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Start-up phase of a denitrifying sulphur reactor
Marková, Jana ; Hrich, Karel (referee) ; Malá, Jitka (advisor)
The diploma thesis deals with the start-up phase of the denitrification sulfur reactor, which is used to remove nitrogenous substances from water. The main content of this work was the investigation of the influence of various parameters on the progress of the start-up phase with the aim of their optimization. For this research, three column reactors with different operating parameters were developed at the Institute of Chemistry, Brno University of Technology. The reactors were operated throughout the start-up phase, and samples were taken regularly during the run-up phase for subsequent analysis. It was evident from the measurement results that the appropriate setting of the input parameters of the column test, which was the HRT 15 h and a filling ratio of S:CaCO3 1:2, a high removal efficiency of nitrates from the model water exceeding 93% was achieved in just 15 days. Furthermore, it was found that the HRT of 10 h is not sufficient for the course of autotrophic denitrification and caused a prolongation of the start-up phase, which is economically less favorable.
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Problematics of musculosceletal dysfunction and chains
Hofman, David ; Malá, Jitka (advisor) ; Kučerová, Ilona (referee)
This diploma thesis deals with functional disorders of the musculoskeletal system. It discusses the possible causing factors of these disorders, their manifestations on the body, diagnostics and the possibilities of influencing them. Since this is a very common phenomenon on the human body, I chose mainly the muscle, fascia and joint structure, which I explored and described in more depth. The experimental part of this work aims to demonstrate the possible impact of the intervention of the 1.-3. ribs and claviculosternal joint as described by Ludmila Mojžíšová on the muscles of the neck (m. scalenus anterior, medius and sternocleidomastoideus). To obtain results, I used the ultrasound examination of the diameter of these muscles and Visual analogue scale (VAS) to obtain pain values before and after the intervention using this method. Title: Problematics of musculoskeletal dysfunction and chains Objectives: The first goal of this paper is to collect currently recognized sources about musculoscletal functional disorders. I have described origins of this kind of problems, manifestation of these disorders and kinds of therapy. I've focused on functional disorders of muscle, fascia and joint. Second goal of this thesis is to evaluate a top-rated Prague rehabilitation school's method. Part of Prague...
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Respiration and posture influence on the activity of upper and lower esophageal sphincters
Bitnar, Petr ; Kobesová, Alena (advisor) ; Dolina, Jiří (referee) ; Malá, Jitka (referee)
Respiration and posture influence on the activity of upper and lower esophageal sphincters Abstract This work explores the effect of postural respiratory function on pressures in the upper esophageal sphincter (UES) and the lower esophageal sphincter (LES). UES and LES pressures were measured using a high-resolution manometry (HRM). Leg raise in a supine position results in significant pressure increase in the UES and LES. Traction of the cervical spine and chest stabilization maneuver significantly reduces pressure in the UES and significantly increases pressure in the LES. Abdominal wall activity, i.e. intra-abdominal pressure (IAP) affecting UES and LES function, was measured using Ohm Belt sensors. IAP is related to body position, i.e. posture. Using verbal and manual guides, the subject can be instructed to increase abdominal wall activity and thus regulate (increase) IAP. Of the five monitored positions (sitting, lying on the back with leg raise, "bear", squat and hang), the greatest increase in IAP occurred in the bear position, i.e. in the position on all fours with a support on both hands and feet. IAP activation, which is significantly dependent on diaphragm activation, can potentially affect LES pressure and UES pressures. Based on the systematic review, it can be concluded that breathing...
