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Instrumental dynamic investigation methods in rehabilitation medicine
Jačisko, Jakub ; Kobesová, Alena (advisor) ; Hrazdíra, Luboš (referee) ; Malá, Jitka (referee)
Introduction: The subject of this thesis were two dynamic diagnostic methods of the musculoskeletal system: dynamic ultrasound examination and instrumental objectification of postural functions (measurement of the pressure produced by abdominal). Methods and objectives: Based on literature review and consensus of international experts, the aim was to create comprehensive dynamic diagnostic protocols for joints that are currently not available in the literature. Another objective was to create research articles describing the most common interventions under ultrasound guidance and also original educational materials for beginners in musculoskeletal ultrasound. Another objective was to verify whether clinical tests of postural stability correlate with objectively measured pressure produced by abdominal wall in healthy subjects and then on subjects with low back pain. Another part of the study aimed to verify if there is a correlation between the pressure produced by abdominal wall and intrabdominal pressure measured by anorectal probe. The last part of the project compared the pressure produced by abdominal cavity in patients with low back pain before and after several weeks of physiotherapy. Results: Dynamic diagnostic protocols and educational materials in the form of video galleries were created....
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Analysis of the occurrence of hallux valgus in 12-15 years old ice hockey players.
Helmich, Tomáš ; Malá, Jitka (advisor) ; Reckziegelová, Petra (referee)
Title: Analysis of the occurrence of hallux valgus in ice hockey players aged 12-15 years Objectives: The main goal was to summarize the available facts about the occurrence of hallux valgus in hockey players and then quantitatively determine whether this diagnosis occurs more often in this group compared to the general population, already at the age of 12-15 years. Furthermore, the work tried to clarify the difference in occurrence between the individual posts of the group of hockey players. Methods: 102 probands between the ages of 12 and 15 participated in the research, who were divided into 2 groups. The first group consisted of 36 ice hockey players. The second group consisted of 66 elementary school students who do not actively play ice hockey. Only men were tested for gender differences in the incidence of hallux valgus in the population. Before the actual testing, specific anamnestic information was taken from the participants: age, dominance of the limb, in the case of hockey players, a game post was added for a more detailed investigation. Both groups were measured in a similar way, i.e. with a goniometer from the dorsal side. The angle in the metacarpophalangeal joint of the first finger was measured, on both lower limbs. The resulting data were recorded and processed using the software...
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The influence of flossing band on range of motion of hip joint in grappling athletes.
Müller, Michael ; Malá, Jitka (advisor) ; Vláčilová, Ivana (referee)
Title: The influence of flossing band on range of motion of hip joint in grappling athletes Objectives: The objective of this thesis is to determine the effectiveness of the therapeutic method "tissue flossing" in increasing the range of motion of hip rotations among recreational level grappling athletes, and whether this effect persists after a 60-minute grappling training session or during daily activities. Methods: The experimental research involved 20 healthy participants engaged in recreational- level-grappling. All participants were men aged between 18-35 years. The research consisted of four sets of measurements conducted in two rounds, referred to as input and output measurements. In the first set, an input measurement was taken to establish the baseline range of motion for hip rotation in the right lower extremity, followed by an output measurement of the values for external and internal rotation in the hip joint after a 60-minute grappling session led by an expert coach. The second set included both input and output measurements taken before and after the 60-minute training session. However, specific exercises to enhance hip rotations were incorporated before the second input measurement. The third measurement followed the same procedure as the second set, with the addition of treating...
