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Evaluation of treatment in scoliosis using software SCODIAC 2.3
Šonská, Kristýna ; Šafářová, Marcela (advisor) ; Dyrhonová, Olga (referee)
Although scoliosis is defined as a deviation of the spine in the frontal plane above 10ř according to Cobb, the spine is deformed in three planes. The chest is also affected at the same time. The most common type is idiopathic scoliosis, which has multifactorial etiopathogenesis. The thesis summarizes available information on kinesiology of the spine, classification of idiopathic scoliosis, its incidence, etiology, diagnostics, treatment and specific physiotherapeutic exercises. The practical part is devoted to assessing the symmetry of the patient's torso from the photographic documentation of the posture by SCODIAC 2.3. Indices evaluating hull asymmetry from the back or front (POTSI, ATSI) result from mathematical calculation. The smaller the number, the more symmetrical the posture. Correlation of POTSI index and Cobb angle is explored. 20 patients (18 girls and 2 boys) with idiopathic scoliosis up to 47ř according to Cobb aged between 7 to 18 years were selected for the study. All patients were subjected to anamnestic data collection, kinesiology analysis and a questionnaire. The results were statistically processed. SCODIAC software is one of the options offered to evaluate torso asymmetry and assess posture changes after therapy. It acts as a feedback for a physiotherapist and motivates...
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Capture of the abduction contracture of the hip joint as a biomechanical cause of idiopathic scoliosis
Mařík, Antonín ; Nováková, Tereza (advisor) ; Pavlů, Dagmar (referee)
Author: Bc. Antonín Mařík Title: Capture of the abduction contracture of the hip joint as a biomechanical cause of idiopathic scoliosis The theme of the thesis is based on lectures and numerous publications by Professor Tomasz Karski, MD, PhD from Lublin, published in international journals (from the 1990s to the present). The work is based on the biomechanical cause of the "so-called idiopathic" scoliosis, the cause of which is considered primarily the restriction of adduction in the right hip joint - an abduction contracture. This contracture is one of the symptoms of "contractures and deformity syndrome" according to Prof. Hans Mau (Tübingen, Germany). The years-long prevailing "standing easy" attitude on the right lower limb is a manifestation of the restriction of abduction - the abduction contracture in the right hip joint and the cause of scoliosis in two groups and three types of classification of "biomechanical" scoliosis according to Karski. The main object of the thesis is an objective assessment of the relationship between the abduction contracture of the right hip joint and the idiopathic scoliosis of the spine in the examined set of probands. The thesis focuses, among other things, on the recent overview of the knowledge about idiopathic scoliosis, especially on diagnostics and...
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Possibilities of physiotherapy idiopathic scoliosis in adults
LONGINOVÁ, Michaela
The bachelor thesis focuses on the idiopathic scoliosis of adults. The idiopathic scoliosis is a three-dimensional spinal deformity, which is characterized by a change of position of the vertebra. The etiology of this change is unknown. The condition often arises in childhood and remains in existence till adulthood. The idiopathic scoliosis is not getting worse in adults. However, it causes divergent complications and limitations in daily life. The adult patients often have backache so it is important to not forget about the physiotherapy that can positively influence the progression of the spine. The thesis consists of a theoretical and a practical part. Firstly, I describe some anatomical terms, after about like the scoliosis and its division. Then I characterize the term idiopathic scoliosis, its diagnostics, examinations and the therapy, which includes special concepts dealing with this diagnosis. After that, I define the characteristics of the idiopathic scoliosis in adults. In the practical part, there is a research that describes a case history of three patients suffering with the idiopathic scoliosis. Each case history contains information about the anamnesis, a kinesiological examination and characterization of therapies, which were applying for 2 months. The goal of the thesis is to represent ways of physiotherapy applied on adults suffering with the idiopathic scoliosis and to highlight the limitations in their everyday life. I also suggest an exercise focusing on the consequences of adults affected by the disease. The physiotherapists can use this thesis in practice, and it gives information for patients about the condition and its treatment.
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Examination of gait in patients whit idiopathic scoliosis. Objectification using treadmill
Švábková, Anna ; Lepšíková, Magdaléna (advisor) ; Černý, Pavel (referee)
This master thesis concerns gait in patients with idiopathic scoliosis. Idiopathic scoliosis constitutes about 80 % of all scoliosis cases and its adolescent type is the most common form of spine deformity in the child population. The theoretical part outlines existing knowledge on this medical condition and its treatment, focusing on conservative therapy by corrective spinal orthoses. It further describes the physiological stereotype of gait and differences observed in patients with idiopathic scoliosis. It also discusses the effect exerted on bipedal locomotion by corrective spinal orthoses. The aim of the practical part is to examine whether there is a relationship between the severity of the main spinal curvature in subjects with scoliosis and the degree of asymmetry between their lower limbs for selected parameters of gait. Since this part concerns gait both without and with bracing, it can also analyse the impact of corrective spinal orthoses on the degree of the given asymmetries. The selected parameters of gait are ascertained by the method of dynamic plantography using a Zebris FDM- T System device. The research sample consists of 14 subjects (12 girls and 2 boys) between the age of 9 and 17 years with idiopathic scoliosis who receive conservative treatment including bracing. The results...
