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The hyperactive urinary bladder in female patients with multiple sclerosis as seen by a physiotherapist
Havlíčková, Michaela ; Meluzínová, Eva (advisor) ; Rejchrt, Michal (referee)
The aim of the thesis " A Physiotherapist's View of Overactive Bladder function in Multiple Sclerosis Patients" and the influence of physiotherapy on the symptoms of the overactive bladder. This thesis deals with exert influence on symptoms of an overactive bladder by physiotherapy. Therapy is based on the fact that guarding reflexes that maintains continence at the level of spine and subcortical (micturition centre in pons) are activated by the contraction of the pelvic floor muscles. Physiotherapy contains pelvic floor muscle training with biofeedback, behavioral training and training of stabilizing function of pelvic floor muscles. Powered by TCPDF (www.tcpdf.org)
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The parameters of maximum breathing gas exchange depending on diaphragmactivation
Svitek, Martin ; Radvanský, Jiří (advisor) ; Bitnar, Petr (referee)
The alm of the work was to evaluate the impact of facilitation of physiologic coordination of respiratory and postural functions of diaphragm by Vojta-therapy on gas exchange. This thesis summarizes available knowledge about anatomical background of diaphragm functions, together with other trunk muscles known as deep stabilizing system. Moreover, it describes coordination of breathing and postural functions. We tried to objectify impact of diaphragm activation on gas exchange in healthy adults. Two following spiroergometries were compared aťt:er Vojta-therapy stimulation and with placebo. We evaluated minute ventilation, breath frequency, tidal volume, oxygen consumption, rate oť elimination of carbon dioxide and respiratory quotient. There were no statistical differences between placebo and Vojta- therapy group at exercise intensity levels 1 W /kg, 2 W /kg and in maximal exercise. Powered by TCPDF (www.tcpdf.org)
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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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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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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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Possibilities of physiotherapy for children with faulty posture in middle school age
MAREŠOVÁ, Barbora
This thesis focuses on incorrect body posture of older school-age children and possibilities of physiotherapeutic methods that can be used for this particular age stage. Incorrect body posture is often included among social diseases that are to a great degree caused by lack of exercise and one-sided life style. Generally it is about remaining in static positions and decrease of physically demanding work. The aim of my work is to outline the problem involving children of this particular age range and to evaluate the influence of physiotherapeutic treatment with older school-age patients having incorrect body posture. Theoretical part of the thesis describes correct body postures, muscular chains involved in torso stabilisation, anatomy of deep stabilisation system and incorrect body posture itself. The next chapter deals with older school-age stage from somatic and motor development viewpoint. The last chapter describes physiotherapeutic methods that can be used to treat this health issue. For the empirical part of the paper I chose qualitative research method with two girls of older school-age. Each of them was instructed with a series of set exercises they were to do at home during the whole therapy time approx. 10 weeks. In addition to that, they came in for 9 sessions, during which we focused on their incorrect body posture and other acute problems they had. Short-term and long-term physiotherapeutic plan was proposed based on the anamnesis and kinesiological analysis gained at the beginning and at the end of the therapy. Examples of several exercises aimed at chosen topic are enclosed. This thesis can serve both the professional and the lay public in order to inform them about possibilities of different physiotherapeutic methods that can be used when treating incorrect body posture.
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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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Use the activation of the deep stabilization system in the prevention of injuries in hockey players
OBSTOVÁ, Lucie
The bachelor thesis deals with issue of activation of the deep stabilization system in the prevention of injuries in ice hockey players. The aim of practical part was to descripe the theoretical knowledge of the deep stabilization system. In the thesis were presented knowledge of ice hockey.The practical part of the thesis is processed by the qualitative research method. To obtain secondary data was collected anamnesis of all probands. then was made the input and output of kinesiology analysis. The data and research results were published in the form of case reports. In the practical part of my thesis, I tested the 4 probands, ice hockey player a premier league team at the age of 22-24 years. I compared changes in the values obtained during the input and output kinesiological analysis with spacing of 8 weeks. During this time I have seen each proband 8x. The classic hockey training was included in the group A specific set of exercises to activate HSS. In group B was performed only classic hockey training. The probands had repeated problems with muscle contusion, stretching the muscles, rupture of the face, pain in the lumbar spine, pain in the groin, stretching the ligaments (knee, ankle joints), and pain in the knee joints.The aim of this study was to compare the efficiency of activation of concrete at HSS probands (hockey players) in the prevention of accidents in comparison with the frequency of injuries in hockey players without activating the HSS.Another aim was to create a specific set of exercises to activate HSS, which would be included in the classic hockey training.At the initial examination was detected in all probands insufficiency diaphragm, pelvic floor and deep abdominal muscles. When the exit examination at the end of the investigation was a reduction in these pathological signs in only one proband.However, research carried out in such a large issue was not sufficient, as their number of respondents and the duration of therapy. Because of this main could not be filled with work or unequivocally answer the research question.This thesis can be used as educational material for the clinical practice of physiotherapists, physiotherapy students for coaches field hockey and ice hockey players themselves.This bachelor thesis may be a stimulus for further research activities in this area.
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Influence of deep stabilizing system on obstructive lung disease
LUKŠÍKOVÁ, Klára
This Bachelor Thesis tries to solve the question whether the activation of the deep stabilization system has got any provable influence on obstructive lung diseases. It is based on clinical experience that points to a positive influence of the deep stabilization system on respiration. The aim of this thesis is a spirometric observation of resting breathing and respiratory rhythm which come about after the activation of the deep stabilization system when Vojta reflex locomotion method has been used to arouse this system. The theoretical part briefly summarizes findings about respiratory physiology and kinesiology; it deals with pathophysiology and pathokinesiology of obstructive air passages with a focus on asthma bronchiale. One of the chapters deals with spirometric examinations. Then there is a description of the deep stabilization system from the point of view of the influence on respiratory functions and a possibility of his activation through Vojta reflex locomotion. For the practical part of the thesis I chose qualitative strategies of research. Acquired data were based on 5 case interpretations which included anamnestic information and kinesiologic analysis of probands suffering from obstructive lung diseases. The main part of the research was built up on spirometric measuring of resting breathing, observation of changes in respiratory rhythm and changes in time proportions between inhalations and exhalations during three different situations. In the first situation there were no interventions in proband's breathing. In the second situation the proband was measured in the position of decentration. The third situation involved measuring after the activation of the deep stabilization system through Vojta reflex locomotion. The analogue scale of subjective perception of respiratory state was also included in the research. Evaluated data of the spiriometric measurements of resting breathing did not bring anticipated results. A positive result was recorded only at the changes of respiratory rhythm and a subjective perception of easier breathing was proved after the stimulation of Vojta reflex locomotion. The respiratory rhythm changes were dependent on postural situations. In the position of decentration the number of breaths increased, on the contrary the number of breaths decreased after the stimulation of Vojta reflex locomotion. When observing the subjective perception of respiratory state there was a shift on the analogue scale to a better position by 23.18 mm after the stimulation of Vojta reflex locomotion. Results in measurements of the time proportions between inhalations and exhalations were highly disparate.
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