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The importance of physical therapy in prognosis in patients with Pierre Robin sequence
Sedinová, Monika ; Smolíková, Libuše (advisor) ; Zounková, Irena (referee)
Clefts of orofacial komplex are the most common birth development defects. One of them is Pierre Robin sequence, which is characterized by presence of micrognathia, glossoptosis and upper airway obstruction. Because of these symptoms, isolated cleft palate "U" or "V" shaped can be part of the diagnose. Other clinical manifestations are feeding difficulties, obstructive sleep apnea syndrome and / or gastroesophageal reflux disease. The aim of the treatment is to secure the airway and the child's thriving after birth by using conservative or invasive treatment methods. Choosing of methods and procedures should be established by multidisciplinary cooperation. The other part of diploma thesis is trying to find out, which clinical manifestation are the most common in patients from the Czech Republic compare to foreign patients and the differences in management of the treatment. Furthermore we are trying to investigate, whether there is higher percentage of patients with delayed neuromotor development among PRS patients, which are under physical therapy. The last part is trying to find out the relationship between the poor posture and PRS diagnose in children age 4 - 6 years.
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Autochthonous Musculature and its effect on Scoliotic Hold
VRÁNOVÁ, Barbora
This bachelor thesis deals with the influence of autochthonous musculature on scoliotic posture. The term autochthonous musculature means the deepest layer of back muscles situated along the spine. Autochthonous musculature is one of the components of the spine stabilization system. Together with the diaphragm, the transverse abdominal muscle and with the pelvic floor muscles it supports particularly the lumbar spine. The function of the autochthonous musculature is to set correct mutual position of two adjacent vertebrae and thus prevent the spine from incorrect loading. Its dysfunction may lead to scoliotic body posture. The thesis consists of a theoretical and a practical parts. The theoretical part explains the term autochthonous musculature and scoliotic posture. It also contains tests examining autochthonous musculature and selected conceptions and methods of its activation. The aim of the thesis was to elaborate case studies of patients with scoliotic body posture and to compare their condition in the input and the output examination before and after proposed and applied kinesiotherapy, to map the concrete influence of autochthonous musculature weight training on scoliotic posture of the monitored patients. Research questions were based on the aims: whether better position of the spine axis could be observed in the patients and whether autochthonous musculature weight training had positive impact on scoliotic posture. The practical part was based on qualitative research method. Data collection was performed by means of elaboration of case studies using the methods of interview, observation and kinesiological analysis. The case studies include the anamnesis taken, the input and output kinesiological analysis, a short-term therapy plan, description of the therapy course and a long-term therapy plan. The research sample consisted of four probands of different age. All the patients suffer from scoliotic body posture. The therapy lasted 10 weeks. Slight improvement of scoliotic body posture was achieved during the applied therapies by activation of the deep stabilization system of the spine, not only the autochthonous musculature. The deep stabilization system always works as a whole and activation just one of its components is impossible. This is why we cannot say that autochthonous musculature has positive influence on scoliotic posture. The results however show that the posture can be improved by activation of the deep stabilization system of the spine.
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The Training System of Pilates and Effects on Movement Body System
GLIEROVÁ, Jaroslava
At present there are a fast growing number of physiotherapists and their clients who discover Pilates, a form of body and mind exercises that have a positive influence on the rehabilitation of injuries (Wilson, 2005). The principles of the Pilates method are identical with some physiotherapeutic concepts and methods (e.g. Mensendieck, Feldenkrais). The application of the Pilates exercises is spread especially among physiotherapists in the USA. In this country it is practiced a part of fitness exercises. This thesis deals with connecting the principles of the Pilates method with physiotherapeutic methods, their application in practice and confirming their positive effect on the change in body posture. The theoretical part deals with the analysis of the information as yet achieved on the Pilates exercises. It defines the Pilates exercises, sums up information from the history of the exercises, mentions the basic principles and their principal connection. The principles of breathing and describes the ``centre{\crqq} by the effort for explaining the subject matter from the professional point of view, and finally, it deals with the subject matter of the incorrect body posture. The practical part presents a set of exercises applicable in the prevention of the incorrect body posture, as a reason of vertebrogenic troubles. The quantitative strategy was used for the reasons of the empirical part. To confirm the effect of the Pilates exercises on the change in body posture, the development of the thoracic vertebral column in flexion and extension, I used Otto{\crq}s test. The results were statistically evaluated by the pair t-test. RESULTS: the positive influence of Pilates on body posture was confirmed.
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