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Physiotherapy for Female Urinary Incontinence in Middle-aged
SMRČKOVÁ, Kamila
Urinary incontinence is defined as a condition which leads to inability to control the loss of urine. It represents a socio-psychological problem, which negatively influences the quality of live. In the theoretical part of the thesis there is summarized the knowledge of anatomy and kinesiology of pelvis and pelvic floor, physiology and neurophysiology of micturition, and theory of a urinary incontinence. There are also described types of urinary incontinence, their symptoms, prevention and risk factors of this disease. Furthermore there are involved ways of diagnosing and methods of conservative and invasive treatment. The practical part of the thesis consists of three case studies of women with different stages of stress urinary incontinence. It involves medical history, kinesiological analysis, procedure of the rehabilitation and output examination with a general evaluation of a state of the patients. The aim of the thesis was to evaluate the influence of physiotherapy and its methods on improving urinary incontinence of middle-aged women.
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Clinical importance of pelvic floor problems in patology of motoric system and its therapy
KRÁSENSKÁ, Radmila
Pelvic floor fulfils the postural function and influences the erect carriage of body significantly. The pelvic floor muscles support the body and the pelvic together with other components of the deep stabilization system (Skalka, 2002). The Thesis is aimed at collection of basic information on the above mentioned problems and at application of such information in the practice as part of diagnostics and therapy of patients with vertebrogenous difficulties. The theoretical part deals with pelvic area anatomy and kinesiology, deep stabilization system, pelvic floor and vertebrogenous disorders and their causes and symptoms. A list of possibilities of physiotherapeutic treatment includes basic practices used in the therapy of the pelvic floor and the whole deep stabilization system. The actual proposal for the therapy includes soft tissue mobilization techniques, postisometric relaxation, facilitation techniques, deep breathing and exercises for pelvic floor and the deep stabilization system. The therapy led particularly to reduction of tonus of hypertonic muscles, relieving of overstrained ligament, optimization of breathing stereotype and involvement of the deep stabilization system. The clients mentioned subjectively relief of back pain. The discussion and the summary intend to be a complex review. With respect to the achieved results, I think that the therapy was the right choice. However, the therapy must be continued in order to remedy the disorders completely.
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Effect of pelvic floor muscles in the deep stabilization system
KOTALÍKOVÁ, Kateřina
The bachelor thesis deals with back pain issues from the viewpoint of function. Backbone is an articulated axial organ and its stability, in addition to passive structures, is secured with long multi-articular muscles but their stabilization function is not sufficient. The stability is further improved with other muscular groups called a deep stabilization system (DSS). DSS in the trunk is made up on the dorsal side with short musculi multifidi, cranially with the diaphragm, ventrally with musculus transversus abdominis and caudally with the pelvic floor. The objective of the theoretical part has been to map the existing methods which affect the deep stabilization system with involvement of pelvic floor. The theoretical part contains an anatomic description of individual components of DSS, available methods of examination and particularly methodical procedures focusing on affecting of the system, mainly by involvement of pelvic floor. The objective of the practical part was to find out whether the pelvic floor has any influence on activation of the deep stabilization system and also what is the effect of gender on the involvement of pelvic floor in the course of performed physiotherapeutic procedures. The thesis has used the method of qualitative research. The research was conducted on 4 probands from my environs, who suffered from occasional pain in the backbone area and who were in the entry examination diagnosed with a disorder of frontal stability of the backbone. The monitoring lasted for ca. 2 months. The deep stabilization system was involved in all the probands. The first impulse for it, however, was the activation of pelvic floor. The therapy was concluded with a final examination which has shown that it was important to involve pelvic floor in order to activate the deep stabilization system (DSS). This has also contributed to the fulfillment of the objective in the research part. The results have been processed in the form of case studies. The bachelor thesis can be used in clinical practice of physiotherapists and some parts of it can be used as an educational material for patients.
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