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Possibilities of Physiotherapy for chronical overload of the lumbar spine of female floorball players
SLADKÁ, Zuzana
The Bachelor's work deals with the topic of women's floorball from the physiotherapeutic point of view. Due to the basic playing posture in a continuous forward bend and the one-sided holding of the floorball stick, the lower back is being overloaded in long term. Stabilization of this region is secured by the deep stabilization system that works based on the interaction of the spine extensors and flexors. Is the activity not balanced, muscle disbalance and micro trauma occur, which have a negative impact on the player performance. Including of compensation and relaxation exercises into the training programme may work as prevention of development of such musculoskeletal overload. The aim of this work is to present the problems of women's floorball from the physiotherapeutic point of view and to offer possibilities of particular kinesiological and physiotherapeutic methods for prevention of injuries and spinal overload. The theoretical part describes the functional anatomy, the biomechanics of the lower back and the deep stabilization system assuring the stability of this spine region. Furthermore, the issues of floorball, the basic playing activities of individuals with the description of the floorball player posture are described. The theory quotes examination methods and therapy as well. This fulfils the first aim of the bachelor's work regarding closer description of the women's floorball issues. The research part of the work is processed by the quality research method. For analysis, the case interpretation of three floorball players of the FBC Liberec extra league team has been used. These three players had problems in the lower back region, mostly accompanied by pain. Every case interpretation involves input and output medical inspection with anamnesis definition, static inspection of aspection and palpation in the pelvis region, goniometric and somatometric inspection with function muscle test, dynamic inspection (Trendelenburg-Duchenne test), inspection of movement stereotypes, postural stabilization, hypermobility and shortening of muscle groups. Within this therapy, soft tissue techniques, stretching, method of the dynamic neuromuscular stabilization, parts of the Ludmila Mojžíšová method, sensomotoric stimulation and examination on a big gymnastic ball, have been used. Based on an assessment, both, the short-term and long-term individual kinesiotherapeutical plan has been developed and the second aim of the bachelor's work fulfilled show the possibility of particular kinesiology and physiotherapy methods for prevention of injuries and spinal overload. The therapy results are positive and the selected physiotherapeutical methods have proved to be effective. The posture in the lower back region has improved with all players and also symetrization of the trunk as well as reduction of pains as a result of the deep stabilization system could be observed. Both of the parties have evaluated the effect of the therapy as positive. The bachelor's work can be used in the physiotherapeutical clinic practice and as a resource for increasing the awereness of the sportspeople and trainers.
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Education of women with functional disorders of the motion system to the physiological activity of the pelvic muscles using physiotherapy practice
POLÍVKOVÁ, Lenka
This work deals with pelvic floor muscle issues. The topic is Educating woman with functional disorders of the locomotor system for the physiological activity of the pelvic floor using physiotherapy techniques. The first part focuses on the anatomical relationships in the pelvic area in terms of single organs, breathing mechanics, pelvic floor work and abdominal musculature. Further chapters are about pregnancy, childbirth and the postpartum period in relation with pelvic bottom and dysfunction of the pelvic floor mechanism. Theory of functional disorders has been explained as a result of the changes woman's body goes through. The aim of the theoretical part was to summarize knowledge about the function of the pelvic floor, dysfunction mechanism and the possibility of a therapeutic effect on functional disorders of the musculoskeletal system. The second part has developed the methodology and therapeutic procedures for two research files with respect to PF activity as part of the deep stabilization system. The first group were women before childbirth in the 2nd and 3rd trimester of their pregnancy; the second group consisted of women after childbirth - during the postpartum period. Characteristic for both research files were the presence of functional disorders of the musculoskeletal system. For the research were used qualitative methods of data acquisition; case history, observation, input and output kinesiology analysis and interview. The main aim of this work is to determine the rehabilitation plan for women in the 2nd and 3rd trimester of pregnancy and the determination of the rehabilitation plan for women in childbed. Both rehabilitation plans contain special set of PF exercises, which include education for their proper implementation. Selective clients have opportunity to insight into the understanding of this muscle group work, not only useful during exercises, but even during every day activities. The Bachelor thesis can be used in physiotherapists' clinical practice. Also, as a source of information for professionals and the general public.
