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Case Study of physiotherapy treatment of a patient after the fracture of the proximal part of the humerus resolved by the osteosynthesis.
Duchačová, Alena ; Křížková, Štěpánka (advisor) ; Novotná, Irena (referee)
Title: Case Study of physiotherapy treatment of a patient after the fracture of the proximal part of the humerus resolved by the osteosynthesis Objectives: The main purpose of this paper was to get orientated in the professional literature in the field concerned. Another goal was to find out the author's abilities to examine and work with a patient, followed by stating a conclusion, suggesting an appropriate therapy as well as the way it is to be done. Methods: First part of the paper is dedicated to the theoretical basis of the issue of the patient who suffered from fracture of the proximal part of humerus that was resolved by the osteosynthesis. The anatomy and kinesiology of pectoral girdle and upper extremity, general theory of fractures and the solutions to it are all discussed, as well as miscellaneous ways to treat a fracture, most of them being done by an operation. In the end, the ways of rehabilitating with a fracture that are commonly used are stated. The other part is a casuistry of the patient O. N. with diagnosis state after the fracture of the proximal part of the humerus resolved by the ostheosynthesis. This special part is based on working with the patient for more than two weeks in Oblastní nemocnice Kladno (Regional Hospital Kladno) from 20th January 2011 to 3rd February 2011....
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Muscle force during walking: effect of skeletal morphology
Tomášová, Kateřina ; Hora, Martin (advisor) ; Sedlak, Petr (referee)
The muscle force determines the energy costs of locomotion and the loading of the musculoskeletal system. As the body size increases, the muscle force increases too. The observed less joint flexion in larger individuals could be a moderating mechanism to reduce muscle force when walking. To date, there is a lack of knowledge about the effect of body size and joint angles on muscle force. The aim of this study was to investigate how body size affects muscle force in the stance phase of walking and whether larger individuals can effectively compensate for the increase in muscle force through postural changes. We acquired kinematic, kinetic and electromyographic data for 19 men during normal walking and carrying additional 20 % of body weight. We estimated muscle force using the method of musculoskeletal modeling. We emploeyd the multiple linear regression to asses independent effect of body mass, lower limb length, biiliac breadth and joint flexion angle on total (iF) and maximum (maxF) lower limb muscle force. The body mass had a great positive effect on the gluteus medius muscle force (maxF and iF) but did not affect the iliopsoas muscle force (maxF and iF) nor the vasti muscles force (iF). The lower limb length had a positive effect on the gluteus maximus muscle force (maxF) and a negative effect...
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Assessment of Muscle Force and Power in Children and Youth using Mechanography
Matysková, Jana ; Zemková, Daniela (advisor) ; Krásničanová, Hana (referee)
Introduction: Bone strength is dependent on stimulation by skeletal muscles. To diagnose reduced bone strength and density in children and adolescents is therefore important not only to assess the physical and geometric parameters of bones using densitometric methods, but also to objectively assess parameters of muscle function. "Jumping mechanography" is one of the new techniques used for assessment of muscle force and power. The aim of the thesis was to create the gender-specific pediatric reference data on the main parameters of mechanography, muscle force (Fmax) and muscle power (Pmax). And to increase our knowledge of mechanography by defining relations between indicators mentioned above and basic anthropometrical parameters. Material and Methods: The study population included 796 healthy individuals (432 girls and 364 boys) aged 6-18 years. All probands were examined by a "single two-legged jump" and they were measured for their height and body mass. "Multiple one-legged hopping" was performed in a subgroup of 376 children. The participants were recruited from five primary schools and three high schools. Motoric tests were performed using a portable force platform ("Leonardo Mechanograph® GRFP", Novotec Medical GmbH, Pforzheim). LMS method was used to generate smooth centile curves for parameters...
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Case Study of physiotherapy treatment of a patient after the fracture of the proximal part of the humerus resolved by the osteosynthesis.
Duchačová, Alena ; Křížková, Štěpánka (advisor) ; Novotná, Irena (referee)
Title: Case Study of physiotherapy treatment of a patient after the fracture of the proximal part of the humerus resolved by the osteosynthesis Objectives: The main purpose of this paper was to get orientated in the professional literature in the field concerned. Another goal was to find out the author's abilities to examine and work with a patient, followed by stating a conclusion, suggesting an appropriate therapy as well as the way it is to be done. Methods: First part of the paper is dedicated to the theoretical basis of the issue of the patient who suffered from fracture of the proximal part of humerus that was resolved by the osteosynthesis. The anatomy and kinesiology of pectoral girdle and upper extremity, general theory of fractures and the solutions to it are all discussed, as well as miscellaneous ways to treat a fracture, most of them being done by an operation. In the end, the ways of rehabilitating with a fracture that are commonly used are stated. The other part is a casuistry of the patient O. N. with diagnosis state after the fracture of the proximal part of the humerus resolved by the ostheosynthesis. This special part is based on working with the patient for more than two weeks in Oblastní nemocnice Kladno (Regional Hospital Kladno) from 20th January 2011 to 3rd February 2011....
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