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Posturographic training in flatbed therapy for younger school children
ČERNÁ, Adéla
The arch of the foot began to develop parallel to the transition towards an erect posture of the body to bear the weight and to absorb shocks while the foot is in contact with the ground. The human foot consists of two arches - longitudinal and transverse arch. Both start to develop as the child starts to walk. The development is finished around the pre-school age. From literature it is known that up to 80 % of inhabitants suffer from incorrect foot hold/position. One of the most common deformations of the foot appears to be flat feet. Flat feet are usually formed already in childhood. With the common causes being premature toddler footwear, fashion shoes, fast growth, and excessive physical activity etc. Posturographic techniques are methods used for measurement and treatment of qualitative and quantitate postural balance. There exist two types of posturography - static and dynamic. The theoretical part of the thesis covers the specification of foot anatomy and function, the arch of the foot, the definition of Flat feet and a brief description of therapy. It is followed by description of the posturographic function and posturographic tool, which was used during the practical part of this thesis for the therapy itself. The practical part of the thesis was processed as qualitative research where an initial examination of aspects, an interview and both a posturographic and podoscope assessment all concluded in the form of case reports, took place. Three boys, who attended the first grade of an elementary school were included in this study. They attended the posturograph therapy once a week and they went through a given set of exercises at home. First goal of this study was to observe if the posturography training included in the therapy of flat feet has an impact on the results within the children around the age of primary elementary school. The second goal was to evaluate the effect of posturography exercises on the therapy of flat feet among children. Although this thesis has not brought clear results, a slight improvement of the childrens posture could be observed. The explanation of the unclear results could be due to the small size of the test group or due to short and inefficiently intense therapy. Nonetheless some of the children were looking forward to attending the appointments and that in my opinion adds to the benefits of the overall results.
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The relationship between Véle-test results and results of instrumented evaluation of postural stability
Dvořáčková, Terezie ; Šorfová, Monika (advisor) ; Tlapáková, Eva (referee)
Title: The relationship between Véle-test results and results of instrumented evaluation of postural stability Objectives: The aim of this study is to determine the relationship between a clinical tool for measuring postural stability, Véle-test and instrumented evalution of the same modality. The observed parameters are COM movement, range of motion in hip joints and in the functional complex of ankle and foot. An additional pedobarographic measurement was performed to define the relationship between Véle-test results and foot loading assymetry. The characteristics of this study suggest that our objective is also to find an approppriate aproach to further objectivization and stardardization of the Véle-test. In the first part of this thesis, I define the theoretical background for the experiment. Also, the current insight of physical therapy and biomechanics on the functional complex of the ankle and foot is described. Methods: The subjects (n=15, mean age 24y) were divided into two groups (S1, n1=7; S2, n2=8) according to the results of Véle test. Further, they underwent instrumented testing by pliance-x® sensing system, a 60s pedobarographic measurement was held in quiet standing. After, the Xsens MVN Link suit for 3D kinematic analysis was applied and the subjects were measured in two different...
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Specific changes on feet of rhythmic gymnasts and possibilities of physiotherapeutic influence of the feet with the help of a movement program
Šťastná, Jana ; Satrapová, Lenka (advisor) ; Nováková, Tereza (referee)
Title: Specific changes on feet of rhythmic gymnasts and possibilities of physiotherapeutic influence of the feet with the help of a movement program Objectives: An objective of the thesis is to assess a function and specific changes on feet of rhythmic gymnasts and to demonstrate a positive influence of a movement program on these changes and the deteriorated function of the foot. To summarize the results of existing studies focused on influencing of proper function of the foot and to gain useful information from this experiment not only for physiotherapists, trainers and modern gymnasts but also for laical, actively sporting public which exhibit the same issues with the foot area Methods: The main essence of this scientific-research quantitative study is an influencing of deteriorated function and specific changes on feet of rhythmic gymnasts with the help of a movement program. The program was performed after each practice (i.e. 4 times a week) through the course of 3 months. 10 probands in the age from 14 to 17 years participated in the program. The experiment was based on the method of a comparison of 2 questionnaires and an entrance and exit kinesiological analysis, the part of which was also a test according to Véle (with visual control/without visual control) and a plantogram. For their...
