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Pressure pain threshold evaluation in relation to the knee joint position - pilot study
Čechová, Tereza ; Čech, Zdeněk (advisor) ; Jevič, Filip (referee)
The diploma thesis deals with the relationship between the level of stress of soft tissues and their pressure pain sensitivity. It aims to find out whether the level of tension in soft tissues, given by the position of neighbouring joints, affects the pressure pain threshold. The thesis assumptions were verified on a model situation with the sensitivity of the tissues of the ventral and dorsal sides of the thigh depending on the angular adjustment of the knee joint flexion. The theoretical part deals with the findings about biomechanical properties of soft tissues in relation to mechanical load and in the sense of tensile and compressive forces. It describes the mechanisms of tissue nociceptor activation and afferent signal transmission for processing by neurvous system. It distinguishes between the concepts of nociception and pain and deals with methods of their quantification, especially pressure algometry. A group of 30 (15 men and 15 women) healthy probands of younger adult age participated in the research. The values of the pressure pain threshold were measured for each person with an algometer from the ventral and dorsal side of the thigh with angular settings of 0ř, 45ř and 90ř flexion of the knee joint, with a constant position of the hip joint. The data set's statistical analysis did not show...
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Joint configuration changes pressure pain threshold-centered and decentered position
Jevič, Filip ; Čech, Zdeněk (advisor) ; Vaculín, Šimon (referee)
The term "joint centration" is recently perceived primarily in its biomechanical context. This paper suggests a possible neurophysiological point of view and examines the effect of centered or decentered position on pressure pain treshold (PPT) of three muscles (m. temporalis, m. tibialis anterior, m. interosseus dorsalis I) in sitting and lying position, researched on healthy volunteers. PPT was measured in four randomly ordered positions with 49 people (21 women, 28 men). Significantly higher PPT was detected in all three muscles (p=0,001; 0,0016; 0,00009). In percent the PPT change resembles some of studies working with therapeutical techniques (mobilization, joint manipulation, exercise). Influence of higher postural position (sitting compared to lying down) on PPT was not proved. Cenetered joint position increases the PPT of healthy young adults compared to decentered position. This newly proved fact opens further possibilities of conceiving the key physiotherapeutical notion of "joint centration".
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Algometric analysis of influence of crimp grip on soft tissues of hand and forearm.
Vávrová, Hana ; Pánek, David (advisor) ; Pavlů, Dagmar (referee)
Title: Algometric analysis of influence of crimp grip on soft tissues of hand and forearm. Objectives: The main aim of this thesis is comparison and evaluation of changes of nociceptors sensitivity treshold in chosen points of upper extremities area before and after defined strain using pressure algometer. Methods: Data for the experiment was obtained using pressure algometr. Pain threshold was measured in defined 42 points in the order given at each subject firstly before strain and again immediately after defined strain of upper extremities (one minute hangig by the both hands in crimp grip on a campus board in this way: 10 sec strain plus 10 sec break, all six times). Then were measured values statisticaly analysed. Sources for processing of theoretical part of this work were obtained from expert articles and literature which follow up the given task. Results: Statisticaly important results show, that decreasing of pain threshold (on average by 100 - 160 kPa) comes about in tissues of upper extremity immediately after its loading in crimp grip, which means increasing of nociceptors sensitivity. At the same time it has been proved that nociceptors sensitivity in the area of tendon pulleys correlates with frequency of their injury quoted in a literature (that is the highest sensitivity in the...
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Evaluation of short-term effect of Extracorporeal shockwave therapy into muscular trriger points.
Novák, Jan ; Čech, Zdeněk (advisor) ; Vaculín, Šimon (referee)
Diplomová práce Hodnocení krátkodobého efektu aplikace rázové vlny na MTrP Abstract This thesis concerns the application of radial extracorporeal shockwave therapy into muscular trigger points. It's location is derived from the descending part of trapezius muscle on the side of the dominant upper extremity. The performance analysis is based on using partially double-blind placebo-controlled, randomized clinical trial. The effects of the therapy were investigated in 28 subjects divided into experimental and control groups and objectively manifested by measuring the pressure pain threshold. Furthermore, the measuring of the active range of motion of the cervical spine, and the measuring of the maximal voluntary wrist and third finger flexion (measured before and after the therapy). After the therapy, the pressure pain threshold value of the trigger point located in trapezius muscle increased on average from 199 to 295 kPa (p = 0,025). The cervical spine lateral flexion increased on average by 3 degrees towards to the side of non-dominant upper extremity (p = 0,045). This study also investigates the pressure pain threshold value changes of 7 reference points placed remotely from the area of the application. After the shockwave therapy, the pressure pain threshold values of these reference points increased on...
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Algometric analysis of influence of crimp grip on soft tissues of hand and forearm.
Vávrová, Hana ; Pánek, David (advisor) ; Pavlů, Dagmar (referee)
Title: Algometric analysis of influence of crimp grip on soft tissues of hand and forearm. Objectives: The main aim of this thesis is comparison and evaluation of changes of nociceptors sensitivity treshold in chosen points of upper extremities area before and after defined strain using pressure algometer. Methods: Data for the experiment was obtained using pressure algometr. Pain threshold was measured in defined 42 points in the order given at each subject firstly before strain and again immediately after defined strain of upper extremities (one minute hangig by the both hands in crimp grip on a campus board in this way: 10 sec strain plus 10 sec break, all six times). Then were measured values statisticaly analysed. Sources for processing of theoretical part of this work were obtained from expert articles and literature which follow up the given task. Results: Statisticaly important results show, that decreasing of pain threshold (on average by 100 - 160 kPa) comes about in tissues of upper extremity immediately after its loading in crimp grip, which means increasing of nociceptors sensitivity. At the same time it has been proved that nociceptors sensitivity in the area of tendon pulleys correlates with frequency of their injury quoted in a literature (that is the highest sensitivity in the...
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Joint configuration changes pressure pain threshold-centered and decentered position
Jevič, Filip ; Čech, Zdeněk (advisor) ; Vaculín, Šimon (referee)
The term "joint centration" is recently perceived primarily in its biomechanical context. This paper suggests a possible neurophysiological point of view and examines the effect of centered or decentered position on pressure pain treshold (PPT) of three muscles (m. temporalis, m. tibialis anterior, m. interosseus dorsalis I) in sitting and lying position, researched on healthy volunteers. PPT was measured in four randomly ordered positions with 49 people (21 women, 28 men). Significantly higher PPT was detected in all three muscles (p=0,001; 0,0016; 0,00009). In percent the PPT change resembles some of studies working with therapeutical techniques (mobilization, joint manipulation, exercise). Influence of higher postural position (sitting compared to lying down) on PPT was not proved. Cenetered joint position increases the PPT of healthy young adults compared to decentered position. This newly proved fact opens further possibilities of conceiving the key physiotherapeutical notion of "joint centration".
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