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The effect of physiotherapeutic intervention on the change in thigh muscle volume after LCA surgery.
Ragulová, Michaela ; Pavlů, Dagmar (advisor) ; Angerová, Yvona (referee) ; Řasová, Kamila (referee)
Title: The effect of physiotherapeutic intervention on the change in thigh muscle volume after LCA surgery Objectives: The aim of this work is to evaluate the effect of targeted physiotherapy intervention in patients after anterior cruciate ligament surgery in relation to thigh muscle volume. Methods: Twenty probands participated in the research. The criteria for the selection of the probands were determined as follows: age, first surgery on the lower limbs and bone tendon bone (BTB) surgical approach. Probands were randomly divided into two groups of ten - research and control. The research group completed eight individual physiotherapy sessions, one of which lasted 45 minutes. In the 10th postoperative week, the probands were given additional device rehabilitation - Imoove. In total, this group completed nine physical therapy sessions over 9 weeks. The control group only had group exercise twice a week for 30 minutes. In total, this group completed eight group sessions over a period of 4 weeks. In addition to individual and group therapy, the probands underwent group exercise in the pool five times, magnetotherapy for the knee joint six times, and laser therapy for the scar six times. The following procedures were used to evaluate the effect of the applied therapy: an Academia50 handheld scanner...
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Returning to sport after LCA rupture in university students of physical education and sport.
Paulusová, Barbora ; Pokorný, Ladislav (advisor) ; Chrástková, Martina (referee)
This work is focused on the return of athletes who study physical education at universities to sports and active movement after a knee injury, specifically after a rupture of the anterior cruciate ligament (ligamentum cruciatum anterius - LCA). The LCA is an important stabilizer of the knee joint, its rupture is one of the frequent and serious knee injuries during sports. Rupture of the LCA has very serious consequences for the biomechanics of the knee joint. The thesis describes the anatomy of the knee joint and possible causes of LCA injuries. The diploma thesis also deals with methods of injury diagnosis and treatment options. The aim of the thesis is to find out whether, after experiencing this injury, the athletes were able to return to sport without performance limitations and, if so, how their recovery took place. KEYWORDS anterior cruciata ligament, injury, students, sports, recovery, rehabilitation
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Anterior cruciate ligament rupture in women floorball extraleague players in Czech and Slovak republic - analysis of influences
Boľová, Šárka ; Pavlů, Dagmar (advisor) ; Žáková, Lenka (referee)
Title: Anterior cruciate ligament rupture in women floorball extraleague players in Czech and Slovak republic - analysis of influences Objectives: The aim of the diploma thesis is to analyze the main influences on the anterior cruciate ligament rupture in top-level women floorball players in the Czech and Slovak top leagues, with the main focus on the length of player's active career and average week load, including a comparison of incidences of the injury in both countries. Methods: Data collection was done using an anonymous non-standardized questionnaire in electronic form. The research group included 209 top women floorball players aged 15-35 years. 135 players played in the Czech extraleague and 74 in the Slovak extraleague. All 20 teams registered in the highest women's floorball competitions of both countries during season 2021/2022 took part in the research. Results: The results showed a predominance of non-contact injuries (75 %), repeated anterior cruciate ligament rupture occurred in 42.5 % of cases. The effect of the player's active career length (long-term repetitive tissue microtrauma) on the injury was confirmed. The relationship between the volume of the average week training and match load (short-term loading) and the injury was not confirmed. There was a significant difference in...
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Physical therapy procedures in patients following the operation of the anterior cruciate ligament
Pešlová, Kateřina ; Jalovcová, Miroslava (advisor) ; Satrapová, Lenka (referee)
Title: Physical therapy procedures in patients following the operation of the anterior cruciate ligament Objectives: The main objective of this work is to determine the influence of the chosen method of reconstruction and subsequent physiotherapy on the final status of the patient. And also if the group physiotherapy is the ideal therapeutic approach. Methods: In quantitative research the numerical analysis of the data was performed. Comparison of individual groups was performed simply through finding the frequency distribution of individual characters. Evaluated were the basic sets A (patients operated on by Bone - Tendon - Bone method, BTB) and B (patients operated on by hamstring graft method, STG). Both sets were assessed using the input and the output kinesiological analysis. The resulting values of the variables in each category (individual examinations in the input and output kinesiological analysis) were compared with each other.The statistical significance of observed differences was tested using the x2 (chi square) test at the significance level of p < 0.05. Results: It was determined that the selected surgical method (BTB and STG) has an effect on certain parameters evaluated in the input rated kinesiological analysis. These parameters in the majority of examinations performed at the...
