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Reliability of DNS tests in cunical practise
Stýblová, Jaroslava ; Kobesová, Alena (advisor) ; Demeková, Júlia (referee)
Introduction: Functional testing which is used in rehabilitation is mainly based on aspection and palpation. It is a subjective examination of a patient and you cannot find out specific physical quantities with this method. If you want to use functional tests in clinical practise it is necessary to determine the reliability of the tests. Aim: To determine the inter-rater reliability for the DNS tests and to create a detailed descriptive statistics and a new evaluation sheet. Materials and methods: There were six experienced evaluators who are trained for the DNS method. We have worked with a mixed group of patients. There were patients with health problems as well as patients without any difficulties (n = 10 women, average age - 34, 5, n = 4 men, average age - 35, 2). We used percentage agreement, Fleiss's kappa coefficients (κ) and P-value. Results: The research of DNS tests reliability is innovative. Evaluators of DNS tests usually agree with each other. In some cases there is a problem with using Fleiss's kappa coefficients (κ) because of the position of relative frequencies. In most tests we found out that the inter-rater reliability is good (κ ≥ 0.80), substantial (0.60 ≤ κ < 0.80) and moderate (0.40 ≤ κ < 0.60). Conclusion: The evaluation of one character in a case of one patient by three...
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Activation of deep stabilizing system and its impact on scapula stability and shoulder centralization in patients suffering from shoulder pain syndrome
Kolarčík, Jakub ; Hálková, Jindřiška (advisor) ; Sládková, Petra (referee)
BACHEROL THESIS ABSTRACT Author's first name and surname: Jakub Kolarčík Bacherol thesis supervizor: Mgr. Jindřiška Hálková Oponent: Title of bacherol thesis: Activation of deep stabilizing system and its impact on scapula stability and shoulder centralization in patients suffering from shoulder pain syndrome Abstract: Bachelor thesis is focused on the impact of activation deep stabilizing system an its impact on scapular stabilization and shoulder centration in patients suffering from shoulder pain syndrome. For purposes of this work three subjects with shoulder pain syndrome of different etiologies were selected. Age of those subjects is between 23 and 78 years. During 3 months time every subject undertook ten therapeutical interventions. Goal of this thesis was to find out if there is a correlation amid shoulder pain, stability of the scapula, shoulder centration and activity of the deep stabilizing system of spine. Dynamic Neuromuscular Stabilization (DNS), Acral coactivation therapy (ACT) and Coordinatively-loading kinesiotherapy (K-Z K) Anatomy and kinesiology of the shoulder complex, deep stabilizing system of the spine, selected diagnoses and therapeutic methods used during therapy are described in the theoretical part of the thesis. Three case reports of patients suffering with shoulder pain are...
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Objectivization of Dynamic Neuromuscular Stabilization effect on foot supporting function using Senno Gait device
Hejdová, Tereza ; Kobesová, Alena (advisor) ; Davídek, Pavel (referee)
The thesis evaluates the immediate effect of one therapeutic unit that using Dynamic Neuromuscular Stabilization (DNS) on the foot support function. The aim of the experiment was to verify effect of a single DNS therapeutic unit would to the determined parameters. The main expected effect was the optimization of the dynamic function of the foot and achieving better stability during the stance phase of a gait cycle. Methods: For the study, the asymptomatic group of 30 probands aged 24-36 years, 10 men and 20 women was selected. Fifteen probands were randomly divided to two groups - fifteen experimental group and fifteen to the control group. Subjects enrolled in the experimental group were measured before and after one forty minute therapeutic unit of DNS concept. The control group underwent two measurements at the same time interval, but without the therapeutic unit. The Senno Gait instrument was used for measuring. It contains insoles with motion sensors. It collects the data at a 100 Hz sampling rate for 1 minute while walking at its own normal speed. Results: Compared to initial examination, the significant shortening of the standing phase in the left lower limb (p = 0.003) and in the right lower limb (p = 0.034) was observed. The gait rate was unchanged after the DNS therapy in the...
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The influence of the Pilates method on faulty posture and low back pain
Štveráková, Tereza ; Vitujová, Marie (advisor) ; Ptáková, Karolína (referee)
The diploma thesis invastigates the effect of specifically designed six-week clinical Pilates program on posture and low back pain. The theoretical part contains an overview of the Pilates method - the history, principles and its usage in rehabilitation. It also briefly describes the concept of Dynamic Neuromuscular Stabilization (DNS), which, along with the original Pilates method and the Spiraldynamic concept, has created the current Pilates Clinic Method. Furthermore, one chapter is devoted to the system of training Pilates teachers in the Czech Republic. The main objective of the practical part is to evaluate and compare the effect of an organized and an individual six-week Pilates exercise programme in patients with faulty posture and low back pain. Subsequently, constitutive objectives are set on the basis of selected examination methods. Firstly, evaluation of the exercise programme by the means of clinical objective tests combined into 5 groups: standing and balance, spinal mobility, DNS tests, somatognosia (shoulder width) and respiratory amplitude. Secondly, with the instrumental measurement of Bodystat's values: height, weight, waist circumference, hip circumference, fat, active body mass, water and body mass index. Thirdly, subjective evaluation using standardized questionnaires the...
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Possibilities of influencing the pain of the shoulder joint trough physiotherapy techniques aimed at axial system. Subtitle: In patients with specific sports load.