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Case Study of Physiotherapy Treatment of a Patient after a pertrochanterie fracture of the left femur
Zervidis, Petros ; Malá, Jitka (advisor) ; Hlinovská, Jana (referee)
Title: A case study of physiotherapy treatment of a patient after a pertrochanteric fracture of the left femur. Thesis aim: The aim of this thesis is to evaluate the effects of the physiotherapy treatment that was provided to a patient who suffered a pertrochanteric fracture of the left femur. The first part of the thesis is intended to provide theoretical knowledge of the anatomical, kinesiological, and aetiological background of the pertrochanteric fracture, while also discussing potential physiotherapeutic approaches. The second part of this thesis illustrates the practical physiotherapeutic approach to a patient who suffered a pertrochanteric fracture of the left femur. Clinical findings: This case study is evaluating the condition of an 85-year-old patient who underwent an osteosynthesis surgical procedure after experiencing a pertrochanteric fracture of the left femur. The assessment took place 4 days post-surgery and illustrated a significant limitation of ROM on the operated side along with several musculoskeletal defects. Methods: All the methods and procedures incorporated in this work were based on the literature suggested by Charles University in Prague, Faculty of Physical Education and Sports. Result: After 11 sessions of physical therapy there was a notable improvement in the...
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Comparison of the effects of manual techniques and radial shock wave in the area of the myofascial trigger point.
Bohatý, Pavel ; Malá, Jitka (advisor) ; Vomáčková, Helena (referee)
Author: Bc. Pavel Bohatý Title: Comparison of the effects of manual techniques and radial shock waves in the area of the myofascial trigger point. Objectives: The main focus of this thesis is to compare the effect of treatment using radial shock wave and selected manual techniques. Methods: In this diploma thesis, the Wagner FDIX Force digital pressure algometer was first used to evaluate the effectiveness of both experimental methods to examine the pressure pain threshold, then a Visual Analogue Scale for pain and a two-arm goniometer to examine range of motion to the lateroflexion of cervical spine to opposite side from the occurring MTrp. The outcome data was stored in Microsoft Excel 365. Basic descriptive statistic was used for data analysis using mean values, medians, standard deviations, etc. Due to the heterogeneity of input values in both groups, a regression model and nonparametric Mann-Whitney U-test was used. The significance level for statistical tests was set at α = 0.05. Results: A total of 31 probands were involved in the research, of which 16 underwent radial shock wave therapy and 15 using manual techniques. A statistically significant improvement was measured in the group undergoing radial shock wave therapy in the examination of the pressure pain threshold at the 1st session (by...
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Physiotherapy methods used in the treatment of cervicobrachial syndrome: literature review
Smutná, Dominika ; Pavlů, Dagmar (advisor) ; Malá, Jitka (referee)
Title: Physiotherapy methods used in the treatment of cervicobrachial syndrome: literature review Objectives: The aim of this thesis is to evaluate which physiotherapeutic methods are used in the treatment of cervicobrachial syndrome and to evaluate which ones appears to be the most effective. Also the thesis is summarizing the current knowledge of the cervicobrachial syndrome. Methods: The thesis is processed in the form of literature review and has an analytical-descriptive character. A total of 918 studies were searched using keywords in the online databases PubMed, Scopus, MEDLINE and Web of Science. Based on the established criteria and procedures, which are described in the methodology chapter, a total of 15 studies were selected and analyzed. Results: A total of 15 studies met the criteria of this diploma thesis. From the selected studies, it appears, that manual therapy is currently used the most. Specifically, the neural mobilization techniques, cervical traction, mobilization and manipulation techniques according to Maitland or mobilization techniques according to Mulligan. Due to the small number of the studies, however, it is not possible to clearly answer which method is the most effective, but the most studies were focused on manual therapy. Keywords: cervicobrachial syndrome,...
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Conservative treatment of proximal humerus fractures in elderly people - literary research
Holubová, Šárka ; Šorfová, Monika (advisor) ; Malá, Jitka (referee)
Title: Conservative treatment of proximal humerus fractures in the elderly: literature review Objectives: The aim of this thesis is a search processing mostly foreign available sources in the field of proximal humerus fractures in the elderly. The analyzed studies focus on the effectiveness of early therapy using early mobilization and also on the aspects that lead to the persistence of problems related to this diagnosis in the elderly. These studies are evaluated and compared on the basis of theoretical knowledge of the issue. The purpose of this work is to obtain an up-to-date overview of the issue and to present evidence of the effectiveness of this type of treatment. Methods: The diploma thesis is processed in the form of a literary research. The sources were researched in the PubMed, PEDro, MEDLINE, EBSCOhost, Scopus and Web of Science databases. The first part of the thesis contains a theoretical introduction to the issue of aging and related changes, it also focuses on fractures of the proximal humerus and their treatment. The second part of the work has a descriptive - analytical character and contains an analysis of selected studies that focus on the evaluation of early therapy after fractures of the proximal humerus. Results: At the end of the search, 6 studies focusing on early therapy...
