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An electromyographical analysis of the influence of water environment on the rehabilitation of patients with Parkinson's disease
Kotalíková, Kateřina ; Pánek, David (advisor) ; Pavlů, Dagmar (referee)
Title: An electromyographical analysis of the influence of water environment on the rehabilitation of patients with Parkinson's disease Aims: The main aim of this Master's thesis was to compare electrical activity of selected muscles of patients with Parkinson's disease via electromyography during gate aground and in water environment. Furhter aim was to determine co-contraction level of leg muscles of patients with Parkinson's disease during gait aground and in water environment. Methods: This thesis is a case study, which was conducted on five probands, two of which were men and three women of age 67,4±7,1. With the use of surface electromyography, an activity was evaluated of m.tibialis anterior, m.gastrocnemius, m. rectus femoris, m. biceps femoris and mm. erectores spinae in place of Th -L junction. Acquired EMG signal was analized and then a standarized level of muscle activity during gait in different environments was evaluated, aground and in water, and afterward a dynamic co-contraction level was evaluated. Results: The results show consistent standardized activity of monitored muscles in water environment, which describes a chronic influence of pathological central program accompanying Parkinson's disease, where a change in coordination pattern is not observed, typical for movement in...
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Effect of pelvic floor muscles in the deep stabilization system
KOTALÍKOVÁ, Kateřina
The bachelor thesis deals with back pain issues from the viewpoint of function. Backbone is an articulated axial organ and its stability, in addition to passive structures, is secured with long multi-articular muscles but their stabilization function is not sufficient. The stability is further improved with other muscular groups called a deep stabilization system (DSS). DSS in the trunk is made up on the dorsal side with short musculi multifidi, cranially with the diaphragm, ventrally with musculus transversus abdominis and caudally with the pelvic floor. The objective of the theoretical part has been to map the existing methods which affect the deep stabilization system with involvement of pelvic floor. The theoretical part contains an anatomic description of individual components of DSS, available methods of examination and particularly methodical procedures focusing on affecting of the system, mainly by involvement of pelvic floor. The objective of the practical part was to find out whether the pelvic floor has any influence on activation of the deep stabilization system and also what is the effect of gender on the involvement of pelvic floor in the course of performed physiotherapeutic procedures. The thesis has used the method of qualitative research. The research was conducted on 4 probands from my environs, who suffered from occasional pain in the backbone area and who were in the entry examination diagnosed with a disorder of frontal stability of the backbone. The monitoring lasted for ca. 2 months. The deep stabilization system was involved in all the probands. The first impulse for it, however, was the activation of pelvic floor. The therapy was concluded with a final examination which has shown that it was important to involve pelvic floor in order to activate the deep stabilization system (DSS). This has also contributed to the fulfillment of the objective in the research part. The results have been processed in the form of case studies. The bachelor thesis can be used in clinical practice of physiotherapists and some parts of it can be used as an educational material for patients.
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