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Ranges of joint mobility in the hip and ankle joints and evaluation of flat feet on a podoscope when finding hallux valgus in classical ballet dancers
Hlobilová, Magdaléna ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Title: Ranges of joint mobility in the hip and ankle joints and evaluation of flat feet on a podoscope when finding hallux valgus in classical ballet dancers Objectives: The aim of this thesis is to evaluate if selected parameters: passive range of motion (ROM) of rotations in hip joints, Q angle, passive range of motion of plantar flexion in ankle joints and the foot index are connected with the finding of hallux valgus (HV) diagnose. These factors will be compared between two groups of ballet dancers, one with HV and one without the HV diagnose. Methods: This observational case control study involved 30 probands between the age of 20-40 years. The experimental group consisted of classical ballet dances with the HV angle (HVA) >15ř at least on one foot (n1 = 19), in the control group were classical ballet dancers with the HVA <15ř bilaterally (n2 = 11). The HVA, ROM of the rotations in the hip joints, ROM of the plantar flexion in the ankle joints and Q angle were measured by a goniometer. The plantogram was captured by a photograph of the foot while standing on a podoscope and then it was evaluated by the Sztriter-Godunov method. Analysis of the data was done in R software by means of a Welch's Two-Sample t-Test and the correlation was given by Pearson's Correlation Coefficient. Results: Contrary...
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Appearance of hallux valgus in selected dance groups
Gavlíková, Hana ; Strnad, Pavel (advisor) ; Vrátná, Eliška (referee)
Appearance of hallux valgus in selected dance groups Objectives: The main purpose was to found out, how many athletes from group of dancing respondents are dealing with deformity of hallux valgus. Another aim of this work was to found out the awareness about hallux valgus in dancing community and also to get information about another problems of musculoskeletal system, which could be related. Methods: For collecting the data was created online Non Standardised Questionnaire (form). For following processing and evaluation of collected data were used Pie Charts, Column Charts, tables and verbal summary as well. Results: The results proved that more than half dancers are dealing with problems of hallux valgus (55%), 69% from this half confirmed, that they are having problems in other parts of their musculoskeletal system as well. Data also showed higher incidence of deformity in women. Awareness of this topic was surprisingly high - 77.6% of respondents. Keywords: dance sport, Hallux valgus, forefoot deformity, posture, Non Standardised Questionnaire
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Effects of the therapeutic physical education program on young people with orthopaedic foot defects
Kerdová, Terezie ; Vařeková, Jitka (advisor) ; Nováková, Pavlína (referee)
Title: Effects of the therapeutic physical education program on young people with orthopaedic foot defects Objectives: This undergraduate thesis is aimed to test the effect of exercise mainly on hallux valgus and hammertoes of young people with such defects. Methods: It is a qualitative study using the research method of a case study. The effect of the 4-week therapeutic physical education program was tasted on 3 people with orthopaedic foot defects. There were 1 male and 2 female probands aged between 17 and 24 years with orthopaedic foot defects (hallux valgus, hammertoes, high arch). In all three cases, the trouble started approximately at the age of 10. The therapeutic physical education program lasted 28 days for 15 minutes a day and included sensory and motorial exercises. The methods of data collection in the entry and exit examinations were assessment of aspection and palpation, functional tests, and examination on podoscope, which was repeated 2 months after finishing the therapeutic physical education program. Continuous changes were recorded by probands in the diary, including the Visual Analog Scale (VAS). Results: After 28-days of intervention, monitoring by the podoscope showed that the pressure on the front of the foot has been reduced in case of 2 out of the 3 probands. Weight...
