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Analysis of the influence of the fixation setting of the fusion of the spinal vertebrae on the resulting correction of scoliosis
Kopecký, Tomáš ; Ščerba, Bořek (referee) ; Vosynek, Petr (advisor)
This bachelor's thesis deals with the numerical modeling of the spine with an established fixation device under three types of loading, with three types of connection between the last element of the fixator and its guiding rod. The thesis describes the creation of the spine and fixator models, as well as the setting of loading conditions. Three loading states are monitored, in both directions: flexion/extension, lateral bending in both directions, and axial rotation in both directions. Furthermore, the implementation of three types of connections for all these loadings is described. In the first case, the entire fixator is immovable, in the second case, the last element of the fixator can move along the axis of the spine, and in the last case, it can also rotate in all three directions. The evaluation and subsequent comparison of deformation in the direction of the spine axis are the outputs of this thesis. The final evaluation is that the displacement occurring is on the order of tenths of millimeters.
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The case study of physiotherapeutical treatment of the patient with a diagnosis of spastic paraparesis caused by spondylodiscitis
Mydlilová, Klára ; Stupková, Michaela (advisor) ; Piruchtová, Karolína (referee)
Author: Klára Mydlilová Supervisor: Mgr. Michaela Stupková Title: The case study of physiotherapeutical treatment of the patient with a diagnosis of spastic paraparesis caused by spondylodiscitis Objectives: The aim of this bachelor thesis is to elaborate theroretical knowledge about spastic paraparesis based on spondylodiscitis. The theoretical knowledge and findings were used as a base for creating proper physiotherapeutical treatment for patient with diagnose mentioned above. Methods: The thesis is divided into two parts; the theoretical part is aimed to discuss the general definition of spondylodiscitis, its clinical aspects and diagnostic and therapeutical options. The practical part consists of kinesiological analysis, detailed description of all therapeutic units, out kinesiological analysis and the conclusion. This part demonstrates all practical findings gained at Nemocnice Vršovice at rehabilitation department in the period of 16.1.-10.2. 2023. Results: The predetermined objectives have been achieved. Thanks to the improvement that the patient showed, it can be said that the chosen physiotherapy methods had a positive effect on the patient's condition. Conclusion: Every aim that was set previously was completed and regarding to these results the positive effect of chosen therapeutical...
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Postural therapy as a therapy of functional and structural disorders in the thoracic spine
HEŘMÁNKOVÁ, Hana
This bachelor's thesis deals with the treatment of functional and structural disorders in the area of the thoracic spine using postural therapy. The bachelor thesis is divided into theoretical and practical part. In the theoretical part are described theoretical data for the practical part. In the theoretical part there are described the anatomy of the thoracic spine, functional and structural disorders and the possibilities of postural therapy. The practical part of the thesis has the form of a qualitative research. In the end of the work there are described the results of the practical part of the thesis and the success of the therapy is evaluated there.
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Changes of trunk mobility in relation to postural stability
Kocourková, Monika ; Šorfová, Monika (advisor) ; Vláčilová, Ivana (referee)
Title: Changes of trunk mobility in relation to postural stability Objectives: The main aim of this work was to quantitatively observe segmental trunk mobility in 3D space during flexion of arm and create coupled pattern phenomena of particular spine segments. Additional aim was to verify the effect of modification of the measurements on movement performance and to relate the given movement of the arm and the segmental trunk mobility to changes in the load of the lower extremities. Methods: The measurement itself was performed on 23 asymptomatic males aged 20 - 30. In 3 modifications of the motion measurement - no load, with load and with load and hold with arm forward, probands performed 5 repetitions of right arm flexion in the sagittal plane. The motion was scanned by system Qualisys markers while standing on 2 Kistler stabilometric platforms. Results: In most probands, the segmental movement of the spine was repeatable. It was possible to compare it between probands and create coupled pattern phenomena of the spine. The increased arm load and hold with arm forward caused an increase in the deflections of the particular spine segments in sagittal plane. Furthermore, the increase in load has led to demonstrably greater load changes in the lower extremities. The link between the segmental trunk...
