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Individually manufactured orthopedic insoles as an option for correction of acquired leg defects
Cákoci, Lenka ; Jagerová, Jana (advisor) ; Pařilová, Markéta (referee)
Title: Individually manufactured orthopedic insoles as an option for correction of acquired leg defects Objectives: The main objective of this work is to create comprehensive overview of the theory of acquired leg deformities during life and possibilities of correction and treatment of these deformities in the form of orthopaedic insoles manufactured individually for a particular client and by different methods. Methods: In context of my work I used the systematic research method. This is based on available Czech and foreign literature, electronic sources, from materials obtained at congresses and from personal consultations. Results: The result of this thesis is an inventory of information, which deals with each acquired foot defects, causes and connections between them; and treatment offers or correction options using individually manufactured orthopaedic insoles, but also other methods of treatment. Further, this thesis shows production offer of orthopaedic insoles, beginning from older development, but still used, up to methods to news in the field. Thesis with its content, can present a benefit for orthotics students and other medical workers working in the field of calceotics and podology. Keywords: diagnostics, calceotics, foot arch, materials, leg defects, method of production
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Possibilities of objective diagnosis of flat foot
Palouš, Vojtěch ; Opálková, Michaela (advisor) ; Babková, Lenka (referee)
The subject of this work is the flat foot - pes planus. Foot mechanical functions are described including features demonstrating flatfoot pathology. I summarize knowledge in embryology, anatomy and biomechanics, and focus on possibilities to evaluate functions of the foot with both classical and modern methods. The goal of this work is survey of diagnostic methods, mainly current procedures of objective evaluation and determination of the precize kind of the foottype pathology. I also include my original measurements on a patient and I compare the conclusions based on individual methods.
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Effect of constitutional hypermobility, obesity and the condition of the foot arch on the results of the Véle test of primary school children
Hiršová, Pavlína ; Nováková, Tereza (advisor) ; Vomáčková, Helena (referee)
Title: Effect of constitutional hypermobility, obesity and the condition of the foot arch on the results of the Véle test of primary school children Objektives: The aim of my study was to establish whether the foot arch, scope of joint mobility and body weight affects the postural stability of primary school children. Another aim was to compare the incidence of functional flatfoot, constitutional hypermobility and obesity or overweight among school age children. Methods: The data were processed from selected primary schools in Prague 6. In total participed 854 children 7 - 12 years old. The used methods were common and accessible physiotherapy methods. The stability was evaluated according Véle test. Flat foot was examined aspection in standing, assessment of flexibility was performed while standing on tiptoes. Hypermoblity was determined using test according to Janda and body weight was determined by body mass index. Data were evaluated in Microsoft Office Excel. Results: We found that the evaluation of the Véle test better performance girls than boys. Rigid flat foot was more common in pupils of 2nd class, functional flat foot in pupils of 6th class. Constitutional hypermobility suffer more girls 2nd class, overweight or obese suffer more girls of 6th class. We found that functional flat foot has...
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Evaluation of the effect of exercise according to the Propriofoot concept and the methodology of Sensorimotor Training by Janda and Vávrová on foot pressure distribution.
Dudová, Helena ; Vilímek, Miloslav (advisor) ; Goldmann, Tomáš (referee)
Title: Evaluation of the effect of exercise according to the Propriofoot concept and the methodology of Sensorimotor Training by Janda and Vávrová on foot pressure distribution Objectives: In this thesis the following three goals were set: First, to find out if and how does the percentual foot pressure distribution between the left and right foot in standing change after a four-week long exercise according to either the methodology of Sensorimotor training by Janda and Vávrová or the Propriofoot concept. Second, if and how will the segmental foot load change. Third, if the prospective changes of foot load will agree or differ between the two groups. Methods: A pilot study for quantitative research using experimental scientific method was conducted, with two groups consisting of ten members each, aged thirty to fifty and diagnosed with flat foot. At the beginning, all probands underwent diagnostic measurement using the "Plantograf V10" device. Then they attended a four-week long individual therapy with an exercise plan created according to one of the two methods in consideration. At the end the probands were again measured by the same device. Entrance and control measurements obtained for each participant and both groups were evaluated, compared and statistically analyzed. Results: Analysis of the...
