research. Three probands between the ages of 75 and 91, of a rather immobile condition, living in an old people's home and suffering from various levels of urinary incontinence were examined. The patients' medical history was examined, the patients filled out a questionnaire evaluating their quality of life. Kinesiological analysis was carried out before and after the physiotherapy. The data gathered and the research results were processed in the form of casuistries. Based on the patients´ examination, an individual remedial plan composed of specifically selected exercises was created for each patient . The therapy consisted of two or three approximately 30 minutes long exercises per week and lasted for 12 weeks, every proband underwent 30 therapies in total. This study can be considered as beneficial because positive effects of the therapy on all the probands were observable. Not only was there an improvement of the problems related with urinary incontinence, but there was also observable decrease in the pain of the musculoskeletal system and increase of the overall physical condition. This bachelor thesis can be used for physiotherapeutical purposes not only for patients over the age of 75, but for all patients suffering from incontinence. This work can be also used as a complex study material in this area for students of physiotherapy, practical physiotherapists, patients suffering from incontinence as well as their family members.
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Education of women with functional disorders of the motion system to the physiological activity of the pelvic muscles using physiotherapy practice
POLÍVKOVÁ, Lenka
This work deals with pelvic floor muscle issues. The topic is Educating woman with functional disorders of the locomotor system for the physiological activity of the pelvic floor using physiotherapy techniques. The first part focuses on the anatomical relationships in the pelvic area in terms of single organs, breathing mechanics, pelvic floor work and abdominal musculature. Further chapters are about pregnancy, childbirth and the postpartum period in relation with pelvic bottom and dysfunction of the pelvic floor mechanism. Theory of functional disorders has been explained as a result of the changes woman's body goes through. The aim of the theoretical part was to summarize knowledge about the function of the pelvic floor, dysfunction mechanism and the possibility of a therapeutic effect on functional disorders of the musculoskeletal system. The second part has developed the methodology and therapeutic procedures for two research files with respect to PF activity as part of the deep stabilization system. The first group were women before childbirth in the 2nd and 3rd trimester of their pregnancy; the second group consisted of women after childbirth - during the postpartum period. Characteristic for both research files were the presence of functional disorders of the musculoskeletal system. For the research were used qualitative methods of data acquisition; case history, observation, input and output kinesiology analysis and interview. The main aim of this work is to determine the rehabilitation plan for women in the 2nd and 3rd trimester of pregnancy and the determination of the rehabilitation plan for women in childbed. Both rehabilitation plans contain special set of PF exercises, which include education for their proper implementation. Selective clients have opportunity to insight into the understanding of this muscle group work, not only useful during exercises, but even during every day activities. The Bachelor thesis can be used in physiotherapists' clinical practice. Also, as a source of information for professionals and the general public.
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Influencing of stress urinary incontinence of women by different physioterapy methods
ZERZÁNKOVÁ, Lucie
The topic of my bachelor's thesis is affecting the women stress incontinence using different physiotherapeutic methods. The thesis consists of a theoretical part and a practical part. The theoretical part covers the problematic of physiology and anatomy of the urinary system and pelvic floor. It also explains the theory of incontinence, diagnosis and treatment of the stress incontinence. Stress incontinence is a state in which one cannot intentionally regulate the urine drain using increased intrapelvic pressure. It is one of the most common women diseases. It is a multifactorial problem, because it causes not only physical, but also mental, social and even economic problems. Stress incontinence is a symptom which can have several causes. Under normal circumstances, the urethra reacts on increase of the intrapelvic pressure by increasing its own pressure and thus it is closed. Therefore it cannot leak the urine. If, however, the urethra is not in its physiologic place, which can be caused by a pelvic floor muscle malfunction, the urine is being leaked uncontrollably. The pelvic floor muscles are crucial part of the core stabilization system. They are very important stabilizers of the whole torso and together with diaphragm they ensure the proper breathing. The stress incontinence can be treated also using conservative and surgical methods. In most cases, the incontinence is treated using only passive methods, by using medicines and applying incontinence tools. In the worst cases, they are treated by a surgery. Women, however, have a possibility to treat the incontinence by physiotherapy. Using this treatment, the symptoms of incontinence can be eliminated or at least reduced to a manageable level. The incontinence can be prevented by doing particular exercises. The goal of the physiotherapy is to teach the women how the urinal system and mainly the pelvic floor work. To help them with the training of the activation and relaxation of the pelvic floor muscles and how to include them during the breathing together with the diaphragm. It is important to focus on the woman mentality. We are trying to support the proper self confidence of the women. The women have to be treated comprehensively and individually. The practical part of the thesis was done using qualitative research. Two patients suffering from stress incontinence were treated during the research. Based on the entrance kinesiologic analysis, an individual exercise plan was created for each of the patients. In the end, the output kinesiologic analysis was done. Mainly, the postural therapy, the flat foot therapy, techniques by Capova, therapy by Ludmila Mojzisova, etc. were used. It is clear from the results that the used therapy was successful and it was rated very well by the patients. According to the patients, the exercises had influence not only on their incontinence problems, but it also helped to improve their overall condition, both physical and mental.
