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Case study of physiotherapy treatment of patient with the lumbar spine stenosis
Zimolová, Michaela ; Pavlů, Dagmar (advisor) ; Cabalková, Magdaléna (referee)
Title of bachelor's thesis: Case study of physiotherapy treatment of patient with the lumbar spine stenosis Summary: This thesis deals with issues that are related to lumbar spinal stenosis. The general part consists of lumbar spine anatomical structure and its kinesiology. Furthermore, it describes functional and structural disorders in this area. The biggest part describes the lumbar spine stenosis, its cause, clinical manifestation, diagnostics, treatment and prevention. An example of particular patient affected by this illness, his examination, physiotherapeutic treatment and results that were delivered by effective care is included in a special section. The therapy was teking its course in Institute of rehabilitation of Faculty hospital Královské Vinohrady in Prague. It took two weeks and it consists of 10 therapys. Key words: lumbar spine, spine stenosis, physiotherapy
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Case studyof physiotherapy treatment of patient after fracture of second lumbar vertebra
Holá, Šárka ; Říha, Michal (advisor) ; Hankovcová, Eva (referee)
The title of the batchelor thesis: A Case Study of Physiotherapeutic Treatment of a Patient after Fracture of L2 Objectives: The main objective of this thesis is to gather theoretical information of physiotherapeutic care for patients after suffering a fracture of vertebrae of the lumbar spine and making the following case report of a patient after an extraction of a fixator for the stabilization of L2 vertebrae. Summary: The general part is dedicated to the theory of anatomy, biomechanics and kinesiology of a spine and refers to diagnostic methods and treatments of spine lesions. The detailed case report is describing a patient after an operation of the lumbar spine due to a fracture caused by a car accident. Keywords: lumbar spine, lumbar vertebrae, fracture, case study
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Case study of physiotherapy treatment of the patient with Vertebrogenic Algic Syndrome
Kadlec, Jan ; Jalovcová, Miroslava (advisor) ; Dušánek, Tomáš (referee)
Title of bachelor's thesis: Case report of physiotherapeutic care about patient with diagnosis vertebrogenic algic syndrome of lumbar spine Summary: This bachelor's thesis was compiled on the base of internship on Clinic of occupational therapy at Teaching hospital Královské Vinohrady in Prague during the time period from 24. 1. to 18. 2. 2011. The topic of this thesis is Vertebrogenic algic syndrome of lumbar spine. The work is divided into two main sections. The first, general part deals with theoretical findings which are related with this character of inconvenience. The second, special part encompasses detailed case report of a patient with diagnosis M54.5 - Vertebrogenic algic syndrome of lumbar spine. Key words: vertebrogenic algic syndrome, lumbar spine, stabilizing system of trunk, dorsalgia, low back pain Author of bachelor's thesis: Jan Kadlec Supervisor: Mgr. Miroslava Jalovcová Year: 2011
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Functional disorders of motion system, their diagnosis and therapy- lumbar spine
Baxová, Dana ; Senetyčová, Miroslava (referee) ; Břízová, Marie (advisor)
The aim of my bachelors work was to describe the formation of functional disorders of the motion system in details in the theoretical part. There have also been described the most commonly used methods of therapy of the functional disorders. For each individual method of therapy are given the theoretical principles of the method, indications and contraindications, examples of exercises and practice exercises, advantages and disadvantages of the method. In the practical part was performed clinical examination and then was developed casuistry in selected patient. Patients were selected in the Department of Rehabilitative Medicine. Therapy was conducted with two patiens one and half months. Each patient had six respectively seven therapies. In the beginning patients were examined, then was conducted therapy in which were used methods described in the theoretical part. Therapy was finished by final examination and evaluation of the patiens.
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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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Possibilities of physiotherapy for low back pain with a focus on Foot reflexology at the working age population
FIŠEROVÁ, Iva
This thesis is focused on the possibilities of physiotherapy for low back pain with a focus on Foot reflexology at the working age population. Low back pain afflicts a large percentage of the population, and its prevalence is highest among people of working age. The situation does not help the current lifestyle including poor eating habits and lack of physical activity. According to statistics they are one of the most common causes of inability to work. There are many causes of back pain and a lot of physiotherapy approaches to dealing with them. Correct and early diagnosis of the problems is very important in this topic. The theoretical part summarizes the basic anatomy and kinesiology findings concerning the lumbar spine and legs. Furthermore, there is generally analyzed pain, then with a focus on the lower back. I refer, besides other things, the possible causes of low back pain and economic burden to the healthcare system. Subsequently the branches of physiotherapy, who deal with the given problem, are described. At the end of the theoretical part I devote to Foot reflexology, which was examined in the practical part. This method fall into an alternative medicine. It takes advantage of the finding that the feet are covered with reflective areas corresponding with the organs or the other body parts. Their stimulation can affect relevant areas including their function. This thesis had two objectives. The first one was to map the possibilities of influencing low back pain using the Foot reflexology for selected probands. The second one was to explore whether the Foot refexology will have an impact on the quantity of used analgesics. The method of qualitative research was chosen for the practical part. Four respondents were selected from the public who meet the specified requirements (person of working age suffering from pain in the lower back and taking analgesics). Their history was collected. Then the entry kinesiology analysis and diagnostics of the feet was made. The visual analog pain scale was used to determine the extent of pain of reflective areas. The therapy took place once a week for a three months. At the last meeting held evaluate of the therapy from the perspective of the respondent and final kinesiology analysis was done. The gained input and output data were compared. The research results were published in the form of four case studies. They indicate that the improvement of condition occurred at three respondents. At one of them, the pain in the lower back almost disappeared, at other two o them the pain stop radiate into the legs. It was achieved a reduction of the number of used analgesics at these mentioned respondents. At the fourth respondent stormy reactions were appeared, which distorted the final effect of therapy on the back pain. It was apparently affected the hormonal system of the woman. It was not even possible to determine whether rehabilitation had an impact on the use of analgesics, because the respondent was forced to take the analgesics during therapy. From the information above it is possible to conclude that the Foot reflexology can have a positive impact on influencing low back pain. It is not high demand for this purpose in practice. In my opinion, it should be more incorporated into the patient care, at least as a complementary therapy in the context of a comprehensive rehabilitation plan. This thesis can serve as material for students and the general public who are interested in this topic. The work may serve as a basis for the follow-up research in this subject area.
