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Viscerovertebral relations focusing on GERD.
Švorcová, Barbora ; Pánek, David (advisor) ; Martínek, Milan (referee)
I Abstract Title: Viscerovertebral relations focusing on GERD Objectives: The thesis is focused on describing viscerovertebral relations focusing on GERD and physiotherapeutic possibilities of using these relations to influence this disease. It is divided into two parts - theoretical and research. The aim of the theoretical part is to summarize the current knowledge about GERD and mentioned viscerovertebral relations focusing on specific technique - stimulation of the Chapman points. The aim of the research part is to present the study to assess the effect of stimulation of the Chapman points in physiotherapy of patients with GERD. Methods: The study consists of the application of a physiotherapy intervention to probands randomly divided into two groups - control and experimental. The intervention consisted of individual physiotherapy lasting approximately 45 minutes, once a week for 4 weeks, and self-therapy at home based on instructions. The therapy of both groups differed by the inclusion of the Chapman points stimulation in the experimental group. As a method of testing the effect of therapy, two standardized questionnaires were used to assess the symptoms and quality of life of patients with GERD - "GERD-HRQL" and "Relux symptom index podle Belafského ", which were presented to the probands before the...
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Dietary measures in gastroesophageal reflux disease
Thiel, Simona ; Maruna, Pavel (advisor) ; Horák, Pavel (referee)
The bachelor thesis focuses on dietary measures in gastroesophageal reflux disease. The main aim was to investigate the adherence to recommended dietary measures aimed at reducing the frequency of unpleasant symptoms accompanying this disease. In some cases, dietary measures may help to completely eliminate the symptoms. The hypothesis is that patients with reflux disease do not adhere to these measures. A secondary aim was to test the effectiveness of dietary measures in patients who faithfully follow them. By means of a questionnaire survey, a total of 33 patients were asked primarily about their adherence to dietary and regimen measures, as well as about the nature of their complaints and the level of their quality of life. The results show that almost 70% of patients do not currently follow any dietary measures. On the contrary, patients following a diet showed an improvement in symptoms (reduction in the number of reflux episodes), and some individuals even had no symptoms. Finally, some recommendations that may contribute to the improvement of this issue are described. Keywords: Gastroesophageal Reflux Disease, Dietary Measures, Nutrition, Proton Pump Inhibitors
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Effect of breathing training and DNS on lower esophageal sphincter and back pain in patients with gastroesophageal reflux disease
Jandáková, Vladana ; Mádle, Kateřina (advisor) ; Babková, Lenka (referee)
This thesis focuses on lower esophageal sphincter and low back pain in patients with gastroesophageal reflux disease (GERD). Common etiological factor of both GERD and low back pain frequently present in GERD patients is diaphragm dysfunction. Diaphragm fulfils respiratory, postural and sphincter functions, all these functions are interrelated which we benefit from in therapy. Theoretical section presents anatomy of the esophagus, upper and lower esophageal sphincters, diaphragm, follows etiology, diagnostic methods and treatment of GERD and LBP as well as common therapeutical approach by means of postural and respiratory physiotherapy. Basic principles of Dynamic Neuromuscular Stabilization and Respiratory muscle training are presented and their use in the treatment of GERD and LBP. Practical section contains a case study of a patient diagnosed with GERD, kinesiological analysis, high resolution manometry of esophagus and therapy focused on diaphragm activation achieved by improving trunk stabilization and by optimising patient's breathing stereotype.
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The effect of physiotherapy on patients with gastroesophageal reflux disease
Zasadilová, Anežka ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Author: Bc. Anežka Zasadilová Title: The effect of physiotherapy on patients with gastroesophageal reflux disease Objectives: The aim of this thesis is to design a therapeutic unit and evaluate its effect on long-term treatment in the therapy of selected patients with gastroesophageal reflux disease Methods: The group of patients treated for esophageal reflux disease was examined using a standardized questionnaire, esophageal manometry and postural tests. This was followed by a two-month therapy aimed at stretching and strengthening the diaphragm using several physiotherapeutic methods. After completing the therapy, the probands were measured again as in the same way as in the initial examination. The obtained data were evaluated by statistical analysis using a nonparametric test for one selection (Wilcoxon test). Results: The evaluation of the questionnaire survey resulted in the value of p-value = 0.007265, ie less than the selected level of alpha significance (= 0.05). Based on the Wilcoxon test, it was confirmed that the input score was statistically significantly higher than the output score. The evaluation of the esophageal manometry gave the value of p-value = 0.6956, ie greater than the selected level of significance alpha (= 0.05). Based on the Wilcoxon test, it was not confirmed that the...
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Physiotherapy for gastroesophageal reflux
ŠIRMAROVÁ, Jitka
This thesis deals with the issue of etiology and gastroesophageal reflux disease (GERD). It has been proved that the locomotor system affects occurrence of this disease in many aspects therefore, apart from the primary care of gastroenterologists and general practitioners, treatment using physiotherapeutic techniques becomes significant. Sphincter mechanism at the lower end of the oesophagus being the most important anti-reflux barrier in terms of function is described in the theoretical part in detail. Possible ways and factors involved in occurrence of gastroesophageal reflux and then current treatment of gastroesophageal reflux disease are mentioned. The other part of the theoretical part is aimed at: relations between the internal organs and locomotor system, the diaphragm function and its relation to occurrence of GERD, and possibilities of rehabilitation treatment of patients with this disease. The goal of the theoretical part was to provide a research on the current situation. The practical part was prepared by means of a qualitative research. The tested set consisted of three patients diagnosed with GERD being treated at the Gastroenterological Ward in České Budějovice Hospital. Patients? anamneses were taken and kinesiological testing was done. Similarly, all three patients were identified with a disorder of trunk stabilization. Upon this, individual therapies were proposed and carried out, which was the goal of the practical part, too. Physiotherapy was aimed at: affecting the position of the rib cage and improving its dynamics while breathing, training of breathing stereotype, activation of the abdominal wall, affecting the stabilizing function of legs, exercises in developmental series and modified positions, Jacobson's progressive muscle relaxation, and affecting reflexive changes using soft techniques. The research issue was whether the symptoms of GERD could be affected by treatment of functional disorders of the locomotor system in a positive way. There were certain changes in the kinesiological testing (e.g. change in the activity of lower and upper fixators of scapulae with relaxation of the trapezius, releasing the rigidity of the chest, affecting the dynamic stability of the body) during a three-month therapy. However, functional disorders were not affected that much so any described symptoms of GERD could be changed. The results of the therapy were limited by motivation, attitude and patients? metal state. Not only the internal organ but also the locomotor system probably plays a role in occurrence of the reflux; but also psyche, and all these parts of a human being affect each other. Therefore the treatment of a multifactorial disease such as GERD should be comprehensive. Apart from physiotherapy, metal area, too, and all factors should be treated at the same time, which requires interdisciplinary cooperation unfortunately lagging behind.
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