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Influence of the physical therapy on the pelvic floor rehabilitation
Podskalská, Patricie ; Hurt, Karel (advisor) ; Slámová, Adéla (referee)
OF BACHELORS THESIS Name, surname: Patricie Podskalská Supervisor: MUDr. Karel Hurt DrSc. Opponent: Title of bachelor thesis: Influece of physical therapy on the pelvic floor rehabilitation Abstract of bachelors thesis: The topic of this bachelor thesis is an influence of a physical therapy on the pelvic floor rehabilitation. The thesis consists of a theoretical and practical part. The theoretical part first describes problems related to pelvic floor dysfunction and continues with the summary of the most important parts of the examination, which are performed in case of suspicion of a pelvic floor musculature disorder. In the last chapter of the theoretical part the thesis discusses individual possibilities of the physical therapy and its effects on pelvic floor muscles. The practical part consists of two case reports of patients diagnosed with a chronic pelvic pain. The patients were treated with a shock wave therapy. A subjective evaluation of pain NRS (numeric rating scale) was used to evaluate the efficiency of the therapy. The aim of the thesis is to collect informations about the pelvic floor dysfunction and particular types of physical therapy used for its treatment. Key words: pelvic floor, pelvic floor dysfunction, shock wave, magnetic stimulation, electrical stimulation
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Dyspareunia and the Treatment by Physiotherapy
Čechová, Zuzana ; Hurtíková, Ida (advisor) ; Šebek, Milan (referee)
Name, surname: Zuzana Čechová Supervisor: Bc. Ida Hurtíková Opponent: Title of bachelor thesis: Dyspareunia and the Treatment by Physiotherapy ABSTRACT: The aim of this bachelor thesis is to determine the effect of Physiotherapy through treatment of Dyspareunia in selected patients, and to provide a comprehensive overview of this diagnose. In the theoretical part described the Pelvic floor muscles from anatomical and functional view and their activity in Deep stabilizing muscles and during the coitus. Next an overview of Female sexual dysfunctions included Dyspareunia, her manifests, classification, etiology and possibilities in the treatment. The practical part contains two case reports of patients diagnosed with Dyspareunia. Both patients went through gynecological, sexuological, psychological and other checkups with negative results. Assumption in these patiens is dysfunctional Pelvic floor muscles in contraction. I aimed the therapy on notification, relaxation and correct activity of the Pelvic floor muscles, concatenations and results of the general comprehensive Physiotherapy examination. I attempted to touch the psychological aspect of the patients as well. Patients had eight intense therapies during more than two months and assigned to exercise at home. Both patients improved condition, mentally,...
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Comparison of the current physiotherapy approaches to incontinence in the Czech Republic and abroad
Čížková, Linda ; Sládková, Petra (advisor) ; Hálková, Jindřiška (referee)
This bachelor thesis focuses on the topic of female urinary incontinence and its physiotherapeutic treatment options. The aim of this thesis is to introduce and compare the current physiotherapy approaches used in the Czech Republic and abroad. This thesis is composed of two parts - theoretical and practical. The theoretical part describes physiotherapy approaches to urinary incontinence in the Czech Republic and in selected foreign countries (Australia, Canada, The United Kingdom, The United States of America, Norway, The Netherlands and Germany) - it is devoted to the description of physical examination, manual and instrumental techniques. Besides that, the theoretical part includes brief informations about the pelvic floor, physiology of micturition, and about the topic of urinary incontinence in general (definition, epidemiology, types, diagnostics and treatment options). The practical part contains a case history of one female patient suffering from stress urinary incontinence. Both Czech and foreign findings were used in the treatment of this patient. In the discussion and conclusion, the comparison of the Czech and foreign approaches is summarized and the treatment effect is evaluated. Key words: female urinary incontinence, physiotherapy, pelvic floor, approach comparison, Czech Republic,...
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The possibilities of physiotherapy in dysmenorrhea
Bačíková, Miroslava ; Táborská, Silvie (advisor) ; Čápová, Eva (referee)
BACHELOR THESIS ABSTRACT Author: Miroslava BAČÍKOVÁ Supervisor:Mgr. Silvie TÁBORSKÁ Opponent: Title of bachelor thesis: The possibilities of physiotherapy in dysmenorrhea Abstract: This thesis concerns the possibilities of use of physiotherapeuthical methods by women suffering from dysmenorrhea. The thesis is divided into a theoretical part and a practical part. The theoretical part explains the process of menstruation and its difficulties. It presents the anatomy of woman's body, physiology of menstruation cycle, possible pathologies of the muscolosceletal system and their projection as pain during the menstruation cycle. It gives an overview of selected physiotherapeuthical methods used in the practical part. The practical part is focused on evaluation of questionnaire answers, examinations of randomly selected clients with dysmenorrhea, search for common pathological signs and application of physiotherapeithical methods. The purpose of this thesis is to find out the relationship between pathologies of the musculosceletal system and dysmenorrhea and possible applications of physiotherapy in pain supression. Key words: dysmenorrhea, painful menstruation, menstruation cycle, musculosceletal system, lower pelvis, cramps
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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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