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Specific foot changes in figure skaters and options for their physiotherapeutic intervention
Brabencová, Hana ; Nováková, Tereza (advisor) ; Pavlů, Dagmar (referee)
Title of diploma thesis: Specific foot changes in figure skaters and options for their physiotherapeutic intervention. Objective: The purpose of this thesis is to research available literary sources concerning anatomy, kinesiology and biomechanics of foot and foot arch in relation to specific foot changes resulting from figure skating. In addition, the thesis seeks to research various physiotherapeutic approaches which could be applied in prevention, compesation or therapy of these changes. Methods: This diploma thesis has descriptively-analytical character. It is structured in the form of literary research. Results: On the basis of the researched literary sources, this thesis provides a comprehensive picture on the topic of foot in figure skaters. Based on the research, the thesis identifies foot changes resulting from deformation of the foot in the skate. Subsequently, the thesis discussess the possible physiotherapeutic approaches which can be applied in prevention, compensation or therapy of these changes. Key words: foot, figure skating, flatfoot, physiotherapy
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Effect of deep foot massage on postural stability in patients with spinocerebellar ataxia
Hlaváčková, Tereza ; Pospíšilová, Mariana (advisor) ; Čech, Zdeněk (referee)
Introduction: Spinocerebellar ataxia (SCA) is currently defined as a group of diseases with progressive cerebellar syndrome, which manifests distinctively by ataxic stance and gait. In patients with SCA, deterioration of postural control occurs due to changes of pathophysiological degenerative nervous system. Control of postural stability is significantly influenced by somatosensory afferentation of soft tissue of foot. The work objective is to determine the effect of deep foot massage on postural stability in the group of patients and to compare obtained results with experiments without deep foot massage. Methods: Seven patients of the Clinic Rehabilitation at the Faculty Hospital, Prague Motol (average age 51.9 ± 13.9 years, 5 men, and 2 women) with SCA and clinical signs of cerebellar ataxia were participated in this study. All patients were examined using posturography before and after application of deep foot massage. Measurements were conducted on a firm surface, foam pad with open and closed eyes. Length of COP trajectory, COP area and COP velocity were measured. Results: Significantly lower values of the length and COP velocity were found on the foam pad with closed eyes, when the deep foot massage was applied. Experiments without applications of the deep foot massage did not show any...
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Influence of defferent kinds of running shoes on stability and risk of injury in long - distance runners
Krchová, Zuzana ; Čakrt, Ondřej (advisor) ; Doubková, Lucie (referee)
The main problems concerning birth of running injuries is their unclear ethiopathogenesis and high frequency. Injuries are often lined with forces affected on tread-down which have to be defused by running shoes. There are also opinions that currently used footwear can cause injuries on the contrary. This work explores impact of particular types of running shoes for influencing of stability. Methods: There are compared two groups of runners: minimalists and classic runners. Their stability is examined with help of posturography in three versions: barefoot, classic and minimalistic footwear. Thereafter there is analyzed relation among stability, used footwear, training usage and frequency of injuries. Results: Minimalists and classic runners have the same stability while they are barefoot. Usage of footwear does not cause significant deterioration of stability in any of groups. Nevertheless most of runners subjectively evaluate the variant of testing barefoot as the simplest. There is more frequent occurence of flat foot among classic runners in comparison with minimalists. Flat foot increases risk of formation injuries, on the contrary, regular compensation motion activity decreases this risk.
