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Case Study of Physiotherapeutic Treatment of a Patient after Lumbar Spine Surgery
Špatzová, Barbora ; Stupková, Michaela (advisor) ; Hořejší, Jan (referee)
v Abstract Author: Barbora Špatzová Supervisor: Mgr. Michaela Stupková Title: Case Study of Physiotherapeutic Treatment of a Patient after Lumbar Spine Surgery Objectives: The aim of this bachelor's thesis is to summarize theoretical information regarding the diagnosis of lumbar spine stenosis. Furthermore, the aim is to use the practical skills achieved during the bachelor's degree in physiotherapy at the Faculty of Physical Education and Sports of Charles University in the care of a patient after decompression surgery due to spinal canal stenosis. Methods: In order to process the theoretical part, a literature search was carried out, on the basis of which this part was created. A special part is dedicated to working with the patient, includes anamnesis, initial kinesiological analysis, proposal of short-term and long-term therapeutic plan, detailed description of therapeutic units, output kinesiological analysis and finally evaluation of the therapy effect. This is followed by a discussion where the used therapeutic methods and procedures are discussed with professional publications. Results: According to the evaluation of the therapy effect, there was a partial improvement in the overall condition of the patient, as a result of the physiotherapy care. Conclusion: Theoretical knowledge was processed and...
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Problems of drum kit players from the perspective of physiotherapy
KOŠNEROVÁ, Barbora
The bachelor's thesis is dealing with the players of the drum set, primarily musculoskeletal disorders that bothers them. Because all musculoskeletal disorders couldn't fit in this thesis, the most important ones were chosen. The most problematic part of a body was chosen with help from a questionnaire using a pain assessment. Then, all the musculoskeletal disorders related to this part of a body were analyzed. The thesis is divided into a theoretical and practical part. The theoretical part is dealing with drum set, techniques of playing the drum set, kinesiology, the most common musculoskeletal disorders and their prevention. The practical part is done by form of mixed research. The quantitative element is a questionnaire to which 250 probands answered. The questionnaire was posted for three months - from August to November and on Facebook groups for drummers. The following research includes case studies of three probands selected from the questionnaire. Each proband underwent six therapies over a period of three weeks. At the same time, in these three weeks, they did the same exercise unit and were educated about ergonomics while playing. An initial examination was done during the first therapy, and an exit examination was performed during the last one. It is evident from the results of the questionnaire that the most problematic part of body from the examined group is the low back. That is why the rest of the research was focused on it. At follow-up research, there was an improvement in low back pain in all probands. It can therefore be stated that compensatory exercises, stretching and following the ergonomics of the seat and setting the drum set are important for drummers. The results of this thesis could be used as an educational material for drummers and drum teachers.
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Comparative analysis of physiological, degenerative and postoperative lumbar spine using computational modeling
Krejbychová, Adéla ; Návrat, Tomáš (referee) ; Vosynek, Petr (advisor)
This diploma thesis deals with the comparative analysis of the physiological, degenerative and postoperative state of the lumbar spine. The problem was solved by computational modeling using the finite element method. For this solution, it was necessary to create appropriate computational models. The spine physiological state was compared with cases of the lumbar spine with different levels of spondylolisthesis, cases of the lumbar spine with different sacral angles, and cases of lumbar spine with applied fixators. Based on the performed analyses, it was found that spine degenerative state has a great influence on the distribution of stress in the vertebral discs and the vertebra itself. Compared to the physiological state, with increasing level of the spondylolisthesis the stress in the vertebral discs increases, while the stress in the vertebral section decreases. Furthermore, the spondylolisthesis affects the force flow. The higher the level of the spondylolisthesis, the more the force flow is shifted onto the posterior articular ligaments. The best results in terms of the spine physiological state were achieved with the applied fixator model.
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Physical activity in patients after surgical treatment of lumbar spine
Plháková, Michaela ; Dudová, Agnieszka (advisor) ; Novotná, Irena (referee)
Title: Physical activity of patients after surgical treatment of the lumbar spine. Aim: Main aim of the diploma thesis is to investigate which physiotherapeutic intervention for patients after spinal surgery is the most effective one and offer optimal activity immediately after the surgery and in a long term phase. Investigate questions: 1. Which physiotherapeutic intervention is the most effective one? 2. Which type of physical activity is the most optimal one? Methods: A systematic review on the topic. Results: The review answers the questions about physiotherapy after lumbar surgery in acute and long term phase after surgery and shows current trends and unique approaches in this study area. Keywords: Lumbar spine, intervertebral disc herniation, microdiscectomy, physiotherapy, physical activity.