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Use the activation of the deep stabilization system in the prevention of injuries in hockey players
OBSTOVÁ, Lucie
The bachelor thesis deals with issue of activation of the deep stabilization system in the prevention of injuries in ice hockey players. The aim of practical part was to descripe the theoretical knowledge of the deep stabilization system. In the thesis were presented knowledge of ice hockey.The practical part of the thesis is processed by the qualitative research method. To obtain secondary data was collected anamnesis of all probands. then was made the input and output of kinesiology analysis. The data and research results were published in the form of case reports. In the practical part of my thesis, I tested the 4 probands, ice hockey player a premier league team at the age of 22-24 years. I compared changes in the values obtained during the input and output kinesiological analysis with spacing of 8 weeks. During this time I have seen each proband 8x. The classic hockey training was included in the group A specific set of exercises to activate HSS. In group B was performed only classic hockey training. The probands had repeated problems with muscle contusion, stretching the muscles, rupture of the face, pain in the lumbar spine, pain in the groin, stretching the ligaments (knee, ankle joints), and pain in the knee joints.The aim of this study was to compare the efficiency of activation of concrete at HSS probands (hockey players) in the prevention of accidents in comparison with the frequency of injuries in hockey players without activating the HSS.Another aim was to create a specific set of exercises to activate HSS, which would be included in the classic hockey training.At the initial examination was detected in all probands insufficiency diaphragm, pelvic floor and deep abdominal muscles. When the exit examination at the end of the investigation was a reduction in these pathological signs in only one proband.However, research carried out in such a large issue was not sufficient, as their number of respondents and the duration of therapy. Because of this main could not be filled with work or unequivocally answer the research question.This thesis can be used as educational material for the clinical practice of physiotherapists, physiotherapy students for coaches field hockey and ice hockey players themselves.This bachelor thesis may be a stimulus for further research activities in this area.
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Influence of deep stabilizing system on obstructive lung disease
LUKŠÍKOVÁ, Klára
This Bachelor Thesis tries to solve the question whether the activation of the deep stabilization system has got any provable influence on obstructive lung diseases. It is based on clinical experience that points to a positive influence of the deep stabilization system on respiration. The aim of this thesis is a spirometric observation of resting breathing and respiratory rhythm which come about after the activation of the deep stabilization system when Vojta reflex locomotion method has been used to arouse this system. The theoretical part briefly summarizes findings about respiratory physiology and kinesiology; it deals with pathophysiology and pathokinesiology of obstructive air passages with a focus on asthma bronchiale. One of the chapters deals with spirometric examinations. Then there is a description of the deep stabilization system from the point of view of the influence on respiratory functions and a possibility of his activation through Vojta reflex locomotion. For the practical part of the thesis I chose qualitative strategies of research. Acquired data were based on 5 case interpretations which included anamnestic information and kinesiologic analysis of probands suffering from obstructive lung diseases. The main part of the research was built up on spirometric measuring of resting breathing, observation of changes in respiratory rhythm and changes in time proportions between inhalations and exhalations during three different situations. In the first situation there were no interventions in proband's breathing. In the second situation the proband was measured in the position of decentration. The third situation involved measuring after the activation of the deep stabilization system through Vojta reflex locomotion. The analogue scale of subjective perception of respiratory state was also included in the research. Evaluated data of the spiriometric measurements of resting breathing did not bring anticipated results. A positive result was recorded only at the changes of respiratory rhythm and a subjective perception of easier breathing was proved after the stimulation of Vojta reflex locomotion. The respiratory rhythm changes were dependent on postural situations. In the position of decentration the number of breaths increased, on the contrary the number of breaths decreased after the stimulation of Vojta reflex locomotion. When observing the subjective perception of respiratory state there was a shift on the analogue scale to a better position by 23.18 mm after the stimulation of Vojta reflex locomotion. Results in measurements of the time proportions between inhalations and exhalations were highly disparate.
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Autochthonous Musculature and its effect on Scoliotic Hold
VRÁNOVÁ, Barbora
This bachelor thesis deals with the influence of autochthonous musculature on scoliotic posture. The term autochthonous musculature means the deepest layer of back muscles situated along the spine. Autochthonous musculature is one of the components of the spine stabilization system. Together with the diaphragm, the transverse abdominal muscle and with the pelvic floor muscles it supports particularly the lumbar spine. The function of the autochthonous musculature is to set correct mutual position of two adjacent vertebrae and thus prevent the spine from incorrect loading. Its dysfunction may lead to scoliotic body posture. The thesis consists of a theoretical and a practical parts. The theoretical part explains the term autochthonous musculature and scoliotic posture. It also contains tests examining autochthonous musculature and selected conceptions and methods of its activation. The aim of the thesis was to elaborate case studies of patients with scoliotic body posture and to compare their condition in the input and the output examination before and after proposed and applied kinesiotherapy, to map the concrete influence of autochthonous musculature weight training on scoliotic posture of the monitored patients. Research questions were based on the aims: whether better position of the spine axis could be observed in the patients and whether autochthonous musculature weight training had positive impact on scoliotic posture. The practical part was based on qualitative research method. Data collection was performed by means of elaboration of case studies using the methods of interview, observation and kinesiological analysis. The case studies include the anamnesis taken, the input and output kinesiological analysis, a short-term therapy plan, description of the therapy course and a long-term therapy plan. The research sample consisted of four probands of different age. All the patients suffer from scoliotic body posture. The therapy lasted 10 weeks. Slight improvement of scoliotic body posture was achieved during the applied therapies by activation of the deep stabilization system of the spine, not only the autochthonous musculature. The deep stabilization system always works as a whole and activation just one of its components is impossible. This is why we cannot say that autochthonous musculature has positive influence on scoliotic posture. The results however show that the posture can be improved by activation of the deep stabilization system of the spine.
