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Changes in pulmonary function and cardiac activity during reflex rolling stimulation according to Vojta
Charvátová, Zuzana ; Nováková, Tereza (advisor) ; Martínek, Milan (referee)
Author: Zuzana Charvátová Title: Changes in pulmonary function and cardiac activity during reflex rolling stimulation according to Vojta Objectives: The aim of this study is to evaluate accompanying non-locomotive manifestations within the comprehensive response to stimulation of trigger zones from the concept of reflex locomotion according to Professor Vojta, which are a reflection of the function of the autonomic nervous system. Changes in respiratory parameters and changes in cardiac activity have been selected from these manifestations. Methods: The research was conducted on 26 healthy adult women aged 19-25 years. Reflex rolling according to Vojta from the supine position (RO - 1st phase) was chosen. Pressure stimulation was applied from the left chest trigger zone between the 6th and 7th rib for 10 minutes. Each subject also underwent apparent (sham) stimulation in the same position (RO - 1st phase), lasting 10 minutes, but on the right side of the chest between the 2nd and 3rd rib. Due to the possible lingering effect of pressure stimulation during VRL, sham stimulation was always preceded by experimental stimulation. A 10-minute break was taken between the two cycles. Data for the analysis of changes in lung function were obtained by spirometric measurements of FVC, FEV1, and PEF before...
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Background innate reflex locomotion patterns of movement and ventilation in children patients with chronic respiratory diseases
Plešková, Jana ; Pohunek, Petr (advisor) ; Sedlák, Vratislav (referee) ; Homola, Lukáš (referee)
Reflex locomotion according to Professor Vojta (VRL) is based on the activation of complex motor patterns from certain defined positions with stimulation of the so-called trigger zones, located on the human's body. It is primarily used in patients with neurological deficits; however, it is currently also being used in internal medicine. It has been reported that VRL can indirectly affect breathing, however its use in paediatric patients with chronic respiratory disease has not yet been investigated. As part of this theses, a randomized controlled single-centre intervention study was conducted. Its aim was to evaluate the short-term effects of VRL on lung function in paediatric patients with cystic fibrosis (CF) with normal baseline spirometry. The effect of a 30minute VRL intervention was compared in a crossover design with the effect of positioning (without stimulation of trigger zones). The primary outcome was the change in global ventilation inhomogeneity, assessed by lung clearance index (LCI2.5) derived from nitrogen multiple breath washout test. Secondary outcomes included changes in regional ventilation inhomogeneity (indices of acinar [Sacin*Vt] and conductive airways [Scond*Vt] inhomogeneity) and spirometric parameters (inspiratory capacity, forced vital capacity, and forced expiratory...
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Effects of Vojta's reflex locomotion on lung function
Drábková, Lenka ; Smolíková, Libuše (advisor) ; Bitnar, Petr (referee)
Introduction: The aim of this thesis is to answer a question if it is possible to influence ventilation parameters with an application of Vojta's reflex locomotion, which is one of the neurophysiologic techniques. The thesis confronts actual knowledge and relation between respiratory and postural function of "respiratory" muscles and the diaphragm and possibility of its reflex affection. Methods: With a spirometry we assess the impact of short-time activation of Reflex locomotion on the lung functions in a group of 21 healthy subjects in age 18 - 33 years. The study evaluates the effect of activation in two situations. First, it is instantaneous effect of Vojta's method on lung function. Second situation is the assessment of the time duration of evoked effect of activation and make out, if the changes are seen also after 25 minutes over the end of Vojta's stimulation. Results: Based on the interpretation of the both monitored situations, we set up an observation that short time activation of Vojta's reflex therapy has an effect on respiratory mechanics and thus on the spirometric values. At the other side we realize that not all of the changes were significant and some of them were unadvisable. Moreover all of them had very short persistency, after 25 minute none of the observed changes of lung...
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Comparison of the effects of several physiotherapeutic methods in patients with multiple sclerosis
Emmerová, Ivana ; Řasová, Kamila (advisor) ; Angelová, Gabriela (referee)
The aim: The aim of this work is to compare the effects of different physiotherapy techniques (Motor programs activating therapy, Manual physiotherapy correction, Vojta's reflex locomotion) in patients with multiple sclerosis. Another aim is to compare the effect of continuing therapy after completion of the therapeutic program. The last aim of the study is to compare the perception of the effect of a physical therapist and the patient himself. The Method: 34 ambulant patients with multiple sclerosis were randomly divided into three groups (Motor programs activating therapy, Manual physiotherapy correction, Vojta's reflex locomotion) and underwent during two months 20 therapies. They passed the therapy 2-3 times per week, length of one therapy was 60 minutes. Clinical examination and questionnaire survey was conducted before the start of therapy, immediately after the end of the therapy program, and one month after the end of the therapy program. Results: All groups showed improvement observed parameters, but there were not indicate the significant differences between groups. Some effect of therapeutic programs persists even after cessation of therapy. Perception of the effect by physiotherapist and patient is different. In the group MPAT evaluate patient outcomes better than a therapist. Groups...
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Effects of Vojta's reflex locomotion on lung function
Drábková, Lenka ; Smolíková, Libuše (advisor) ; Bitnar, Petr (referee)
Introduction: The aim of this thesis is to answer a question if it is possible to influence ventilation parameters with an application of Vojta's reflex locomotion, which is one of the neurophysiologic techniques. The thesis confronts actual knowledge and relation between respiratory and postural function of "respiratory" muscles and the diaphragm and possibility of its reflex affection. Methods: With a spirometry we assess the impact of short-time activation of Reflex locomotion on the lung functions in a group of 21 healthy subjects in age 18 - 33 years. The study evaluates the effect of activation in two situations. First, it is instantaneous effect of Vojta's method on lung function. Second situation is the assessment of the time duration of evoked effect of activation and make out, if the changes are seen also after 25 minutes over the end of Vojta's stimulation. Results: Based on the interpretation of the both monitored situations, we set up an observation that short time activation of Vojta's reflex therapy has an effect on respiratory mechanics and thus on the spirometric values. At the other side we realize that not all of the changes were significant and some of them were unadvisable. Moreover all of them had very short persistency, after 25 minute none of the observed changes of lung...
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