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Sledování posturálních a respiračních funkcí u pacientů se skoliózou
PEVNÁ, Veronika
The bachelor thesis is divided into two parts, namely the theoretical and practical parts. The theoretical part of the bachelor thesis deals with a description of the kinesiology of the spine, defining the term scoliosis and classification of scoliosis, focuses on respiratory function, deep stabilization system, and its connection with respiratory and postural functions. At the end of the theoretical part, respiratory physiotherapy and its individual methods are described, which are widely used in patients with scoliosis. The aim of the bachelor thesis is to describe the treatment options for patients with scoliosis, which was fulfilled in the theoretical part of the bachelor thesis, and in the form of case studies to describe therapeutic procedures affecting postural and respiratory functions in specific patients. The practical part of the bachelor´s thesis is conducted in the form of qualitative research, because the research sample consists of three adult patients who were diagnosed with the scoliosis. The sub-targets are verified through individual therapies lasting between two and three months, during which postural and respiratory functions in specific patients are monitored. The results of the survey are recorded in a brief evaluation of the effectiveness of the therapy. The bachelor thesis can be used by physiotherapists as an inspiration for therapeutic procedures in individual patients, or it can serve as educational material for the general public, who would like to learn more about the topic of scoliosis or methods used in the treatment of scoliosis.
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Examination of gait in patients whit idiopathic scoliosis. Objectification using treadmill
Švábková, Anna ; Lepšíková, Magdaléna (advisor) ; Černý, Pavel (referee)
This master thesis concerns gait in patients with idiopathic scoliosis. Idiopathic scoliosis constitutes about 80 % of all scoliosis cases and its adolescent type is the most common form of spine deformity in the child population. The theoretical part outlines existing knowledge on this medical condition and its treatment, focusing on conservative therapy by corrective spinal orthoses. It further describes the physiological stereotype of gait and differences observed in patients with idiopathic scoliosis. It also discusses the effect exerted on bipedal locomotion by corrective spinal orthoses. The aim of the practical part is to examine whether there is a relationship between the severity of the main spinal curvature in subjects with scoliosis and the degree of asymmetry between their lower limbs for selected parameters of gait. Since this part concerns gait both without and with bracing, it can also analyse the impact of corrective spinal orthoses on the degree of the given asymmetries. The selected parameters of gait are ascertained by the method of dynamic plantography using a Zebris FDM- T System device. The research sample consists of 14 subjects (12 girls and 2 boys) between the age of 9 and 17 years with idiopathic scoliosis who receive conservative treatment including bracing. The results...
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Evaluating the Effect of Spa Treatment for Ideopatic Scoliosis
Bílková, Martina ; Pavlů, Dagmar (advisor) ; Novotná, Irena (referee)
Title Evaluating the Effect of Spa Treatment for Ideopatic Scoliosis Objectives The main objective of this work is to evaluate effect of spa treatment for children with ideopatic scoliosis at age of 12-15 years. My objective was to find out the efficiency of spa treatment. I also would like to find out a long-term effect while comparing girls and boys. A long-effect means, that the spa effect will last at least until the next spa visit. The next objective was to find out how many children are affected by ideopatic scoliosis, or how many children suffer from bad body posture. I was also seeking, if there is sufficient number of spa centers for treating these kinds of diseases in Czech Republic. Methods This work has a scientific character. It is a retrospective study focused on evaluation of the effect of spa treatment for children with ideopatic scoliosis. For evaluating the rate of improvement, informations from semi-standartized tests was used. These tests are used in the spa centre in Lázně Bělohrad, Czech Republic. I extracted a selected category of patients, compared these data, and visualised them in a graphs. There are 5 physioterapists working in this centre, and all of them are using the same methods for patient monitoring. However, all data had to be standardised before working with them,...
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Examination of gait in patients whit idiopathic scoliosis. Objectification using treadmill
Švábková, Anna ; Lepšíková, Magdaléna (advisor) ; Černý, Pavel (referee)
This master thesis concerns gait in patients with idiopathic scoliosis. Idiopathic scoliosis constitutes about 80 % of all scoliosis cases and its adolescent type is the most common form of spine deformity in the child population. The theoretical part outlines existing knowledge on this medical condition and its treatment, focusing on conservative therapy by corrective spinal orthoses. It further describes the physiological stereotype of gait and differences observed in patients with idiopathic scoliosis. It also discusses the effect exerted on bipedal locomotion by corrective spinal orthoses. The aim of the practical part is to examine whether there is a relationship between the severity of the main spinal curvature in subjects with scoliosis and the degree of asymmetry between their lower limbs for selected parameters of gait. Since this part concerns gait both without and with bracing, it can also analyse the impact of corrective spinal orthoses on the degree of the given asymmetries. The selected parameters of gait are ascertained by the method of dynamic plantography using a Zebris FDM- T System device. The research sample consists of 14 subjects (12 girls and 2 boys) between the age of 9 and 17 years with idiopathic scoliosis who receive conservative treatment including bracing. The results...
