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Incidence of Joint Hypermobility Syndrome in Anxienty Patients
Zasadilová, Marie ; Nováková, Tereza (advisor) ; Vomáčková, Helena (referee)
Author: Bc. Marie Zasadilová Title: Incidence of Joint Hypermobility Syndrome in Anxienty Patients Objectives: The aim of this study is to find out what ist he incidence of Joint hypermobility syndrome in the research group of probands with anxiety disorder, on the base of collected theoretical knowledge. Methods: The group of patients with diagnosis of anxiety disorder was examined on presence of joint hypermobility syndrome. For the examination was used standardised test scale Beighton score. The data was statistically processed, prevalence of hypermobility in the research group was compared with prevalece in common population. Results: Prevalence of joint hypermobility syndrome in the research group was 44,88%, that is about 31,88% more, than in common population. Hypermobility was found in 65% of female part oft he research group, that is about 25% more, than in common female population. Prevalence in male part of research group was 16,67%, about 5,17% more than in common male population. The hypotesis, that prevalence of joint hypermobility syndrome will be hihger in the research group than in common population, was affirmed. Average result of Beighton score in group of probands was 4,38 points, the most common result was 2 points. Skewness and krtosis of the histogram curve corresponds with...
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Possibilities of physiotherapy in patients with hypermobility
BÜRGEROVÁ, Gabriela
This bachelor´s thesis deals with the issue of joint hypermobility. Hypermobility does not constitute a disease in the true sense, but a certain level of ligament quality. It is manifested by increased range of movements in joints over the physiological limit. Above all, it should be noted that especially the ligament fulfills the strengthening and fixing function of the musculoskeletal system. In cases of hypermobility there is increased laxity of ligaments and looseness of joint capsules, moreover, it is associated with low muscle tone. As a consequence of the insufficiency of ligament, hypermobility is accompanied with joint instability, which leads to the development of functional disorders. Therefore, physiotherapy constitutes a crucial role in the compensation of the hypermobility signs in order to avoid that functional disorders grow into structural ones. The aim of this work was mainly to explain the problems of hypermobility and to propose an appropriate physiotherapeutical treatment of hypermobile individuals. In the theoretical part of this work, I define the musculoskeletal system focused on the description of ligament and joints. It is followed by the explanation of functional disorders and their relationship with structural diseases. Then, I continue with a characteristics of hypermobility and the associated joint hypermobility syndrome, which I subsequently elaborate with the description of epidemiology, etiopathogenesis and clinical signs. Later on, I present the classification of hypermobility and diagnostic tests with a broader description of the most commonly used ones in the Czech Republic and abroad. In the final part, I come to the differential diagnosis and the characteristics of the treatment of hypermobile individuals. In the practical part of my thesis, I did a qualitative research. The subjects of my research were two adult men with confirmed hypermobility. I took the anamnesis of the two probands and performed an initital check-up including the examination of hypermobility according to Janda and also using goniometry. Based on the examination, I proposed a therapy under my leadership for the period of 2-3 months with 60 minutes sessions once a week. Probands were recommended to do exercise for about 15-20 minutes every day. For one of the probands we planned a total of 10 sessions. After the completion of the therapy, we conducted an output assessment and made a conclusion that the overall physical condition had improved, but due to the length of the therapy we failed to influence the hypermobility itself because it was impossible to influence the quality of the ligament in such a short time. Compensation of hypermobility is a question of a very long-term exercise. Unfortunately, we had to finish the therapy of the second proband before our seventh session because of sudden health complications. That was the reason why we did not reach any positive results. However, this case would also require a long period of time to compensate the hypermobility.
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Stabilization of knee joint in Female football players while respecting their menstrual cycle without the use of hormonal contraceptives
VOCEDÁLKOVÁ, Simona
The issue of the knee joint and its structures is nowadays in the field of sport very current. It has to do with the increasing demands that are placed on the muscular and ligamentous apparatus. The knee joint is a complex functional unit, which consists of many bones and intraarticular services. Tibia, femur and among themselves to create articulation femorotibiall and femoropatellar. Both of these joints form one jointknee anatomy. In connection with its specific structure allows this complex anatomical element of two seemingly incompatible features-stability and mobility. The stable position of the knee from the energy point of view, it is economical. On both of the functions involved in dynamic and static stabilizers. The first group consists of the active support and is represented by the muscles. The second group provides passive support joint and this includes ligaments, menisci, joint capsule, and the shape of the joint surfaces. In the women's football are the most traumatized by the lower limb especially the ankles and knees. According to Engebretsena and Steffena (2006) make up 26% of all knee injuries in women's football. In the world of football is more than men's soccer players to injury knee ligament-mainly anterior cruciate ligament. 70% of this ligament is injured uncontact mechanism. In the LCA is the receptor of sex hormones-estrogen and progesterone. These hormones have a direct effect on the structure of the LCA. The menstrual cycle (MC) is increeasing laxity of the knee joint during ovulation and the luteal phase (15. day of the MC-the end of the MC). In this period, the female knee is the most susceptible to injury. This thesis deals with the issue of just the knee joint in the world of football. It also discusses the regular fluctuations in endogenous female hormones and their effects on the ligament laxity . The theoretical part is focused on football, the differences between women and men and predilection places in the women's football injuries. Special chapter then describes the specifics of the female knee. The end of the theoretical part is devoted to the physiology of the menstrual cycle, the female sex hormones and their effects on ligaments. The main task of this work was to build a specific system of exercises for the world of football. The SSC is focused mainly on strengthening muscles involved in the movement in the knee joint and to stabilise this joint. The SSC should serve as a complement to the classical training and was included in the training units for a period of two months. Another aim was to compare the effectiveness of SSC groups A and B. Members of the group A trained in the different phases of the menstrual cycle for exercise, which should positively affect the stability of the knee joint in relation to increased or decreased ligament laxity, due to the action of female hormones. The group B then didn´t take account of the MC physiology. In the practical part of the thesis was used the method of qualitative research. Four players in one of the South Bohemian football team were examined. Research file is moved between the ages of 19 to 26 years of age. The girls did not use hormonal contraception at the time of reserch. For the refinement of the input and output of measurement results, I investigated the players between 5.-6. on the day of their MC with the opening two months. Objectification of the results I achieved by using four specific tests. One of these tests was to score one of the Functional movement screen. Input rating in the FMS range 22-25 points. When the output rating rose to 27-30 points. My work is probably the first of this focus. Its contribution could be a reduction in the number of injuries of the knee joint in the world of football. I consider the work of the information material for trainers, implementation teams and the female football players. In the future, can become a catalyst for further research into the issue.
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