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Kinesiotaping- part of the treatment of herniated intervertebral discs in the lumbar spine
FIALOVÁ, Anna
The title of this dissertation is Kinesiotaping part of medical treatment herniated discs in lumbal area. Slipped disc belong to degenerative disease and we can observe them as an after effect of injury, too. Rising incidence has something to do with lifestyle. More and more person are doing sedentary employment and thay have got lack of motion aktivity. That result in faulty postural habits, degenerative disease of backbone and weakening of musculature. Slipped discs give rise to nerves oppression, pain radiation, painful movement or skin sensitivity damage. In this case punctum diagnosing and treatment are crucial. There is possible to choose both surgical and conservative medical treatment. I have attended to conservative therapy. Theoretical part give undivided attention to lumbar spine anatomy, classification and treatment prolapsed disc in this area. Kinesiotaping as a technique is specify. In addition are mention some extra procedure we can use. My primary aim was to describe theoretical base of treament effect of kineziotaping. Secondary aim was to elaborate 3 4 case history using qualitative research. Field research took place by dialogue, then followed initial and final examination. The volunteer had to sing informed permission. This dissertation can be used both by lay and experts and improve general knowledge of kinesiotaping and slipped disc.
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The physiotherapy in patients with compression fractures in the lumbar spine area
LUKŠAN, Filip
This bachelor?s thesis focuses on physiotherapy of patients with compression fractures of the lumbar spine. Compression fractures of lumbar vertebrae are caused by excessive dynamic pressure on the lumbar spine. These fractures come about both by reason of direct causes such as falls from heights or injuries from automotive accidents. Osteoporosis is another aspect. It is a generalized skeletal disease which causes bone mass degradation and is therefore an indirect cause of compression fractures of the lumbar vertebrae. Women over 70 years of age are the most frequent sufferers. The aim of this bachelor?s thesis is to map out physiotherapy methods used in patients with compression fractures of the lumbar vertebrae. The paper is divided into two major sections: theoretical and practical. The theoretical section describes the anatomical structures concerned, osteoporosis types and diagnostics, types and causes of lumbar vertebrae injuries and their mechanism. A further focus is diagnosing these injuries and potential treatments, i.e., conservative and surgical. Physiotherapeutic methodologies which may be use for these conditions are the topic of another chapter in the theoretical section. They include the Vojta method, sensorimotor stimulation, proprioceptive neuromuscular stimulation, spinal exercises, large ball exercises, dynamic neuromuscular stabilization, school of the back and physical therapy. Using these physiotherapeutic methodologies can result in a reduction in pain, support of the healing process and improvement of the functional stability of the lumbar vertebrae. A total of four probands were selected for the practical section and divided into two groups: patients immediately after a fracture and patients in whom the healing has been completed. All the patients were treated conservatively, i.e., using the Jewett brace. The first group consisted of two patients hospitalized in the České Budějovice, a.s. hospital. I took their history and carried out input and output kinesiology analyses. The therapy took 3?4 weeks. Using the methodologies mapped out in the theoretical section, I prepared my own physiotherapeutic procedure governing the entire therapy period. In these patients, the focus was put on positioning in bed, using the Jewett brace, the proper walking stereotype while using the brace, achievement of self-sufficiency and independence in daily activities along with strengthening the muscle corset. This therapy helped the patients transfer to home care in the shortest time possible. The second group consisted of two patients whose fractures have been healed but continued to suffer from pain in the lumbar region. Here too, I took their history and carried out the input and output kinesiology analyses. The therapy took 3?4 weeks. It focused on the activation of the deep muscle and strengthening the surface muscle using the methods of the lumbar spine dynamic stabilization, exercise on a large ball, proprioception and learning the principles of taking care of one?s back. The contribution made by this bachelor?s thesis lies in mapping out the methodologies to be used for these conditions and preparing the author?s own physiotherapeutic procedure for these issues.
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