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Physiotherapy of Children with Central Coordination Disorder in Infancy
KOTOUNOVÁ, Linda
This bachelor thesis focuses on physiotherapy of children with central coordination disorder in infancy. I described the psychomotor development of a child up to the age of one year, examination of psychomotor development and neurological examination of an infant in the theoretical part of the bachelor thesis. I also dealt with the central coordination disorder, its variants, manifestations and division. There is also a brief description of cerebral palsy, in which can result severe forms of central coordination disorder. Physiotherapeutic possibilities of the central coordination disorder and other possible therapy are next part of the thesis. The second part of the bachelor thesis is the practical part. It consists of qualitative research consisting of case reports of five infants with a central coordination disorder. Case reports include an intial examination, a description of individual visits, including therapies, and an final examination. The results were assessed on the basis of examination by a trained physiotherapist PhDr. Ludmila Brůhová. The course and outcome of the therapies were evaluated in the discussion. The use of individual methods, the success of therapies and the circumstances that influenced this were considered in the disussion, too. The solved problems, goals of the work and the results of the practical part were summarized in the conclusion. This thesis could be used as inspiration for working with children with central coordination disorder in infancy.
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Examination and therapy of pediatric patients with postural disorder on the principle of dynamic neuromuscular stabilization
PETERKA, Tadeáš
This bachelor thesis deals with the topic of postural disorders in children of younger and older school-age and is also dealing with the therapy of these disorders thanks to the modern method of dynamic neuromuscular stabilization-DNS. The defective posture of the body is most often created during childhood, thanks to well-timed and targeted therapy, it is possible to positively affect posture development, and prevent the deepening of the asymmetries or development of other pathologies. The first target of this thesis is to describe the most common postural disorders of school children. The second target was to affect postural disorders of particular school children with the help of dynamic neuromuscular stabilization. This thesis is divided into the theoretical and practical part. In the theoretical part, I first described the psychomotor and ontogenic human evolution, detailed characterization of the school-age period, and level of motor skills of children in this period. In the next chapter I have defined the term of posture, and also closely related terms like postural stability, postural stabilization and postural reactivity. After that, I have described the division of postural disorders based on their origin, and also dedicated one chapter of the thesis to the emergence of postural disorders based on central coordination disorder. An important part of the thesis is a description of the most common postural disorders occurring in school children. At the end of the theoretical part, I have been dealing with a description of the dynamic neuromuscular stabilization method, its principles and procedures governing and developmental kinesiology of the child to the 1st year of life from which it is based. The practical part of the thesis was done in the form of qualitative research. For data collection for research input and output examination of 3 probands was performed, which was processed into case studies, which were then compared and evaluated. The examination consists of anamnesis, aspect, palpation, tests for the examination of spinal motility, examination of shortened muscles and examination of postural stabilization and reactivity. The research group consisted of two girls and one boy, aged 11-12 years, with some deviation from proper posture. The exercise unit was created from exercises based on positions of developmental kinesiology. The research lasted for 2 months, the probands had the task of performing exercises at least 4 times a week at home, at the same time they also had several individual therapies during these 2 months to check and supplement the exercises. At the end of the work, I described the results, which I reached through research and evaluated the success of therapy. Each of the probands improved, especially the activation of the deep stabilization system of the spine and the acquisition of the correct breathing stereotype. The bachelor thesis could serve as inspiring and educational material for the public. At the same time, it can be used for its content of information to serve in the clinical practice of physiotherapists.
