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Monitoring the impact of Vojta reflex locomotion on the activity of the muscles of the shoulder girdle in patients with subacromials impingement syndrome by surface electromyography
Myslivcová, Kateřina ; Valouchová, Petra (advisor) ; Slabý, Kryštof (referee)
This diploma thesis is focused on the observation of influence of Vojta's reflex locomotion on the activity of shoulder girdle's muscles at patients with the subacromial impingement syndrome. We examined ten patients with the subacromial impingement syndrome as well as twenty asymptomatic individuals. We evaluated the impact of just one Vojta's reflex locomotion therapy on the activity of muscles using the Method of the Surface Electromyography. At the same time we evaluated if the reaction on the therapy had some impact on measured values. The therapy always took at least time necessary to obtain any reaction of each of the individuals, although the maximum limit of the therapy was 32 minutes. The impact of Vojta's reflex locomotion therapy had not statistical importance with regard on changes of muscle activity after and before the therapy, with regard on the symmetry of muscle activity, as well as the difference of beginning of activation of every muscle before and after the therapy. The statistical importance was influenced just by the corporeal disposition of every measured individual, which was observed on the timing. The influence of the corporeal disposition on the average measured values with regard of the left - right side symmetry has no statistical importance. The statistical...
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Effect of kinesiotaping on shoulder girdle muscle activity
Dvořáková, Petra ; Valouchová, Petra (advisor) ; Bitnar, Petr (referee)
Kinesiotaping is a new method used for an extremely wide range of clinical conditions. Kinesiotaping is established in sport for treatment and prevention of injury and offers therapists a new treatment possibility of muskuloskeletal injuries and disorders. There are used elastic permeable and water-resistant adhesive tapes of different colours. Elasticity of the tape maintains the patient's full mobility. This is the decisive advantage compared with the previous treatment taping methods. The mechanism of kinesiotaping is based on two main effects. The kinesiotape stimulate the skin receptors and increase interstitial space between the skin and the underlying connective tissues. Therefore it improves the circulation of both venous and lymphatic fluid and decrease pressure on mechanical nociceptors. It is surprising that even though the kinesiotaping is being very often used, there is lack of evidence demonstrating its effectiveness. The aim of the thesis is therefore to summarize all general information about the kinesiotaping and compare them with published results. The special chapter is devoted to the kinesiotaping of the shoulder girdle, which is supplemented by a practical section about the muscle activity effect of the kinesiotaping of the shoulder girdle measured by surface electromyography.
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Case Study of Physiotherapy Care of Patient with Arthroplasty of the Shoulder Joint
Lerlová, Barbora ; Pavlů, Dagmar (advisor) ; Homolka, Jiří (referee)
Author: Barbora Lerlová Title: Case Study of Physical Treatment of Patient with Arthroplasty of the Shoulder Joint The aim of this bachelor's thesis is to introduce the issue of operations cervicocapital prosthesis shoulder joint and following physiotherapy care. The general part deals with theoretical knowledge to the diagnosis in terms of anatomy, biomechanics and kinesiology of the shoulder girdle, contains information on operational approaches arthroplasthy of the shoulder joint and the possibilities of physiotherapy practice. A special part contains a case report of a patient after implantation arththoplasty of the shoulder joint, which were worked up during special practice in MediCentrum in Prague since 23rd January to 17th February 2012. The patient physiotherapy examination was performed, design and course of therapy. The examination was performed at the first and the last therapy. At the end of the special part is evaluated the effect of applied therapy and physiotherapy techniques. Key words: fracture, shoulder, cervicocapital replacement, physiotherapy
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Case study of physiotherapy treatment of a patient after removal of osteosynthetic material for comminuted fracture of the proximal humerus
Rosenmüllerová, Lenka ; Kozáková, Alena (advisor) ; Křížková, Štěpánka (referee)
Title: Case study of physiotherapy treatment of a patient after removal of osteosynthetic material for comminuted fracture of the proximal humerus Objectives: The objective of this bachelor's work is to describe issues of comminuted fracture of the proximal humerus which is treated with osteosynthesis with subsequent removal due to failure. The main objective is to focus on efficiency of physiotherapy methods which are used. The part of work is also case study of a patient with referred diagnosis. Method: The first general part of work deals with referred issues. It describes anatomy, kinesiology and biomechanics of shoulder girdle then characterize diagnosis of a fracture of the proximal part of humerus, possible complications, methods of treatment and the most often used methods in rehabilitation care of a patient with this diagnosis. The second special part is processed as case study of a patient after removal of osteosynthetic material for comminuted fracture of the proximal humerus and it includes input physiotherapy examination, short-term and long-term physiotherapy plan, suggestion of therapy, description of all the physiotherapy units, output physiotherapy examination and conclusion which contains an evaluation of effect of chosen therapy. The special part is written on the basis of...