Jakovcová, Barbora ; Konopáčová, Eva (advisor) ; Heřmanová, Ivona (referee)
BACHELOR THESIS ABSTRACT First name and surename: Barbora Jakovcová Supervisor: Ing. Eva Konopáčová Title of the bachelor thesis: Possibilities of influencing the pain of the shoulder joint trough physiotherapy techniques aimed at axial system. In patients with specific sports load. Abstract: Possibilities of influencing the pain of the shoulder joint trough physiotherapy techniques aimed at axial system. The target group, were active volleyball players. Three patients, with pain in the shoulder area, were participating in total five meetings, in which were included four therapies within one month. The main goal was active work with axial system without using shoulder, in order to find out, if those two structures influence each other. The other goal was elimination of pain. In the theoretical part was described anatomy and kinesiology of shoulder girdle and axial system, then biomechanics of volleyball spiking, shoulder dysfunctions and physiotherapeutic techniques focused on this specific issue. In the practical part are included three case reports of patients. The consequences are based on subjective evaluation of pain and on functional tests. Key words: kinesiology, biomechanics, dynamic neuromuscular stabilization, back school, volleyball
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Postural therapy of scoliosis using dynamic neuromuscular stabilization in school-age children
HAVLÍKOVÁ, Klára
This bachelor thesis deals with postural therapy in scoliosis with the use of dynamic neuromuscular stabilization applied on school age children who were diagnosed with scoliosis during school years. Scoliosis is a common disease especially in girls' adolescent age when there are hormonal changes in the body. If scoliosis develops at later age, the prognosis for the curve compensation is better. Scoliosis is defined as the three-dimensional spine deformity in the anterior, sagittal and transverse plane. The thesis consists of theoretical and practical part. The theoretical part deals with scoliosis in general, its classifications and concepts that are used to treat scoliosis - from conservative to operative. The last chapter also mentions the school age. The practical part includes the case studies of three girls. Each of the case studies includes an entrance and final examination focused on Kolar's tests. The tests are focused on examining the deep stabilization system, its activation or insufficiency in the given patients. Further, the case studies elaborate the course of therapy. The aim of this work is to describe a list of methods used in the treatment of scoliosis. Another goal is to describe postural changes in specific patients. During the therapy it appears that the DNS method can be used for different age groups due to its variety of exercises. The results show that the DNS method has affected postural changes in patients.
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Activation of deep stabilization system in patients with vertebral algic syndrome of low back spine. Subtitle: Correction of stereotype movements in leisure activities.
Bažantová, Barbora ; Hálková, Jindřiška (advisor) ; Tichá, Monika (referee)
BACHELOR THESIS ABSTRACT First name and surename: Barbora, Bažantová. Supervisor: Mgr. Jindřiška Hálková. Opponent: Title of the bachelor thesis: Activation of deep stabilization system in patients with vertebral algic syndrome of low back spine. Correction of stereotype movements in leisure activities. Abstract: Strengthen the muscles of deep stabilizing system of spine in patients with vertebral algic syndrome of low back spine. Three probands with this diagnosis went through ten therapeutic units during 8 months. The goal was to creat the new motion formula with activated deep stabilizing system of spine and correct the wrong motion stereotypes in ADL and leasure acitivities using the DNS method. Common leisure activity of all the paticipants is golf. In the theoretical part, anatomy and kinesiology of the low back spine, kinesiology of scapula, deep stabilizing system of spine, vertebral algic syndrome, physiotherapeutic methods for the treatment of VAS and the basic of golf are described. The practical part includes case reports of three probands with vertebral algic syndrome in the low back of spine. The results were evaluated based on videos from therapies and quastionnaire. Key words: kinesiology, dynamic neuromuscular stabilization, ontogenesis of child
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Long-term monitoring of impact of competitive swimming in statics and dynamics of the spine
Kučerová, Klára ; Lepšíková, Magdaléna (advisor) ; Vránová, Hana (referee)
Bibliographic identification KUČEROVÁ, Klára. Long-term monitoring of impact of competitive swimming in statics and dynamics of the spine. Prague: Charles University, 2nd Faculty of Medicine, Department of Rehabilitation and Sports Medicine, 2017, 59 p. Supervisor of the bachelor's thesis Mgr. Magdaléna Lepšíková. Abstract Swimming is a physical activity that is often recommended by physicians as compensatory activity. It is symmetrical sport which takes place in aquatic environment. This sport has many benefits and can be done at any age. Our goal was to find out if competitive swimming had an effect on statics and dynamics of the spine. To measure static sagittal parameters we used DIER Formetric III 4D. Dynamic tests were measured by spinal development tests. The trunk stabilization was detected using Dynamic Neuromuscular Stabilization (DNS) concepts. We observed 11 children aged 11 - 12. These children were examined twice in the bachelor thesis, first one before the start of racing swimming and second one after 10 months. In our diploma thesis, these children were examined again after 3 years of racing swimming. We also watched a set of 11 adult swimmers. We compared their results with standards. After three years of racing swimming in children, there was no statistically significant change in size of...
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The effect of fitness exercises on physical fitness level of seniors
Ondrášková, Valerie ; Demeková, Júlia (advisor) ; Kálal, Jan (referee)
Functional body condition of senior is important for preserving his independence, mobility and overall for his better quality of living. This paper tries to investigate influence of "classical" fitness exercise and exercise with DNS components on the functional body condition of examined senior. This paper is also comparing, whether is one of the exercises more efficient. For this fitness program have attended 32 probands older 60 years (control group 17, DNS group 15). After physical examination of their functional body condition by The Senior Fitness Test Battery, they have attended 6 weeks training program (2 times a week, 60 minutes), followed by the control test. In this paper we found out statistically significant improvement in body condition in both groups and from the result implies, that both types of exercises are effective to improve body condition of seniors. However, between these groups, we were not able to prove any significant difference. Then we examined on the smaller group of probands (7 in each group) influence of these exercises programmes on improvement of static postural stability, measured by Balance Error Scoring System. In this test we did not prove any statistically significant difference between the control group and the DNS group neither. The main finding of this paper...
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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...
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