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Influence of the Trunk stabilization training on non-specific back pain in extra-league volleyball player
Rochowanská, Markéta ; Křivánková, Markéta (advisor) ; Hošková, Blanka (referee)
Title: Influence of trunk stabilization training on non-specific back pain in extra-league volleyball players Objectives: Influence of non-specific back pain of extra-league volleyball player through torso stabilization training according to the method of Dynamic Neuromuscular Stabilization. Methods: This is a qualitative case study research. The research uses the Young Spine Questionnaire, anamnesis, static and dynamic assessment of posture, examination of shortened and weakened muscles, testing of the deep stabilization system and the exercise of the compensation program. Results: Exercise according to the DNS concept (for 12 weeks) had a positive effect on the removal of back pain in the neck, chest and lumbar region. It increased the strength of the core stabilization and thus positively affected the position of the body in individual developmental positions. As part of the correction of posture and elimination of muscle imbalances, exercise according to the DNS concept (for 12 weeks) had a positive effect on the position of the body in the pelvis and torso. Exercise had no significant effect on the position of the remaining body segments. Keywords: Dynamic neuromuscular stabilization, case study, posture, deep stabilization system of the spine, corrective exercises.
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The effect of proximal dynamic stabilizazion on hand muscle strength
Dzvoník, Ján ; Kobesová, Alena (advisor) ; Ježková, Martina (referee)
The aim of this study is to evaluate the effect of dynamic stabilizing strategy on handgrip and pinchgrip strength. Exercise utilized in this study was based on rehabilitative approach called Dynamic Neuromuscular Stabilization (DNS) - a developmental kinesiology approach. The exercise program consisted of four primal developmental positions (3½ month supine position, oblique sitting position with support on forearm, position on all fours, and the "bear" position). A study file consisted of ten females who were instructed in basic scheme of DNS exercise. They were instructed to exercise at home five times weekly for a 6- weeks period. One exercise lesson took about thirty minutes. Both handgrip and pinchgrip strength was measured using the digital dynamometer CITEC CT 3001 recording maximum voluntary isometric contraction (MVIC). Three-pinch grip strength and fist grip strength was measured for both upper extremities. Fist grip strength was measured in three positions of forearm (pronation, supination and neutral position). Overall eight variables (for each extremity, grip form and position of the forearm) measured before and after exercise program were compared using the paired t-test. Significant increase in muscle strength (p<0,05) was identified for all eight variables after a 6 weeks exercise...
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Static and dynamic analysis of plantar pressure, spinal and pelvic motion in diagnosis femoroacetabular impingement
Štefková, Silvia ; Valouchová, Petra (advisor) ; Demeková, Júlia (referee)
Aim of this thesis is to evaluate distribution of plantar pressure and the movement of spine and pelvis in patients diagnosed with femoroacetabular impingement syndrome. The results were obtained using Diers pedoscan system which can record the pressure distribution of feet during stance and motion. Also Diers formetric III 4D system was used to obtain photogrammetic records of spine and pelvis movement. We use rasterstereography based on Moiré topografy. Measured data represent three dimensional model of back surface during static or dynamic analysis. In addition we evaluated the effect of treatment using Dynamic neuromuscular stabilization. Obtained results were statistically processed. Powered by TCPDF (www.tcpdf.org)
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Options of Physiotherapy Approaches for Patients with Vertebral Algic Syndrome of Lumbar Spine using ICF Core Set
Chmelařová, Anna ; Sládková, Petra (advisor) ; Heřmanová, Ivona (referee)
BACHELOR THESIS ABSTRACT Author's first name and surname: Anna Chmelařová Bachelor thesis supervizor: MUDr. Petra Sládková, Ph.D. Oponent: Title of bachelor thesis: Options of Physiotherapy Approaches for Patients with Vertebral Algic Syndrome of Lumbar Spine using ICF Core Set Abstract: This bachelor thesis deals with options of physiotherapy approaches for patients with vertebral algic syndrome of lumbar spine as well as with the clinical appliacation of the International classification of functioning, disability and health (ICF) using the Brief ICF Core Set for Low Back Pain. This thesis contains of a theoretical and a practical part. The theoretical part includes variety of causes of vertebral algic syndrome, basic information about epidemiology, etiology and time duration. Options of physiotherapy approaches which were used for patients chosen for this thesis are also described. Furthermore, the thesis uses the characteristic of the ICF and describes the Brief ICF Core Set for Low Back Pain, including the ratings of validity of this Core Set by two chosen studies. The practical part offers an overview of methodology of this thesis, in particular the data collection methods, patient selection, goals and assumptions of this thesis. It also contains case reports of three chosen patients inluding the Brief...
