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The Use of McKenzie Approach in the Therapy of low Back Pain.
Štičková, Zuzana ; Muchová, Renáta (advisor) ; Táborská, Silvie (referee)
Title of thesis The Use of McKenzie Approach in the Therapy of Low Back Pain. Abstract: The present thesis addresses the issue of treatment of low back pain and in this respect considers the effectiveness of the McKenzie method. The first sections of the theoretical part of this thesis are focused on the kinesiology and pathology of the components of the lumbar spine. Further sections explain the principles of the mechanical diagnosis and therapy, i.e. the McKenzie method. Their focus is to present the specific features and advantages of this approach. The aim of the practical part is to assess the effectiveness of the McKenzie method in patients with chronic low back pain whose previous treatment had no or only a short term effect. Qualitative research based on three case studies has been chosen to achieve this aim. By assessing and comparing both subjective parameters (e.g. the intensity, distribution and frequency of pain) and objective parameters (e.g. the range of motion, neurological symptoms) before and after the treatment by the McKenzie method, its effectiveness for the use in therapy of chronic low back pain was determined. The results testify in favour of the McKenzie method as a convenient approach in treating patients with this diagnosis. Key words: McKenzie, mechanical diagnosis and therapy,...
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Physiotherapy for patients with low back pain in the lumbar spine with the present use of unstable surfaces
ŘEZÁČOVÁ, Lucie
This bacheolor thesis deals with the physiotherapy in patients with low back pain in the lumbar spine with the present use of unstable surfaces. Low back pain, or low back pain syndrome is mark for pains in different parts of spine. These dificulties are very common reason for doctor´s visits and also one of the most common causes of incapacity or work. The number of these patients is still rising and most serious is, that these problems affect more and more the younger generation too. Back pain is so common, because they have many causes. Among one of them we can include way of today´s life, change of lifestyle and we can say that a certain comfort of the population. The aim of the theoretical part of this thesis was to describe the low back pains, their causes, examination and therapy, including several options for physiotherapy of low back pains, which is also include the use of unstable surfaces. The aim of the practical part of this thesis was to map effect of exercises using unstable surfaces for specific patients with low back pain in the lumbar spine, which was achieved through the use of qualitive research, using four case reports, which consisted of four patients with low back pain in the lumbar spine. For each of them was performed eight therapies in which were used the unstable surfaces. The results have been assessed according to the input and output kinesiology analysis. In some patients, there were irregularities or ommisions of exercise, or inappropriate ergonomics activities and this has also been affected by pain, which drew less than in patients who practiced regularly and tried to follow the ergonomics of work. Therefore, you can say with certainty, that if you experience regular exercise, to improve the health status of the patient's improvement of including their mental state, thanks to the disappearance of pain and related restrictions in carrying out certain activities.
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Physiotherapy procedures using SMsystem for handball players with low back pain
PÝCHOVÁ, Andrea
This work is focused on low back pain of active handball players and possibility to influence these problems by using SM system (spiral stabilization of backbone). Low back pain of handball players originate mostly as a consequence of overstraining a certain muscular parts. Another cause of backache of handball players can be a varying intensity of strain, an injury, or an incorrect coordination of the move. In the first chapter of theoretical part of this work, low back pain are defined. The next chapter describes basic rules of handball with a focus on a big influence of psyche on the performance of induvidual handball players. Then, the principles of practising SM system and it's realization are presented, whose founder is MUDr. Richard Smíšek. The main aim of this work was to present possibilities of SM system in physiotherapy of handball players and then to describe the effect of physiotherapy after using SM system in case of individual active handball players with low back pain. This work was composed according to a high-quality research. The collection of data was realized as an interview with gaining an anamnesis of three probands, who play handball actively. Then, a complex opening and final kineziologic analysis and observation was made. In practise, the work deals with an application of conrete physiotherapeutic techniques and following observation of it's effects. Probands were also asked to fill in an agreement of being informed. This work can be used as a source of information for lay or specialized public, likewise for present and future physiotherapists who are interrested in this problem. Moreover, this work can serve as a base for another and more detailed treatment of this topic.
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Physiotherapy with golf players having vertebrogenic disorders
Lagatorová, Sendi ; Jalovcová, Miroslava (advisor) ; Pánek, David (referee)
Title: Physiotherapy with golf players having vertebrogenic disorders Objectives: The goal of the work is to find out and analyze, from selected foreign studies, the causes of the development of the most common pathologies in the lumbar area of the spine in adults, professionals and amateurs and based on the evaluation of the studies suggest appropriate physiotherapeutic procedures to be used as a prevention against low back pain (further LBP). Methods: The work is structured as a research, which has been created on the basis of an analysis of relevant sources. The literature, printed and electronic monographs, textbooks and specialized periodical were obtained from bibliographical databases, library catalogues and the Internet. The work contains foreign studies from USA, Canada, England and Australia. The studies were obtained from specialized medical databases: PubMed, PEDro, EBSCO. Results: The main cause of the development of LBP in golf players is the full golf swing, especially the modern type of swing. The following pathologies mainly develop in the lumbar area of the spine within the golf players: hypertonus paravertebral muscles, prolapses of intervertebral disc, fatigue vertebrae fracture and artrophaty of facet joints. In the prevention of LBP we use physiotherapeutic processes based on...