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Problems of the functional flatfoot
Michalec, Radim ; Dudová, Agnieszka (advisor) ; Véle, František (referee)
Title: Problems of the functional flatfoot Objective: The aim of this diploma thesis is problems of the functional flatfoot. Main goal is to describe relation between change of structure, disorder of foot function and development of flatfoot. The thesis tries to describe the behavior of foot and arch in standing and walking. Another goal is to summarize the diagnostic possibilities of flatfoot. Methods: The diploma thesis has descriptive-analytical character. It's written in form of literature review. Results: This thesis demonstrates the problem of disunity nomenclature concerning the problem of flatfoot. Specifically, it concerns the interpretation of the words of functional flatfoot, movement components in foot and laboratory diagnostic methods. There is offered an explanation of the concept of functional flatfoot. Further work indicated that the acquired flatfoot is a question of a functional disorder that may progress to structural changes. The static and dynamic loadings were confirmed by the role of small muscles of the foot in the role of dynamic stabilization and influence of femoral rotation on the foot arch. There were summarized methods used for the diagnosis of flatfoot including dynamic plantography. Keywords: flat foot, foot arch, kinesiology, diagnostics
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Foot Arch in Childhood
Kellerová, Kateřina ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Author: Bc. Kateřina Kellerová Title: Foot Arch in Childhood Problem definition: The most often diagnosis related to the foot arch in childhood is definitely flexible flat foot also called pes planovalgus. Because of that this thesis will be mostly oriented on this diagnosis. There are many articles about flexible flat foot and many studies were oriented on this problem. The informations about etiology, influencing factors or therapy are sometimes discordant in different articles. But almost all of them contain one same statement which says that the prevalence of this diagnosis is decreasing as the foot arch is changing during the child's growth. It means in older children there is not flexible flat foot so often as in the younger ones. But there is no detailed description of the dynamics of these changes of the foot arch in childhood. Aim of this thesis: The aim of this thesis is to find out the development of the foot arch in children of pre-school age. In other words to run the survey to find out the changes of the foot arch in children of pre-school age which occurs in six months. Method: The survey contains anamnesis questionnare for parents and also these examinations: footprints, examination of joint laxity, mobility of hip joint, position of knee, patellae and heel, Jack's test, posibility...
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Possibilities of physiotherapy and problematics of flat foot focus on pupils of older school age
PODRACKÁ, Veronika
This thesis deals with the issue of flatfoot in older school-age children and physiotherapy methods effective for this condition. The human foot underwent considerable changes during its evolution once a limb adapted to climbing, it gradually developed into an organ which enables humans locomotion and upright stance. Flatfoot is a rather common condition described as minimal to non-existent arch of the foot. The aim of this thesis is to list the physiotherapy methods which can be used to treat the condition in older school-age children, to suggest an exercise to help improve both the foot flexibility and the arch position, and to describe the effects of exercising on a person´s posture. The theoretical part of this thesis includes the description of the foot anatomy, foot functions and its functional relationships with other parts of the body. This part of my thesis also describes the flatfoot condition and possible therapy methods focused on children of older school age. The practical part is based on a qualitative research. The focus group of my research were three school children two girls aged 12 and 13 and a boy, 12 years old. The physiotherapy treatment was applied for eight weeks, once a week under my supervision, and the patients were asked to do the required set of exercises daily. The data was gathered during the initial and the final kinesiology examination and photos providing documentary evidence were enclosed. The physical examination included 3D scan assessment. Respective casuistries and both short-term and long-term individual rehabilitation plans were based on the processed data. The set of exercises was created beforehand and then modified during the therapy according to each patient´s physical ability and their current condition. The last therapy session included each patient´s subjective feedback concerning the therapy and its results. Positive results and a distinct improvement of the foot arch position and the body posture were achieved in each case.
