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Local changes of selected somatesthetic parameters in response to stretching m. quadriceps fenoris
Vaňková, Karolína ; Čech, Zdeněk (advisor) ; Lepšíková, Magdaléna (referee)
Fascial tissues form a continuous whole-body three-dimensional network penetrating all parts of the human body. They include all fibrous connective tissue that significantly contributes both to themaintaining of the integrity of the organism and the functioning of body systems and the somesthetic perception.That is because of the facia is richly populated by proprioceptiveand mechanosensitive nociceptive nerve endings. Although the stretching is a routine method used in sports and rehabilitation, its exact mechanism of influence and effects on the body are not fully understood so far. Stretching exercises affect the mechanical state of the myofascial tissues and also the quality of the nociception and proprioception by alteration of their preload. There is evidence about some differences of the mechanical properties of the tissuesboth between thesexes and hypermobile individuals. The theses assesses the effect of static stretching m. QF on the somesthetic perception by measuring pressure pain threshold (PPT) using pressure algometry and the quality of propcioception bygoniometric measurement considering the interindividual variance in quality of the connective tissues. Our research includes testing of 29 healthy subjects (14 women and 15 men) and it has proved significant impact of the intervention on the...
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Hypermobility syndrome and its connection with nerve entrapment syndromes, the example of the thoracic outlet syndrome
Jiquelle, Carine ; Pavlů, Dagmar (advisor) ; Véle, František (referee)
ABSTRACT Background: Since its first mention by Kirk et al. in 1967 and its recognition as a full- fledged rheumatologic disorder, the hypermobility syndrome (HMS) has been increasingly investigated and reported in the scientific literature. Expeditiously renamed benign joint hypermobility syndrome in the patent absence of life-threatening complications, its relatively innocuous character has been progressively reconsidered. In fact, the HMS tends to date to be considered analogous to the Ehlers-Danlos syndrome-hypermobility type, a heritable disease of connective tissue, and therefore emerges as a chiefly rheumatologic disorder with possible widespread reverberations in practically all organs and systems. The condition thence goes beyond the sole involvement of the musculoskeletal system and is recurrently associated with seemingly-unrelated and more or less severe conditions (cardiovascular, pulmonary, gastro- intestinal…). However, neurologic implications of the hypermobility syndrome remain poorly documented, particularly those regarding the peripheral nervous system. Ranking amongst the afflictions of the latter, nerve entrapment syndromes (NES) comprehend a multitude of categories, notably the thoracic outlet syndrome (TOS). And if their pathological mechanisms are generally apprehended...
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Affecting the flat foot in children with Down syndrome
NOVOTNÁ, Gabriela
This bachelor thesis deals with one of the most common problems, from which the people with Down syndrome suffer flat foot. Flat foot appears along with this illness more often than with healthy population. This fact is given by the presence of excessive amount of collagen type VI, also by generalised low muscle tone (hypotonia) and hypermobility. Human foot is a very important part of the musculoskeletal system and performs statical, as well as dynamical function. The sole is capable of kindly taking to the terrain on which it moves. The foot ensures the stability of the either standing or moving body, moreover it is source of proprioceptive information from minor planta. To perform these functions, it is necessary that arch of the foot is properly created, to centre stance of joints of the foot be set and no other deformations be present. Many information about the treatment of healthy children for flat foot can be found in professional literature, but unfortunately no information about the treatment of children with such genetical burden so far. Many opinions about the flat foot treatment occur among the professional community, next to starting active exercise it is often recommended to wait with the treatment till further age or use only passive orthopaedical tools. This thesis aims to bring closer the possibilities of the flat foot treatment of children with Down syndrome. In the theoretical part, the Down syndrome is described, its cause of creation and characteristics. Attention is given to signs of the disease on the musculoskeletal system. Moreover, the theoretical part discusses the human foot, its anatomy, kinesiology, its functions and most common deformity flat foot. The diagnostics of the flat foot is described as well the Chippaux - Šmiřák method. The practical part of the thesis is carried out by casuistries with the help of qualitative research. The research set consists of three children with Down syndrome, two girls aged 11 and 8 and one boy aged 5. The therapy was carried out during 5 months. Once in 14 days the children came with their parents to Centre Arpida in České Budějovice for the therapy lead by me, and the children should then exercise daily at home with the help of their parents. At the beginning of the therapy, an entering kinesiological examination was done, footprints were made, as well as examination of standing with the help of dynamical pavement Zebris at the Rehabilitation department of Hospital České Budějovice, a.s. At the end of the therapy, this examination was carried out again and the occurring changes were described.
