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Static and dynamic analysis of plantar pressure, spinal and pelvic motion in diagnosis femoroacetabular impingement
Štefková, Silvia ; Valouchová, Petra (advisor) ; Demeková, Júlia (referee)
Aim of this thesis is to evaluate distribution of plantar pressure and the movement of spine and pelvis in patients diagnosed with femoroacetabular impingement syndrome. The results were obtained using Diers pedoscan system which can record the pressure distribution of feet during stance and motion. Also Diers formetric III 4D system was used to obtain photogrammetic records of spine and pelvis movement. We use rasterstereography based on Moiré topografy. Measured data represent three dimensional model of back surface during static or dynamic analysis. In addition we evaluated the effect of treatment using Dynamic neuromuscular stabilization. Obtained results were statistically processed. Powered by TCPDF (www.tcpdf.org)
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Influence of DNS to kayak power Stroke
Davídek, Pavel ; Kobesová, Alena (advisor) ; Demeková, Júlia (referee)
The thesis deals with the possibility to influence the maximum power of kayaking stroke by the Dynamic Neuromuscular Stabilization approach. The most common injuries sustained during kayaking are affecting shoulders. The aim of this thesis was kinesiological analysis of kayaking movement. It shows patterns of shoulder muscles activity during the paddling cycle. Finally the thesis describes the Dynamic Neuromuscular Stabilization approach. Methods: Subjects were 20 flat water kayakers (mean age 21,85 +/- 2,37), which were randomized divided into two groups. Training of experimental group contained exercise according Dynamic Neuromuscular Stabilization approach. Specific exercise was chosen with DASH questionnaire. The same questionnaire was used at the end of the six weeks study to see the changes in the problems of the upper limb activity. The effect of the therapy was compared by maximum power of kayaking stroke, which was measured by paddling ergometer. Both groups were tested four times in 6 weeks. We followed also the actual effect of the therapy of Dynamic Neuromuscular Stabilization by measuring maximum power before therapy and immediately after exercise. Results: Maximum power of the stroke increased of 6,3% (p = 0,032) in experimental group. We found the positive effect of the actual...
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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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The effect of dynamic neuromusculur stabilization on motor deficit in patients after stroke
Zelenková, Jana ; Kobesová, Alena (advisor) ; Demeková, Júlia (referee)
The aim of the study was to evaluate the effect of specific rehabilitation concept on the motor deficit in patients after stroke. This concept is used at the Department of inpatient rehabilitation FN Motol, the main component is exercise on the principles of dynamic neuromuscular stabilization (DNS) and is based on the principles of developmental kinesiology. The study included 12 patients after stroke. Probands participated in the 3 week therapy, exercise was carried out twice a day. Significant (p <0.05) improvement in motor function of the arm, hand, leg and foot was demonstrated by using Student`s paired t-test. There was a statistically significant improvement in postural control and reducing shoulder pain (all assessed using a specific scale: Chedoke McMaster Stroke Assessment). Changes in the degree of spasticity were evaluated by Modified Ashworth scale. A statistically significant improvement in the degree of spasticity was observed in these muscle groups: the elbow flexors , adductors of lower limb, knee extensors and hamstrings. It has been shown that the concept of dynamic neuromuscular stabilization can be advantageously used in selected patients after stroke. It is appropriate to supplement the DNS therapy with training of ADL.
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Distant effects of muscle electrostimulation
Koláček, Michal ; Slabý, Kryštof (advisor) ; Demeková, Júlia (referee)
This work is trying to identify possible non-stimulatory effects and distant effects of muscle electrostimulation musculus quadriceps femoris based on a literature search. Furthermore evaluates the influence of High Tone Electrical Stimulation (HTEMS) muscles of lower limbs on the activity of the autonomic nervous system, expressed by heart rate variability, a spectral power in the individual frequency bands. Randomized crossover study involved 20 healthy subjects (12 men and 8 women), average age 24.6 ± 5.6 years. Heart rate variability was evaluated before application of HTEMS and immediately after. Measurements were performed with electrostimulator HiToP 191. The results did not show statistically significant increase in spectral power in the individual frequency bands. The study also deals with the reproducibility of measurements of sensitive and motor threshold for electrostimulation HTEMS method, which was confirmed. Powered by TCPDF (www.tcpdf.org)
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Retrospective investigation of success shockwaves therapy for heel spurs
Baxová, Dana ; Schreier, Bronislav (advisor) ; Demeková, Júlia (referee)
This thesis deals with shock waves and examines the efficiency of shock wave therapy in the diagnosis of heel spurs. The thesis contains a summary of theoretical knowledge about the shock waves, their physical principles, history, description of the shock wave generators, action and its effect on the body. Aim of the thesis was to assess whether there was a significant change in mean values of pain by VAS (visual analogue scale of pain ) before and after shock wave therapy for heel spurs. Furthermore was examined whether the changes in mean values of pain by VAS after shock wave therapy in a group of patients who have completed previous other therapy and another group that has not completed previous therapy are different. Methods: Data collection for statistical processing was carried out during November and December 2012. The research group included 141 patients. Have been demonstrated changes in pain by VAS before and after shock wave therapy . Results: In our study we demonstrated that the shock wave therapy was a significant reduction in pain by VAS. Conclusion: Is appropriate and legitimate using shock wave therapy in the diagnosis of heel spurs .
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Possibilities of conservative and surgical approaches for Dupuyter's contracture
Klímová, Michaela ; Demeková, Júlia (advisor) ; Babková, Lenka (referee)
Dupuytren' s contracture is a disease that is characterized by its slowly developing of flecture contractures of the fingers and is conditioned by pathological changes of the palmar aponeurosis. The bachelor's thesis "Possibilities of conservative and surgical approaches for Dupuytren's contracture" deals with the overall issue of Dupuytren's contracture. The thesis includes knowledge about anatomy of palmodigital aponeurosis, clinical picture, etiology, epidemiology, diagnostics, conservative and surgical treatment a nd points to a crucial influence of physiotherapy as an integral part of the treatment. A significant part of the thesis is focused on physiotherapeutic methods which are most frequently used for subsequent treatment of the disease. In the conclusion of the thesis, there is a brief description of physical therapy and occupational therapy. The thesis is supplemented with two case reports of patients with Dupuytren's contracture, treated with 2 different forms of treatment. Subsequently, final state of health of patients was evaluated depending on the method of treatment. Powered by TCPDF (www.tcpdf.org)
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