|
|
The Influence of Hallux Valgus on the Posture
Klasnová, Nicol ; Průšková, Kateřina (advisor) ; Táborská, Silvie (referee)
Surname and name: Nicol Klasnová Consultant: Mgr. Kateřina Průšková, Dis. Title of thesis: The Influence of Hallux Valgus on the Posture Key words: Hallux valgus, forefoot deformity, posture, hallux valgus angle, intermetatarsal angle, the axial position of the thumb In the bachleor thesis on "The influence of Hallux valgus on the posture" we have focused on the hallux valgus issue , its preservative treatment and relationship to a posture. In each chapters we describe the theory on this issue. In particular we describe anatomy and kinesiology of legs, kinesiology of walk and the way how hallux valgus deformity can affects various body structures. The practical part contains three case studies which are devoted to three patients in a period of approximately 12 weeks. Patients have the same diagnosis, an obtained hallux valgus each one with different degree of deformity. The stage of deformity was set on the basis of an axial position of the hallux valgus of radiographs. Each patient has even another related complication. The aim of my thesis was to develop a comprehensive therapy for hallux valgus deformity and to see whether this therapy can change the axial position of the thumb and last but not least whether this can affect their related subjective complications. From outcome X-rays is apparent...
|
|
|
Case study of the physiotherapy treatment of a patient with the diagnosis: status after bilateral hallux valgus surgery
Křížová, Anna ; Nováková, Tereza (advisor) ; Slezáková, Petra (referee)
Title: Case study of the physiotherapy treatment of a patient with the diagnosis: status after bilateral hallux valgus surgery Objectives: The first aim of this Bachelor thesis is summary of theoretical knowledge which is connected with hallux valgus. The second aim of this work is study of a patient after surgery of hallux valgus. Summary: This thesis consists of two parts - general and special part. The teoretical part is a summary of the most important information from literature like etiology, diagnostics, clinical picture or treatment. The special part contains anamnesis, examination, aims of therapy, therapy, short-term and long-term plan and evaluation of the whole therapy. Keywords: case study, physiotherapy, hallux valgus, surgery
|
|
|
Effect of conservative therapy to deformity hallux valgus
Levá, Helena ; Ježková, Martina (advisor) ; Kříž, Jiří (referee)
This thesis focuses on the evaluation of a conservative approach to the hallux valgus deformity. 21 people took part in the empirical study in which the changes were tracked. I worked with a group of women who exercised regularly and a control group. The regularly exercising group participated in a 3-month therapeutic program led by a physiotherapist. Each of the participants was properly examined at the beginning of the program and after three months, when the program finished. Each examination consisted of a kinesiologic analysis, a plantography footprint, a foot X-ray, a pain evaluation (the numeric scale was used) and filling out a scoring scale questionnaire of American Orthopaedic Foot and Ankle Society (AOFAS). The changes of pain of the MTP or IP toe joint, the development of foot arch, changes of the toe valgus angle according to the X-rays and the overall score achieved in the AOFAS questionnaire were statistically evaluated. The ability to isolate toe abduction, right posture of the foot, stability of the axial joints and other changes were followed as well. After comparing the results the conclusion of the study is that the three-months physiotherapist-led program weaken the pain of MTP/IP toe joint, rise the score achieved in the AOFAS questionnaire, improve the foot posture and the overall...
|
|
| |
|
|
Hallux valgus in the context of physiotherapy
Lufinková, Hana ; Dudová, Agnieszka (advisor) ; Šifta, Petr (referee)
Objectives: This work solves the problem of hallux valgus deformities, aetiology, biomechanics, the possibility of conservative therapy, surgery and post-operative treatment. Methods: Data collection was made by questionnare survey of people during thein hospitalization for hallux valgus surgery and than after 4-5 months. Questionnaires are targeted primarily to conservative therapy and post-operative rehabilitation therapy. Results: Due to the small number of probands (20 people) can not be drawn significant conclusions. Hallux valgus deformity is often solved by surgery rather than by conservative treatement, mostly because of the decision of patients for treatment, when the deformity is in an advanced stage. Postoperative rehabilitation treatment has a positive effect on recovery, particularly in terms of reducing pain and swelling, to facilitate walking (subjectively).