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Possibilities of physical therapy in idiopathic scoliosis for children in middle school age
ZASADILOVÁ, Anežka
This bachelor thesis concern about physioterphy of children in middle school age with diagnosed idiopathic scoliosis. The aim of this work is to compile the exerscises for these patients and at the end in the conclusion evaluate the effectivity. The theoretical part is aimed at describtion of anatomical structures, which are directly affeccted by the idiopathic scoliosis, or which could affect the scoliotic curve after the activation. Further there is a describtion of middle school age, it´s physiological aspects and the influence of this age for cooperation with physiotherapist. Then in the thesis follows the definition of scoliosis, classification of the idiopatic scoliosis by localization, by the severity of the curve deterioration and by age of diagnosing the scoliosis. Furthermore is rewiew of diagnostic methods, which can be used to reveal of scoliosis and a list of therapeutical methods and procedures aimed at the treatment of idiopathic scoliosis. The practical part was processed by the qualitative research. In the first part there is an enlargement of clinical examination of scoliosis, which is afterwards applied to two patients. In the clinical cases is described the examination of the subjects, detail anamnesis, the entering and comclusional kinesiological analysis and the process of therapy. In the conclusion is a proposition of long-term rehabilitative programme.
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Stance and gait analysis using ZEBRIS FDM-T System in patients with scoliosis
Bulánová, Kateřina ; Lepšíková, Magdaléna (advisor) ; Opálková, Michaela (referee)
The thesis deals with the issue of walking and standing in patients with a scoliosis. The theoretical part of this thesis summarizes current knowledge of scoliosis, its classification, etiology, pathogenesis and risk factors of the curve progression. Then the most often changes of the stand and gait stereotype and their main causes are discussed. Goal of the practical part was to identify the difference between particular parameters of gait in an experimental group of patients with scoliosis and a control group of healthy individuals. The examination was performed via the dynamic plantography method using the Zebris FDM-T System. 19 probands with scoliosis aged 8 - 19 and a control group of 19 orthopedically healthy patients in a corresponding age distribution have been selected for the study. The results did not provide any statistically significant difference on a significance level p=0,05. However, there were clear differences between the groups referring to bigger asymmetries in stance and gait stereotype in the scoliosis patients group. Since even in a scientific literature there is a difference in opinion on this issue, more research might be necessary for the exact evaluation of the influence of scoliosis on the stance and gait stereotype.
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Comparison of the size of scoliosis curve in patients with idiopathic scoliosis from x-ray picture and rasterstereography record
Bilinkiewiczová, Eva ; Lepšíková, Magdaléna (advisor) ; Doubková, Lucie (referee)
Scoliosis is defined as a patological curvature of spinal cord of more than 10ř in frontal plane which is combined with rotation of vertebral bodies and also with disruption of fyziological curvatures in sagittal plane. Idiopathic scoliosis is the most frequent type of this diagnosis. The thesis deals with overal issue of this disease, theories of etiology, incidence, classification, types of examination, possibilities of new testing and therapy. The practical part describes rasterstereographic DIERS Formetric III 4D testing and coparison with RTG examination. The study was carried out with 17 girls and 1 boy with idiopathic scoliosis 11 - 46ř at the age of 11 - 17 years. Results of this testing were statistically analysed. Best results were found out in measurements by automatically set range for a group of patients with Cobb angle ≤ 25ř - for 95% differences the limits of correspondance were ± 4ř, the average error was 0,3ř. For group of all patients the limits of correspondance were ± 14ř, the average error was 1,5ř. The results confirmed, that with an increase of Cobb ange a bigger error and systematic error appears.
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The developmental coordination disorder/developmental dyspraxia in patients with the idiopathic scoliosis - A Pilot Study
Mašíková, Darina ; Lepšíková, Magdaléna (advisor) ; Vránová, Hana (referee)
The thesis is foccused on the problematics of the developmental coordination disorder and its presence within the patiens with the idiopathic scoliosis. The theoretical part deals with the explanation of the terms of developmental coordination disorder, sensory integration and idiopathic scoliosis. The experimental part looks for the connection among the idiopathic scoliosis and the dvelopmental dyspraxia. Thirty patients took part in it. Eighteen of them were patiens with the idiopathic scoliosis, these were divided into two groups according to the age. The first group at the age of 7 to 10 years counted four patiens, the other group from 11 to 16 years contained fourteen patiens. The controll group involved twelve children from the fifth class of the common primary school. The children were tested by the standardized Movement Assessment Battery for Children 2 (MABC-2). Furthermore the measurement was completed by two questionnaires for parents. In the DCDQ'07 they assessed the motor abilities of their child compared to children of the same age and gender. The other questionnaire was aimed at closer information obout the pregnancy, development of the child, presence of any disease or impairment, etc. The difference between motor skills of children with the idiopathic scoliosis and the controll group in...
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Moiré and Pedoscan dynamic examinations of patients with scoliosis
Klímová, Michaela ; Valouchová, Petra (advisor) ; Dyrhonová, Olga (referee)
Scoliosis is the most common deformity of the spine affecting from 3 to 6% of human population. The thesis "Moiré and Pedoscan dynamic examinations of patients with scoliosis" summarizes the findings of kinesiology of the spine, pelvis and hip joints and ontogenesis of axial organ straightening. It also deals with the issue of idiopathic scoliosis, its incidence, etiology, classification, diagnosis, treatment options and applied physiotherapy methods. The paper emphasizes the influence of physiotherapy that forms an integral part of medical treatment. A great part of the thesis is devoted to the rasterstereographic and pedobarographic examination. The main purpose of this thesis was to detect and evaluate parameters assessing posture and movement of patients suffering from scoliosis and compare them with a control group. For this purpose, a pedobarographic system Diers pedoscan was used, which detected the distribution of compressive forces on the feet when walking and standing. It was also used a rasterstereographic system Diers formetric III 4D, which allowed for capturing photogrammetric recording of the spine and pelvis using a video-rasterstereography based on the Moiré topography. The study was carried out with a group of 22 females with idiopathic scoliosis up to 40ř according to Cobb aged...
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