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The case study of physiotherapeutical treatment of the patient with a diagnosis of spastic paraparesis as a result of intradural meningioma
Novák, Jan ; Nechvátalová, Vendula (advisor) ; Kolářová, Kateřina (referee)
Author: Jan Novák Title of thesis: The case study of physiotherapeutical treatment of the patient with a diagnosis of spastic paraparesis as a result of intradural meningioma Objective: The aim of this bachelor thesis is to elaborate theoretical knowledge about a spastic paraparesis as a result of intradural meningioma. The theoretical knowledges and findings were used as a base for creating proper physioterapeutical treatment for patients with diagnosis mentioned above. Methods: The thesis is devided into two parts, the theoretical part is aimed to spinal and spinal cord anatomy, its physiology and patophysiology. Moreover information about spinal cord tumors, their symptomatology, diagnostics and treatment are included. The practical part contains the case study of patient and includes in kinesiological analysis, detailed description of all the therapeutic units, out kinesiological analysis and the conclusion. This part gains its practical findings from specialized experience at rehabilitation department in Fakultní nemocnice Královské Vinohrady in period from 21st January to 15th February, 2019. Results: Patient's health condition has been improved. We could observe better muscle strenght and range of motion of lower extremities and participation of core muscles. Moreover quality of sitting,...
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Effect of Kinesio Taping on the functional condition of the musculoskeletal system
Kališko, Ondřej ; Zahálka, František (advisor) ; Pavlů, Dagmar (referee)
Title: Effect of Kinesio Taping on the functional condition of the musculoskeletal system The concept of the problem: The kinesiotaping method is currently very popular therapeutic method in sport as well as in physiotherapy. Although this method was primarily developed as therapeutic method, there is only a few studies, in which the kinesiotaping method is used on healthy individuals. Objective: The objective of this thesis is to evaluate the immediate effect of applied kinesio tape on changes in the range of motion of the thoracic spine in the sagittal plane on healthy individuals. Methods: The theoretical part deals with summary of the taping method as well as with anatomical and kinesiological aspects of flexion and extension of the thoracic spine. The practical part as an experiment (single blinded controlled trial) is dedicated to the application of kinesio and placebo tape, the way that both tapes were applied was specifically designed for the purpose of this thesis and for specifically selected individuals. For gathering the data and for the evaluation the changes in the range of motion, the index of thoracic spine mobility was used. Results: For experimental group - kinesio tape there were no statistically significant increase in the range of motion. Vice versa, according to the obtained...
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Physiotherapy for patients with thoracic spine injury (without spinal cord injury) in the early period after injury
KREJČÍŘOVÁ, Hana
This bachelor thesis deals with traumatic spinal cord injury (no lesion of the spinal cord) with a focus on the thoracic area. Fractures of the thoracic vertebrae occurs most frequently in traffic and bicycle accidents or falls from a height. Great influence also has osteoporosis (especially in postmenopausal women). Doctor´s assessment is followed by conservative or operative treatment and rehabilitation. The theoretical part consists of the sum of knowledge concerning this issue. There are explained the basic anatomical structures, the stability of the spine, definitions and divisions of injuries and fractures, fracture diagnosis and types of treatment. Also the effects of fracture healing are discussed. Subsequently it is focused on physiotherapy methods, which can be used in the treatment of fractures of the thoracic vertebrae. Effective physiotherapy is in place and might include practicing good posture, physiological respiration, restoration of movement stereotypes, briefing care scar, autorelaxation or motorization of the thoracic area. For the practical part of the thesis has been used qualitative research method. Physiotherapy in three patients with fractures of the thoracic vertebrae is described there. The first meeting included the history-taking in the form of a structured interview followed by entrance kinesiologic examination. It consisted of static testing of all respondents with aspection front, back and side, breathing wave dynamic tests and walk test. In addition, a measurement of distances on the spine was made. Another examination was testing of postural stabilization and postural reactibility for which they were selected three tests - diaphragmatic test, trunk flexion and extension test by Prof. Pavel Kolář. The therapy lasted eight weeks and individually at each patient's home. The aim was to map the possibilities of physiotherapy techniques used in patients with spinal thoracic spine (without damage to the spinal cord). Furthermore, the design and implementation of short-term treatment plan for individual patients and comparing their status at the beginning and at the end of research in relation to their degree of affinity to the active physical exercise. The therapy was finished with output kinesiological analysis. The probands were also subjected to an unstructured interview, in which each told their subjective evaluation of the progress of the research. This bachelor thesis could serve as study material for students and health professionals and to raise awareness of the general public about the impact of physiotherapy for pain relief and increasing range of motion in patients with fractures of the thoracic vertebrae. Equally essential purpose is to raise awareness of patients about their treatment options.
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