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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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Health professionals beliefs concerning the non-specific back pain and their influence on following the recommended therapy procedures.
Ryšavá, Markéta ; Kavka, Tomáš (advisor) ; Obešlo, Marek (referee)
Bibliographic record: RYŠAVÁ, Markéta. Health professionals' beliefs concerning the non-specific back pain and their influence on following the recommended therapy procedures. Prague: Charles University, 2nd Faculty of Medicine, Department of Rehabilitation and Sports Medicine, 2021. 138 p., Appendixes, Supervisor of the work: Mgr. Tomáš Kavka Abstract: Nonspecific back pain (nonspecific LBP) is the most common reason for visiting a doctor and it is the leading cause of activity limitation and inability to work by patients. The theoretical part of this thesis describes the issue of LBP and related clinical guidelines. In addition, it summarizes current research results of the influence of health professionals' fear-avoidance beliefs (FA beliefs) on their clinical decision making for LBP patients. The practical part relates to the research of FA beliefs and non-adherence to clinical guidelines regarding care of individuals experiencing LBP among health professionals in the Czech Republic. The degree of FA beliefs was evaluated using a translated and cross-culturally adapted questionnaire "Fear- Avoidance Beliefs Tool", while the degree of non-adherence was evaluated using a self- reported questionnaire in connection to fictitious clinical vignette. A generalized linear model was used for data processing. The...
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Variables predicting the effects of surgery in patients with low back pain
Hollasová, Sára ; Kavka, Tomáš (advisor) ; Šembera, Martin (referee)
Variables predicting the effects of surgery in patients with low back pain Abstract The theoretical part of the thesis summarizes the knowledge about pain and its types, especially chronic pain. Than we focus on low back pain and currently used approaches in the treatment of this syndrome. In this work we summarize the influence of central sensitization and adverse life experineces and posttraumatic stress disorder on pain (especially low back pain). In the practical part, we investigated the effect of central sensitization and adverse life events and posttraumatic stress disroder on the effect of spinal surgery in low back region. The results were obtained using Central Sensitization Inventory (CSI), PTSD Cecklist dor DSM-5 (PCL- 5) a Life Event Checklist (LEC-5 Standard), Short Form 36 Helth Survey Questionnaire (SF- 36), NASS Lumbar Spine Questionnaire. The obtained data were statistically evaluated and processed. Higher scores of CSI and LEC-5 (more adverse life events) were both statistically significantly correlated with worse low back surgery outcomes. At the same time, a statistically significant relationship between PCL-5 (checklist of PTSD symptoms) and CSI was confirmed. Keywords Pain, central sensitization, adverse life experiences, adverse life events, PTSD, posttraumatic stress disorder,...
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Utilization of biofeedback sensors for the activation of breathing and postural function of diaphragm in patients with chronic low-back pain
Macigová, Lucie ; Oplatková, Lenka (advisor) ; Bitnar, Petr (referee)
This thesis is focusing on objectifying the postural function of diaphragm with a biofeedback sensor in patients with low back pain (LBP). The theoretical part provides an overview of known facts about the postural function of the abdominal muscles and diaphragm and the connection between their activation and the change in intra-abdominal pressure and the origin of LBP. The thesis gives specifics of LBP, its etiology and possible methods of classification of non-specific LBP, as well as the methods of evaluating subjective disability. Other methods of objectifying postural functions other than the one used in this thesis are mentioned briefly. Methodology: In the experimental part, we used a capacitive force sensor to test 31 patients with non-specific chronic LBP (aver. age 25.25, SD ± 4.66, aver. height 176.77 cm, SD ± 9.97, aver. weight 77.93 kg, SD ±18.40) in 3 posturally different seated scenarios - resting breathing, with added external load when the subjects held a dumbbell of 20 % of their body weight) and with maximum voluntary increase in intra-abdominal pressure (the diaphragm test). The sensor position was on lumbar triangle and in the groin area. Oswestry Questionaire v2.1a was used to evaluate subjective disability. Results: An independent t-test analysis showes increase in the...
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The influence of the Pilates method on faulty posture and low back pain
Štveráková, Tereza ; Vitujová, Marie (advisor) ; Ptáková, Karolína (referee)
The diploma thesis invastigates the effect of specifically designed six-week clinical Pilates program on posture and low back pain. The theoretical part contains an overview of the Pilates method - the history, principles and its usage in rehabilitation. It also briefly describes the concept of Dynamic Neuromuscular Stabilization (DNS), which, along with the original Pilates method and the Spiraldynamic concept, has created the current Pilates Clinic Method. Furthermore, one chapter is devoted to the system of training Pilates teachers in the Czech Republic. The main objective of the practical part is to evaluate and compare the effect of an organized and an individual six-week Pilates exercise programme in patients with faulty posture and low back pain. Subsequently, constitutive objectives are set on the basis of selected examination methods. Firstly, evaluation of the exercise programme by the means of clinical objective tests combined into 5 groups: standing and balance, spinal mobility, DNS tests, somatognosia (shoulder width) and respiratory amplitude. Secondly, with the instrumental measurement of Bodystat's values: height, weight, waist circumference, hip circumference, fat, active body mass, water and body mass index. Thirdly, subjective evaluation using standardized questionnaires the...