|
|
|
The influence of hallux on stand and gait stability
Hlinková, Zuzana ; Valouchová, Petra (advisor) ; Bitnar, Petr (referee)
The diploma thesis "Vliv palce nohy na stabilitu stoje a chůze" is focused on the function of hallux at stance and through the gait cycle and particularly to halluxes influence on stability of the stated motor stereotypes. The theoretical part summarizes the knowledge gained through literature research on anatomy and kinesiology of hallux. It also contains analysis of gait cycle and muscle coordination through it with emphasis upon activity of foot and function of hallux muscles. The practical part attempts to objectivize changes in stability and changes of loading of foot with instrumental examination. Force plate Balance Master® and GaitPlatform FDM were used for the measurements. On the force plate the parametres of movement of the centre of mass (COM, COG) and maintenance of stability while standing were compared. GaitPlatform® was used for measurement of ground reaction forces while standing and walking. Powered by TCPDF (www.tcpdf.org)
|
|
|
Compensatory therapy in patients with hallux valgus
DUŠKOVÁ, Šárka
This bachelor thesis is focused on the most common issue of foot acquired deformities, hallux valgus. This condition is characterized by the valgus positioning of the hallux with metatarsophalangeal joint rotation, varus and prominence of the first metatarsal head. The etiology of hallux valgus is multifactorial although risk factors for the developt of valgoid position of halluxes are divided in hereditary factors, direct and indirect effects. Deformity is often associated with longitudinal and transverse flatfoot. Deformity causes considerable difficulties to the patients, particularly in the form of post-exercise pain, calluses and blisters. Developing deformities may likewise create hammer fingers on the other toes. Last but not least, deformity and its complication significantly limit the selection of appropriate footwear. The main objective of this bachelor thesis is to summarize the available information concerning risk factors in the development of hallux valgus, the contemporary approaches in physiotherapy for the treatment of this deformity as well as the aplication of complex therapies and its effectiveness evaluation. In modern kinesiology, hallux valgus is not regarded as a foot problem only as it is rather a complex movement disorder. Therapy was applied symptomatologically on all body, using a movement compensation reaction system. An appropriate therapy compilation for this issue is also included. In the theoretical part, the basic terminology regarding hallux valgus is explained, breaching the subjects of foot kinesiology, phylogenetic and ontogenetic development. It also describes diseases and deformites caused by intermetatarsal angle calcification. The largest part of this section is devoted to risk factors in the development of hallux valgus and its conservative therapy. Conservative therapy was based on the thorough obtention of anamnestic data and kinesiological analysis; the selection and application of physiotherapy procedures was determined by the present symptomatology. Therapy was carried out individually according to the current status, age and overall condition of the patients when seeking to correct muscle imbalance, posture, stereotype walking practice, education and regime measures. A quantitative research method was approached, performed by studying 3 patients? case reports with hallux valgus and who had not yet underwent surgery. Every case report contains anamnestic data, kinesiology analysis, description of therapy and long term draft planning for physiotherapy. The patients come from the Private Practice Olga Poláková in Jihlava. At the start of the study, the patients were acquainted with the process and aims of the therapy. Therapy results are evaluated in discussion and conclusion sections. All patients showed improvement in foot pain and overall foot kinesiology improvement. Experimental results demonstrate that the therapy was chosen accurately thereby accomplishing the aim of the present study. This bachelor thesis can be useful in raising awareness regarding the conservative treatment of hallux valgus and in the clinical practice of physiotherapy.
|
|
|
Application Dorn´s method Prouzová Púry in hallux valgus deformity
MAŤHOVÁ, Aneta
Hallux valgus is one of the most frequent static deformities of the forefoot while genetic predisposition has considerable influence here. This deformity is closely associated with the emergence of the transversal flatfoot. Broadened forefoot causes serious difficulties not only as a cosmetic defect, but also because it is painful when weight is put upon it. Also, calluses and blisters significantly reduce the selection of suitable footwear. The main goal of this paper is to summarize information on etiology, morphology and treatment options for hallux valgus diagnosis. The other objective is to apply the therapy of Prouzová Pury Dorn Method and to assess the effect of this treatment. The data for therapy evaluation are obtained from podobarographs and radiographs, kinesiologic examination and from patient surveys. The theoretical part is focused on anatomical structure of the foot, ontogenetic and phylogenetic development of the foot, kinesiology, foot function, muscle groups connecting the bottom of the foot with other body parts. The largest section is devoted to the foot examination techniques, the characteristics of the hallux valgus diagnosis, its etiology, prevention and treatment methods ? both conservative and surgical. As regards conservative treatment, I deal especially with Prouzová Pury Dorn Method which is also used in the practical part of this paper. The concluding part of the paper shows the application of Prouzová Pury Dorn Method therapy and its effect on the body movement system of four patients. The therapy was applied for the period of fifteen weeks. Processed and evaluated instrumental measurements, kinesiologic examination and patient surveys should clarify the changes caused by the treatment. Research results are summarized in the discussion and conclusion part.
|
|
| |
guest ::