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Stress incontinence and the possibilities of targeted rehabilitation
VYHLÍDALOVÁ, Denisa
The topic of my bachelor thesis is stress incontinence and options of targeted physiotherapy. The first section contains theoretical background concerning mentioned problems. The theoretical section summarizes anatomical and physiological facts about urinary system and pelvic floor, and the theory of incontinence. There are described types of urinary incontinence and their causes. As next, there are mentioned the options of diagnostics and treatment especially of stress incontinence. Incontinence, i.e. involuntary leakage of urine, is one of the most widespread female inconveniences of recent years. It brings many problems, not only physical ones but also mental, and so that it has negative impact on quality of the life. This involuntary leakage of urine is not an illness to all intents and purposes but symptom with various causes. The most common cause are weakened muscles of pelvic floor, which belong to the deep stability system. They significantly support the whole stability system of the trunk. These muscles and fasciae of pelvic floor provide proper stabilization of urinary bladder, urethral closure, and urethra in proper position and by this they assure continence, especially when intra abdominal pressure increases. The muscles of pelvic floor and diaphragm participate together in breathing. The frequency of incidence of urinary incontinence increases depending upon the age. One of the incontinence types is stress incontinence. Urine leakage is always related to physical activity. Urine leakage happens when intra abdominal pressure increases and happens without contraction of detrusor. Unlike against other disorders, it is possible to fight successfully against incontinence not using only drugs and operative surgery. The treatment of incontinence is in recent years relatively successful and with the help of proper and regular exercise it is possible to prevent it. According to some recommendations, when treating stress incontinence, physiotherapy should be chosen as a primary treatment. The goal of physiotherapy is the effort to help patient to be able to activate muscles of pelvic floor in situations when the leakage of urine is expected. There was used the method of qualitative research in practical section of the thesis, using case studies of 2 patients suffering from stress incontinence. The thesis contains entry and final kinesiologic analysis completed with the query CONTILIFE, the plan with adequate exercises and measures, and the final success rate of the treatment. The goal of the thesis was to point out significant role of physiotherapy in the treatment of patient with stress incontinence, then outline the available rehabilitation methods and propose complex of appropriate exercises and measures. There was created a booklet with the list of exercises for each patient. Patients have exercised using these single exercises being previously instructed about them for eight weeks, and they were simultaneously controlled on regular basis. Patients were observed in a complex manner so that the individual therapy was made for each of them according to individual problems, revealed in entry kinesiologic analysis. Final results of this study showed that the chosen therapy was successful and patients mention not only subjective feeling of improvement of their incontinence problems during the day, but also an improvement of their physical condition and relief from the pain of the cervical and lumbar spine due to a complex approach and individual therapy.
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Effect of jumping training on the postural functions of the spine
KEPKOVÁ, Jana
For my bachelor thesis I chose the theme ?The Effect of Jumping Exercise on Postural Functions of the Spine.? Jumping is safe and gentle aerobic exercise on mini trampolines, which has beneficial effect on virtually all systems of the human body. Speaking about the deep stabilization system, we mean muscle interplay mm.multifidi, diaphragm, pelvic floor and abdominal muscles, which together regulate intra-abdominal pressure. This muscular interplay which ensures stabilization of the spine is activated throughout all movements. Its dysfunction is one of the most significant factors causing back pain. The jumping exercise strengthens these important muscles and improves the overall stability of the body. The objective of the research was to assess the deep stabilization system with respect to kinesiology and kinesiotherapy and to find out whether and how the jumping exercise influences the postural functions of the spine. The data for the thesis were collected by means of qualitative research, by the method of case study and the technique of personal case study. The examination of probands includes a brief history, palpation and visual examination, the examination of deep stabilizing system by functional tests and then also the testing by L.A.S.A.R posture device. Based on the comparison of the initial examination and the final examination, which followed after 10 weeks of jumping exercise, a previously set research question was answered. The thesis involves the theoretical part, which describes the jumping exercise, anatomy, examination of the deep stabilization system and its importance for our body. The practical part involves objectives of the thesis, research questions, the description of methodology, discussions with the authors from which I drew information and primarily, processed results in the form of case reports. The research results show that there were clear positive effects of the deep stabilization system and other structures in all probands. On the jumping lessons the probands were regularly forced to activate the muscles of the deep stabilization system, which resulted in reduction of back pains, in reduction of knee pain in one case and the overall stability of the body improved. The results of the thesis could be used in therapeutic procedures of physiotherapists, for the purposes of further research, in teaching and also in the implementation of more efficient jumping lesson, etc.