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The influence of sensorimotor stimulation induced by specialized tools and pshysioterapeutical techniques on the function of the foot of middle childhood aged children
VOTAVOVÁ, Eva
This bachelor thesis addresses the function issues of children's foot and the possible ways of influencing it by using sensomotoric stimulation. The foot is an important organ, which has multiple functions. Locomotion is one of the primary functions. The ability to adapt to different types of surfaces is one of the other functions. The gait on different terrains is natural for the foot. Alas, under the influence of the modern age, we the deviate from nature and lock our feet into misshapen footwear. Last but not least it is the sensitive component, which allows the motor system to respond appropriately to stimuli. The name of this phenomenon is sensorimotor coordination. Its base principle is the processing of data sent from the proprioceptors embedded in the body structures. The central nervous system processes the information and responds in an organism-specific way. It is an essential requirement for physiological gait. Basic information allowing the understanding of the given topic is stated in the theoretical part, for example the anatomy and structure of the locomotion system in the lower extremity area, biomechanics of gait included. A great deal of attention is paid to sensomotoric stimulation and its possible usage. The practical part was made in the form of a qualitative research. The research poll consists of four younger school-aged subjects, who took part in a 3-month therapy. The results were obtained by comparing the pre-therapy examination and post-therapy examination. The aim of the bachelor thesis was to conduct a survey about sensomotoric stimulation and to elaborate how it can impact functions of the foot. The results show, that it can have a positive impact on subjects with signs of flat feet. The muscles of flat feet are flaccid and therefore the sensomotoric stimulation is a suitable therapy for this condition. It activates the main leg joints stabilizers and the short muscles of the arches. The results are not as convincing in the case of a high arch, nevertheless even this condition has shown improvement. The muscles of a foot with a high arch have higher tension and in many cases, structural changes are present. These changes can be removed only by operation, e.g. pes cavus. Nonetheless if the therapy is undertaken at an early age and with a proper intensity, a positive effect can be achieved. Sensomotoric stimulation should be a part of natural development for the human body. It ensures the correct and efficient integrating of muscle units during locomotion.
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The influence of physioterapy in adult pacients with flatfoot and chronic vertebrogenic algic syndrome in cervical region
KUŽELOVÁ, Blanka
This thesis deals with problem of flat foot in adults with the occurrence of chronic pain responses vertebrogenic syndrome in the cervical spine. In the system of motion the foot is the most important part that primarily allows locomotion and provides support for upright posture. Due to the large number of proprioception we get information about the ground in which we are moving in. The foot is through muscular chain segments connected with higher incidence of musculoskeletal and its dysfunction can lead to chain malfunctions and subsequent formation of pain around the knee and hip joints as well as the entire spine, including the cervical section. Flat foot in the adult population is a frequent static deformity developed on the foot originally normal and can arise at any age. Most often it happens after a long-term abuse, such as prolonged standing, heavy lifting, and prevalence of overweight but in the first place it is caused by wearing inappropriate footwear. Above all, women are subject of fashion trends and wear tight pointy shoes, especially on high heels, which is the main cause of flat feet. It is most often accompanied with deformities such as bunions or hammer toes. As a result of flat feet it is reduced its flexibility, joints and spine are no longer protected against bumps. Lower limbs and the whole spine are under an abnormal loading. Vertebrogenic algic syndrome is due to sedentary lifestyle and are one of the most common cause of disability. There are signs of faulty posture and muscle imbalance in the cervical spine. The work includes theoretical and practical part. The theoretical part deals with problem of decrease foot arch, its connection to the cervical spine, therapy and prevention. There are also described muscle imbalances of the cervical spine, the anticipating and treatment options. In the practical part there was used a qualitative research method that involved four students with significant reductions in the instep and a pain in the cervical spine. The techniques of observation and subsequent processing of case studies were used, and that was accompanied with a questionnaire about the effectiveness of the treatment according to subjective feelings of patients. The meetings with patients were conducted every week for eight weeks of therapy. Each session lasted approximately 45 minutes during which the hypertonic muscles along with trigger points were unblocked and the foot was stimulated. Further exercises from the previous treatment were controlled and subsequently were given the new ones. The patients performed exercises 1-2 times daily for about 20 minutes. The aim of this work is to outline the relations between the dysfunction in the form of flat feet and cervical spine, and further to design and implement short-term rehabilitation plan, which cause a mitigating the effects of flat feet for specific patients. For each patient the exercise unit was compiled according to his needs individually, and new exercises were added every week. If the patient did not accomplish some of the exercises, these were included into the next treatment. And the final goal was to design a set of exercises that will serve as a precaution against the functional changes of the spine due to flat foot. The research shows an overall improvement of posture by all patients. There was a significant reduction of pain in the cervical spine and strengthen in the plantar arch. The therapy was also focused on the treatment of bad breath stereotype, which was manifested by upper respiratory type, and its consequence occurred the overloading of the cervical section. A great importance was also given onto strengthening lower shoulder blade fixators, which were by all patients really weakened. This work can serve not only for students and their study purposes. It can be an inspiration for physical therapists in clinical practice for the treatment and, finally, it can serve as a source of information for the general public.
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