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The effect of increased neck muscle tension on tinnitus
Zlesáková, Adéla ; Oplatková, Lenka (advisor) ; Babková, Lenka (referee)
This research bachelor thesis deals with the problem of cervicogenic somatosensory tinnitus with a focus on the effect of increased tension of the neck muscles. The theoretical part provides a brief anatomical description of the studied area in the context of the changes that occur there and lead to the development of tinnitus. It then elaborates on the diagnostic procedures and finally on the possibilities of intervention, which are within the competence of the physiotherapist. The practical part consists of case studies of two patients. The knowledge from the theoretical part was used to construct the examination and therapy that was then applied to these patients in order to verify the effect of manual therapy in tinnitus patients. A Visual Analogue Scale, the Tinnitus Handicap Inventory questionnaire and a goniometric examination assessing cervical spine range of motion were used for objectification. Patients' condition was assessed before and after the 10 week long therapy. The aim of the therapy was to relieve hypertonus in the neck region and subsequently reduce the intensity of tinnitus.
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Trigger points problems in physiotherapy
VRZALOVÁ, Barbora
My bachelor thesis deals with trigger points (MTrPs) problems in physiotherapy and their therapy. The aims of the thesis was to map the trigger points problems and clarify possibilities oh therapy these points. In the theoretical part of the bachelor thesis I describe division, causes, and mechanism of origin, manifestations and consequences, therapy, presence and ways of chaining, referred pain of trigger points and head-forward posture. For the practical part of the work, I chose the method of qualitive research. There were 10 probands in the research, for which I looked for trigger points and then based on theoretical knowledge, I compared the presence of trigger point patterns in various symptoms of the probands. Then I treated 4 of the selected probands with these points. During therapies, I combined manual techniques, thermotherapy and physical therapy. In my opinion, the topic of trigger point is still open and some questins are not answered yet. The subject of research is still the mechanism of MTrPs. The most frequetly mentioned theory is the Integrated hypothesis. There are other hypothesis that are not sufficiently scientifically based. Ways to chain of MTrPs and ways or mechanism of referred pain are others not entirely explanatory chapters. According to theories of several authors, reffered pain is manifested by activity of nervous system at the level of the spinal cord. Based on researches by various authors related to trigger point therapies, the following conclusions can be drawn. When comparing ischemic compression and the trigger point pressure release technique, it is better to use the pressure release technique. When comparing manual techniques with dry needle application, it can be said that both techniques have a comparable effect. However, the use of tape should be combined with another technique, as the tape acts rather locally. After treatment of MTrPs in probands, MTrPs reformed due to poor movement stereotypes. Therefore, in my opinion, it is necessary to pay attention to the reeducation of movement patterns such as poor posture.
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Somatovisceral and viscerosomatic relations
SŮSOVÁ, Kristýna
The aim of this work is to correctly define and approach the issue of somatovisceral and viscerosomatic relations, to describe the most common vertebrovisceral, but also viscerovisceral relations and the most common projections of internal organs into the musculoskeletal system. The work draws attention to the neglect of these known facts in differential diagnosis, which often leads to a diagnostic error and the patient is sent to rehabilitation, even though he primarily suffers from an internal organ disease. On the side of the physiotherapist, errors might occur in the setting of therapy, which in certain circumstances may harm the patient. Or the opposite situation may occur, where the patient suspects an internal disease, but despite all the examinations, no pathology is found. Especially if there is a problem in the musculoskeletal system, it is possible to relieve the patient with a suitably chosen therapy. Frequent visceral patterns are described from various sources, and much of the knowledge is drawn from medical publications, especially in the field of internal medicine and neurology. Most sources are from the last five to ten years, so the information is up to date. The last chapter is devoted to visceral therapy according to the concept of the authors Barral and Mercier. Individual methods and techniques are recorded by using photography and arranged clearly according to organs and organ systems.