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Importance of foot for exercises of deep stabilizing muscles
TURKOVÁ, Alena
The issue of deep stabilization system is still topical at present as its dysfunction causes vertebrogenic problems, one of the most frequent causes of disability to work. The deep stabilization system represents a functional stabilization unit including particularly diaphragm, mm. multifidi, abdominal wall muscles and pelvic bottom muscles. Balanced interaction between muscles is important as this system participates in backbone stabilization and is involved in all moves. A foot is an important part of stabilization system as stabilization of vertically standing body starts in the foot inner muscles. Qualitative research, the method of case study was applied on the data collection. The research was performed for 9 to 12 weeks on a sample of 4 probands who suffered from vertebrogenic problems. The examination of probands consisted of anamnesis, static and dynamic check-up of aspections, palpation examination, examination of the deep stabilization system by functional test and examination of feet. The aim of the thesis was to outline how the use of the foot affects the deep stabilization system and to propose a set of exercises and aids for its correct activation. The theoretical part of the thesis describes foot anatomy and function and the most important part of the deep stabilization system, its examination and therapeutic possibilities including proper use of aids. The practical part presents the aims of the research, describes the methodology and results of the research elaborated in the form of case studies. The Annex also contains a set of exercises affecting the deep stabilization system with application of balance aids. The research results show that body posture has improved in all the probands, all the patients were capable of isolated contraction of the individual DSS parts and functional involvement of the whole system. Influencing of the feet and the whole system led to better stability and graphesthesia on the foot sole, backache has subsided. This thesis may be used in physiotherapeutic clinical practice or as educational material for patients.
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Clinical importance of pelvic floor problems in patology of motoric system and its therapy
KRÁSENSKÁ, Radmila
Pelvic floor fulfils the postural function and influences the erect carriage of body significantly. The pelvic floor muscles support the body and the pelvic together with other components of the deep stabilization system (Skalka, 2002). The Thesis is aimed at collection of basic information on the above mentioned problems and at application of such information in the practice as part of diagnostics and therapy of patients with vertebrogenous difficulties. The theoretical part deals with pelvic area anatomy and kinesiology, deep stabilization system, pelvic floor and vertebrogenous disorders and their causes and symptoms. A list of possibilities of physiotherapeutic treatment includes basic practices used in the therapy of the pelvic floor and the whole deep stabilization system. The actual proposal for the therapy includes soft tissue mobilization techniques, postisometric relaxation, facilitation techniques, deep breathing and exercises for pelvic floor and the deep stabilization system. The therapy led particularly to reduction of tonus of hypertonic muscles, relieving of overstrained ligament, optimization of breathing stereotype and involvement of the deep stabilization system. The clients mentioned subjectively relief of back pain. The discussion and the summary intend to be a complex review. With respect to the achieved results, I think that the therapy was the right choice. However, the therapy must be continued in order to remedy the disorders completely.
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Effect of pelvic floor muscles in the deep stabilization system
KOTALÍKOVÁ, Kateřina
The bachelor thesis deals with back pain issues from the viewpoint of function. Backbone is an articulated axial organ and its stability, in addition to passive structures, is secured with long multi-articular muscles but their stabilization function is not sufficient. The stability is further improved with other muscular groups called a deep stabilization system (DSS). DSS in the trunk is made up on the dorsal side with short musculi multifidi, cranially with the diaphragm, ventrally with musculus transversus abdominis and caudally with the pelvic floor. The objective of the theoretical part has been to map the existing methods which affect the deep stabilization system with involvement of pelvic floor. The theoretical part contains an anatomic description of individual components of DSS, available methods of examination and particularly methodical procedures focusing on affecting of the system, mainly by involvement of pelvic floor. The objective of the practical part was to find out whether the pelvic floor has any influence on activation of the deep stabilization system and also what is the effect of gender on the involvement of pelvic floor in the course of performed physiotherapeutic procedures. The thesis has used the method of qualitative research. The research was conducted on 4 probands from my environs, who suffered from occasional pain in the backbone area and who were in the entry examination diagnosed with a disorder of frontal stability of the backbone. The monitoring lasted for ca. 2 months. The deep stabilization system was involved in all the probands. The first impulse for it, however, was the activation of pelvic floor. The therapy was concluded with a final examination which has shown that it was important to involve pelvic floor in order to activate the deep stabilization system (DSS). This has also contributed to the fulfillment of the objective in the research part. The results have been processed in the form of case studies. The bachelor thesis can be used in clinical practice of physiotherapists and some parts of it can be used as an educational material for patients.
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