|
|
Options of using physiotherapy at patients with amputation of their lower limb
ROŽNOVJÁKOVÁ, Tereza
This bachelor deals with the possibilities of the use of physiotherapy at patients with amputation of the leg. The loss of the lower limb has a major influence on change in postural stability. Despite the prosthetic equipment patient has impaired proprioception, which is reflected to the pathological walk with compensatory mechanism. We are trying to return a person to normal life with minimal disabilities using specific physiotherapy methods with adequate training and stability. In the theoretical part there is a summary description of amputation and its influence on postural stability, further I deal with protetics options, where I am closely describing the use of functional and posturograf tests. In the end I deal with physiotherapeutics prosthetic equipment and methods applied in practice. The aim of the practical part is to assess the changes in postural stability with the use of the instruments with a biological feedback and to map out the qualitative and quantitative parameters of walking of patients with lower limb amputations. For the practical part have been selected qualitative research, which includes case reports of two patients with transfemoral amputations and one transtibial of the lower limb. Both input and output examination includes a complete analysis of kinesiologic, functional tests with posturography examination of postural stability. Each patient attended 10 individual therapies to increase the stability. The results were compared between input and output of tests. All patient's postural stability has been positively affected with a slight improvement in posture. Despite the regular therapy we didn't suceed to change the pathological components. This state can be caused by the prothesis, which was by all patients described as unsatisfing. Bachelor thesis may be used by students of physiotherapy for extension of their knowledge, or they can apply the knowledge during their practice. It can also be used as educational material for patients who are interested in the issue.
|
|
|
Instability of hocks caused by excessive load and sports injuries, options of further physiotherapy
BÁRTOVÁ, Lenka
For my bachelor theses I have choosen the topic "Instability of ankle joint caused by excessive load and injuries at sport with possibility of subsequent use of physioterapy." I have made such choice because I wanted to find out more about this issue. Injuries at sport are more often nowadays and it disturbs locomotor system. Instability is a problem of not only proffesional sportsmen but also of recreational sportsmen and people with hypermobility who has got increased ligament laxacity before any injury. In current modern times are sportsmen especially sportsmen on racing level under the pressure of their coaches and they often don't respect needed time for regeneration and recovery. Then correct healing of impared issues is not properly done and injury can happen again. Stable ankle joint is important for the whole locomotor system for stability of the whole leg because it's connected with other body parts through muscles chains and when any of the segments is instable, it influences others as well. In the theoretical part I write about anatomy of ankle joint, ligament system that is very important for its stability and then also muscles in the area of shank and ankle joint, possible joint injuries, frequency of injuries at particular sports and also outside and inside impacts that influence injuries. In the theoretical part I present function of a leg vault, when its shape and deformities can influence also ankle joit stability. I consider the sensomotor system importance as when integrity of a joint is impared it can cause bad feedback for the central nervous system. In conclusion I am concerned with methods and physioterapy tools for instability healing. In the practical part I have done qualitative research using input and output kinesiological analysis and for objective examination I have choosen posturographic examination with NeuroCom system that was used before and after the therapy in the Physioterapy centre on Health and social faculty in České Budějovice. Input and output datas were compared in the end of the research. The research was done for two months. Research sample consisted of six patients, who had instability symptoms and in their anamnesis they had repeated injuries of ankle joint. Age range was from 20 to 26 years and one half of them are proffesional sportsmen or did sports in past. I have made exercise unit written into a brochure, that everybody got home. During individual therapy we focused on muscles strenghtening and improving of proprioreceptions through various balancing tools and improving of the overall body bearing. I have found out from the research that injuries that often repeats especially because of bad healing or because of underestimation of this issue by a pacient and a coach. Subsequent instability impacts the overall body stability, especially in standing on one foot or in standing on a narrowed base. This theses could serve for healthcare workers as a study material and also for non-proffesional public especially for sportsmen and sports coaches.
|
|
|
Critical evaluation of taping methods with focus on its effects
Šolcová, Veronika ; Pánek, David (advisor) ; Pavlů, Dagmar (referee)
Title: Critical evaluation of taping methods with focus on its effects. Objectives: Purpose of this diploma thesis is critical evaluation of taping methods with concentration on its effects. Evaluation, comparison of contradictory statements and obtained information will be done based on a study and analysis of literature and scientific studies regarding taping methods and its efficiencies. On this base, final conclusions about real efficiency of taping will be made. Methods: In this diploma thesis, which is a critical review, document studies method will be used, along with analysis of professional scientific sources and their comparison. Results: The sport tapes (solid and elastic) and the kinesio tapes may participate on the possible mechanisms of the taping method effect. The various kinds of the tapes are different in the consequences of its effects. For lack of good scientific studies we can not clearly objectify the method of the taping. Keywords: taping, taping methods, taping efficiency, knesio taping, benefits of taping, prevention, critical review, proprioception, scars.
