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Kineziotherapy in pregnancy and it´s effect on quality of life of pregnant women
RŮŽIČKOVÁ, Iveta
This bachelor thesis deals with the topic how physical exercise can affect the life of a pregnant woman. It is divided into two parts, theoretical and practical. The theoretical part describes changes involved in gravidness, which are mainly changes of the respiratory system, the reproductive system, the cardiovascular system and last but not least changes in the psychical state of a pregnant woman. From the physiotherapeutic point of view there are described changes of the physical system caused by the increasing weight. There is also described pregnancy from the first trimester to the third one and also birth phases. One chapter is dedicated to particular kinesiotherapeutical methods like yoga for pregnant women, which is good for breath adjustment and strengthening of particular muscular sets. Another method is exercise with a gymnastic ball, which has a positive effect on the spinal column, especially on the lumbar area. The last method used is Feldenkrais' method, which is focused on relaxation and feeling the performing movement. All the methods are briefly described and particular exercises are listed in the list of enclosures. The last chapter deals with the quality of life. The bachelor thesis has one research question and two objectives. The first one is to chart possibilities of kinesiotherapy during pregnancy. The second aim is to propose and make an individual exercise plan for pregnant women. The question of research detects effects of kinesiotherapy on the quality of life in pregnancy. A qualitative research consisting of a checkup of three pregnant women was used and followed by working out patients' whole casuistries. All the patients were taught the exercise unit and they have been practising twice a week in eight weeks. During each therapy with the assistance of the author of this thesis patients were given a massage of both soles. Their os coccygeal were examined by palpation, ranges of motion in hip joints were measured by a goniometer. Respondents were also examined by inspection. Respondents answered 26 questions of the questionnaire about the quality of life in the beginning of the therapy as well as at the end of it. Anamneses of all three patients were taken in order to gain all the useful information. The practical part includes the description of the therapy duration in each one case. The research is finished by the kinesiologic analysis and by the outcome of the WHOQOL questionnaire. The research shows that kinesiology had a positive effect on all the respondents. Psychical and physical changes caused by pregnancy were eliminated and each one respondent would like to continue with the therapy. This bachelor thesis could be used as an educational and informative material for pregnant women, who do not have any experience with physical activity during pregnancy and for women, who would like to have more information. The thesis can be used as a study material for physiotherapy students and medical workers.
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