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The influence of the health compensation program on postural stability and other selected aspects in persons with unilateral transfemoral amputation
Mádlová, Zdenka ; Vařeková, Jitka (advisor) ; Hošková, Blanka (referee)
Title: The influence of medically focused compensating program on postural stability and other selected aspects on patients with unilateral transfemoral amputation. Objectives: Goal of this research was to find out if medically focused compensating program would have any influence on postural stability of unilateral, transfemoral amputees. As next objective, it was studied if any intervention would have any significant influence on changes in shape or physiology of the foot or if there would be any anomalies in tests of the functions of the leg muscles. Methods: Research group consisted of four participants (3 men and 1 woman by the mean age of 44,5 years). Participants undergone intervention in the form of medically focused compensation program, which went on for 8 weeks. Before the start of the program as well as after the end of the program the objective measuring tests were conducted. These tests consisted of measuring the postural stability of the participants and shape of the foot with FootScan device (RSscan International). Furthermore, the functioning of the muscles was determined by tests that focus on function and physiology of the leg muscles. Last but not least, survey was conducted as well to provide further information. All the data collected were processed by tables or graphs using...
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Physiotherapy after fracture of ankle and foot
Hejčová, Mirka ; Molnár, Petr (advisor) ; Hamarová, Zuzana (referee)
82 Anotace (aj) Author: Mirka Hejčová Institution: Departement of rehabilitation medicine Title of Bachelor's thesis: Physiotherapy after fracture of ankle and foot Supervisor: Mgr. Petr Molnár Number of pages: 95 Number of attachments: 4 Year defense: 2013 Keywords: physiotherapy, fracture, ankle, joint, foot, osteosynthesis, conservative treatment In the theoretical part of this thesis is processed ankle and foot anatomy, kinesiology of ankle and biomechanics of foot. Another chapter involves traumatology of ankle and foot which lists types of injuries in this area and methods of treatment and diagnosis. The last chapter includes physiotherapeutic methods which can be used in therapy. The practical part includes a case study of two patients with trimalleolar fracture who attended the outpatient rehabilitation. One patient was treated conservatively and the other one surgically. Input and output kinesiology testing, short-term and long-term treatment plan are compiled at both patients, the course of their treatment is recorded and the success of therapy evaluated.
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Case report of physiotherapeutic treatment of patient after tibial osteosynthesis
Procházková, Marie ; Nováková, Tereza (advisor) ; Neuwirthová, Svatava (referee)
Title: Case report of physiotherapeutic treatment of patient after tibial osteosynthesis Summary: The general part of this thesis contains theoretical information about anatomy and kinesiology of foot and ankle joint and it also deals with gait biomechanics. There is a brief description of distal leg fractures, their classification, diagnostics and therapy. Furthermore, the general part contains information on physiotherapeutic procedures and methods used in fracture rehabilitation. The special part is elaborated as the patient's case report, which was created during the four-week clinical practice at Rehabilitacion hospital of Beroun. The patient's case report contains anamnestic data and an initial kinesiological analysis. The goals of short-term and long-term therapy plan are based on this initial analysis. Finally, the work also includes the progress of individual therapeutic units, output kinesiological examination and evaluation of the effect of therapy. Key Words: ankle joint, foot, fracture, physical therapy, rehabilitacion
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Foot and ankle kinematics in patients with femoroacetabular impingement syndrome
Janáková, Daniela ; Zahradník, Petr (advisor) ; Chládek, Petr (referee)
Femoroacetabular impingement syndrome (FAI) is a hip impairment, which is according to recent studies significant contributor to hip osteoarthritis. Current research is dedicated to evaluate movement patterns of hip, pelvis and spine in patients with FAI using a motion analysis capture system. Biomechanics and kinesiology relations between spino-pelvic complex and lower limb joints led us to choose the topic of this thesis. The goal of this study was to define the movements of ankle and foot in patients with FAI syndrome and to compare with asymptomatic control group. To measure the parameters during gait we used Qualisys motion capture system and then the data were processed in Qualisys Track Manager 2020.03. We assessed the movements of ankle, rearfoot and the progression foot angle during the stance phase of gait cycle. Moreover, we measured the step length, gait speed and passive range of motion of the hip in both exploratory groups. In total we examinated 30 subjects, 15 with FAI syndrome and 15 asymptomatic volunteers with physiologic hip condition. We demonstrated three significant between group changes in average ankle range of motion in sagittal plane, foot progression angle and passive range of motion of the hip.
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