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Case Study of Physiotherapy Treatment of a Patient with the Low Back Pain with Relation to Another Problems in Motor System
Alberman, Stav ; Nováková, Tereza (advisor) ; Beranová, Marie (referee)
Title: Case Study of Physiotherapy Treatment of a Patient with the Low Back Pain with Relation to Another Problems in Motor System Aims: The purpose of the thesis is to provide informative content about the low back, pain in this region, and its effect on other parts of the motor system, including theoretical solutions; This followed by a case study which deal with the mentioned problems above, with a presentation of practical treatment and its results. Methods: The thesis divided into two main parts, begins with general part which provides information about the lumbar spine, etiology that may lead to pain in this region, information about the locomotor system and its stability, and the implications of low back pain on the locomotor system. Likewise, physiotherapeutic theoretical solutions are suggested. The second part present a case study that deal with low back pain from different etiology, related to issues in the motor system. This part contains initial kinesiology examination, therapy goals, 10 detailed days of day to day therapy sessions. Therapy includes, among others, postural correction, muscle imbalance correction by muscles strengthening, stretching, and relaxation by post isometric relaxation technique (PIR); Dynamic Neuromuscular Stabilization (DNS) approach exercises according prof....
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Physiotherapy of patients with low back pain of viscerovertebral etiology.
Sklepníková, Petra ; Malá, Jitka (advisor) ; Vomáčková, Helena (referee)
Title: Physiotherapy of patients with low back pain of viscerovertebral etiology. Objectives: The objective of this study is to verify the significance of inclusion of procedures of a comprehensive therapeutic approach according to Eastern techniques to classical physiotherapy and to find out whether these Eastern techniques can contribute to the enrichment of standard physiotherapy. Another goal is to develop appropriate regimen measures according to TCM and Ayurveda, to create a yoga regimen suitable for patients who have renal and bladder dysfunction according to TCM and whose main common symptom is chronic non-specific low back pain. The study is based upon a comparison of a four-week physiotherapy program according to the physician's indication and a physiotherapy program enriched with compiled regimen measures and yoga exercises in selected probands. Methods: This diploma thesis is an experimental qualitative pilot study. The theoretical part of the thesis was elaborated on the basis of information from book and electronic sources in the Czech and English language in the form of a research. For the practical part two groups of probands were used - experimental and control group. There were 6 probands in each group. The effect of the four-week therapy, which took place twice a week for 60...
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Prevention of development of functional vertebragenous disorders among powerlifter community
ČERNOTA, Pavel
This bachelor's thesis deals with the options of prevention of development of functional vertebragenous disorders among the powerliftting community. The main purpose of this thesis was to propose a model of a therapy focusing on prevention of development of functional vertebragenous disorders, that remain one of the most common form of injury among powerlifters. Another purpose of this thesis was to examine the efficiency of this therapy by comparing the results gathered during the preand post-therapy assessment. The theoretical part of this thesis deals with spinal anatomy and mechanics. It also discusses the formation of functional disorders, the concept of the potential of the functional capacity, and compares the importance of mobility and stability. The empirical part of my work uses the qualitative research method. Three different subjects were examined and based on the initial assessment, a 4-week-long individual therapy was recommended. The therapy used the concepts from kinesiotherapy and some elements of the manual medicine. The therapy was successful in improving the function of the deep stabilisation spine system and joint mobility. However, the thesis couldn't provide evidence, whether the therapy had positive effect for prevention of the development of functional vertebragenous disorders.
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The Use of Elements of Fascial Manipulation in Patients with Low Back Pain
Kačerová, Veronika ; Táborská, Silvie (advisor) ; Novotná, Marie (referee)
Author: Veronika Kačerová Tutor: Mgr. Silvie Táborská Opponent: Title of bachelor thesis: The Use of Elements of Fascial Manipulation in Patients with Low Back Pain Abstract: This bachelor thesis deals with an approach called Fascial Manipulation. Concretely, it is about the possibilities of using elements of this approach in patients with low back pain. Almost everybody somehow deals with low back pain in life. Fascial Manipulation could be the key in solving this problem. The thesis is divided into theoretical and practical part. The theoretical part is divided into four sections. The first one is about the anatomy of lower back, the second one is about lumbalgia in general, the third one is about fascial system highliting the clinical point of view, the forth one is about Fascial Manipulation. The practical part involves case studies of two patients with low back pain (chronic and acute). The aim of this part is to find out the effects of a therapy based on elements of FM in patients with lumbalgia. Every therapy took aproximately 20-30 minutes and was held in a time period of 8 weeks. Key words: low back pain, Fascial Manipulation, fascia, lumbalgie, manual techniques
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