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The use of unstable surfaces in physiotherapy for people with osteoporosis
HRAZDIROVÁ, Nikola
The bachelor thesis deals with the issue of osteoporosis. Osteoporosis is a chronic bone disease that affects postmenopausal women and older people. One of the important factors in the prevention and treatment of osteoporosis is regular exercise, which can be done with the help of balance platforms. These platforms offer an unstable surface that activates the muscles of the deep stabilization system, improving balance and stability of the body. The thesis is divided into two parts: theoretical and practical. In the theoretical part I describe the anatomy of bones, characteristics of osteoporosis, examination and treatment. I also discuss the topic of sensorimotor stimulation, history, performance, tools, deep stabilization system and balance. The practical part of the study was developed by means of qualitative research in which three patients with diagnosed osteoporosis. Data collection was in the form of case studies, the components of which included anamnesis, input and output kinesiological analyses (containing several tests), posturograph and podoscope examinations. In addition, there is a description of the therapies that took place about 9 weeks. I have set three goals for my work. To chart the issues of people with osteoporosis. Then to build an exercise routine on unstable surfaces. Finally, to create an educational booklet with exercises for osteoporosis patients. My work will focus on the importance of an individual approach to the issues of people with osteoporosis. The work can be used in the clinical practice of physiotherapists or can be used for people who have been diagnosed with osteoporosis.
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Possibilities of influencing postural stability in sports training of judokas
VACOVÁ, Anna
This thesis deals with postural stability in the sports training of judokas and the possible ways by which it can be influenced. The aim of the bachelor's thesis was to include a kinesiotherapy intervention using elements for improving postural stability in the sports training of judokas and to evaluate its effectiveness, while another aim was to measure postural stability of standing on one lower limb. The theoretical part summarizes information about the postural system, postural functions, central motor control, judo and describes the methods that inspired the exercise unit. In the practical part, there are case studies of four probands from the sports club TJ Sokol Centropen Dačice. The key part was to perform an examination on the NeuroCom posturography device. Part of the thesis is a sample of selected elements that were used during the research. The results of the examination show that these young judokas have faulty posture and muscle shortening, as well as poor postural functions and insufficient stabilizing function of the lower limb. When comparing the entrance and exit examination, which followed the end of the three-month research, there was no significant difference. However, there was an improvement in certain aspects, which may be related to the inclusion of the given elements. This work could serve as educational material for judo coaches and an inspiration for creating a training plan.
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Physiotherapy intervention in patients with neck pain. Subtitle: Sensorimotor stimulation and cervical spine stabilization exercises
Šályová, Anna ; Plecháčová, Marie (advisor) ; Kulich, Václav (referee)
BACHELOR THESIS ABSTRACT Author: Anna Šályová Supervisor: Ing. Bc. Marie Plecháčová Consultant: Ing. Kristýna Plevová Title: Physiotherapy intervention in patients with neck pain Subtitle: Sensorimotor stimulation and cervical spine stabilization exercises Abstract: This bachelor thesis deals with physiotherapy in patients with cervical pain. This problem is quite common nowadays, it ranks as the fourth most common health problem overall. The theoretical part of the thesis describes the anatomy and kinesiology of the cervical spine, the description and classification of pain in this area and the treatment procedure with a focus on physiotherapy. Furthermore, the concepts of stability and posture are explained. An important part of the thesis is the description of the chosen methods and their use in various studies. In the empirical part, it was necessary to describe the methodological procedures, especially the chosen tests, on the basis of which I evaluated the results of the therapies: the NRS, the NDI, the muscle strength of neck flexion, the Postural Stability Assessment, tests for postural stability (trunk flexion test, diaphragmatic test). Selected exercises used in the therapies were also described. I worked with a total of four patients who were randomly divided into two groups, with each group...
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Case study of physiotherapy treatment of the patient after operation of lumbar spine for L4/L5 disc prolapse
Konopecká, Tereza ; Stupková, Michaela (advisor) ; Kaizrová, Irena (referee)
The title of the bachelor's thesis: Case study of physiotherapy treatment of the patient after operation of lumbar spine for L4/L5 disc prolapse Summary: This bachelor thesis is divided in two parts, for general and practical part. The aim of general part is getting theoretical basics for diagnosis of disc prolapse L4/L5. The general part is contains of basics of the spine anatomy and intervertebral disc and kinesiology of the lumbar spine. This thesis continue with description intervertebral disc herniation, etiology, diagnosis and teratment of intervertebral disc herniation. The aim of practical part is to elaborate case of study of physiotherapy treatment of the patient after operation of lumbar spine for L4/L5 disc prolapse. The special part includes anamnesis of patiens, in-going kinesiology analysis, assesment of the physioterapeutic plan, description of the every sing therapeutic unit and outgoing kinesiology analysis. The conclusion of thesis is focused for long-term rehabilitation plan and whole effect of therapy. This case study was created during special practise at the Central Military Hospital from Janury 8 to February 2, 2018 at the rehabilitation and physical medicine department. Key words: physiotherapy, lumbar spine, intervertebral disc, herniation, radicular syndrome, deep...
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Evaluation of postural stability and strategy in obese people
Ančincová, Kateřina ; Matoulek, Martin (advisor) ; Vilikus, Zdeněk (referee)
Thesis title: Evaluation of postural stability and postural strategy in obese people Objectives: The main objective was to evaluate postural stability using computer posturography in obese people and assess whether three-month exercise training with a focus on sensorimotor stimulation has an effect on postural stability. Methods: This is a cross-sectional experimental study. The research group consisted of 20 probands aged 30 to 62 years with BMI values of 31.1-53.5 kg / m2, from which the general posturography was evaluated. The effect of sensorimotor training was subsequently assessed of 13 probands, who were divided into two groups - interventional (n = 6) and control (n = 7). The measurement was performed using static computer posturography and computer goniometry processed by the freeStep software system. To compare the effect of sensorimotor training, measurements were performed twice in the intervention and control groups, over a period of approximately three months. Postural stability was evaluated based on the Sway test. Statistical analysis was performed using IBM SPSS Statistics 24 software. Statistical significance was determined at the level of α = 0.05, the result where p <0.05 was considered statistically significant. Results: General posturography in the research group showed a...
