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Disorders of temporomandibular joint disc
Keilová, Marie ; Bitnar, Petr (advisor) ; Demeková, Júlia (referee)
The bachelor thesis is about disorders of temporomandibular joints. It focuses mainly on explication of the diseases that affect joint disc. It provides complete inforrnation about the etiology of the diseases and their clinical symptoms. The main aim of the thesis was to summarize inforrnation about treatment for those disorders. It has focused on conservative treatment, mainly on physiotherapy. Powered by TCPDF (www.tcpdf.org)
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Reliability of DNS tests in cunical practise
Stýblová, Jaroslava ; Kobesová, Alena (advisor) ; Demeková, Júlia (referee)
Introduction: Functional testing which is used in rehabilitation is mainly based on aspection and palpation. It is a subjective examination of a patient and you cannot find out specific physical quantities with this method. If you want to use functional tests in clinical practise it is necessary to determine the reliability of the tests. Aim: To determine the inter-rater reliability for the DNS tests and to create a detailed descriptive statistics and a new evaluation sheet. Materials and methods: There were six experienced evaluators who are trained for the DNS method. We have worked with a mixed group of patients. There were patients with health problems as well as patients without any difficulties (n = 10 women, average age - 34, 5, n = 4 men, average age - 35, 2). We used percentage agreement, Fleiss's kappa coefficients (κ) and P-value. Results: The research of DNS tests reliability is innovative. Evaluators of DNS tests usually agree with each other. In some cases there is a problem with using Fleiss's kappa coefficients (κ) because of the position of relative frequencies. In most tests we found out that the inter-rater reliability is good (κ ≥ 0.80), substantial (0.60 ≤ κ < 0.80) and moderate (0.40 ≤ κ < 0.60). Conclusion: The evaluation of one character in a case of one patient by three...
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ESWT in Achilles tendinopathy
Hojková, Lýdie ; Demeková, Júlia (advisor) ; Havlíčková, Michaela (referee)
Achilles tendinopathy is a painful condition formed by chronic overuse. Conservative treatement requires activity modification, heel lifts, arch supports, even immobilisation. There are often unsatisfactory results with it. The use of ESWT has recently been introduced in soft-tissue disorders including epicondylitis, plantar fasciitis, calcifitation of the shloulder and, as well, Achilles tendinopathy. The aim of the work was to introduce the effects of ESWT on soft tissues, types of generation and new posibilities in ESWT therapy in Achilles tendinopathy. Powered by TCPDF (www.tcpdf.org)
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Influence of electrical stimulation according to Jantsch on spastic paresis of wrist and fingers flexors in patients after stroke
Bushuyeva, Violeta ; Kövári, Martina (advisor) ; Demeková, Júlia (referee)
This thesis aims to evaluate the immediate effects of the electrostimulation according to Jantsch on spastic paresis of the wrist and finger flexors caused by a stroke. In the theoretic part is a short recherche of a modern findings about the stroke, the spastic paresis and a physical therapy in treatment of spasticity with close-up to an electrotherapy with antispastic effect. The practical part consist of one case report of a patient at whom was during hospitalisation applied the electrostimulation according to Jantsch each weekday - in total 8 times. The patient was examined before and immediately after the electrostimulation. An assessment originates in Five-step clinical assessment in spastic paresis by Gracies. Due to fast and quality examination of spasticity out of the original assessment by Gracies have been chosen theses parameters: the slow passive (Xv1) and active (XA) range of motion and the fast passive range of motion, in another name angle of catch (Xv3). The angle of spasticity (Xv1-Xv3) and the coefficient of spasticity ((Xv1-Xv3)/Xv1) was calculated subsequently. The gathered data imply that the electrostimulation according to Jantsch has an immediate effect on decreasing spasticity of the wrist and finger flexors. The effect on the active range of motion was measured after the...
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Effect of magnetotherapy and distant electrotherapy on the healing process of bony tissue
Tobková, Martina ; Demeková, Júlia (advisor) ; Nováková, Pavlína (referee)
In my bachelor thesis I deal with the topic of magnetotherapy and distance electrotherapy in relation to the process of bone healing. The overview of theoretical knowledge provides basic information about bone tissue, its structure, fractures, differences between pediatric and adult fractures, its therapy and the healing process of bone tissue with fracture. I also write about both given therapies. The physical principle on which the therapies work, its effects, mechanism of these effects, parameters and indication groups of the therapies are described. The work also presents the results of some foreign research on the topic. In the practical part I deal with the confirmation of the true effect of both given physical therapies. The work involved 3 pediatric patients who received one of the therapies, as well as 10 patients from the control group who did not receive any therapy. X-rays taken immediately after the accident are compared with X-rays taken 4 and 6 weeks after the fracture. The healing phase is evaluated from X-rays according to Hammer's classification.
