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An examination of pelvic floor activity folloving the application of special exercises
Ludvíková, Lucie ; Hošková, Blanka (advisor) ; Kodešová, Klára (referee)
Title: An examination of pelvic floor activity following the application of special exercises Objectives: The aim of this thesis is to validate the usefulness of carrying out local pelvic floor muscle examinations as an indication and education for therapy. A second objective is for the women involved in the research to subjectively evaluate the examination methods and therapy. Furthermore, the thesis aims to establish an example of a comprehensive and detailed local examination of the pelvic floor muscles. Methods: We measured the pelvic floor activity per vaginam using an EMG biofeedback device on clients with a pelvic floor dysfunction and grade I stress incontinence symptoms. Based on the results of the examination, therapy using the vaginal device was recommended and in six weeks a follow-up examination was carried out. The changes in pelvic floor activity were evaluated by comparing the initial and follow-up examinations. Thus the usefulness of carrying out an examination of the local pelvic floor muscles before indicating a therapy was validated. At the end of the examination an interview with participating clients was conducted in order to subjectively evaluate the method. Results: All of the women participating in the research had previously undergone a different method of pelvic floor...
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Obstetric interventions and pelvic floor disorders
Rušavý, Zdeněk ; Kališ, Vladimír (advisor) ; Roztočil, Aleš (referee) ; Mašata, Jaromír (referee)
Obstetric interventions and pelvic floor disorders - Abstract One of the principal objectives of obstetric interventions in the second stage of labor is prevention of pelvic floor trauma and associated pelvic floor disorders. The most commonly used and also most frequently discussed interventions are manual perineal protection and episiotomy. The majority of pelvic floor disorders are of subjective nature. Therefore, tools for objectification and severity quantification of these disorders are the key to reliable comparison and identification of the most effective interventions. The aim of the dissertation was to find the most effective modification of manual perineal protection, to compare two frequently used types of episiotomy regarding all pelvic floor disorders and finally to find a consensus on the most suitable instrument for anal incontinence severity assessment. Our studies concerning manual perineal protection experimentally described the direction and extent of perineal deformation during vaginal delivery. The subsequent studies on biomechanical model demonstrated that the most effective method of manual perineal protection in peak perineal strain reduction is when the fingers are placed on the perineum 6 cm laterally and 2 cm ventrally from the posterior commissure at both sides and are...
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Delivery injuries and maternal age
Faltová, Anna ; Dvořák, Jan (advisor) ; Přáda, Jan (referee)
The bachelor's thesis aim was to find out whether older age of mother during labour could be a potential risk factor for birth injuries. Bachelor thesis has two parts, theoretical and practical. The theoretical part describes the problematics of birth injuries and summarizes several foreign studies, which consider the age of mother as a risk factor for some birth injuries. The hypothesis was that older age is a risk factor for birth injuries. The aim of the practical part was to find whether the hypothesis is correct or not. The hypothesis was tested by comparing the incidence of different birth injuries between four groups of women settled by age (18-25 years, 26-30 years, 31-35 years, >35 years). In most cases the lowest number of injuries were in the youngest group (18-25 years), but the differences between groups were not statistically significant. Due to the small sample of women, I have analysed, the hypothesis could not be conclusively confirmed, but also conclusively disproved. Key words: delivery injuries, maternal age, vaginal delivery, pelvic floor, levator avulsion, pelvic floor dysfunction, OASI
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Problems with pelvic floor during painful intercourse
Fikarová, Lucie ; Ježková, Martina (advisor) ; Čech, Zdeněk (referee)
This research bachelor's thesis deals with the issue of the pelvic floor in painful sexual intercourse. At the beginning of the theoretical part, the anatomy and kinesiology of the pelvic floor are described. The physiology and pathophysiology of pain are also outlined together with the evaluation. The thesis deals with the description of female sexual dysfunctions, summarizes the cause generating changes in the pelvic floor, which can subsequently lead to painful intercourse or impossibility of intercourse due to pain. The main part of the thesis then deals with the possibility of using physiotherapeutic methods and concepts to influence dyspareunia in musculoskeletal causes. The practical part of the thesis contains a case history of patient with dyspareunia caused by a change in the pelvic floor, its kinesiological analysis, including palpation examination of soft tissues in the pelvic area and a therapeutic plan using several methods of physiotherapy.
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The issue of pelvic floor dysfunction in patients with cystic fibrosis and its therapeutic interventions
Mohylová, Barbora ; Smolíková, Libuše (advisor) ; Bouchner, Karel (referee)
The diploma thesis deals with the problem of global pelvic floor dysfunction in patients with cystic fibrosis. The theoretical part is devoted to individual components of dysfunction, thus urinary and fecal incontinence, prolapse and sexual issues. In particular, it focuses on the mechanism of formation and prevalence of individual components and also contains information on the musculoskeletal abnormalities most commonly found in patients with cystic fibrosis. There is also mentioned the impact of incontinence on the quality of life of patients. The experimental part describes a questionnaire survey, hypotheses derived from it and their results with comments. There is also statistical processing of the data and graphical representation of the results. Other important findings from the survey are also listed. The thesis follows the previous bachelor thesis and aims to draw attention to the given issue and break the wall of silence from the ranks of patients and health professionals.
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Dysmenorrhea and its possible treatment by physiotherapy
Keresztenyová, Nikola ; Malá, Jitka (advisor) ; Kučerová, Ilona (referee)
Title: Dysmenorrhea and its possible treatment by physiotherapy Objectives: The aim of this thesis has been to assess the effect of simple feet exercises along with the practice of pelvic floor activation and relaxation on women struggling with dysmenorrhea. Subsequently, it also deals with the issue of whether the pelvic floor treat- ment per rectum together with the exercises is more effective than just plain exercising. Methods: This research has been based on an experiment. This thesis includes both a the- oretical part and a practical part. The methods used for the practical part are as follows: questionnaire (specifically Menstrual Symptom Questionnaire), simple feet exercises, ex- ercises used for the activation and relaxation of the pelvic floor as well as the pelvic floor treatment per rectum and final processing of the gathered data into statistics. Results: The menstrual cycle of every woman is completely individual and every woman perceives it quite differently. The result of the research was that simple feet exercises along with the practice of pelvic floor activation, relaxation and the pelvic floor treatment per rectum help women struggling with dysmenorrhea. We didn't discover any data that confirms whether the pelvic floor treatment per rectum, together with the exercises, is more...
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Dysfunction of pelvic floor
Divišová, Kamila ; Šorfová, Monika (advisor) ; Tlapáková, Eva (referee)
Title: Pelvic floor dysfunctions Objectives: The aim of this thesis is to determine the effect of physiotherapy based on the methodology of Ludmila Mojzisova on patients that were showing pelvic floor dysfunction symptoms. The objective is to take the clinical picture of the patients and compare it to the typical findings of Mojzisova. Also to determine which one of the clinical history events had most likely the biggest impact on the development of the dysfunction. Methodology: For the assessment of the effectiveness of the therapy on the patient, I used the pain scale called visual analogic scale (VAS), that was recorded at the beginning and at the end of the therapy. For the comparison of the clinical picture, I used the aspection while focusing on the divergence from the posture and assessment of spasms and blockades according to Mojzisova. This was completed with a test of stretching maneuvers and deep and superficial sensation. In order to determine the root cause of the problem of each patient, I used their clinical history. Findings: This diploma thesis confirmed the benefit of the Mojzisova method therapy in lowering the pain levels and improving the functional state of probands. This was further confirmed by the clinical picture of the study subjects. The most probable root cause of the...
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