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The effect of one-off co called sensorimotor exercise on postural stability measured on Neurocom SMART Equitest.
Šimlová, Michaela ; Nováková, Tereza (advisor) ; Vomáčková, Helena (referee)
Title: The effect of one-off so called sensorimotor serie exercise on postural stability measured on Neurocom SMART Equitest Aim: The goal of this thesis is to evaluate the effect of one-off so-called sensorimotor serie exercise on postural stability on a healthy young human measured by computerized dynamic posturography (CDP). Methods: This experimental study is using a cross-over design, it means that participants got the intervention in randomized order. 20 healthy young subjects participated in the experiment, 12 women and 8 men aged 20 to 28 years (23,55± 1,63). The group of men and women was randomly divided into two groups. Group E1 was measured by Neurocom SMART Equitest using three testing protocols (SOT, MCT, LOS), went through the one-off so called sensorimotor serie, and was measured again immediately afterwards (almost 30 minutes after the first measurement) at the first appointment. In 1 week ± 1 day (wash-out period) participants from the group E1 were only measured without getting any intervention and after 30 minutes break measured again. Group E2 got the intervention in opposite order. Measured data were processed using the Neurocom Balance Manager Software. In the statistical analysis was used one-sample t-test respectively two-sample t-test (Welch's version) as a comparison...
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Effect of Balance Training on Balance and Walking in Patients with Multiple Sclerosis
Hendrychová, Jiřina ; Novotná, Klára (advisor) ; Pavlů, Dagmar (referee)
Title: Effect of Balance Training on Balance and Walking in Patients with Multiple Sclerosis Objectives: Main aim of this master thesis is to assess the effect of four-week sensorimotor stimulation therapy and four-week balance training with Homebalance® in Multiple Sclerosis patients with balance disorders. Also to assess how effective these techniques are, if they are performed without any other therapy. And at the end compare them between each other. Methods: The research was conducted with 20 subjects divided in two groups of ten. These two groups differed in their balance programme. First group underwent four- week sensorimotor stimulation therapy twice a week for an hour. Second group trained at home with Homebalance® for four weeks 15-20 minutes a day. Everyone has been measured before and after therapies with Timed 25-foot walk (T25FW), Timed Up-and-Go Test (TUG) and TUG cognitive, Mini-BESTest and Berg Balance Scale, they also filled in short balance questionnaire, 12-Item Multiple Sclerosis Walking Scale (MSWS-12) and Falls Efficacy Scale-International (FES-I). Data analysis was provided by Shapiro-Wilk test, Student t-test, Wilcoxon signed-rank test and Mann-Whitney U test according to data distribution. Results: The average EDSS score in people with Homebalance® therapy was 3,8 (± 1,53)...
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Proprioception Training Effectiveness for Improving Balance analysed by Computerized Dynamic Posturography
Mukhtar, Mahera ; Nováková, Tereza (advisor) ; Vomáčková, Helena (referee)
Effectiveness of Proprioception Training for Improving Balance Analyzed by Computerized Dynamic Posturography The Master thesis, based on conduction of an experimental study. The aim of this experimental study was to find out how one-time proprioceptive training can help in improving the balance. The method used for analyzing the balance was done on Neurocom as it is considered a validated technique for testing balance. Then proprioceptive training was performed for the static and dynamic stability effect. For instance, both side legs were trained and focused on the "short foot"/ "three point standing" by Janda, followed by static single leg standing with eyes open and then closed; secondly Dynamic standing by adding arm or leg movement while maintain the posural stability progressively. All based on the knowledge acquired during the Master Degree Physiotherapy program at FTVS UK. The participant's characteristic in the research are between the ages of 20 to 30 years, with no specific diagnose. All the 40 participants were divide into 2 groups, 20 of each. The Control group and the Experimental group (Proprioception intervention), each group has had their balance tested twice on the Neurocom (CDP). The control group was measured first and after 20 minutes they were measured again. The experimental group was...
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Case report of patient after surgery of the lumbar spine
Marková, Zuzana ; Vomáčková, Helena (advisor) ; Biskup, Šimon (referee)
Author: Zuzana Marková Title of bachelor's thesis: Physiotherapy Case Study of a Patient after Lumbar Spine Surgery Objectives: The aim of this bachelor thesis is to summarize theoretical knowledge of diagnosis of spondylosis with radiculopathy. Further, this knowledge will be practically used while working with my patient, whose case study was elaborated in the practical part of my thesis. Methods: To compose the theoretical part of the thesis, a literar research was done. The practical work with my patient consisted of taking medical history, kinesiological examination and therapy based on the results of the examination. The metods chosen for the therapy are: The Vojta Method, the sensorimotor stimulation by Janda and Vávrová, breathing exercises, basic fitness exercises and gait training. The therapy was finished by control kinesiological examination. Result: After the series of therapy, the patient's condition was better. His stability of gait improved and he was able to walk for a longer distance continually, from 50 metres at the beggining to 200 metres at the end of the therapies. Also, the differences in circuits of the lower extremities were smaller, the range of movement was higher and the muscles were stronger in some areas. Conclusion: I had the opportunity to perform all the...
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