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Activation the deep stabilization of the spine in women after gynecologic operations
JIRÁNKOVÁ, Tereza
The theme of this bachelor work is the deep stabilizing spinal system activation of women after undergone gynecological operations. The deep stabilizing spinal system is the system which involves muscles participating in spinal stabilization in all daily life movements. The participation of these muscles is automatical,unconscious.Right coactivation is responsible for high quality setting and optimal pressure in particular spinal joints. Deep stabilizing system dysfunction is one of possible causes of vertebraegenic problems or wrong posture. We speak about pelvis bottom muscles,diaphragm,nucha deep ones,m.mulitifidii and m.transversus abdomonis. In spite of the fact that gynecological operations are carried out very carefully (abdominal way), they leave some changes on musculoskeletal system. I have chosen two most carried gynecological operations for my bachelor work/abdominal hysterectomy and Caesarean section. I have divided my work into two parts. The theoretical one is aimed at mapping available information about deep stabilizing system and gynecological operations. The research one is the core of the work. It is about practical research of deep stabilizing spinal system activation of women after gynecological operations and their profound analysis. The aim of the theoretical part of my bachelor work was mapping of available information about mentioned matter and the description of deep stabilizing spinal system. You can find there the description of particular parts of deep stabilizing system from the point of view anatomy and their function. Then there are described the possibilities of its examination and the last but least the methods used in activation. After the explanation what the deep stabilizing system is the theoretical part follows which is aimed at gynecological operations. I have tried to describe their indications, course and their possible complications. One part is about female sexual organs anatomy. The main aim of the bachelor work research part was brief description of the musculoskeletal system changes during therapy. I have applied the qualitative research method. Two women of different age and diagnosis have been chosen for my research. Therapy was carried out at their home environment in the period of 5 and 8 weeks. The research results were worked out in the casuistry forms which contain input and output kinesiological analysis, therapy course, short-term and long-term rehabilitation plan. The therapy was carried out once a week under the therapist supervision. Then the patients were instructed and trained in the right exercise set and they were given exercise plan for every day. After gynecological operations there were some changes in musculoskeletal system particularly in abdomen area exactly in the location of the cut. This area was not active entirely. There was not abdominal breathing. Activity of abdominal muscles was taken over by musculus rectus abdominis. Lateral groups of abdominal muscles (musculus obliquus internus abdominis,musculus obliquus externus abdominis and musculus transversus abdominis) were not activated entirely. Both patients learnt the right breathing sterotype and their deep stabilizing system was activated. Realizing their own body and how to operate with it was the result of the therapy. The therapy was finished with the form of output kinesiological analysis containing appropriate examination. The research proved the efficiency of activating deep stabilizing spinal system after gynecological operations not only from the point of view physiology, but from the point of view psychic too.
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