|
|
|
Physiotherapy in patients with rupture LCA
Čížková, Karolína ; Hamarová, Zuzana (advisor) ; Horká, Bohumila (referee)
Author: Karolína Čížková Institution: Rehab clinic LF UK in Hradec Králové Topic of bachelor's thesis: Physiotherapy in patiens with rupture of ACL Supervisor: Mgr. Zuzana Hamarová Number of pages: 108 Number of annex: 11 Year of vindication 2012 Key words: ACL, knee, rupture of ACL, rehabilitation In general part of this bachelor's thesis is described anatomy, kinesiology and biomechanics of the knee joint, mostly anterior cruciate ligament. It contents causes of injury of anterior cruciate ligament, diagnostic methods and methods of treatment. In special part of this bachelor's thesis is dateiled casuistry of two patients, who have been rehabilitated after reconstructive surgery of ACL in army sports centre Dukla Liberec. Each of these two patients was operated by different method of reconstructive surgery of ACL and the goal of this bachelor's thesis is to compare the success of rehabilitation between these patients.
|
|
|
The effect of the Feldenkrais method on body schema
Bestová, Zuzana ; Lepšíková, Magdaléna (advisor) ; Doubková, Lucie (referee)
Bibliografic identification BESTOVÁ, Zuzana. The effect of The Feldenkrais method on body schema. Prague: Charles University in Prague, 2nd Faculty of Medicine, Department of rehabilitation and exercise medicine, 2012. 96 pages. Supervisor Mgr. Magdaléna Lepšíková. Abstract The diploma thesis deals with neurophysiological concept of body schema and evaluation of the effect of the Feldenkrais method (FM) on its quality. The research comprises two groups of probands without motor system disorders. The participants passed an investigation of the body schema quality by the following tests: a test of estimation of body dimensions (width of mouth, width of shoulders, width of hips and length of foot), a modification of Petrie's test, a test of proprioception and a test of graphestesia. The examination was accomplished before FM investigation and after the course. The first group (group A) comprised 13 individuals (5 males, 8 females) who participated in a semestral course of FM, the second group of probands (group B) included 17 individuals (3 males, 14 females) underwent a two days long FM program. A significant improvement (p = 0,0027) in the estimation of the length of foot was detected after FM intervention in group B. There was not a significant improvement in any of estimated body dimensions in group A....
|
|
|
Sensory integration approach in paediatrics
Kordíková, Eliška ; Hyttichová, Zdenka (advisor) ; Zounková, Irena (referee)
The thesis describes the approach of sensory integration of Jean Ayres, summarizes a basic neuroanatomy knowledge related to this approach and deals with sensory processing disorder, their diagnosis and therapy. There is a case study in the thesis containing an examination, assessment and the suggestion of therapy according to the approach of sensory integration theory. The sensory processing disorders are functional disorders of perception, filtering and organizing of stimulus coming from sensory systems. On this basis the sensory modulation processing and sensory discrimination disorder in different sensory system occur or sensory - based motor disorder can occur too. Sensory processing disorders may occur simultaneously with another diagnosis, for example the Down syndrom, syndrom ADHD. We create diagnosis from history, clinical observation and tests and from standardized tests. The therapy uses a number of different tools and special equipped rooms to provide adequate sensory stimulation, especially for vestibular, touch and proprioception. The approach of sensory integration is a part of integrated look at an individual and his problems and it is a part of the whole rehabilitation too.