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Influence of rhythmic gymnastics on body posture within the hypermobility among girls
REVAJOVÁ, Tereza
This thesis deals with the problem of hypermobility and its influence on body posture of rhytmics gymnasts. The thesis is divided into two parts. In the first part theory, I tried to outline rhytmic gymnastics as a sports discipline and to specify general aspects of this sport. Furthermore, I summarized the anatomy associated with this issue in accordance with the movement in general. Finally, I focused on the issue of hypermobility, its detailed description, testing and therapy opinions. In the practical part I focused on the composition of training, subsequent compensatory exercises and appropriate therapy for gymnasts at the top-level of performance - SKMG Chodov Praha and at the lower-level of performance - MG Meteor. I carried out the detailed analysis of kinesiology with a focus on the examination of hypermobility. On the basis of the obtained results, I prepared a short-term therapeutic plan. I went to training sessions once a week for a period of three months. The gymnasts, their parents and trainers had been acquainted with the exercises that I recommended them to practice during the training or at home. I carried out a final kinesiology analysis after three months and proposed a long-term rehabilitation schedule. The therapy plan mainly consisted of relaxation techniques, soft tissue techniques, correction of muscle imbalances, proprioceptive techniques, elements of dynamic neuromuscular facilitation and more. The aim of my thesis was to point out the possible risks of rhytmic gymnastics, the impact of targeted training, concerning the increase in joint range, an impact on the overall body posture, together with a proposal for physiotherapy and the appropriate motion program as an integral part of training session. Based on the results we can conclude that physiotherapy has a positive effect on the body of gymnasts. With all subjects, there was a partial alleviation of pain and reduction of muscle imbalances. These were mainly the reduction of hypertonus in PV muscles, the treatment of TrPs, improvement in function of diaphragm and proprioceptive sensation. This suggests that physiotherapy should be an integral part of training plans in rhythmic gymnastics as a prevention and treatment of musculoskeletal system.
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Overload of the knee joint fibrous system in people with joint hypermobility syndrome
Chalušová, Michaela ; Polavková, Radka (advisor) ; Muchová, Zuzana (referee)
Univerzita Karlova v Praze 1. lékařská fakulta Studijní program: Specializace ve zdravotnictví Studijní obor: Fyzioterapie Michaela Chalušová Přetížení vazivového aparátu kolenního kloubu u hypermobilních osob Overload of the knee joint fibrous system in people with joint hypermobility syndrome Bakalářská práce Vedoucí závěrečné práce: Bc. Radka Polavková Praha, 2011 PODĚKOVÁNÍ Chtěla bych poděkovat vedoucí bakalářské práce, paní Bc. Radce Polavkové za vedení, cenné poznámky, odborné připomínky, podněty a náměty. Dále bych chtěla poděkovat pacientkám za jejich ochotnou spolupráci v rámci vyšetření a následné fyzioterapie. PROHLÁŠENÍ Prohlašuji, že jsem závěrečnou práci zpracovala samostatně a že jsem řádně uvedla a citovala všechny použité prameny a literaturu. Současně prohlašuji, že práce nebyla využita k získání jiného nebo stejného titulu. Souhlasím s trvalým uložením elektronické verze mé práce v databázi systému meziuniverzitního projektu Theses.cz za účelem soustavné kontroly podobnosti kvalifikačních prací. V Praze, 15. června 2011 MICHAELA CHALUŠOVÁ V Praze dne:15. června 2011 _______________________ Podpis studenta Identifikační záznam: CHALUŠOVÁ, M. Přetížení vazivového aparátu kolenního kloubu u hypermobilních osob. [Overload of the knee joint fibrous system in people with joint hypermobility...