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Monitoring of the core muscles activity in postural stability examination by Dynamic Neuromuscular Stabilization tests using surface electromyography in patients with low back pain
Zajíčková, Jana ; Valouchová, Petra (advisor) ; Mačkalová, Petra (referee)
The Master's thesis is focused on monitoring of the core muscles and m. biceps femoris activity in postural stability examination by Dynamic Neuromuscular Stabilization tests using surface electromyography in patients with LBP. Trunk extension test, trunk flexion test and squat test were chosen. The aim of this study was comparing muscle activity timing, symmetry of muscle activation and average activation between healthy subjects and patients with LBP. The changes of muscle activation pattern were observed and average activation was determined. In theoretical part the principles of DNS, surface electromyography and the relationship between postural stabilization and LBP are discussed. Two groups were measured - patients with LBP and a control group, 20 subjects together. The onset times were measured and rank of activation for each test and for each subject was determined. Then the average order for whole group was specified. Measured data were evaluated according to Wilcoxon signed-rank test. In average activation there was analysed change of activation in time. Results were compared between two measured groups. There is significant difference between the two groups in the rank of activation of m. ES l. dx. in trunk extension test and m. EO in squat test. Assymetry in timing of the right and left...
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Reliability of DNS tests in cunical practise
Stýblová, Jaroslava ; Kobesová, Alena (advisor) ; Demeková, Júlia (referee)
Introduction: Functional testing which is used in rehabilitation is mainly based on aspection and palpation. It is a subjective examination of a patient and you cannot find out specific physical quantities with this method. If you want to use functional tests in clinical practise it is necessary to determine the reliability of the tests. Aim: To determine the inter-rater reliability for the DNS tests and to create a detailed descriptive statistics and a new evaluation sheet. Materials and methods: There were six experienced evaluators who are trained for the DNS method. We have worked with a mixed group of patients. There were patients with health problems as well as patients without any difficulties (n = 10 women, average age - 34, 5, n = 4 men, average age - 35, 2). We used percentage agreement, Fleiss's kappa coefficients (κ) and P-value. Results: The research of DNS tests reliability is innovative. Evaluators of DNS tests usually agree with each other. In some cases there is a problem with using Fleiss's kappa coefficients (κ) because of the position of relative frequencies. In most tests we found out that the inter-rater reliability is good (κ ≥ 0.80), substantial (0.60 ≤ κ < 0.80) and moderate (0.40 ≤ κ < 0.60). Conclusion: The evaluation of one character in a case of one patient by three...
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Activation of deep stabilizing system and its impact on scapula stability and shoulder centralization in patients suffering from shoulder pain syndrome
Kolarčík, Jakub ; Hálková, Jindřiška (advisor) ; Sládková, Petra (referee)
BACHEROL THESIS ABSTRACT Author's first name and surname: Jakub Kolarčík Bacherol thesis supervizor: Mgr. Jindřiška Hálková Oponent: Title of bacherol thesis: Activation of deep stabilizing system and its impact on scapula stability and shoulder centralization in patients suffering from shoulder pain syndrome Abstract: Bachelor thesis is focused on the impact of activation deep stabilizing system an its impact on scapular stabilization and shoulder centration in patients suffering from shoulder pain syndrome. For purposes of this work three subjects with shoulder pain syndrome of different etiologies were selected. Age of those subjects is between 23 and 78 years. During 3 months time every subject undertook ten therapeutical interventions. Goal of this thesis was to find out if there is a correlation amid shoulder pain, stability of the scapula, shoulder centration and activity of the deep stabilizing system of spine. Dynamic Neuromuscular Stabilization (DNS), Acral coactivation therapy (ACT) and Coordinatively-loading kinesiotherapy (K-Z K) Anatomy and kinesiology of the shoulder complex, deep stabilizing system of the spine, selected diagnoses and therapeutic methods used during therapy are described in the theoretical part of the thesis. Three case reports of patients suffering with shoulder pain are...
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