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Viscerosomatic links
Ručková, Adéla ; Demeková, Júlia (advisor) ; Bitnar, Petr (referee)
Bibliographic record RUČKOVÁ, Adéla. Viscerosomatic links. Prague Charles University, 2nd faculty of medicine, Department of rehabilitation and excersise medicine, 2013. Supervisor: Mgr. Júlia Demeková. Abstract This thesis deals with viscerosomatic interactions from the perspective of a physiotherapist. It explains the terminology concepts occurring in viscerosomatic and somatovisceral issue. The aim of the thesis is to highlight the importance of the viscerosomatic issue and the knowledge of this issue for correct differential diagnosis. The thesis shows the differences between somatic pain and true visceral pain. Referred pain arises in visceral organs and it refers to the somatic tissues. The thesis contains a description of these viscerosomatic relationships, their neurophysiological basis and referral to the central nervous system. A large part is devoted to a review of knowledge about the visceral patterns. It should help to detect the presence of visceral problem of the patient. In the text there are references to the literature, which carefully describe various visceral patterns. The individual organs or systems are assigned with the other reflex changes that have occurred in experience with patients. This thesis presents 11 mostly foreign case reports and 2 research studies in plain terms with...
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Etiopathogenesis of the groin pain, diagnostics and therapy
Herlová, Simona ; Valouchová, Petra (advisor) ; Schreier, Bronislav (referee)
This theses sums up findings about etiopathogenesis of particular causes of groin pain, its diagnostics and its therapy. The work, for your easier orientation in it, is devided up into four groups described us: hip joint disorder, inguinal hernia, sportsman's injury and referred pain. The diagnostics part describes the examination for the motional stereotype of the hip joint and examination of the deep stabilizing muscles. Powered by TCPDF (www.tcpdf.org)
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Viscerosomatic relations in physiotherapy
KUKLOVÁ, Monika
The Assignment's aim is to clarify the definition of referred pain and the issues of viscerosomatic and somatovisceral relations. Relations between internal organs and the musculoskeletal system have been known for a long time, but in practice it is often overlooked even though in some cases there is a proven track of viscerosomatic equations and concrete reflection changes helping to set the right diagnosis and therapy. Also, it may be an internal problem that seems as a musculoskeletal issue, in that case a patient is sent for the rehabilitation that does not result the desired relief and pain remains. Therefore, it is needed to examine the internal organs and send the patient for further checks in order to find out the right diagnosis on time and overcome a significant damage to patient's health (for instance a late diagnosis of tumour disease). On the other hand, the patient may think their problem is internal, but after the thorough examination there is no evidence of such pathology. It results that the patient is perceived as a hypochondriac and/or their problems are psychosomatic. In that case based on the differential diagnosis, it is critical to consider the relations between the musculoskeletal and internal systems. If the root problem is caused in the musculoskeletal system, the right physiotherapy can result a desired relief of the patient and also help the internal problems. The thesis in a theoretical part elaborates on the definition of these relations and the referred pain. Furthermore, it aims to clarify the issue of visceral patterns and describe the most frequent diagnoses within viscerosomatic and somatovisceral relations and the possibilities of their treatment. Two case reports are presented in the practical part. The first case study elaborates on a patient with gastroesophageal reflux and the second case study is about a patient with dysmenorrhea.
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Viscerosomatic links
Ručková, Adéla ; Demeková, Júlia (advisor) ; Bitnar, Petr (referee)
Bibliographic record RUČKOVÁ, Adéla. Viscerosomatic links. Prague Charles University, 2nd faculty of medicine, Department of rehabilitation and excersise medicine, 2013. Supervisor: Mgr. Júlia Demeková. Abstract This thesis deals with viscerosomatic interactions from the perspective of a physiotherapist. It explains the terminology concepts occurring in viscerosomatic and somatovisceral issue. The aim of the thesis is to highlight the importance of the viscerosomatic issue and the knowledge of this issue for correct differential diagnosis. The thesis shows the differences between somatic pain and true visceral pain. Referred pain arises in visceral organs and it refers to the somatic tissues. The thesis contains a description of these viscerosomatic relationships, their neurophysiological basis and referral to the central nervous system. A large part is devoted to a review of knowledge about the visceral patterns. It should help to detect the presence of visceral problem of the patient. In the text there are references to the literature, which carefully describe various visceral patterns. The individual organs or systems are assigned with the other reflex changes that have occurred in experience with patients. This thesis presents 11 mostly foreign case reports and 2 research studies in plain terms with...
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Etiopathogenesis of the groin pain, diagnostics and therapy
Herlová, Simona ; Schreier, Bronislav (referee) ; Valouchová, Petra (advisor)
This theses sums up findings about etiopathogenesis of particular causes of groin pain, its diagnostics and its therapy. The work, for your easier orientation in it, is devided up into four groups described us: hip joint disorder, inguinal hernia, sportsman's injury and referred pain. The diagnostics part describes the examination for the motional stereotype of the hip joint and examination of the deep stabilizing muscles. Powered by TCPDF (www.tcpdf.org)
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