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Examination of cerebeller function in patients with scoliosis
Drdáková, Lenka ; Kobesová, Alena (advisor) ; Slováčková, Lenka (referee)
Purpose: The aim of this research was to determine whether there is a difference in the presence of minimal cerebellar signs, hypermobility and dyspraxia in the group of patients with idiopathic scoliosis (IS) and a control group of individuals without IS. Methods: 11 patients have been selected for this research with IS and 11 individuals without IS as a control group. The International Cooperative Ataxia Rating Scale (ICARS) was used for examination of cerebellar signs. Hypermobility was evaluated with ten tests according to Janda. The presence of pendulum reflexes was determined by examination of patellar and triceps reflex, while dyspraxia was analyzed by means of the Czechoslovak test. Results: Patients with IS scored significantly worse in ICARS than the control group (p < 0,05). IS patients presented with significantly more pronounced hypermobility in head rotation (p = 0,0384) and forward bending (p = 0,0409) tests comparing to the control group. No significant difference between the two groups was identified in pendulum reflexes and the Czechoslovak dyspraxia test. Conclusion: The study confirms significantly more positive signs of ataxia and asynergy in a group of patients with IS comparing to control group. Hypermobility was significantly more pronounced in head rotation and forward...
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Possibilities of physiotherapy in patients with hypermobility
BÜRGEROVÁ, Gabriela
This bachelor´s thesis deals with the issue of joint hypermobility. Hypermobility does not constitute a disease in the true sense, but a certain level of ligament quality. It is manifested by increased range of movements in joints over the physiological limit. Above all, it should be noted that especially the ligament fulfills the strengthening and fixing function of the musculoskeletal system. In cases of hypermobility there is increased laxity of ligaments and looseness of joint capsules, moreover, it is associated with low muscle tone. As a consequence of the insufficiency of ligament, hypermobility is accompanied with joint instability, which leads to the development of functional disorders. Therefore, physiotherapy constitutes a crucial role in the compensation of the hypermobility signs in order to avoid that functional disorders grow into structural ones. The aim of this work was mainly to explain the problems of hypermobility and to propose an appropriate physiotherapeutical treatment of hypermobile individuals. In the theoretical part of this work, I define the musculoskeletal system focused on the description of ligament and joints. It is followed by the explanation of functional disorders and their relationship with structural diseases. Then, I continue with a characteristics of hypermobility and the associated joint hypermobility syndrome, which I subsequently elaborate with the description of epidemiology, etiopathogenesis and clinical signs. Later on, I present the classification of hypermobility and diagnostic tests with a broader description of the most commonly used ones in the Czech Republic and abroad. In the final part, I come to the differential diagnosis and the characteristics of the treatment of hypermobile individuals. In the practical part of my thesis, I did a qualitative research. The subjects of my research were two adult men with confirmed hypermobility. I took the anamnesis of the two probands and performed an initital check-up including the examination of hypermobility according to Janda and also using goniometry. Based on the examination, I proposed a therapy under my leadership for the period of 2-3 months with 60 minutes sessions once a week. Probands were recommended to do exercise for about 15-20 minutes every day. For one of the probands we planned a total of 10 sessions. After the completion of the therapy, we conducted an output assessment and made a conclusion that the overall physical condition had improved, but due to the length of the therapy we failed to influence the hypermobility itself because it was impossible to influence the quality of the ligament in such a short time. Compensation of hypermobility is a question of a very long-term exercise. Unfortunately, we had to finish the therapy of the second proband before our seventh session because of sudden health complications. That was the reason why we did not reach any positive results. However, this case would also require a long period of time to compensate the hypermobility.
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The possibilities of affection hypermobility of older school children
KRBEČEK, Jindřich
The bachelor's thesis at hand is based on a research on functional disorders of the musculoskeletal system, specifically focusing on congenital hypermobility in school children, paying special attention to shoulder and elbow joints. Hypermobility is a disorder of the musculoskeletal system, which causes excessive laxity of connective tissue that makes the joints get into extreme positions. This may cause damage not only to the articular cartilage, but also to the entire joint including the surrounding tissue. The thesis is divided into theoretical and practical parts.
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