|
|
|
Kazuistika fyzioterapeutické péče o pacienta s plastikou předního zkříženého vazu
Tsaparegas, Ilias Antonios ; Jalovcová, Miroslava (advisor) ; Kozderková, Romana (referee)
Title: Rehabilitation after Anterior Cruciate Ligament (ACL) Reconstruction Nazev: Kazuistika fyzioterapeuticke pece o pacienta s plastikou predniho zkrizeneho Author: Ilias Tsaparegas Aim: In this thesis, a therapeutic approach of ACL Reconstruction due to tendon rapture will be described and a complete therapeutic record of a patient after ACL Reconstruction is demonstrated. Methods: The rehabilitation included 6 days of therapy. The main points of the state of the patient were light pain while walking, muscle weakness and incoordination, joint play restrictions and restriction of ROM of joints on the lower extremities. The first and last sessions with the patient included the Kinesiologic evaluation. Therapy and the methods which were used included joint play, strengthening exercises without and with the use of tools (like over-ball, Theraband, various balance boards, Posturomed platform, stationary bicycle, Stairmaster, soft pads), Isometric and Isotonic exercises, Post Isometric Relaxation (PIR), Proprioceptive Neuromuscular Fascilitation (PNF) techniques and Sensorimotor training. Results: After 6 therapeutic units with the patient, she was able to walk with increased confidence and pain free at the knee joint. Mobilization of the restricted joint movements was successful and released the...
|
|
|
Influence of whole body vibration training on postural stability in selected sporting population
Strachotová, Hana ; Pavlů, Dagmar (advisor) ; Zahálka, František (referee)
Title: Influence of whole body vibration training on postural stability in selected sporting population Objectives: The aim of this study is to compare the influence of whole body vibration training on the stability of the human body and assessing the possibility of using this training method to improve postural stability in selected sporting population. Methods: 15 mainly beach volleyball players (athletes) were randomly assigned into two groups. Experimental group (n 8) in addition to their own training practiced twice a week on the Power Plate, while the control group (n 7) to continue the current practice of beach volleyball. The experimental group participated in a total of twelve units during the six-week exercise intervention. We reviewed the standard deviation and average values of COP displacements in the anteroposterior, mediolateral and overall direction of the COP path. For this purpose, we used pressure platform Footscan. Results: The results indicate a clear trend to improve postural stability at the beach volleyball player after a six-week intervention, whole body vibration training. Improvement was most noticeable in tests Flamengo (standing on one leg), in which the total COP path decreased for all probands at the right lower extremity and in six of the eight probands in the left...
|
|
|
Assessing the influence of constitutional hypermobility on postural stability
Zadražilová, Tereza ; Smékal, David (advisor) ; Čakrt, Ondřej (referee)
The thesis "Judging the influence of constitutional hypermobility on postural stability" focuses on the problem of constitutional hypermobility (CH) and the influence of joint instability on stability mechanisms. The aim of the research was to find out whether there is a difference in stability mechanisms with tested subjects with CH and without it. Furthermore, the research focuses on the influence of mobility techniques on postural stability by the means of chosen tests carried out on Balance Master® System platform. The tested sample includes 14 women aged from 20 to 28, 7 women with constitutional hypermobility and 7 women as a control group. 6 tests were chosen for the measurement on Balance Master® platform. 2 static tests: modified Clinical Test of Sensory Interaction on Balance (mCTSIB), Unilateral Stance (US), and 4 dynamic tests: Limits of Stability (LOS), Rhytmic weight shift (RWS), Step Up Over (SUO) a Forward Lunge (FL). We compared the medians of output values of individual tests. It was assumed that subjects with KH would have significantly worse test results than the control group. Furthermore, it was supposed that the mobilization processes cause stability disturbance on the basis of cancellation of compensational , thus protective block in comparison with KS. Powered by TCPDF (www.tcpdf.org)
|
|
|
Somatestezie variability in a group of physiotherapy students
Koudelková, Alena ; Lepšíková, Magdaléna (advisor) ; Čech, Zdeněk (referee)
Dissertation "Variability of Somatesthesis in Students of Physiotherapy " deals with somatosensorical system in its theoretical part. In the practical part, sets of tests - aimed at somatesthesis function testing - are described. These tests are easy to implement and could be objectified. This pilot study was performed on a set of 29 Subjects aged 24 - 30. Selection criteria were set to physiotherapy studies and good health condition. The research ran on FN Motol physiotherapy clinics and lasted from October 2007 until January 2008. Measurements were repeated four times (in random day time), while the interval between examinations were randomly selected 1-12 days. The methodical part closely desribes measurement procedures and performance of each test. The first aim of this dissertation was to create a set of examination tests, concentrated on somatesthesis functions, which could be objectively measured. Further we set a target to find out, if sensomotorical learning effect appears by repeated measurement of same Subject and if quality of somatesthesis functions anyhow changes depending on internal environment status. Powered by TCPDF (www.tcpdf.org)
|
guest ::