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The effect of footwear on deformity of the foot in a woman - the role of the nurse in prevention
MLEJNKOVÁ, Natálie
The topic of this diploma thesis is "Influence of footwear on foot deformities in women - the role of nurses in prevention". The theoretical part is devoted to the foot anatomy, it describes the issue of heels on the foot and represents the Giraffe certification. The practical part of the qualitative research shows the role of nurses in preventing foot deformities for patients. This thesis has two goals. To find out what footwear affects the deformities of the legs in women and to find out what role the nurse plays in preventing this issue. The research questions are 1. What is the importance of wearing high-heeled shoes for women and how will this be reflected later? 2. What role do nurses attribute to the prevention in this issue? Data collection was collected by semi-structured interviews with nurses in the orthopaedic ward and orthopaedic clinics. The research sample consists of 20 respondents, the choice was deliberate and formed by snowball sampling. In February 2019, data was collected, which was subsequently terminated at the moment of theoretical saturation. The interview covered themes: wearing high-heeled shoes, leg deformities caused by high-heeled shoes, nurse-led prevention and education. The results show that only a fraction of nurses adhere to the role of a nurse who helps patients prevent leg deformities. The rest of the nurses leave prevention and education to doctors. This diploma thesis presents as a work output a poster, which can be an information material for nurses from the orthopaedic clinics and beds. The output of the thesis is an educational poster that will reflect the entire nursing issue in prevention (the role of a nurse, the deformity of the feet caused by high-heeled shoes, etc.).
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Possibilities of physiotherapy in patients with hallux valgus
KINCLOVÁ, Kamila
The bachelor thesis deals with a problem of hallux valgus and how is it possible to influence this deformity by physiotherapy. Hallux valgus is a deformity of a forefoot, specifically the I. metatarsal joint, in which a toe goes out towards another toe. This deformity is caused by several causes, of which inheritance, an effect of a static load on a foot, and finally also a shape of a footwear plays its role. In total, 4 patients participated in the research, all had hallux valgus deformity, but also other associated problems. Each respondent had his or her own individual therapy, which consisted of entry and exit examinations, including examination by podoscop, more of soft techniques used were reflexology therapy, mobilization and exercise. Patients were followed for three months. The aim of the thesis was to map out possibilities of physiotherapy that may affect hallux valgus. To map out the different possibilities I performed a literature review. The results show that differentiated treatments are appropriate for each responder with hallux valgus concerning their individual responses. For example, I used the concept of DNS, exercises with an overball, PNF, or post-izometric relaxation. The bachelor thesis can be used as an educational material for physiotherapists, but also for public, who are focused or interested in this topic.
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Strain-stress analysis of fixed bone of foot
Zapletal, Jakub ; Fuis, Vladimír (referee) ; Návrat, Tomáš (advisor)
This diploma thesis deals with analysis of the rigidity of different variations of foot fixations. In the thesis there is a description of elementary anatomy of foot and its patology. Furthermore the possible corrections of hallux deformities and chosen fixators are described. The problem of analysis is soluted by the method of finite elements. The thesis also includes steps of geometery model creation based on 3D scanning. Three differents types of fixations are compared in this thesis and each of them is created in two different levels of details. There is a comparation, analysis of final solutions and chosen influences on the rigidity in the conclusion.
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Case Study of the Physiotherapy Treatment of a Patient After Bilateral Hallux Valgus Surgery
Illetšková, Jana ; Vomáčková, Helena (advisor) ; Mahr, Edwin (referee)
Title of bachelor's thesis: Case Study of the Physiotherapy Treatment of a Patient After Bilateral Hallux Valgus Surgery Objectives: The objective of this thesis is the collection of theoretical and practical knowledge related to the hallux valgus deformity and their application to a case study of a patient who had undergone the bilateral hallux valgus surgery. Summary: This thesis is separated into two sections: a general section and a special section. The general section contains descriptions of the hallux valgus deformity. It first discusses the topics of anatomy of the leg, kinesiology of the leg, and biomechanics of walking. Further, it focuses on the hallux valgus deformity, its definition, etiology, development, diagnosis, and treatment, including physiotherapy methods. The special section contains the case study of patient after the bilateral hallux valgus surgery, including the input and output kinesiological analysis, short-term and long-term plan of the therapy, the design of the therapy, the description of the course of individual therapeutic units, and an evaluation of the effect of the therapy. Conclusions: The pain in patient's right instep was successfully eliminated. The small joints were relaxed. The range of the motion of the big toe was increased and the weakened muscles were...