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Instrumental gait analysis in the ACL patient
Lalaeva, Anna ; Dudová, Agnieszka (advisor) ; Lopot, František (referee)
Title: Instrumental Gait Analysis in the ACL Patient Aim: to present an up to date review on the topic of instrumental analysis of straight ahead gait on a plain surface (both over-ground and on a treadmill) in ACL patients (both deficient and reconstructed). A second aim is to introduce the clinician (especially in the field of physiotherapy/rehabilitation) to the topic of gait analysis and its specific use for the ACL patient. Methods: a systematic review on the topic Results The review answers the questions of what instrumentation, phases of gait and variables is best to use/measure for clinical purposes. It also identifies and discusses three main gait strategies used by ACL patients: quadriceps avoidance, knee stiffening, pivot shift avoidance. Keywords: gait, analysis, walking, clinical, instrumental, anterior cruciate ligament, ACL, deficient, reconstruction, injury
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Impact evaluation of a anterior cruciate ligament rupture on postural stabilization by a method postural somatooscillography before and after reconstruction surgery
Traplová, Kristýna ; Rašev, Eugen (advisor) ; Véle, František (referee)
Title: Impact evaluation of a anterior cruciate ligament rupture on postural stabilization by a method postural somatooscillography before and after the reconstruction surgery Objective: Compare measured postural stability values by postural somatooscillography which will be carried out before planned ACL reconstruction surgery rupture, early after the surgery and in a longer time period after rehabilitation. Methods: This thesis has been created as a pilot study using a descriptive and associative form. Research part focuses on measurements done on the Posturomed surface during postural provocation test. Platform movement has been recorded by accelerometer and transferred into Microswing diagnostic system and evaluated using the Postural somatooscillography Posturomed Commander application. Results: After reconstruction surgery is the ability of postural stabilization better than before surgery. Postural stabilization has been improving within the group of probands during all measurements. However, the ability of long-term stabilization is at very low level in comparison to healthy subjects. Postural stabilization of uninjured limb is better than stabilization of injured limb in all research stages. Key words: anterior cruciate ligament, injury, postural stabilization, Posturomed
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Case of study of Physiotherapy Treatment of a Pacient after the Reconstruction of Ligamentum Cruciatum Anterius
Sábelová, Michaela ; Novotná, Irena (advisor) ; Reckziegelová, Petra (referee)
This work consists of two parts, general and special. On the special one was focused more attention. In the general part we can learn basic information about anatomy, biomechanics and kinesiology of the knee. There is described the mechanism of injury of a soft knee, methods of examination and diagnosis, treatment of LCA rupture with conservative and surgical treatment and rehabilitation before and after a surgery. The special part gives a detailed description of the case of study of a patient after ACL rupture. The study has been made during the continuous professional experience, which I undertook at the end of January and February in the Regional Hospital Kladno.
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Physiotherapy in Patients after Anterior Cruciate Ligament Injury of a Knee Joint. Subtitle: Focusing on the Method InternalBraceTM
Pavlíková, Lucie ; Šebek, Milan (advisor) ; Jakovcová, Karolína (referee)
BACHELOR THESIS ABSTRACT Author: Lucie Pavlíková Supervisor: Ing. Bc. Milan Šebek Opponent: Name of the bachelor thesis: Physiotherapy in Patients after Anterior Cruciate Ligament Injury of a Knee Joint Focusing on the Method InternalBraceTM Abstract: The bachelor thesis is focused on the issue of physiotherapy after injury of the anterior cruciate ligament of a knee joint. The thesis is divided into the theoretical and practical part. The theoretical part describes the anatomy and kinesiology of the knee joint and its structures, as well as the way of injury of the anterior cruciate ligament. The following are the most common solutions of LCA rupture (graft from ligamentum patelae and m. Semitendidosus and m. Gracilis) and subsequent physiotherapy. There is also an innovative method, the InternalBraceTM method, using FiberTape® knitted fiber. In the practical part, case reports of three patients after the operation using InternalBraceTM system are processed. Physiotherapeutic intervention was, in two patients in the acute phase, conducted according to the guidelines by method makers for seven weeks. Its aim was to verify the used methodology of rehabilitation in practice. In a third patient, the difficulties that may arise are described. Key words: FiberTape, InternalBrace, knee joint, ligamentum cruciatum...
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Objectification of Postural Stability by Patients with Musculoskeletal Disorders
VIDOUREK, Dominik
This bachelor thesis consisting of the theoretical and practical part deals with physiotherapy after a rupture of an anterior cruciate ligament and its subsequent influence on postural stability. The first part of the theoretical thesis consists of explanation of term posture, its development, function and disorders and the second part of the theoretical thesis consists of the anatomy and knee joint kinesiology, information on anterior cruciate ligament injury, treatment possibilities and physiotherapy possibilities. The practical part is made by means of case history where the qualitative research is applied. It consists of initial kinesiological and posturographic examination, therapy suggestion, therapy implementation and final kinesiological and posturographic examination. The probands underwent the reconstruction of the anterior cruciate ligament 6-8 months prior to the initial kinesiological examination by means of patellar autograft. Both probands suffered the injury when doing sport, namely skiing and football. I focused on a knee joint stabilisation by means of the DNS method, exercise with TRX Suspension Trainer and BOSU?, deep stabilisation system activation by means of the DNS method, the influencing of soft tissues and improving of afference of lower limbs by means of sensorimotor stimulation and PNF method. The therapy lasted for 8 weeks. Using the modern physiotherapeutical method resulted in eliminating basic, limiting limitations which are consequent upon the injury of the anterior cruciate ligament. We are able to confirm the improvement of the results of kinesiological and posturographic examination after the evaluation of the initial examination. The thesis may serve as an educational material for physiotherapy education and for non-professional public as well. Key
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