|
| |
|
| |
|
|
Possibilities of physiotherapy in whiplash injury syndrome
Šmahelová, Eva ; Molnár, Petr (advisor) ; Hamarová, Zuzana (referee)
Author: Eva Šmahelová Institution: Department of Rehabilitation Medicine in Hradec Králové Title of bachelor's thesis: Possibilities of Physiotherapy in Whiplash Injury Syndrome Supervisor: Mgr. Petr Molnár Number of pages: 68 Number of attachments: 3 Year of vindication: 2012 Key words: whiplash injury, injury of cervical spine, physiotherapy of whiplash injury, cervical spine. The Bachelor's thesis completes available knowledge about large problems of whiplash injury and about the abilities of physiotherapy within this problem. In the general part there is anatomy and kineziology of the spinal column aimed at the neck area and classification of injury of the neck spinal column. The special part summarizes the available information about whiplash injury (definition, incidention, mechanism of arise etc.) and refers to possible ways of therapy. The discussion is about the special consideration on the theme of the problems of whiplash and completes gained knowledge in the Bachelor's thesis.
|
|
|
Case study of physiotherapy treatment of a pacient after a surgical stabilization of the cervical spine
Crhová, Anna ; Malá, Jitka (advisor) ; Jarošová, Hana (referee)
Title of bachelor's thesis: Case study of physiotherapy treatment of a pacient after a surgical stabilization of the cervical spine. Aim of the thesis: Aim of the bachelor's thesis is to define disability of the cervical spine by rheumatoid artritis patient and focus on physioterapeutic procedures, which are used for patients after a surgical stabilization of the cervical spine. Method: The first part of the bachelor's thesis is teoretical and will be write up in the form of search. Aim is to collect and compare published information from proffesional articles, books and studies about issue of physioterapeutic care for patient with rheumatoid arthritis after the surgical stabilization of the spine. Will be used czech and also foreign sources, from the year 1974. The second part is special, will be write up in the form of case report of pacient with rheumatoid arthritis (IV. degree). This special part is based on terapeutic sessions with patient in the Rheumatology institute in Prague, within continuous professional practice from 9th January to 4th February 2012. The aim is to used obtained knowledges and skills from teoretical and practical studies to examine patient, do proposal and application of suitable physioteraputic methods or procedures. Key words: physioterapy, case study, cervical spine,...
|
|
|
Case study of physiotherapy treatment of a patient with the diagnosis of cervicobrachial syndrome
Jurčáková, Andrea ; Novotná, Irena (advisor) ; Křížková, Štěpánka (referee)
Name of bachelor′′′′s thesis: Case Study of physiotherapy treatment of a patient with the diagnosis of cervicobrachial syndrome Prepared by: Andrea Jurčáková Target: The aim of this work is to describe the problems cervikobrachial syndrome Methodology: This thesis deals with the processing of case reports of patients with cervicobrachial syndrome. The work is divided into general and special. General section focuses on the definition of the disease, causes, clinical features, therapeutic approaches to the issue. Special section is the most important part of the thesis. It concentrates on a specific diagnosis. It contains the methodology of work, history, input kinesiology analysis, short- and long-term plan, records of the therapeutic units, the output kinesiology analysis and evaluation of the effect of therapy. Key words: cervicobrachial syndrome, cervical spine, cervicothoracal transition, painful vertebral syndrome
|
|
|
The influence of physioterapy in adult pacients with flatfoot and chronic vertebrogenic algic syndrome in cervical region
KUŽELOVÁ, Blanka
This thesis deals with problem of flat foot in adults with the occurrence of chronic pain responses vertebrogenic syndrome in the cervical spine. In the system of motion the foot is the most important part that primarily allows locomotion and provides support for upright posture. Due to the large number of proprioception we get information about the ground in which we are moving in. The foot is through muscular chain segments connected with higher incidence of musculoskeletal and its dysfunction can lead to chain malfunctions and subsequent formation of pain around the knee and hip joints as well as the entire spine, including the cervical section. Flat foot in the adult population is a frequent static deformity developed on the foot originally normal and can arise at any age. Most often it happens after a long-term abuse, such as prolonged standing, heavy lifting, and prevalence of overweight but in the first place it is caused by wearing inappropriate footwear. Above all, women are subject of fashion trends and wear tight pointy shoes, especially on high heels, which is the main cause of flat feet. It is most often accompanied with deformities such as bunions or hammer toes. As a result of flat feet it is reduced its flexibility, joints and spine are no longer protected against bumps. Lower limbs and the whole spine are under an abnormal loading. Vertebrogenic algic syndrome is due to sedentary lifestyle and are one of the most common cause of disability. There are signs of faulty posture and muscle imbalance in the cervical spine. The work includes theoretical and practical part. The theoretical part deals with problem of decrease foot arch, its connection to the cervical spine, therapy and prevention. There are also described muscle imbalances of the cervical spine, the anticipating and treatment options. In the practical part there was used a qualitative research method that involved four students with significant reductions in the instep and a pain in the cervical spine. The techniques of observation and subsequent processing of case studies were used, and that was accompanied with a questionnaire about the effectiveness of the treatment according to subjective feelings of patients. The meetings with patients were conducted every week for eight weeks of therapy. Each session lasted approximately 45 minutes during which the hypertonic muscles along with trigger points were unblocked and the foot was stimulated. Further exercises from the previous treatment were controlled and subsequently were given the new ones. The patients performed exercises 1-2 times daily for about 20 minutes. The aim of this work is to outline the relations between the dysfunction in the form of flat feet and cervical spine, and further to design and implement short-term rehabilitation plan, which cause a mitigating the effects of flat feet for specific patients. For each patient the exercise unit was compiled according to his needs individually, and new exercises were added every week. If the patient did not accomplish some of the exercises, these were included into the next treatment. And the final goal was to design a set of exercises that will serve as a precaution against the functional changes of the spine due to flat foot. The research shows an overall improvement of posture by all patients. There was a significant reduction of pain in the cervical spine and strengthen in the plantar arch. The therapy was also focused on the treatment of bad breath stereotype, which was manifested by upper respiratory type, and its consequence occurred the overloading of the cervical section. A great importance was also given onto strengthening lower shoulder blade fixators, which were by all patients really weakened. This work can serve not only for students and their study purposes. It can be an inspiration for physical therapists in clinical practice for the treatment and, finally, it can serve as a source of information for the general public.
