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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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Assessment of muscle activity by surface electromyography in reflex locomotion according to Vojta
Pochmanová, Lucie ; Nováková, Tereza (advisor) ; Martínek, Milan (referee)
Title: Assessment of muscle activity by surface electromyography in reflex locomotion according to Vojta Objectives: The aim of this thesis is to summarize the existing knowledge on the objectification of the effects of Vojta reflex stimulation. It is also aimed to verify whether there is a higher muscle activity in selected muscles (m. rectus abdominis, m. biceps brachii, m. tibialis anterior) during Vojta chest zone stimulation compared to placebo stimulation. Subsequently, the mean muscle activity relating to maximum voluntary contraction (MVC) for all selected muscles during stimulation was compared. Furthermore, muscle activity related to MVC in the first and last minute without stimulation was also recorded with surface electromyography (sEMG) and was later assessed. Methods: The sample consisted of female university students in the age range of 18-26 years. Muscle activity measurements were performed on a Trigno Delsys instrument with EMGworks Acquisition software. The MVC of selected muscles was measured for each subject, and also the other researchers whose studies were running in parallel with this work were performed. EMG signal measurements were performed not only during placebo stimulation and stimulation according to Vojta, but also in the first and last minute without any...
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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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Physiotherapy impact on balance in multiple sclerosis
Bartušová, Tatiana ; Řasová, Kamila (advisor) ; Nováková, Tereza (referee)
Title: The effect of physiotherapy on balance in multiple sclerosis Objectives: The aim of this study is to compare efficacy between ambulatory individual physiotherapy and complex inpatient rehabilitation in people with multiple sclerosis on balance and subjective evaluation of general health. In ambulant program to compare effect of different physiotherapeutic methods (Motoric program activating therapy, Manual physiotherapy correction, Reflex Locomotion according to Vojta). Methods: A combined design of study. Ambulant program has randomised assessor blind design, in which subjects were divided into one of the three groups of ambulatory physiotherapy. A clinical study without control arm design is used in case of comparison between complex and ambulatory program. Results were analysed in 45 patients with multiple sclerosis (25 subjects of ambulatory program, 20 subjects of complex program). Subjects of the ambulatory program were divided into one of the three groups of ambulatory physiotherapy (Motoric program activating therapy, Manual physiotherapy correction, Reflex Locomotion according to Vojta), in which they absolved during two months 20 therapies (2-3 times per week, length 60 minutes). Subjects of complex program underwent complex inpatient rehabilitation with duration about 21 days. The...
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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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Effectiveness of co-operation of physiotherapy and speech therapy in school-age children with cerebral palsy
KASPEROVÁ, Eliška
This Bachelor thesis focuses on a co-operation of physiotherapy and speech therapy in school-age children with cerebral palsy (CP). In the first part CP is described as an illness - its forms, origin and impaired communication ability of these children. Next is the description of basic methods used in physiotherapy. In speech therapy I mentioned important factors of working with these children. The next section is dedicated to a practical part of the thesis, which is a quality research formulated by case studies. The research file is comprised of three children suffering CP - two girls and a boy, all three attending the Kaňka citizens' counselling centre. I gathered all the information using an entry kinesiological analysis, aspection, insight into their medical documentation and results given by their speech therapist. The first goal of my work was to describe diagnostic and therapeutic procedures used in physiotherapy and speech therapy in school-age children with CP. The second goal was to describe the differences in effectivity between a speech therapy following a physiotherapeutic care and speech therapy conducted in isolation. Every patient from my research file underwent seven therapies - entry kinesiological analysis, two speech therapy interventions with no previous physiotherapy and four different physiotherapies followed by a speech therapy intervention. The results were assessed based on my observation and a speech therapist evaluation. I myself view these therapies as successful ones, because my work showed that a co-operation of physiotherapy and speech therapy is very important, and it has its positive results. For example, the children's sitting poses were improved during speech therapy, their face expressions were more relaxed, their breathing in speech therapy exercises improved or their phonation time was extended.
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Changes in posturography in pediatric patients with cerebral palsy after therapy by active videogame Nintendo Wii and Vojta reflex locomotion
Kmínková, Helena ; Medunová, Kateřina (advisor) ; Dyrhonová, Olga (referee)
Aim: The aim of this study was to determine the impact of therapy by active videogame Nintendo Wii and by Vojta reflex locomotion on a static and dynamic postural control at a group of children with mild cerebral palsy. Methodology: 14 children (from 6 to 18 years old) were randomly divided into two groups. Both groups received both therapies (active videogame therapy and Vojta reflex locomotion) with a 6 months gap, but in an opposite order. Posturographic measures were obtained before the start of the therapy, after therapy and 8 weeks after the end of the therapy. Results: After both therapies, there was a significant increase in the COP sway velocity in the mCTSIB subtest on a firm surface with closed eyes and the COP sway velocity in the mCTSIB subtest was reduced on a foam surface with closed eyes. Further, after both therapies, there was a significant reduction in the time required to perform the turnabout in SQT test. Other tests (LOS, RWS, WA, TW) and subtests did not change significantly. There was not a significant difference between therapies, but in the post- therapy tests, VRL had a greater tendency to maintain its effect 8 weeks after therapy. Conclusion: Both therapies, Vojta reflex locomotion and active videogame Nintendo Wii, have an influence on a postural control of children...
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