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Utilization of dance elements in physiotherapy
Volfová, Michaela ; Demeková, Júlia (advisor) ; Pintarová, Sylva (referee)
Bachelor thesis Utilization of dance elements in physiotherapy Abstract Physiotherapy and dance have in common finding beauty of movement. In contemporary dance naturally occur positions from developmental kinesiology. This thesis brings suggestion of connection elements of contemporary dance and developmental kinesiology and their utilization in physiotherapy with aim to demonstrate and evaluate their effect. Influence of dance elements on musculoskeletal system is evaluated by detailed kinesiological analysis, measuring range of motion in joints, testing muscular force and locomotor stereotypes, and DNS tests. Practicing exercises with dance elements improves postural stabilization, coordination and quality of movement execution.
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Utilizing of electrical stimulation for decreasing of spasticity in stroke patient
Ustinova, Darya ; Demeková, Júlia (advisor) ; Kövári, Martina (referee)
1 Abstract Electrical stimulation by coupled impulses according to Hufschmidt was created with the primary goal of reducing spasticity. However, there are currently few studies that confirm or refute the effect of this type of electrical stimulation in reducing spasticity. The aim of this diploma thesis was to determine the effect of electrostimulation according to Hufschmidt on the reduction of biceps brachii spasticity in patients after stroke. In addition, the effect of electrical stimulation on increasing the active range of movement of the antagonist of the examined muscle and on the active function of the spastic limb was investigated. For these purposes, a non-randomized controlled pilot study was created, which involved a total of 16 probands, 8 - in the therapeutic group, 8 - in the control group. Five-step clinical assessment in spastic paresis according to Gracies were used for the examination. In the therapeutic group, electrostimulation took place 3 times a week, a total of 8 times. The intragroup difference was evaluated using the Friedman and Wilcoxon paired tests, the intergroup difference was subsequently evaluated using the Mann-Whitney U test. The significance level p = 0.05 applies to all tests. The measured values show that Hufschmidt's electrical stimulation has a positive effect on...
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The comparation of triggerlytic effect of combination therapy (ultrasound + TENS) and ultra electrostimulation
Klesnilová, Eliška ; Demeková, Júlia (advisor) ; Kavka, Tomáš (referee)
The thesis deals with the effect of two methods of physical therapy on myofascial trigger point, in particular combined therapy (US + TENS) and ultra- electrostimulation. Furthermore, there is investigated whether the release of MTrP is reflected in values of pressure pain threshold in chained muscles and there is discussed the use of combined therapy as an objectification tool. The theoretical part of the thesis deals with general and latest knowledge about myofascial trigger points. There are discussed some possibilities of the therapy with emphasis on physical therapy and transcutaneous electroneurostimulation, which form the basis for combined therapy (CT) and ultra-electrostimulation. The research part evaluates the effect of combined therapy and ultra-electrostimulation on a group of 12 probands randomly divided into two subgroups. Values of pressure pain threshold sensitivity, visual analogue pain scale (VAS) and the minimum intensity of electric current necessary to induce muscle contraction (measured by combined therapy) are used for objectification. Ultra-electrostimulation has proven to be a more effective method in VAS values, but in summary, the results cannot be considered statistically significant. The effect of MTrP release (of the trapezius muscle) on the chained muscles could not...
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The effect of minimalistic shoes on foot kinesiology
Vondrášková, Anna ; Tolar, Jan (advisor) ; Demeková, Júlia (referee)
The diploma thesis deals with the possible influence of barefoot (or minimalist) shoes on the kinesiological parameters of gait and possible changes in the stability of gait and standing. The theoretical section briefly describes the anatomy of the human foot, foot arches, foot movements and the gait kinesiology. The next chapter deals with the issue of walking in barefoot shoes and explaining the basic parameters of barefoot shoes. The theoretical section concludes with a summary of the results of studies already conducted on this issue. In the practical part, we did our own research on selected gait and standing parameters, which can be affected by changing the shoe type. Participants switched to a period of approximately six months from wearing conventional shoes to barefoot shoes, and the measurements were taken twice, before and after adaptation to barefoot shoes. To objectify the results, the same measurements were taken in a control group that did not change shoes. Five parameters were selected to evaluate changes of gait and three parameters related to standing stability. Keywords Barefoot, minimalistic shoes, gait, gait analysis, stance analysis, stability
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