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Possibilities of physical therapy in idiopathic scoliosis for children in middle school age
ZASADILOVÁ, Anežka
This bachelor thesis concern about physioterphy of children in middle school age with diagnosed idiopathic scoliosis. The aim of this work is to compile the exerscises for these patients and at the end in the conclusion evaluate the effectivity. The theoretical part is aimed at describtion of anatomical structures, which are directly affeccted by the idiopathic scoliosis, or which could affect the scoliotic curve after the activation. Further there is a describtion of middle school age, it´s physiological aspects and the influence of this age for cooperation with physiotherapist. Then in the thesis follows the definition of scoliosis, classification of the idiopatic scoliosis by localization, by the severity of the curve deterioration and by age of diagnosing the scoliosis. Furthermore is rewiew of diagnostic methods, which can be used to reveal of scoliosis and a list of therapeutical methods and procedures aimed at the treatment of idiopathic scoliosis. The practical part was processed by the qualitative research. In the first part there is an enlargement of clinical examination of scoliosis, which is afterwards applied to two patients. In the clinical cases is described the examination of the subjects, detail anamnesis, the entering and comclusional kinesiological analysis and the process of therapy. In the conclusion is a proposition of long-term rehabilitative programme.
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Evaluating the Effect of Spa Treatment for Ideopatic Scoliosis
Bílková, Martina ; Pavlů, Dagmar (advisor) ; Novotná, Irena (referee)
Title Evaluating the Effect of Spa Treatment for Ideopatic Scoliosis Objectives The main objective of this work is to evaluate effect of spa treatment for children with ideopatic scoliosis at age of 12-15 years. My objective was to find out the efficiency of spa treatment. I also would like to find out a long-term effect while comparing girls and boys. A long-effect means, that the spa effect will last at least until the next spa visit. The next objective was to find out how many children are affected by ideopatic scoliosis, or how many children suffer from bad body posture. I was also seeking, if there is sufficient number of spa centers for treating these kinds of diseases in Czech Republic. Methods This work has a scientific character. It is a retrospective study focused on evaluation of the effect of spa treatment for children with ideopatic scoliosis. For evaluating the rate of improvement, informations from semi-standartized tests was used. These tests are used in the spa centre in Lázně Bělohrad, Czech Republic. I extracted a selected category of patients, compared these data, and visualised them in a graphs. There are 5 physioterapists working in this centre, and all of them are using the same methods for patient monitoring. However, all data had to be standardised before working with them,...
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Therapy with corset in patients with scoliosis
ČERMÁKOVÁ, Michaela
For my bachelor thesis I selected the topic "Brace Treatment for Scoliosis Patients". Scoliosis is defined as a three-dimensional deformity of the spine with side curvatures in the frontal, sagittal and transverse planes at the same time. A scoliotic curvature is accompanied by deformations of vertebras, changes in ribs and spatulas and changes in the position of crista iliaca. One of the conservative scoliosis treatment options is brace treatment. Brace treatment aims at generating a positive effect on the curvature and, most of all, at preventing its further development in the period of an individual's growth. Brace treatment is a controversial method to a certain extent, considering a large number of diverse opinions of doctors, orthopaedists and physiotherapists concerning the treatment with torso orthoses. The theoretical part summarizes the findings relating to scoliosis, including anatomical structures influenced in scoliosis. It contains information on basic terminology, scoliosis classification, diagnostics and treatment options. The thesis is focused particularly on conservative treatments but also provides information on possible surgical treatments. Introduction into the issue of brace treatment is addressed in more detail. The history, kinds of braces, manufacture, and the principles of the effect of torso orthoses are outlined there. The practical part of the thesis includes objectives, description of the method, characteristics of the set and particularly the processed results presented in the form of case histories. The data were obtained in a qualitative research. The research involved two patients suffering from idiopathic scoliosis with indicated brace treatment in the Rehabilitation Department of the Hospital of České Budějovice. The girls were selected on the basis of their diagnosis and brace indication. The medical history of the probands was gained and the initial and final kinesiological analyses were performed. The analyses consisted of a visual static and dynamical examination, palpation examination, evaluation with a plumb line, and examination of hypermobility, gait and breathing mechanism. Both patients had the length of their lower limbs measured. The three-month research was aimed at creating a physiotherapeutic procedure for individual patients and outlining the effect of brace treatment on the overall effectiveness of the treatment. The research has confirmed the necessity of an individual approach to each patient suffering from scoliosis. Seemingly similar curvatures may show a completely different development and require a different therapeutic approach. It follows from the research that the best results may be achieved in patients if a combination of several various methods is used. Particularly auto-correction in front of a mirror, Vojta's reflex locomotion and de-rotational breathing proved successful in my research. Auto-correction in front of a mirror before and after the treatment was found particularly beneficial because the patients themselves could observe the changes of their posture during the treatment. In my experience, the use of Vojta's reflex locomotion always served as an excellent preparation for the following exercises because the abdominal wall, autochthonous muscles and ribs become activated and the breath wave is rearranged. Since both patients suffer from scoliosis with a considerable rotation element, the application of de-rotational breathing showed to be suitable because it brought visible results in each treatment for each patient. The brace treatment influences the effectiveness of the entire treatment particularly by not allowing the patient to keep a pathological posture all day long. This fact makes the work with a patient easier and has an effect on the patient's auto-correction. The bachelor thesis may be used in clinical practice of physiotherapists. The thesis may also be used as an educational material for patients.
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