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Physical activity in patients after surgical treatment of lumbar spine
Plháková, Michaela ; Dudová, Agnieszka (advisor) ; Novotná, Irena (referee)
Title: Physical activity of patients after surgical treatment of the lumbar spine. Aim: Main aim of my diploma thesis is to present an up to date review on the topic of postoperative physiotherapy in short-term and long-term phase after lumbar surgery and to find out how recommendations about postoperative physiotherapy are created. Methods: A systematic review on the topic. Results: The review answers the questions about physiotherapy after lumbar surgery in short-term and long-term phase and shows current trends and unique approaches in this study area. Keywords: Lumbar spine, intervertebral disc, discectomy, physiotherapy, physical activity.
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A Case Study of Physiotherapy on a Patient with Vertebral Algic Syndrome of the Lower Spine
Šauerová, Lucie ; Novotná, Irena (advisor) ; Nováková, Tereza (referee)
Author: Lucie Šauerová Supervisor: Mgr. Irena Novotná Title: A Case Study of Physiotherapy on a Patient with Vertebral Algic Syndrome of the Lower Spine Objectives: The aim of this bachelor's thesis is to provide a comprehensive summary of theoretical information related to lower back pain. The work includes a list of the most suitable diagnostic and therapeutic methods to this issue. Lastly, the thesis provides a case study of physiotherapeutic care for a patient with lower back pain. Methods: Throughout the duration of the case study, I applied physiotherapeutic methods and procedures that I had acquired during my three-year study of physiotherapy at the Faculty of Physical Education and Sport in Charles University. Results: The effectiveness of physiotherapeutic care was assessed by comparing the patient's initial and final kinesiological assessment, which are summarized in the chapter titled "Evaluation of Therapy Effect". The therapy had a favorable impact on the patient's overall condition. Conclusion: This bachelor's thesis is based upon continuous professional practice. The first part of the thesis focuses on theoretical knowledge related to the problem of lower back pain. The second part of the thesis is dedicated to a specific case study of a patient suffering from this syndrome. This...
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Possibilities of physiotherapy in pregnant women with lumbar spine pain with regard to functional and structural parameters of the pelvis
BENEŠOVÁ, Natálie
This bachelor's thesis deals with the possibilities of using physiotherapy methods during pregnancy to relieve musculoskeletal pain, especially in the lumbar spine, while monitoring the functional and structural parameters of the pelvis. The work is divided into theoretical and practical parts. In the theoretical part, the aim is to give an overview and to write down information of a basic nature, first of all about the anatomical structures that are most closely related to this issue. The anatomy and kinesiology of the spine is described at the beginning, followed by the examination possibilities. The chapter on the pelvis is similarly structured, with more detailed functional and structural parameters of the pelvis. Furthermore, the theoretical section describes basic information on the course of pregnancy. A wide section then describes the changes on different systems during pregnancy, such as the respiratory, cardiovascular, gastrointestinal, urethropoietic and reproductive systems. As an integral part, there is also a description of changes in the spine and pelvis. Finally, appropriate or inappropriate physical activities and physiotherapy methods that can be performed during pregnancy are summarized. The aim of the practical part is to observe and evaluate the effect of physiotherapy intervention for low back pain during pregnancy. The research population included three probands in the second trimester of pregnancy who were suffering from low back pain. I implemented 6 therapy sessions with each proband once every 1-2 weeks. At the beginning, I did an initial kinesiological analysis with anamnesis taking. I presented each proband a series of exercises to influence the musculoskeletal system. At each session, we summarized the other changes since the previous session. At the end of the therapy sessions, we reviewed the results and performed an outcome kinesiological analysis. The work can be used by physiotherapists in practice as inspiration for therapeutic procedures and informative educational material.
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The influence of rounded shoulder posture on the intensity of low back pain
Vaverková, Eva ; Rašev, Eugen (advisor) ; Pavlů, Dagmar (referee)
Title: The influence of rounded shoulder posture on the intensity of low back pain. Objective: The objective of this paper is to determine whether there is a connection between low back pain and a forward shoulder posture. Methods: 23 probands divided into two groups according to pre-established criteria participated in this study. The control group consisted of 10 probands without a forward shoulder posture and without low back pain. The second experimental group consisted of 13 probands with a forward shoulder posture and with low back pain lasting at least three months. The experimental group took part in a four-week therapeutic programme aimed at correcting the forward position of the shoulder joints. This programme consisted of therapy used by Dr. Rašev - the application of a hot towel roll and elastic resistance exercises with Thera-Band. The forward shoulder posture was assessed visually and with a digital caliper. The numerical pain rating scale (NRS) was used to determine whether the low back pain changed when the forward shoulder posture was corrected. Muscle activity in the lumbar spine was monitored by surface electromyography. Results: At the end of the four-week treatment programme, all probands reported reduced low back pain on the numerical scale, although the forward position of...
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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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