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Possibilities of physiotherapy for people with cerebral palsy
LINTNER, David
This bachelor thesis deals with the possibilities of physiotherapy for people with cerebral palsy (CP). The main goal is to apply these options within the medical rehabilitation plan. The theoretical part contains all the information on CP issues. It also includes developmental kinesiology, which is an integral part of the diagnosis and therapy of this disease. The last part contains a list of treatments that belong to complex therapy. The methodological part describes the process of research implementation, i.e. research sample, data collection methods, course of therapy, research ethics and research limits. The practical part is processed in the form of qualitative research, i.e. a case study, in which the input and output kinesiological analysis and subsequent therapy within a short-term and long-term rehabilitation plan are described in detail. The examination consists (apart from the anamnesis of the initial kinesiological analysis) of aspect, palpation, goniometry, orientation examination of strength, neurological examination, etc. The final kinesiological analysis showed that there was a positive effect of the therapy. The research lasted over a month and was prematurely terminated by the COVID-19 pandemic and the subsequent declaration of a state of emergency.
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The effect of analytic and synthetic methods in patients with muscular dystrophy
Hrubšová, Vendula ; Pavlů, Dagmar (advisor) ; Novotná, Irena (referee)
Title: The effect of analytic and synthetic methods in patients with muscular dystrophy Objectives: Two main objectives are set in my thesis. The first objective is to summarize the theoretical knowledge concerning problems of muscular dystrophy, its classification, hereditary predispositions, diagnostic procedures, subsequent care and to present international grant projects, and the muscular dystrophy world organization and registry. The second objective is to assess the effect of the six months lasting physiotherapeutic intervention on the self-sufficiency and self-reliance of given probands - the individuals suffering from the muscular dystrophy at the age from 40 to 66 years, and to assess the extent of muscular shortening according to Janda in the experimental group Methods: This thesis is of an exploratory nature. It is an experimental study focused on the assessment of the effect of the physiotherapeutic intervention in the individuals suffering from the muscular dystrophy. To assess the extent of the improvement I used the information collected during the kinesiologic analyses (entry, final, follow up) that included goniometric assessment according to Janda, the examination of shortened muscles according to Janda, the examination of joint play according to Lewit and Rychlíková, the examination of...
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Case report of physiotherapy care of patient with dislocation of elbow
Bechyňák, Václav ; Nováková, Tereza (advisor) ; Vaňous, František (referee)
Title of bachelor's thesis: Case report of physiotherapy care of patient with dislocation of elbow Thesis aim: Aim of this bachelor's thesis is summary of theoretical knowledge and study of rehabilitation in context with traumatology, especially dislocation, of elbow joint. Then use this knowledge in practice with patient with status post dislocation of elbow joint. Method: Theoretical part of bachelor's thesis includes anatomic, kinesiological and biomechanical findings of elbow joint in relationship with other structures. In other section are described issues of traumatology of elbow joint, with focus on elbow dislocations. There is detailed description of examination a therapy, mainly meant by rehabilitation care with using physical therapy and physiotherapeutic methods. In special part of thesis I processed detailed case report of 55 years old female patient with status post posterior dislocation of right elbow joint after removal of plaster fixation, which immobilized joint for one month. This case report was made during my professional practice in C.L.P.A. in Prague, Vysočany, and in term 9. 1. - 3. 2. 2012 under the supervision of physiotherapist Mgr. František Vaňous. In thesis is processed complete input and output kinesiology analysis, description of process of each therapy unit and...
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Case report of physiotherapeutic care of a patient after TEP knee joint implementation
Kasal, Filip ; Reckziegelová, Petra (advisor) ; Šecová, Karolína (referee)
This bachelor's thesis is focused on the surgical treatment of gonarthrosis and the associated possibilities of replacing a damaged knee joint with a total endoprosthesis - TEP. The general part describes the anatomical structures and biomechanical properties of the knee joint, the causes of gonarthrosis and the possibilities of its solution. Furthermore, the general part focuses on the possibility of surgical treatment of gonarthrosis and subsequent rehabilitation. The special part contains a detailed case report of the patient after the implementation of TEP of the knee joint, initial kinesiological examination, the course of individual therapeutic units, output kinesiological analysis and subsequent evaluation of the effect of the selected therapy. All physiotherapeutic procedures and methods are based on professional publications and approved procedures. Keys words: total endoprosthesis, knee-joint, physiotherapy, case study, kinesiological analysis
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Structural and functional asymmetry in golfers aged 12-18
Benešová, Amálie ; Gryc, Tomáš (advisor) ; Prokešová, Eva (referee)
Title: Structural and functional asymmetry in golfers aged 12 - 18 Objectives: The aim of this study was to determine the level of body composition parametres, postural stability, muscle shortening and joint mobility of junior golfers and identify and analyze structural and functional asymmetry. Methods: The 14 golfers participated in this study (n=14, age 15,8 ± 1 year, body height 174,5 ± 10 cm, body weight 67,6 ± 13 kg and HCP 5,4 ± 5,9). Body composition including segmental muscle's weight distribution was tested on a bioimpedance instrument Tanita (Japan). Furthermore, the postural stability was examined on the Footscan (Balance 7.6 software) in 4 positions (USOO, USZO, FL_L and FL_P). The kinesiological analysis made by physiotherapist mainly tested muscle shortening and asymmetry using Janda's muscle function tests (1996). The dependence between the measured data was determined by the Pearson coefficient. Results: The average muscle's weight distribution was 2 % higher in the lower right leg, 3,1 % higher in the upper right arm compared with the left limbs. Asymmetry was also found in postural stability (average difference between stability on the right and left lower extremities was 25.9 %). Muscle shortening was found in more than 70 % of probands in hamstrings and quadriceps femoris,....