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Scheuermann's disease and its most recent approaches to conservative treatment - systematic review
Kapustová, Eliška ; Pavlů, Dagmar (advisor) ; Malá, Jitka (referee)
Title: Scheuermann's disease and its most recent approaches to conservative treatment - a systematic review Objective: This diploma thesis aims to evaluate the most commonly used therapeutic approaches in adolescents with Morbus Scheuermann and analyze which of the physiotherapeutic approaches are most effective. Methods: This diploma thesis is processed as a systematic review search using databases PubMed, Scopus, EBSCOhost, Web of Science, Science Direct. The first part of this thesis contains the current knowledge and theoretical bases of Morbus Scheuermann. The second part has a descriptive-analytical character. It contains an analysis of a study where was used conservative movement therapy. Results: After the final review of the studies, only 1 study was qualified to be included in this research. The study examined the effectiveness of treatment of Scheuermann's disease using the Schroth method. Because only one study was used in the review, it is not possible to evaluate the results of the studies. It is also not possible to interpret, which conservative therapy is the most effective. However, the study showed higher effectiveness of therapy in patients enrolled in the intervention group, using the Schroth method. Keywords Morbus Scheuermann; juvenile kyphosis; Scheuermann's kyphosis;...
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Effect of strength training in improving range of movement.
Hradcová, Veronika ; Malá, Jitka (advisor) ; Šorfová, Monika (referee)
Title: Effect of strength training in improving range of movement - a systematic review Objective: The aim of this diploma thesis is to find answers to research questions in a form of systematic review and to evaluate if strength training has effects on improving range of movement, or if it restricts it or if it doesn't affect it at all. This systematic review also aims to find out how many researchers are inclined to these individual influences of strength training. Method: The Google scholar, PubMed and Web of Science databases were selected for the study search, in which 140 studies were found on basis of established criteria, which were complemented by 4 studies from other sources, from which 128 were subsequently obtained after removing duplicates. An abstract of these studies was studied, of which 95 studies were unsuitable and were therefore excluded. The remaining 33 studies were further studied and, if they met the criteria of at least one research question, were subseqently included in present review. A total of 18 studies were included in present review, which were further classified into research questions according to additional criteria. For each research question, the studies were evaluated separately and the results of the studies were clearly recorded in a table for subseqent...
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Electromyographic study of selected neck muscles in patients with torticollis
Pospíchalová, Tereza ; Pánek, David (advisor) ; Malá, Jitka (referee)
Title: Electromyographic study of selected neck muscles in patients with torticollis Objectives: The aim of the study was to determine the electrical muscle activity and the symmetry of the electrical muscle activity of selected neck muscles in patients with torticollis during flexion in three different positions - standing, sitting, lying on the back. Methods: The study involved 8 probands aged 27 - 60 years. The Noraxon TeleMyo 2400T G2 surface electromyography device for telemetry data transmission technology with a sampling frequency of 1500 Hz was used for the measurement. The surface electrodes were applied to five target muscles bilaterally, namely the sternocleidomastoid muscle, scaleni muscles, suprahyoid muscles, infrahyoid muscles and trapezius muscle upper part. Subsequently, the probands performed cervical spine flexion fifteen times in a randomized order of positions in synchronism at the same speed by setting the metronome to 60 bpm. The electrical muscle activity of the examined muscles was used in average %MVC values in comparison right/left, as well as changes in average %MVC values depending on positions and symmetry of electrical muscle activity during neck flexion using Pearson's correlation coefficient. Results: The values of the average %MVC of the contralateral SCM against...
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