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Effect of African dance on deep stabilization system (pelvic floor) from the perspective of physiotherapy
PŮŽOVÁ, Tereza
This thesis deals with the topic of possible influence of African dance to the deep stabilization spinal system, mainly one of its parts, the pelvic floor. The lifestyle of today´s population is characterized by sedentary lifestyle which often alternates with evenings spent in fitness centers. These two extremes certainly negatively influence human´s health. That is why we can come to a conclusion that the activity of deep stabilization muscles is in imbalance or is considerably weakened, that the external muscles overtake the function of deep stabilization muscles and they try to substitute them which is unfortunately not ideal. The deep stabilization spinal system (DSSS) consists of muscle groups which serve to the postural stability and reactibility of the body (Kolář, 2009). The pelvic floor has an important role in the process. It not only holds the inner organs from the bottom but also takes a significant part on the stabilization of the center of the body. If the pelvic floor is not active enough or has another dysfunction, it can lead to a problem called coccyx and pelvic floor syndrome. Incorrect activity of the pelvic floor also suggests the incorrect activity of the DSSS (Marek et al., 2005). A possible way how to prevent or moderate these problems could be the African dance. African dance is not only an aesthetic form of entertainment, and artistic self-realization, but also a form of physical activity which brings development of all components of human´s personality and health. In its holistic concept it influences both the body and psyche of a person. It not only works with the so-called center (DSSS) and improves posture but it also brings a benefit of emotional experience and joy from the movement itself. A possible pathology of the pelvic floor can be successfully handled with African dance because a link to psychosomatics can be very frequent. The intention of the theoretical part was to make a summary of the previous findings about DSSS. I highlighted the dysfunction of the coccyx and pelvic floor syndrome. Also a summary of the information about the African dance style was introduced. As there is a very limited range of bibliographical and other sources to find To reach the set objectives and to answer the research questions, the method of qualitative research was used. Three probands, who regularly took part at the lessons of African dance, were researched. All of them were diagnosed with the coccyx and pelvic floor syndrome and insufficiency of DSSS at the beginning of the research. About two months later, medical examination showed that DSSS and pelvic floor was effected positively. The muscles of DSSS became more active and the pathological condition of the pelvic floor returned largely to "normality". This research and its results also contributed to answering the research questions and meeting the research objectives, which is that African dance is able to positively influence DSSS and coccyx and pelvic floor syndrome at these probands. This thesis was not primarily trying to reveal the cause of the coccyx and pelvic floor syndrome but it researched whether it is possible to therapeutically influence DSSS with the African dance, whether the coccyx and pelvic floor syndrome is there and whether it is possible to influence it with the dance. This thesis can be used as a basis for clinical practice of physiotherapists who are interested in the link between musculoskeletal system and dance. It can also serve as an educational material for instructors of the African dance who are interested in therapeutic and regenerative effect of the dance activity in more depth. Eventually this thesis can become an impulse for more research of this issue.
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Stress incontinence and the possibilities of targeted rehabilitation
VYHLÍDALOVÁ, Denisa
The topic of my bachelor thesis is stress incontinence and options of targeted physiotherapy. The first section contains theoretical background concerning mentioned problems. The theoretical section summarizes anatomical and physiological facts about urinary system and pelvic floor, and the theory of incontinence. There are described types of urinary incontinence and their causes. As next, there are mentioned the options of diagnostics and treatment especially of stress incontinence. Incontinence, i.e. involuntary leakage of urine, is one of the most widespread female inconveniences of recent years. It brings many problems, not only physical ones but also mental, and so that it has negative impact on quality of the life. This involuntary leakage of urine is not an illness to all intents and purposes but symptom with various causes. The most common cause are weakened muscles of pelvic floor, which belong to the deep stability system. They significantly support the whole stability system of the trunk. These muscles and fasciae of pelvic floor provide proper stabilization of urinary bladder, urethral closure, and urethra in proper position and by this they assure continence, especially when intra abdominal pressure increases. The muscles of pelvic floor and diaphragm participate together in breathing. The frequency of incidence of urinary incontinence increases depending upon the age. One of the incontinence types is stress incontinence. Urine leakage is always related to physical activity. Urine leakage happens when intra abdominal pressure increases and happens without contraction of detrusor. Unlike against other disorders, it is possible to fight successfully against incontinence not using only drugs and operative surgery. The treatment of incontinence is in recent years relatively successful and with the help of proper and regular exercise it is possible to prevent it. According to some recommendations, when treating stress incontinence, physiotherapy should be chosen as a primary treatment. The goal of physiotherapy is the effort to help patient to be able to activate muscles of pelvic floor in situations when the leakage of urine is expected. There was used the method of qualitative research in practical section of the thesis, using case studies of 2 patients suffering from stress incontinence. The thesis contains entry and final kinesiologic analysis completed with the query CONTILIFE, the plan with adequate exercises and measures, and the final success rate of the treatment. The goal of the thesis was to point out significant role of physiotherapy in the treatment of patient with stress incontinence, then outline the available rehabilitation methods and propose complex of appropriate exercises and measures. There was created a booklet with the list of exercises for each patient. Patients have exercised using these single exercises being previously instructed about them for eight weeks, and they were simultaneously controlled on regular basis. Patients were observed in a complex manner so that the individual therapy was made for each of them according to individual problems, revealed in entry kinesiologic analysis. Final results of this study showed that the chosen therapy was successful and patients mention not only subjective feeling of improvement of their incontinence problems during the day, but also an improvement of their physical condition and relief from the pain of the cervical and lumbar spine due to a complex approach and individual therapy.
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