|
Case Study of physiotherapy treatment of a patient with the diagnosis of Low back pain
Flasarová, Klára ; Křížková, Štěpánka (advisor) ; Kozáková, Alena (referee)
Title: Case Study of physiotherapy treatment of a patient with the diagnosis of Low back pain. Author: Klára Flasarová Aim: Summary of theoretical findings, the study methodology, physiotherapy care, treatment design and monitoring of the patient with the diagnosis of Low back pain. Methods: This study was a retrieval of a case study in professional practice, held from January 23, 2012 to February 19, 2012 at the Oblastní nemocnice Kladno. The work is divided into two parts - general and special. The first (general) part deals with the theoretical knowledge of the axial system in terms of anatomy, biomechanics and kinesiology, includes information about possibilities of physiotherapy practice and testing at a time when surgery is not indicated and conservative treatment is possible. Second (special) case report describes part of physiotherapy treatment of patients with Low back pain and proposes course of therapy and evaluated its effects. Therapy were starting during the hospitalization tha patient on the neurogical department. The next therapy and final examination were done after the patient's discharge to homecare. Results: Patient's clinical condition significantly differed before treatment and after therapy. The main indicator for us was the level of pain, which in the course of therapy varied...
|
|
Case study of physiotherapeutic treatment of patient with diagnosis Low back pain
Herzánová, Eva ; Křížková, Štěpánka (advisor) ; Štiková, Barbora (referee)
Title of bachelor's thesis: Case study of physiotherapeutic treatment of patient with diagnosis of Low back pain. Author: Eva Herzánová Aim: Summary of theoretical findings, study methodology, physiotherapy care, treatment design, monitoring the treatment and treatment results of the patient with the diagnosis of Low back pain. Summary: This bachelor's thesis was compiled on the base of internship on the District Hospital Kladno during the time period from 7.1.2013 to 1.2.2013. The topic of this thesis is Vertebrogenic algic syndrome of lumbar spine (Low back pain). The work has general part, which deals with theoretical findings related to this diagnosis and the second - special part encompasses case report of a patient with diagnosis Vertebrogenic algic syndrome of lumbar spine. Key words: low back pain, lumbar spine, dorsalgia, low back pain non-specific
|
|
The Use of McKenzie Approach in the Therapy of low Back Pain.
Štičková, Zuzana ; Muchová, Renáta (advisor) ; Táborská, Silvie (referee)
Title of thesis The Use of McKenzie Approach in the Therapy of Low Back Pain. Abstract: The present thesis addresses the issue of treatment of low back pain and in this respect considers the effectiveness of the McKenzie method. The first sections of the theoretical part of this thesis are focused on the kinesiology and pathology of the components of the lumbar spine. Further sections explain the principles of the mechanical diagnosis and therapy, i.e. the McKenzie method. Their focus is to present the specific features and advantages of this approach. The aim of the practical part is to assess the effectiveness of the McKenzie method in patients with chronic low back pain whose previous treatment had no or only a short term effect. Qualitative research based on three case studies has been chosen to achieve this aim. By assessing and comparing both subjective parameters (e.g. the intensity, distribution and frequency of pain) and objective parameters (e.g. the range of motion, neurological symptoms) before and after the treatment by the McKenzie method, its effectiveness for the use in therapy of chronic low back pain was determined. The results testify in favour of the McKenzie method as a convenient approach in treating patients with this diagnosis. Key words: McKenzie, mechanical diagnosis and therapy,...
|
|
Monitoring the effect of physiotherapy from the view of a patient with discopathy using Oswestry disability index Subtitle: By means of Robin McKenzie method
Šrytr, Martin ; Šímová, Alena (advisor) ; Leško, Juraj (referee)
This thesis is focused on the treatment of chronic lumbar back pain using Robin McKenzie method as a therapeutic approach. The theoretical part deals with the physiology of the spine, its pathophysiology and complications related to that. It also presents the McKenzie method, its fundamentals and clinical use. It also describes the Oswestry disability index, which was chosen as a subjective tool for evaluating the effectiveness of therapies from the patient's perspective. The practical part aims to answer the question whether the McKenzie method is a suitable tool for influencing chronic back pain. To answer this question a qualitative research in the form of case studies was made. The key role for assessing the effect of therapy was played by intensity of pain, which was evaluated by the Oswestry questionnaire, dynamics of the spine and neurological symptoms. The results, which were concluded during therapies, argue in favour of the Robin McKenzie method, which is a suitable therapeutic approach to influence chronic lumbar back pain. Powered by TCPDF (www.tcpdf.org)
|
|
Physiotherapy with golf players having vertebrogenic disorders
Lagatorová, Sendi ; Jalovcová, Miroslava (advisor) ; Pánek, David (referee)
Title: Physiotherapy with golf players having vertebrogenic disorders Objectives: The goal of the work is to find out and analyze, from selected foreign studies, the causes of the development of the most common pathologies in the lumbar area of the spine in adults, professionals and amateurs and based on the evaluation of the studies suggest appropriate physiotherapeutic procedures to be used as a prevention against low back pain (further LBP). Methods: The work is structured as a research, which has been created on the basis of an analysis of relevant sources. The literature, printed and electronic monographs, textbooks and specialized periodical were obtained from bibliographical databases, library catalogues and the Internet. The work contains foreign studies from USA, Canada, England and Australia. The studies were obtained from specialized medical databases: PubMed, PEDro, EBSCO. Results: The main cause of the development of LBP in golf players is the full golf swing, especially the modern type of swing. The following pathologies mainly develop in the lumbar area of the spine within the golf players: hypertonus paravertebral muscles, prolapses of intervertebral disc, fatigue vertebrae fracture and artrophaty of facet joints. In the prevention of LBP we use physiotherapeutic processes based on...
|
|
Physiotherapy of patients with low back pain of viscerovertebral etiology.