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Painfulness of shoulder girgle in female handball players
MLÁDKOVÁ, Nikola
This bachelor thesis is focused on the issues of shoulder girdle syndrome of female handball players. The thesis is divided into two main parts. The first part deals with the theoretical basis of the shoulder girdle, its movements, handball and different kinds of injuries which may be the consequences of playing it. Furthermore the methods used for such issues are introduced in this part. The second part of the thesis, the practical part, is based on eight weeks of monitoring and practising with three junior female handball players of DHC SVŠ Plzeň. For this the qualitative research method was used, the anamnestic data were gained during interviews, after that the kinesiological analysis and a short therapeutic plan were created. Further there is the description of the therapy progress. After eight weeks of exercise the outcome kinesiological analysis was created and the long-term therapeutic plan was proposed. The evaluation of the results of the therapy was carried out both subjectively and objectively with the help of special examination tests of the shoulder joint. The therapy of the players was held 2-3 times a week, from which once a week under my supervision. During the therapy were applied the soft-technologies, tractions, approximations, centration, post isometric relaxation. Training of the weakened muscles and easing the overstrained ones by using different tools were also included. As for the methods, the proprioceptive neuromuscular facilitation was used and also the chosen elements or positions from the dynamic neuromuscular stabilization. The aim of the thesis is to draw attention to the issues of the shoulder girdle as consequences of playing handball and to suggest physiotherapeutic opportunities. Considering the gained results, we can conclude, that the therapy had a positive effect on the condition of the shoulder girdle by all female handball players, however the intensity of the effect differs. All of the players experienced alleviation of the shoulder girdle pain, strengthening of the lower scapula fixators, easing of the m. trapezius, m. pectoralis maior and eventually also easing of the muscular disbalance. Therefore we can state, that the physiotherapy is convenient as both the treatment and the prevention for female handball players.
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Influence of stabilization of the contralateral shoulder girdle on the accuracy of a football kick
POMEJE, Marek
This bachelor thesis is analysing the effect of the stabilization of contralateral shoulder girdle on the accuracy of a footbal kick. For a good accuracy of the footbal kick there is a need of the right cooperation of muscles and the motion of a shoulder gridle. Shoulder is really important part of body for footbal players. It helps with stability of the whole body while training or match. Non-stable shoulder gridle can lower the accuracy of the kick. Another problem could be that if the shoulder gridle is overloaded too often it can couse an injury. I seperated this work in two sections- theory and practical uses. In theory i will describe the characteristics of football, anatomy, kineziology and at the end of the work I will summarize the options of klinical examination of the shoulder gridle. In practical part would be used an methodology that is based on qualitative research. Research was done by kinesiological view. I was studying three football players in age from 20 to 23. With each player I did an input and output kinesiological analysis and using a structred interview I made an anamnesis. For all subjects I made an examination by view, palpacion, antropometric and goniometric examination, examination of shortened muscles, motion stereotypes and special tests of shoulder gridle. The therapy was applied for two months, two times per week for 30 minutes. The main goal was to find out how big effect can have stabilizated shoulder gridle on the accuracy of football kick and to find options of physiotherapy in this case of issues. The accuracy was tested by four custom tests, which had to simulate the situation of football kick. For all subjects was muscle release succseful, improvment of function of upper extremity and improvment of stability of shoulder gridle, but only two respondents showed improvements in accuracy of the kick. The work could be useful for increasing the awereness of sports fans and athlets. To improve interest of football players even not profesional players to stabilize their shoulder gridle. This work could be also good like studying material for football coaches.