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Dynamic changes in central reactivity in the context of physiotherapeutic practice
Brokešová, Justýna ; Pánek, David (advisor) ; Malá, Jitka (referee)
Title: Dynamic changes in central reactivity in the context of physiotherapeutic practice Objectives: The aim of this diploma thesis is to obtain, elaborate and summarize current knowledge regarding the phenomenon of central sensitization from both Czech and for- eign literature. The main focus is on physiotherapeutic practice in the context of diagnos- tic and therapeutical methods and their application in clinical practice. Methods: This thesis is written in the form of literature review. All the studies were ob- tained from following scientific databases: PubMed, Web of Science and ScienceDirect. To accept a study into review, it had to be focused on either a diagnostic or therapeutic approach targeting central sensitization in chronic pain. From the databases mentioned above, 1032 different studies were obtained. After applying all the defined exclusion cri- teria, only 34 were left and included in the review. 21 of them were focused on evaluation methods, the topic of the rest 13 was therapeutic. Results: The most common diagnostic methods to evaluate central sensitization are CSI and QST. It was not possible to determine the optimal method due to differences between studies and heterogeneity in the central sensitivity syndrome as well. As for therapeutic approach, the most frequent was manual...
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Comparative study of using high power and low power lasertherapy for tinnitus.
Farská, Tereza ; Malá, Jitka (advisor) ; Vláčilová, Ivana (referee)
Title: Comparative study of high-power and low-power laser therapy in the treatment of tinnitus Objectives: To determine the efficacy of high-power and low-power laser therapy in reducing the loudness of chronic tinnitus and improving the quality of life in patients suffering from chronic tinnitus. Additionally, to compare the effects of both types of lasers. Methods: A total of 18 subjects were included in the experiment, who underwent an otorhinolaryngological, neurological, and kinesiological examination by a physiotherapist. The TSCHQ questionnaire was used to collect data, including the scaling of tinnitus loudness. Quality of life was assessed using the THI questionnaire. To determine the effect, data obtained from the questionnaires before and after intervention were compared. Descriptive statistics and non-parametric tests were used for statistical analysis. The homogeneity of groups was compared using the Mann-Whitney test, the Wilcoxon test was used to compare the effect of the laser within one group. The Chi-square test was used to evaluate qualitative data. The level of significance was set at 5 % (α = 0.05). Results: It was found that HILT had a statistically significant positive effect on reducing the intensity of chronic tinnitus, while LLLT did not. Therefore, high-power laser is...
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Comparison of tinnitus treatment by selected therapeutic approaches.
Klíma, Jiří ; Malá, Jitka (advisor) ; Vláčilová, Ivana (referee)
Author: Bc. Jiří Klíma Title: Comparison of tinnitus treatment with selected therapeutic approaches Objectives: The aim of this thesis is to investigate the effectiveness of selected therapeutic approaches in the treatment of subjective chronic tinnitus. These approaches are manual therapy, low-power laser therapy and cognitive behavioural therapy. Another aim is to determine which of these approaches is the most effective. Last but not least aim is to summarize the current knowledge about tinnitus. Methods: The thesis is processed in the form of literature review. First, the current theoretical background is described, then the objectives of the thesis and research questions are set. Then the methodology is described and the results are presented and discussed. Last but not least, the limitations of this thesis and the studies are described. Results: In total, 13 studies were found that met the criteria. Based on these studies, it appears that both manual therapy and cognitive behavioural therapy lead to a significant reduction in tinnitus severity in some patients with subjective chronic tinnitus. The results of studies investigating the effect of low-power laser therapy have been inconsistent, but most have concluded that it is also effective in reducing the severity of tinnitus in patients with...
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Sonoghraphy study of hip joints of players of ice hockey.
Hybner, Tomáš ; Malá, Jitka (advisor) ; Žáková, Lenka (referee)
Title: Sonographic Study of hip joints in Ice Hockey Players Aims: This diploma thesis aims to find out whether the game of ice hockey affects the emergence of structural changes in the hip joint and whether the level of performance or the playing position of the ice hockey player affects these changes. Within the framework of the theoretical and research part of the work, the aim is to map the current findings between the relationship between the long-term ice hockey game and its effect on structural changes of the musculoskeletal system. The aim is to clarify the condition of the hip joints of professional czech ice hockey players together with players of the czech university ice hockey league and to subject this condition to control against a sample from the general population who do recreational sports. Methods: This thesis has the research character of an observational experiment. The theoretical basis of the work was developed based on available current Czech and foreign literary sources in English, German, and Czech. The research part of the work evaluates the width of the articular space of the hip joints using MSK sonography along with the functional and goniometric examination of the hip joints between two groups of ice hockey players with different performances and the general population...