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Usage of non-stretch and elastic adhesive tapes in physiotherapy
Bezděková, Anna ; Jeníček, Jakub (advisor) ; Táborská, Silvie (referee)
Name: Anna Bezděková Supervisor: Mgr. Jakub Jeníček Opponent of the thesis: Name of the thesis: Usage of rigid and elastic tejps in physiotherapy Abstrakt bakalářské práce: This research thesis is focused on usage of rigid and elastic tapes in physiotherapy. It is divided into theoretical and practical part. The theoretical part describes particular methods of application of these tapes so-called taping and kinesiotaping. There are different thoughts and opinions of Czech and foreign authors on each one of the taping methods. In the practical part, there are two interviews with Bc. Clara Marie Helena Lewitt and PhDr. Ingrid Palaščáková Špringrová, Ph.D. which both considerably contributed to the development of taping in Czech Republic. The conclusion contains brief manual to be used by physiotherapist, doctors, massage therapist and other non medical professions. The manual describes six possible ways of application with rigid or elastic tapes in hallux valgus diagnosis and contains exact photo documentation of each step of the procedures. Key words: tape, taping, kinesiotaping, hallux valgus, rigid tapes, elastic tapes
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Effect of mechanical correction of hallux valgus deformity
Damborová, Martina ; Maršáková, Kateřina (advisor) ; Říha, Michal (referee)
Title: Effect of mechanical correction of hallux valgus deformity Objectives: The aim of this diploma thesis is to investigate the influence of axial correction of hallux valgus deformity on static and dynamic postural stability. Methods: This pilot study involved 8 people ranging in age from 22 to 30 years with mild or moderate degree of hallux valgus deformity. Five probands had hallux valgus deformity bilaterally, three probands had deformity unilaterally on the right leg. Axial correction of position of first MTP joint was made by tape. Postural stability was measured using computerized dynamic posturography EquiTest Smart System from Neurocom before and after intervention. Measured data were processed using Neurocom Balance Manager Software. For the analysis of the data were used statistical methods - paired t-test, Wilcoxon rank test and the rate of clinical significance (Cohen's d). Results: The results indicates that the axial correction of hallux valgus deformity has positive effect on the dynamic postural stability. This impact wasn't demonstrated in static situations. Keywords: hallux valgus, great toe, postural stability, corrective taping, computerized dynamic posturography
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Evaluation plantogram and range of motion of the joints of the lower extremity with hallux valgus deformity.
Michálková, Kateřina ; Vláčilová, Ivana (advisor) ; Maršáková, Kateřina (referee)
Title: Evaluation plantogram and range of motion of the joints of the lower extremity with hallux valgus deformity. Objectives: The aim of my thesis, "Evaluation plantogram and range of motion of the joints of the lower extremity with hallux valgus deformity" is a statistical comparison of the aspects of the lower limbs in healthy subjects and people affected by hallux valgus deformity. It will be a comparison of the measured values, such as the degree of hallux valgus angle, range of motion of the hip joint to spin, Q - angle of the lower limb, position of hocks and strained soles. Methods: Plantographic evaluation of the strain on the soles on Podoscope, goniometry, photography, plantographic diagnostic method - Chippaux - a Šmírák and Sztriter - Godunov. Results: During this research, I observed twenty seven individuals. Five individuals had hallux valgus deformity, fourteen individuals had valgus position of the thumb and seven individuals had no deformity. In the course of evaluating plantogram and range of motion of the joints of the lower limb with hallux valgus deformity I observed degree of flat. This statement was confirmed at a significant level of p = 0.01 for both legs. Unfortunately in case of individuals with mild hallux valgus deformity, the proximo-distal, or disto-proximal...
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