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The change in heart rate during postural therapy
Čurdová, Aneta ; Rašev, Eugen (advisor) ; Nováková, Tereza (referee)
Title: The change in heart rate during postural therapy Objectivies: The main aim of this thesis is to objectivize the relationship between the quality of postural stabilization according to the postural provocation test with Propriomed and changes in heart rate, which are monitored during this test (or therapy). Methods: The experimental study includes 18 healthy probands at the age of 20-30 years. To evaluate the level of postural stabilization was used the aid Propriomed, sensors to record movements of Propriomed, shoulder girdle, hand and pelvis; and the measuring program Microswing 5.0. To heart rate monitoring during Propriomed testing was used the sporttester Polar RS800CX. This sporttester was used to evaluate the physical fitness according to the Polar Fitness Test™ (OwnIndex), too. Polar Fitness Test™ is based on the heart rate variability monitoring. The evaluation of results and statistic data processing were done in Microsoft Office Excel 2007. Results: Between the level of postural stabilization in the postural provocation test and the difference between the maximum and minimum heart rate achieved during this test, no statistically significant relationship was demonstrated. When monitoring heart rate changes during the series of six provocation tests, people with lower quality of...
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Muscle imbalance in students of physiotherapy
ČURDOVÁ, Aneta
The muscle imbalance is a phenomenon which was first described by professor Janda. Some muscles have a tendency to shorten themselves, others to loose strength. The consequence of these tendencies is a formation of imbalances which may negatively affect motion senses as well as a whole motion apparatus. Predisposing the formation of muscle dysbalance is predestined by the superiority of tonic or phase fibers in the individual muscle groups. The disruption of coordination between muscles can lead to a formation of problems with motoric apparat. Postural changes and functioning problems can be deepened with lowering of deep stabilization as well as with inappropriate ergonomics. The physiotherapist often deals with patient's muscle imbalances, but that doesn't mean he can avoid the formation of these imbalances in his own body. The physical requirement for this kind of job demands the right ergonomics of work which lowers the risks. The advantage of physiotherapist is in his theoretical and practical knowledge, which he can apply on his own body, balance the muscle groups in his body and thus eliminate the risk of formation of functional problems and painful conditions. The main goal of this work was to map the occurrence of muscle imbalances in the selected group of students of the physiotherapy. The second goal was to suggest some precautions that would help to avoid the functional problems caused by the muscle imbalances. The study was focused on students of the first year of the physiotherapy discipline on the South Bohemia University. There were 37 participants from whom there were 33 women and 4 men. Due to the specific focus on the muscle imbalances the only muscles that were examined were shortened muscles and weakened muscles in connection with the quality of involvement into the motion stereotypes and also hypermobility. Due to the fact that muscle imbalances and functional disorders are closely related to the quality of the stabilization system and breath there was also evaluated the breathing stereotype and the ability to activate the diaphragm. The occurrence of the painful areas in muscles was mapped by the palpation examination. The students were asked targeted questions in order to find out if any of them had regular problems with for example backache, knees and so on and if they had an accident or underwent a surgery of the motion system. The students were also asked about the sports activity, if they do these sports on regular basis and which kind of sports they do specifically. For a complete evaluation of the student's endurance they were marked with the BMI index, the WHR index and the Ruffier index. In almost all cases there were some sorts of imbalances. In the evaluation of the upper body imbalances (upper crossed syndrome to be exact) there were only 2 students who didn't have this dysbalance. On the contrary there were 10 students with all sorts of imbalances and thus the upper cross syndrome was proved. In the evaluation of the lower body imbalances (lower crossed syndrome) all students had some kind of dysbalance, but there were only three students with proven lower cross syndrome. From the evaluation of the breathing types and diaphragm tests was proven that only eight students can activate diaphragm and diaphragmatic breathing. Due to positive occurrence of some kind of muscle imbalances in every student's body it was recommended to accept some sort of precautions. But these precautions can't be used universally, because every combination of different imbalances requires individual approach. This work can be used by professionals as well as by students of physiotherapy. This work can also be extended by another research which would compare the results with, for example, the occurrence of imbalances in higher classes of physiotherapy or in another discipline.
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