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Effect of Physiotherapy on Pelvic Floor Dysfunction
POKORNÁ, Nikola
This bachelor thesis deals with a problem of pelvic floor dysfunction and the effect of a physiotherapeutic intervention on them. The pelvic floor dysfunction is a very broad range of disorders which may accompany a woman all her life or they appear in relation to women's life cycle. Whether it is a painful menstruation, sexual intercourse, urinary incontinence or other difficulties, these disorders have always a great influence on the woman's quality of life. Given the fact that it is also a very multifactorial issue, a complex therapy is needed. Each time we must consider the individuality of a female patient, the state of her body and primarily of her mind. The thesis is divided into two parts. In the theoretical part, anatomy and kinesiology of the pelvic area is described, as well as the vertebrovisceral relations, selected pelvic floor disorders, characteristic functional disorders of the musculoskeletal system, and also the present physiotherapeutic methods. The practical part is concerned with own study, in which seven female patients participated. The effect of therapy of musculoskeletal system and its influence on the above-mentioned dysfunction was tested on them. An initial kinesiological analysis was performed on each patient, which showed her current problems and conditions of her musculoskeletal system. The functional disorders, which were found, were recorded to a table, since the patient's initial and final state could be better appraised that way. All patients underwent mainly a manual therapy and were educated on correct breathing and a corrected posture. Each patient was trained and received a booklet with a set of exercises, which activate the pelvic floor muscles, to do at home. The goal of the thesis is to summarize the issue, describe various physiotherapeutic methods and their effect on pelvic floor dysfunction. This thesis can be used for education of the professional and also lay public about possibilities of the pelvic floor physiotherapy, which is nowadays in great demand, but not so widely used like other physiotherapeutic techniques of different illnesses.
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