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Options of Physiotherapy Approaches for Patients with Vertebral Algic Syndrome of Lumbar Spine using ICF Core Set
Chmelařová, Anna ; Sládková, Petra (advisor) ; Heřmanová, Ivona (referee)
BACHELOR THESIS ABSTRACT Author's first name and surname: Anna Chmelařová Bachelor thesis supervizor: MUDr. Petra Sládková, Ph.D. Oponent: Title of bachelor thesis: Options of Physiotherapy Approaches for Patients with Vertebral Algic Syndrome of Lumbar Spine using ICF Core Set Abstract: This bachelor thesis deals with options of physiotherapy approaches for patients with vertebral algic syndrome of lumbar spine as well as with the clinical appliacation of the International classification of functioning, disability and health (ICF) using the Brief ICF Core Set for Low Back Pain. This thesis contains of a theoretical and a practical part. The theoretical part includes variety of causes of vertebral algic syndrome, basic information about epidemiology, etiology and time duration. Options of physiotherapy approaches which were used for patients chosen for this thesis are also described. Furthermore, the thesis uses the characteristic of the ICF and describes the Brief ICF Core Set for Low Back Pain, including the ratings of validity of this Core Set by two chosen studies. The practical part offers an overview of methodology of this thesis, in particular the data collection methods, patient selection, goals and assumptions of this thesis. It also contains case reports of three chosen patients inluding the Brief...
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Influence of core stabilization influence on young floorball players
Novák, Jakub ; Geržová, Eliška (advisor) ; Kobesová, Alena (referee)
The bachelor thesis evaluate the immediate effect of core stabilization on a speed and accuracy of the young players floorball shoot. In the theoretical part is described the floorball play and its movement characteristic. The main attention is focused primarily on the shooting problematic. Further, the bachelor thesis brings the preview of an inadequate load while children are sporting and the possible negative impact on them, when the sport is unilateral. In form of research are summarized the results of studies relating to the musculoskeletal disorders of sporting children. In the second half of theoretical part the possibilities of treatment are described and how to prevent these problems by using core stabilization. It is also point out on a possibility of an improvement when using core exercise. The work primarily concerns the core stabilization from the perspective of Dynamic Neuromuscular stabilization. Methodology: The research involved 30 floorball players from the age of 13 to 15 years (average age: 14.20 years; SD +/- 0.86), which were randomized into 3 groups of 10 probands. According to the physical characteristics of floorball were chose the exercises in compliance with Dynamic Neuromuscular Stabilization (DNS), which the first group practiced individually for 20 minutes. The second...
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Exploitation of regular exercise based on the elements of developmental kinesiology for people suffering with back pain
Kamarýtová, Jitka ; Vařeková, Jitka (advisor) ; Prajerová, Květa (referee)
1 Abstract Title: Exploitation of regular exercise based on the elements of developmental kinesiology for people suffering with back pain. Objectives: The aim of my diploma thesis was observing the effect of a group motional program based on tenets of developmental kinesiology for function of the motional system of clients suffering from back pain. Methods: The theoretical part of my diploma thesis was done with a method of literary recherché using technical literature, articles and studies. Experiment was chosen for the practical part, quasi in particular, which was complemented by method of qualitative research, personal case study in particular. There are two clinical casuistries paced in my thesis. There were two following methods for collecting data during my research: kinesiology analysis focused on anamnesis, check-up by sight, check-up by touch and functional probing (dynamic check-up of spine, diagnostically testing of deep stabilizing muscles.) Another methods used in my diploma thesis were assessments of pain with a usage of visual analogy scale and semi-structured interview. Pre-tests and post-test were identical. 10 people suffering from chronic back pain in an area of cervical spine or lumbar spine (5 clients suffering from chronic back pain in an area of lumbar spine and 5 clients suffering...
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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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The effects of active exercise according to the concept of DNS on the local sensory perception in the thoracic spine in cross - country skiers.
Čížková, Karolína ; Kobesová, Alena (advisor) ; Čech, Zdeněk (referee)
This thesis examines the influence of active exercise according to the concept of the Dynamic Neuromuscular Stabilization on local sensory perception in the mid-thoracic spine in elite athletes - cross-country skiers. It also describes the most common health problems in these athletes and assesses the impact of the integration of active exercise according to the DNS concept into everyday practice of cross-country skiers on the intensity and frequency of pain in cervical, thoracic and lumbar spine. It also presents theoretical knowledge about the concept of the Dynamic Neuromuscular Stabilization and interdependence of quality of sensory and motor functions. Methods: The study included a total of 20 elite athletes - cross-country skiers aged 17- 27, randomly divided into two groups. The training group integrated into their practice selected three exercises according to the Dynamic Neuromuscular Stabilization targeting segmental motion in the thoracic spine. A total of five measurements were performed on the quality of sensory perception during two months for all athletes. Furthermore, we evaluated the immediate effect of the therapy in the test group through the examination of sensory perception before and immediately after the treatment. At the beginning and at the end of the study each athlete...
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The effect of proximal dynamic stabilizazion on hand muscle strength
Dzvoník, Ján ; Kobesová, Alena (advisor) ; Ježková, Martina (referee)
The aim of this study is to evaluate the effect of dynamic stabilizing strategy on handgrip and pinchgrip strength. Exercise utilized in this study was based on rehabilitative approach called Dynamic Neuromuscular Stabilization (DNS) - a developmental kinesiology approach. The exercise program consisted of four primal developmental positions (3½ month supine position, oblique sitting position with support on forearm, position on all fours, and the "bear" position). A study file consisted of ten females who were instructed in basic scheme of DNS exercise. They were instructed to exercise at home five times weekly for a 6- weeks period. One exercise lesson took about thirty minutes. Both handgrip and pinchgrip strength was measured using the digital dynamometer CITEC CT 3001 recording maximum voluntary isometric contraction (MVIC). Three-pinch grip strength and fist grip strength was measured for both upper extremities. Fist grip strength was measured in three positions of forearm (pronation, supination and neutral position). Overall eight variables (for each extremity, grip form and position of the forearm) measured before and after exercise program were compared using the paired t-test. Significant increase in muscle strength (p<0,05) was identified for all eight variables after a 6 weeks exercise...
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