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Physiotherapeutic procedures of enthesopathies of lower limb
VOLENCOVÁ, Lenka
For my bachelor thesis I chose the topic concerning the problem of insertion pain on lower limb called "Physiotherapeutic procedures of enthesopathies of lower limb". I chose this theme, because I had also a period, when I had primary symptoms of insertion pain, and moreover, I did not came across any other bachelor thesis, which would devote to enthesopathies of lower limb so widely. The disease is caused by tendon overload, which happens for many reasons, such as sudden training, poor quality of footwear, pathological movement stereotype and previous injuries. The clinical picture depends on the location and duration of the overload. There is great effort to remain in conservative therapy, which is often successful. It involves soft techniques and mobilizations, compensatory exercises, physical therapy and other methods. However, sometimes it is necessary to accede to surgical solution. Prevention is very important, because it can help us avoid the problems. In the theoretical part I begin with a detailed description of anatomy of the bones and muscles of the lower limb. Then I write about examination methods, where I mention anamnesis, observation, palpation, examination of joint mobility and imaging methods. In the next part I deal with the problems of enthesopathies, their origin, risk factors and description of clinical picture according to individual localization. Last but not least, I introduce reader with possibilities of therapy, where I gave more space to conservative treatment. There are also mentioned preventive measures. In the practial part I worked with patients, who were suffering from insertion pain in the area of Achilles tendon. I performed an initial and final kinesiological analysis, which I compared at the end of research. After the initial examination I performed 10 therapies within 5 weeks consisting of soft techniques and mobilizations, lasertherapy, compensatory exercises and taping. I educated patients in autotherapy and preventive measures. The research group consisted of 3 patients in age between 25 and 45 years. Considering the results, it can be said, that the suggested therapy had positive effects and has brought relief to patients. I also devised exercises, that are good as prevention and treatment of selected enthesopathies of lower limb, which you can find in attachments. This work could be used as educational material for healthcare workers, athletes and the laic public.
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Assessment of muscle imbalances in handball players
Brožová, Eva ; Kinkorová, Ivana (advisor) ; Hráský, Pavel (referee)
Title: Assessment of muscle imbalances in handball players Objectives: The main aim of this work was to evaluate the occurrence of muscle imbalances in the handball players of the first - league team of woman by means of the kinesiological analysis and segmental analysis from the BIA method. Methods: In modified kinesiological analysis, we focused on assessing posture and examining shortened muscles. To segmental analysis by the BIA method, we used the Tanita MC - 980 apparatus, where we first assessed the asymmetry in the distribution of muscle mass on individual body segments. Results: In 80 % of the total, the upper cross syndrome was recorded. Lower cross syndrome was found in 67 % of the players. The results of segmental muscle mass analysis using BIA showed a statistically insignificant difference (p > 0.05) in the distribution of muscle mass in the upper limbs (average difference of 0.05 kg) and a statistically significant difference (p < 0.05) in the distribution of muscle mass at the lower of the limbs (average difference of 0.11 kg). The following significant correlations were found for the whole population (n = 15): m. Iliopsoas right and the amount of muscle mass (BIA) on right upper limb (r = 0.549), iliopsoas on the right and the amount of muscle mass (BIA) on left upper limb (r =...