|
|
|
The issue of prevention and early detection for patients with vertebrogenic syndrome in the cervical spine
HORKÁ, Michaela
This bachelor thesis deals with preventive measures and early detection of the vertebrogenic algic syndrome in the cervical spine. Vertebrogenic algic syndrome is a pain in different parts of the spine, which is one of the most common reasons for doctor visits. An alarming fact is that up to 80% of adults face these difficulties up and age of patients is constantly decreasing. Most common cause is poor posture, cervical spine injuries, mental health, degenerative changes, tumors and more. Part of this work is devoted to the prevention of vertebral problems. In these modern times, when the use of computers, laptops, tablets, became the ordinary matter, it is necessary to raise awareness of the basic ergonomic principles when using these devices, modifying work and home environment. The theoretical part is supposed to inform about the causes, mechanisms and physiotherapy practice in the treatment of vertebrogenic algic syndrome. It includes basic knowledge of anatomy, biomechanics of the cervical spine and preventive measures concerning the ergonomics of the working environment, sleeping position and appropriate sports activities. For the practical part of the thesis has been used qualitative research method. Qualitative research was done in the form of case studies of three persons. Each was subjected to an input and output kinesiology examination and history-taking in the form of a structured interview. The probands were interviewed regarding home and work ergonomics. The therapy lasted five weeks at the Health centre Medipont in České Budějovice. The task of the practical part was to use physiotherapy techniques to alleviate pain in a particular segments of the cervical spine and report about basic preventive measures. The result is the production of an educational booklet that contains exercises to stretch and release the cervical spine, basic ergonomic positions accompanied by photographs. This brochure will be available at the front desk at the Health centre Medipont in České Budějovice, in waiting rooms of general practitioners in Jemnice as a practical and synoptical helper in the fight against the problems in the cervical spine. This bachelor thesis could increase an awareness among general public about preventive measures and how to prevent pain in the cervical spine. Furthermore, it can be used by clinical practice physiotherapists in the treatment of vertebrogenic algic syndrome.
|
|
|
Physiotherapy of a displaced disc with reposition of a temporomandibular joint
BROŽKOVÁ, Aya
The topic of my bachelor thesis is physiotherapy of a displaced disc with reposition of a temporomandibular joint. It is a functional disorder, when the mandible disc is not in a physiological position and creates an obstacle for a condyle movement. When mouth is fully opened the disc does not return to its original position. This moment is characteristic with a clicking sound. Another symptom is inclining of the chin to the disordered site when the mouth is being opened. Main cause of TMD is stress, bad occlusion and a long-term micro trauma of TMJ. It is a topical issue, because an increase of stress in daily life causes also more TMD. Almost 70 % of the population has the TMD, in most of the cases the TMJ disc is in a wrong position. The therapy of this kind of disorder should be done by physiotherapist. Unfortunately knowledge of diagnosis and healing of the TMD is not sufficient. The disorder is recognized usually by dentists, who send a patient to a specialized clinic. The goal of my work was examining of mastication and neck muscle spasms. In the work there are also described physiotherapeutic possibilities of healing including postural strategy. I have created informational booklet for patients, in which saving method for TMJ healing, exercises, ergonomic principles and correct posture both when sitting and standing are presented. The research was done by 14 case analysis, analytic-inductive method and experimental work. Patients were randomly divided into three groups. As a first step TMJ and cervical spine of each patient and their posture were examined. The examination of TMJ consisted of diagnosis, extent and symmetry of an opening movement and palpation examination of the cervical spine. Therapy was six weeks long. Each patient was introduced to TMJ saving method, which is based on limitation of a TMJ movement, eating soft food and elimination of stress. In the first group (5 patients) the therapy was focused only on mastication muscles. Patients were supposed to be exercising to loosen the muscles of mastication. Exercises were chosen after palpation examination. Third group (4 patients) did neck muscle exercises and self massage. Second group (5 patients) did the therapy of both first and third group. Results of the therapy show, that there is a possible connection between TMD and cervical spine dysfunction. There were positive (evaluated subjectively) changes in both TMJ and in all groups. The condition of TMJ is influenced by neck muscle therapy and the condition of cervical spine is influenced by mastication muscle therapy. Best results had the second group. All patients but one improved (one lady had a TMJ inflammation). There were no deterioration of TMJ and cervical spine condition either. There were some worsening in group one and three. The best therapy is a combination of exercises of both mastication and neck muscles. I would like to point out a fact that TMJ is one of the most complicated and busy joints in human body. Both TMJ are connected to mandible so dysfunction of one joint can lead to problems with the other one. Physiotherapy is needed most in cases of functional disorder.
