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Playing the accordion for school-age children from the perspective of physiotherapy
SMOLÍKOVÁ, Dagmar
This bachelor thesis deals with the issue of playing the accordion by children in a school age within the perspective of physiotherapy. Ergonomics of playing the accordion is currently still in the background of interests. For the player (in this case school-aged child), playing the accordion presents a one-sided physical activity and because of incorrectly loaded musculoskeletal system, the muscle imbalance evolves. Incorrect habits, can sooner or later, easily case problems such as back pain, poor posture and many others. The goal of this work was to describe the problem of playing the accordion, determine, how incorrect habits affects the musculoskeletal system and design an exercise program school-aged children playing the accordion. In theoretical part, playing the accordion, axial system, school-aged child evolution, posture, deep stabilization system and selected physiotherapeutic concepts are described. Practical part is processed by form of qualitative research. Data were contained by form of case reports, which includes anamnesis together with kinesiologic analysis. The research group was formed by children, who are already playing the accordion for 2-3 years. I worked with probands for 3 months. In first four therapies, my supervision over probands was once a week and after the fifth therapy, the time period of my supervision was extended for another week. Before the first therapy, I created an exercise program, which was individually modified according to abilities of each proband. Exercise program contained stretching and relaxing exercises of the cervical spine and wrist, activation of correct breathing stereotype, activation of a deep stabilization system with elements of dynamic neuromuscular stabilization and acral coactivation therapy, compensation exercise with overball and sensomotoric stimulation. In the end, during the last therapy, I determined kinesiologic outcome and long-term rehabilitation plan. Based on the research and subjective feelings of probands, I observed and improvement of breathing stereotype, posture during playing the accordion and spine pain relief.
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