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Use of the craniosacral therapy on cervical spine
DOLEŽAL, Karel
As a topic of my bachelor thesis, I chose the use of craniosacral cervical spine therapy. I chose the theme for this reason because I am interested in it and it is a topic which is relatively unknown among students of physiotherapy. Cervical spine problems can be caused from many reasons. Like a poor head position during sitting on a computer, in a car or in a bad sitting, resulting in overloading the muscles and cervical spine. Another difficulty is the upper cross syndrome, which is caused by muscle dysbalance in this area. It is an imbalance between the side and front muscles of the neck or the imbalance between the shoulder and the mammary muscles. A major problem of many people is that they have headin a wrong position during sleep and their head isn t in the extensio of the spine. The muscles in this position try to keep the head in a physiological position with the help of the muscular tension, and after falling asleep the muscle tension release and the head drops. Frequent overloading can cause trigger points. Further, between the problems of the cervical spine belong also the spasm of suboccipital muscles, which causes headaches and dizziness. To prevent or eliminate these problems, it is possible to use craniosacral therapy that leads to total body regeneration and relaxation. This is a gentle manual therapy. In the theoretical part I deal with the craniosacral method, a description of its history, a craniosacral concept and a craniosacral system, where I describe, among others, the craniosacral rhythm and the movement of the cranial bones. In the next part I describe parts of the craniosacral system, including cerebrospinal fluid, cerebrospinal diapers, connective tissue and soft tissues and fascia. In the next chapter I deal with palpation, which is the basis of this and other manipulation techniques. In the last chapter of the theoretical part of my thesis I deal with the cervical spine, where I briefly describe its structure and function and then i focus on the description of the frequent problems in the cervical spine that we can encounter in practice. In the practical part of my work I performed an in-and-out kineziological analysis, and during the therapy I used the methodology of questioning, observation and examination of palpation. Input and output data were compared at the end of the study. The research itself was conducted for 6 weeks after the initial kinesiological analysis was performed in total 5 therapies and the last sixth week was performed an output kinesiological analysis. The research group consisted of 5 patients aged 22-74 years. I did a therapy that consisted of a set of touches. Among the individual therapies, patients should have done a set of stretching exercises I have entered. I observe the patients during my therapies, and I performed a control palpation of the in patients before their third therapy. The obtained results show that the craniosacral method has an analgesic and relaxing effect on the cervical spine and can be used either as a separate therapy or in combination with other methods within physiotherapy. This work could serve as an educational resource for healthcare professionals and also for the general public, especially for people who are interested in alternative treatment methods.
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The effect of analytic and synthetic methods in patients with muscular dystrophy
Hrubšová, Vendula ; Pavlů, Dagmar (advisor) ; Novotná, Irena (referee)
Title: The effect of analytic and synthetic methods in patients with muscular dystrophy Objectives: Two main objectives are set in my thesis. The first objective is to summarize the theoretical knowledge concerning problems of muscular dystrophy, its classification, hereditary predispositions, diagnostic procedures, subsequent care and to present international grant projects, and the muscular dystrophy world organization and registry. The second objective is to assess the effect of the six months lasting physiotherapeutic intervention on the self-sufficiency and self-reliance of given probands - the individuals suffering from the muscular dystrophy at the age from 40 to 66 years, and to assess the extent of muscular shortening according to Janda in the experimental group Methods: This thesis is of an exploratory nature. It is an experimental study focused on the assessment of the effect of the physiotherapeutic intervention in the individuals suffering from the muscular dystrophy. To assess the extent of the improvement I used the information collected during the kinesiologic analyses (entry, final, follow up) that included goniometric assessment according to Janda, the examination of shortened muscles according to Janda, the examination of joint play according to Lewit and Rychlíková, the examination of...
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Case report of physiotherapy care of patient with dislocation of elbow
Bechyňák, Václav ; Nováková, Tereza (advisor) ; Vaňous, František (referee)
Title of bachelor's thesis: Case report of physiotherapy care of patient with dislocation of elbow Thesis aim: Aim of this bachelor's thesis is summary of theoretical knowledge and study of rehabilitation in context with traumatology, especially dislocation, of elbow joint. Then use this knowledge in practice with patient with status post dislocation of elbow joint. Method: Theoretical part of bachelor's thesis includes anatomic, kinesiological and biomechanical findings of elbow joint in relationship with other structures. In other section are described issues of traumatology of elbow joint, with focus on elbow dislocations. There is detailed description of examination a therapy, mainly meant by rehabilitation care with using physical therapy and physiotherapeutic methods. In special part of thesis I processed detailed case report of 55 years old female patient with status post posterior dislocation of right elbow joint after removal of plaster fixation, which immobilized joint for one month. This case report was made during my professional practice in C.L.P.A. in Prague, Vysočany, and in term 9. 1. - 3. 2. 2012 under the supervision of physiotherapist Mgr. František Vaňous. In thesis is processed complete input and output kinesiology analysis, description of process of each therapy unit and...
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