Sklepníková, Petra ; Malá, Jitka (advisor) ; Vomáčková, Helena (referee)
Title: Physiotherapy of patients with low back pain of viscerovertebral etiology. Objectives: The objective of this study is to verify the significance of inclusion of procedures of a comprehensive therapeutic approach according to Eastern techniques to classical physiotherapy and to find out whether these Eastern techniques can contribute to the enrichment of standard physiotherapy. Another goal is to develop appropriate regimen measures according to TCM and Ayurveda, to create a yoga regimen suitable for patients who have renal and bladder dysfunction according to TCM and whose main common symptom is chronic non-specific low back pain. The study is based upon a comparison of a four-week physiotherapy program according to the physician's indication and a physiotherapy program enriched with compiled regimen measures and yoga exercises in selected probands. Methods: This diploma thesis is an experimental qualitative pilot study. The theoretical part of the thesis was elaborated on the basis of information from book and electronic sources in the Czech and English language in the form of a research. For the practical part two groups of probands were used - experimental and control group. There were 6 probands in each group. The effect of the four-week therapy, which took place twice a week for 60...
|
|
Monitoring of the core muscles activity in postural stability examination by Dynamic Neuromuscular Stabilization tests using surface electromyography in patients with low back pain
Zajíčková, Jana ; Valouchová, Petra (advisor) ; Mačkalová, Petra (referee)
The Master's thesis is focused on monitoring of the core muscles and m. biceps femoris activity in postural stability examination by Dynamic Neuromuscular Stabilization tests using surface electromyography in patients with LBP. Trunk extension test, trunk flexion test and squat test were chosen. The aim of this study was comparing muscle activity timing, symmetry of muscle activation and average activation between healthy subjects and patients with LBP. The changes of muscle activation pattern were observed and average activation was determined. In theoretical part the principles of DNS, surface electromyography and the relationship between postural stabilization and LBP are discussed. Two groups were measured - patients with LBP and a control group, 20 subjects together. The onset times were measured and rank of activation for each test and for each subject was determined. Then the average order for whole group was specified. Measured data were evaluated according to Wilcoxon signed-rank test. In average activation there was analysed change of activation in time. Results were compared between two measured groups. There is significant difference between the two groups in the rank of activation of m. ES l. dx. in trunk extension test and m. EO in squat test. Assymetry in timing of the right and left...
|
| |
|
Evaluation of the Effectiveness of Back Schools in Vertebrogenic Syndromes of Low Back
Spálovská, Hana ; Pavlů, Dagmar (advisor) ; Novotná, Irena (referee)
Title: Evaluation of the Effectiveness of Back Schools in Vertebrogenic Syndromes of Low Back Objectives: To compare the effectiveness of particular back schools. The main goals were to prove the successfulness of back schools in patients with vertebrogenic algic syndrome, to find out jobs with the most promising response to back schools and to reveal possible use of back schools in children. Methods: The dissertation has a descriptive-analytical character and was conducted as a literature review. Results: The results showed the effectiveness of the back schools concept in chronic low back pain. The effect was particularly obvious after two-month duration of the programmes. The most promising results were observed in professionals whose lumbar spine is overexerted due to heavy loads lifting or due to daily routines set into ergonomically inconvenient workplace. The back school concept might be used in children as well, who can mainly take advantage of active exercises and correct ergonomics. This dissertation also sums up other physiotherapeutic concepts relating to this subject. Key words: Back school, low back pain, prevention
|
|
Issues of the motion apparatus injuries among golf players
Lagatorová, Sendi ; Pánek, David (advisor) ; Pavlů, Dagmar (referee)
Title: Issues of the motion apparatus injuries among golf players Objectives: The goal of the work is to find out the most common health problems among golf players and possible preventative measures against their formation. Methods: The work is structured as a research, which has been created on the basis of an analysis of relevant sources. The literature, printed and electronic monographs and periodical were obtained from library catalogues and the Internet. The foreign studies were obtained from databases PubMed and SPORTDiscus. Results: The most common vertebrogenic difficulty among both amateur and professional golf players is low back pain (LBP). It appears more often among men than women. Specific issues are the overload of the paravertebral muscles, occurrence of the osteophytes and degenerative changes in the area of the facet joints and intervertebral disc. Other health problems among golf players are inflammation of the rotator cuff tendons, posterior glenohumeral subluxation, acromioclavicular disfunction, shoulder joint arthritis, stress fracture of the ribs, epicondylitis, and in the area of the wrist and arm of the golf players occur especially fractures, subluxation of the joints and overload of the tendons (especially adductors, flexors and extensors). Almost all the studies...
|