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Effect of acupressure in the treatment of migraine
Židlíková, Simona ; Pavlů, Dagmar (advisor) ; Malá, Jitka (referee)
Author: Title of the thesis: Bc. Simona Židlíková Effect of acupressure in the treatment of migraine Aims: The aim is to assess the effect of acupressure in the treatment of female migraineurs who are taking triptan medicine. Methods: Migraineurs who are taking triptan medicine took part in the experiment. A total of 20 test subjects participated in the research. The research sample was randomly divided into experimental and control groups of ten participants each. Acupressure was used as a therapeutic method in the experimental group. A total of 8 therapeutic units were performed over the period of 4 weeks. There were three main factors, that were evaluated - the number of migraine attacks and how many times use of acute analgesics was needed in the last 4 weeks before the start of the intervention and during the 4-week acupressure intervention. The third factor was a quality of life - the input and output examination was performed using the Migraine Specific Quality of Life Questionnaire Version 2.1, which assesses the impact of migraine on an individual's quality of life. Migraineurs in the control group were only using triptan medicine and did not undergo any other therapy. This group recorded the number of migraine attacks and the frequency of use of acute analgesics in the same way as the...
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The influence of manual therapy of cervical spine and temporomandibular joint on tinnitus.
Sakr, Mohamad ; Malá, Jitka (advisor) ; Vláčilová, Ivana (referee)
To assess the effectiveness of physical interventions for cervicogenic and temporomandibular joints to reduce Tinnitus. Moreover, this systematic review will assess various physical therapy and optimal tinnitus management approaches. Methodology A systematic review of potential literature was performed following PRISMA guidelines. A comprehensive electronic search across PubMed, CINAHL, Science Direct, Embase, Cochrane library, and Scopus from 1991 to October 2022. I assessed the standard mean difference of intervention within and between the studies. The quality assessment of randomized and non-randomized control trials is performed using the Cochrane risk of bias assessment and the Newcastle-Ottawa scale respectively. Results Nine studies were included in this systematic review (1 cohort and 8 clinical trials). 470 patients were included overall. I used Visual analog scale (5 studies), Tinnitus handicap inventory (4 studies) and self-design questionnaires (3 studies) to describe the results. Different manual therapies were used to intervene and all of them showed statistically significant effect in improving subjective tinnitus in patients. Conclusion The results of this systematic review suggested a favorable role of manual therapy for the management of tinnitus. Prominent change in the pain...
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The effectiveness of physiotherapeutic intervention on primary dysmenorrhea.
Němečková, Eliška ; Malá, Jitka (advisor) ; Kučerová, Ilona (referee)
Title: Effectivness of physiotherapeutic intervention on primary dysmenorrhea therapy Objectives: The aim of this study is to determine the effectiveness of a twelve-week physiotherapy intervention including manual therapy according to dysmenorrhea. Methods: This experimental study evaluates the benefits of physiotherapeutic intervention in women with primary dysmenorrhea. Female probands suffering from primary dysmenorrhea were selected and randomly divided into two groups. Two standardized qualitative questionnaires, Menstrual Distress Questionnaire and Short-Form McGill Pain Questionnaire were used to assess dysmenorrhea and the effect of therapy at the beginning of the experiment and at the end of the experiment after three months. During these months, three physiotherapy interventions were performed, which included examination and treatment by joint mobilisation series and examination and treatment of the pelvic floor muscles The control group did not undergo any treatment of primary dysmenorrhea for three months. Results: Differences in the income and outcome values of the Menstrual Distress Questionnaire and pain descriptors from the Short-Form McGill Questionnaire in probands who underwent the intervention were statistically significant (p <0.05). The differences in the mean values of the...
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