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Possible physiotherapeutic solutions to the overload of shoulder girdles in historical fencers
SCHOLZOVÁ, Nikola
This thesis focuses on chronic overload of the shoulder girdles of historical fencers. In general, a shoulder is one of the most important joints for historical fencers. Overloading of the shoulder poses significant limits to the fencers´ abilities as it influences vigour of their chops and shielding. This thesis is divided into a theoretical and a practical part. The theoretical part comprises of the key findings of anatomy, kinesiology and biomechanics concerning the shoulder girdle. Further, it provides information about possibilities of a clinical examination. A qualitative research method was used in the practical part. Namely, this part worked with the techniques of informal interviews with respondents, history-taking, observation (kinesiology analysis), therapy applications in practice and secondary analysis of data collected. Moreover, there are the charts illustrating a change in the ranges of motions shown by the respondents at the entry and exit examination. The results of all kinds of therapy are presented in a form of case studies. The research was conducted under the supervision of Mgr. Matěj Liška in Pilsen. The test set consists of two respondents with chronic overload of the shoulder girdles. A therapeutic plan was compiled for both fencers. The plan has been successfully implemented. Fencers were thoroughly acquainted with the course and the goal of therapy and both agreed in writing with participation in this research and subsequent processing of the acquired data for my bachelor thesis. Therapy helped both respondents to relax the muscles of the shoulder girdle. Moreover, the upper limb function was improved and the ranges of motions of shoulder girdles increased. This thesis could serve as a good example of how to adequately deal with this issue. Further, it explains some relaxation, stretching and strengthening exercises for the shoulder girdle leading to an increase in the range of motion in the shoulder joint and in muscle strength.
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Possibilities of physiotherapy at chronic overload of shoulder girdles on ice hockey players
DVOŘÁČKOVÁ, Veronika
This bachelor thesis addresses the issue of chronic overloading of ice hockey player's shoulder girdle muscles. A sufficient muscle activity and range of motion in the shoulder girdle is necessary for the shooting efficiency of a player. A high rate of personal duels and the decrease of stability of the shoulder joint can lead to its chronic overloading and to a higher chance of an accident occurring. I divided this thesis into two main parts theoretical and special. In the theoretical part, I described the characteristics of ice hockey and also the anatomy, kinesiology and the possible examinations of the shoulder girdle. Furthermore, I stated information about injuries of the shoulder girdle in the field of ice hockey. The end of the theoretical part discusses the specific techniques of physiotherapy, which I used in this work. In the practical part, I applied the theoretical knowledge in the physiotherapy of three ice hockey player's shoulder girdles. I used a qualitative research methodology and collected the data in the form of a case study. The subjects of the research were three ice hockey players, aged between 21 and 24 years. I carried out the pre-therapy and post-therapy kinesiologic examinations and acquired the anamnesis of all three players in the form of a structured interview. The examinations, which I used on all subjects, were visual, touch (palpation), dynamic, anthropometric and goniometric. Also, I examined shortened muscles, motion stereotypes and I performed special tests for the shoulder joint. The therapy lasted for 3 months, once per week for 45 minutes. The main objective of this thesis was to discuss the overloading of ice hockey player's shoulder girdles and also to determine the possible uses of specific kinesiotherapy and physiotherapy methods, which could be used for prevention of injuries and straining. The result of this work is an analysis of methods and their practical use for physiotherapy of ice hockey players with chronic strained shoulder girdles. The therapy has proven to be effective for two subjects. Thanks to the chosen methods, the subjects reported a total decrease of pain and demonstrated a better stabilization of the shoulder girdles. Their stereotypes improved as well. The third subject was not fully cooperating and because of that, his results aren't as conspicuous as the results of the other two subjects, yet still they show improvement. This bachelor thesis can be used by physiotherapists and students of physiotherapy for acquiring information about this issue, as well as by coaches and players, who do not cling only on game results, but also care about the health and the prevention of injuries.
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