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Case Study of physiotherapy treatment of a patient with the diagnosis of Low back pain
Flasarová, Klára ; Křížková, Štěpánka (advisor) ; Kozáková, Alena (referee)
Title: Case Study of physiotherapy treatment of a patient with the diagnosis of Low back pain. Author: Klára Flasarová Aim: Summary of theoretical findings, the study methodology, physiotherapy care, treatment design and monitoring of the patient with the diagnosis of Low back pain. Methods: This study was a retrieval of a case study in professional practice, held from January 23, 2012 to February 19, 2012 at the Oblastní nemocnice Kladno. The work is divided into two parts - general and special. The first (general) part deals with the theoretical knowledge of the axial system in terms of anatomy, biomechanics and kinesiology, includes information about possibilities of physiotherapy practice and testing at a time when surgery is not indicated and conservative treatment is possible. Second (special) case report describes part of physiotherapy treatment of patients with Low back pain and proposes course of therapy and evaluated its effects. Therapy were starting during the hospitalization tha patient on the neurogical department. The next therapy and final examination were done after the patient's discharge to homecare. Results: Patient's clinical condition significantly differed before treatment and after therapy. The main indicator for us was the level of pain, which in the course of therapy varied...
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Evaluation of the Effectiveness of Back Schools in Vertebrogenic Syndromes of Low Back
Spálovská, Hana ; Pavlů, Dagmar (advisor) ; Novotná, Irena (referee)
Title: Evaluation of the Effectiveness of Back Schools in Vertebrogenic Syndromes of Low Back Objectives: To compare the effectiveness of particular back schools. The main goals were to prove the successfulness of back schools in patients with vertebrogenic algic syndrome, to find out jobs with the most promising response to back schools and to reveal possible use of back schools in children. Methods: The dissertation has a descriptive-analytical character and was conducted as a literature review. Results: The results showed the effectiveness of the back schools concept in chronic low back pain. The effect was particularly obvious after two-month duration of the programmes. The most promising results were observed in professionals whose lumbar spine is overexerted due to heavy loads lifting or due to daily routines set into ergonomically inconvenient workplace. The back school concept might be used in children as well, who can mainly take advantage of active exercises and correct ergonomics. This dissertation also sums up other physiotherapeutic concepts relating to this subject. Key words: Back school, low back pain, prevention
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Using biofeedback for patient with non-specific low back pain
Prokůpková, Eva ; Čakrt, Ondřej (advisor) ; Černý, Rudolf (referee)
The Diploma thesis titled "Using biofeedback for patients with non-specific low back pain" in theoretic part gives basic information about motor learning, biofeedback, low back pain and postural stability. In the research part, it deals with influence of postural stability- focused therapy (performed on Nintendo Wii Fit Plus device) on low back pain and postural stability. The work also deals with influence of added feedback on reduction low back pain, postural stability and realizing intrinsic feedback. We demonstrate that this therapy reduced low back pain but has no significant influence on postural stability. We also demonstrate that added feedback has positive effect on persistence of pain and affective part of the Short Form of McGill Pain Questionary, but it does not influence postural stability. On the contrary, absence of added feedback significantly influenced the postural stability. The added feedback does not influence awareness intrinsic feedback.
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Strengthening in patients with nonspecific low back pain
Novák, Dalibor ; Tlapák, Petr (advisor) ; Čech, Zdeněk (referee)
In the present work we compare the effectiveness of therapy in patients with chronic non-specific low back pain (CNLBP) using classical analytical strengthening and strengthening program based on principles of physiotherapy techniques that focus on the stabilization of the spine and are used in the treatment CNLBP. The experiment included a total of 14 patients diagnosed with CNLBP who were divided into two groups (n = 7), each of who underwent a 12-week training either classical or physiotherapy conceived strengthening. As for the evaluated parameters, we chose the size and quality of pain (visual analogue scale and Short Form McGill Pain Questionnaire), restrictions in daily life in relation to LBP (Oswestry Disability Index); we tried to capture a change in the stabilizing muscle function by using a collection of tests according to Kolar (2006). The evaluation took place at the beginning and after the program and then at intervals of six months. The results showed that there was a statistically significant improvement in both groups in the monitored parameters. The difference in results in pain intensity and functional limitations in life when comparing the two groups showed statistically insignificant. Both the groups of patients improved their score in the evaluation of the stabilizing functions of...
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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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