|
|
|
Physiotherapy of functional disorders resulting from the prolonged sitting at a computer- focusing on neck pain
RYBECKÁ, Pavla
The topic of this Bachelor thesis looks at the issue of ?Physiotherapy of functional movement disorder originating from sitting in front of a computer for long periods ? aimed at pain in the cervical spine?. Many people with long-term sitting jobs often complain about pain in the cervical spine. The theoretical part focuses especially on ergonomics while sitting and the proper poise or postures of sitting. The second part of the aforesaid theoretical part describes the cervical spine anatomy, as well as causes of the origin of pain in the cervical spine and its symptoms. Finally, the theoretical part introduces various possibilities for therapy dealing with functional movement disorder of the cervical spine. The aim of the thesis is to specify the functional disorder of the limbs movement system, appoint and implement an individual plan and assess the resulting effect of therapy. Qualitative research focused on data collection was used as the main method by using different practices, such as direct anamnesis, input and output medical examination, nursing observation, document analysis, project and execution of a physiotherapeutic schedule. The survey was carried out on 2 men and 1 woman who have jobs which require long-term sitting. Their working tasks require sitting in front of a computer for at least an 8-hour period a day. All three people submitting the given survey suffered from pain in the cervical spine. The kinesiological examination described faulty body poises and related findings on soft tissues of the given testing group. The main problem was also caused by a faulty poise while sitting in front of a computer. The objective of the aforesaid therapy concentrated on releasing the overload of stressed muscle groups and on their integration according to the optimal kinetic formula. Functional movement disorders of the spine are prevented by implementing ergonomics of sitting in front of a computer. The results of the given survey demonstrate that the cervical spine subsided. Furthermore, the practical part of the thesis reveals that the positive effect of the targeted physiotherapy dealing with functional disorder and changes of the stereotype of our postures and poises was considerable. The main problem causing pain was incorrect poise while sitting at the desk. The essential point of therapy was to release the overload of muscle groups and their integration into a new poise. The results of the given survey demonstrate that pain in the cervical spine has been alleviated. Based on the results introduced in the practical part, it may be stated that functional movement disorder can be positively influenced by targeted physiotherapy and changes made in the routine of body movements. The results specified in the submitted thesis shall be used in practice for the needs of other surveys to follow, during lessons or by companies furnishing their offices.
|
|
|
Clinic and physiotherapy at overloaden nuchal muscles
KOLIBÍKOVÁ, Eliška
Abstract My thesis is focused on physiotherapy of overstrained neck musculature. This issue is familiar to me also due to the fact that it relates to me personally from the health point of view. I have selected three patients with whom I worked for this research. I have been monitoring the first patient for three months, and two other patients for six visits. The cervical spine is the most mobile and most strained spinal part. The problem of overstrained neck musculature is often highly underestimated; there are rare prevention programs focused on cervical musculature available, and it is not known how to prevent it. The goal of my thesis is to approach and describe the issue of overstrained neck musculature, as well as to use these findings in real life. To discover some causes of these problems. The last goal is to measure, based on the examinations and follow-up therapy in randomly selected patients, the effect of overstrained neck musculature therapy, through the patient{\crq}s individual feedback and the objective evaluation of the physiotherapist{\crq}s examination. To achieve my goals, I have used a qualitative research approach. Patient cooperation played an important role in therapies {--} two of the patients have cooperated very well, our targets have been achieved together, but the third patient did not cooperate with home exercising, she made just therapeutic visits where only partial success has been achieved in treatment. She left the study in a stabilized condition, but it is disputable, how long she will stay pain-free. I used kinesiological analysis in examinations {--} at first the patient{\crq}s history was collected, and then the patient was visually examined {--} from the front, back and side; through palpitation {--} examination of active movements of the cervical spine in the sitting position and thereafter during passive movements. Examination of cervicothoracic transition and thoracic spine. The following techniques have been used: soft techniques, rib mobilisation by Mojžíšová, Čápová's exercises, post isometric relaxation of muscles and its modifications {--} anti-gravitation relaxation, facilitation {--} ball massages, manipulation + physical therapy. I have prepared both short- and long-term rehabilitation plans for all patients. Besides that, I mentioned examples of methods primarily focused on movement education and correct body posture. Results of my thesis can be used by both the unprofessional (as an information source) and professional public.
|
guest ::
