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Aspects of the tretment of idiopathic scoliosis
Mundilová, Věra ; Černý, Pavel (advisor) ; Půlpán, Rudolf (referee)
Title: Aspects of the tretment of idiopathic scoliosis. Objectives: The aim of this bachelor thesis is complete the form to submit basic information about the ways and possibilities of treatment of idiopathic scoliosis with a focus on conservative treatment with orthoses fuselage. To capture the issue of disease, not only in terms of diagnosis, but also bring aspects of adoption and then handicap orthotic aids patient. Methods: For creation of thesis was used qualitative research method of data collection and analysis of secondary data from scientific articles, magazines and publications. This information was subsequently reviewed and consulted with an expert in the field of orthotics. Results: Indications night hypercorection orthoses for patients in many ways more acceptable and complies with the prescribed mode applications than the 23-hours braces. Keywords: scoliosis, idiopathic, orthotics, body brace, corset, conservative therapy, surgery, spine, vertebrae
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The Process Of Ct Image Classifier Optimization For Pedatric Spine Segmentation
Kohúteková, Táňa
Computed tomography (CT) is a method commonly used when generating images ofa spine diagnosed with scoliosis. The main reason for this common employment is found in itspracticality: the spine in the image is clearly visible. However, while portraying, a child is exposedto a dose of radiation. To eliminate a risk of children being negatively affected, this article is tryingto find the best technique of segmentation, that could be applied also while using magneticresonance imaging (MRI). It implements a 3D Slicer equipped with Support Vector Machines(SVM) Classifier plug-in to search for the best feature combination. Afterwards, segmentationresults are compared to ground truth image, where the area of hard tissue is determined. The aim isto get Dice coefficients as close as possible to 1.
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Possibilities of physiotherapy idiopathic scoliosis in adults
LONGINOVÁ, Michaela
The bachelor thesis focuses on the idiopathic scoliosis of adults. The idiopathic scoliosis is a three-dimensional spinal deformity, which is characterized by a change of position of the vertebra. The etiology of this change is unknown. The condition often arises in childhood and remains in existence till adulthood. The idiopathic scoliosis is not getting worse in adults. However, it causes divergent complications and limitations in daily life. The adult patients often have backache so it is important to not forget about the physiotherapy that can positively influence the progression of the spine. The thesis consists of a theoretical and a practical part. Firstly, I describe some anatomical terms, after about like the scoliosis and its division. Then I characterize the term idiopathic scoliosis, its diagnostics, examinations and the therapy, which includes special concepts dealing with this diagnosis. After that, I define the characteristics of the idiopathic scoliosis in adults. In the practical part, there is a research that describes a case history of three patients suffering with the idiopathic scoliosis. Each case history contains information about the anamnesis, a kinesiological examination and characterization of therapies, which were applying for 2 months. The goal of the thesis is to represent ways of physiotherapy applied on adults suffering with the idiopathic scoliosis and to highlight the limitations in their everyday life. I also suggest an exercise focusing on the consequences of adults affected by the disease. The physiotherapists can use this thesis in practice, and it gives information for patients about the condition and its treatment.
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Conservative treatment of spinal deformities in childhood
Sedláček, Radek ; Černý, Pavel (advisor) ; Šolc, Zdeněk (referee)
Title: Conservative treatment of spinal deformities in childhood Objectives: The main aim of this work is to point out the possibility of conservative treatment of spine deformity in a comprehensive view and logical sequence. At the beginning of the theoretical parts, the anatomy and the biomechanics of the joints are adduced and briefly explained, which are necessary for understanding. Below are examples of deformity sleep and the possibility of their correction. Also, the constructional differences of the torso orthoses used for correction and stabilization of the spine, as well as their functional properties, will be mentioned. In the end, in the special parts of this work, the technological and manufacturing process for the production of fuselage orthosis will be written. Methods: To solve this problem will be drawn from specialized literature, magazines and publications, concerning in particular matters of spinal deformity and its proper position. In the chapter on the manufacturing procedure of fuselage bones, my experience will be used in practice. Results: In the conservative treatment of spinal deformities, the interdependence of the components leading to the maximization of success in the treatment of spinal deformity is very important. This is mainly the cooperation between the doctor...
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Postural therapy of scoliosis using dynamic neuromuscular stabilization in school-age children
HAVLÍKOVÁ, Klára
This bachelor thesis deals with postural therapy in scoliosis with the use of dynamic neuromuscular stabilization applied on school age children who were diagnosed with scoliosis during school years. Scoliosis is a common disease especially in girls' adolescent age when there are hormonal changes in the body. If scoliosis develops at later age, the prognosis for the curve compensation is better. Scoliosis is defined as the three-dimensional spine deformity in the anterior, sagittal and transverse plane. The thesis consists of theoretical and practical part. The theoretical part deals with scoliosis in general, its classifications and concepts that are used to treat scoliosis - from conservative to operative. The last chapter also mentions the school age. The practical part includes the case studies of three girls. Each of the case studies includes an entrance and final examination focused on Kolar's tests. The tests are focused on examining the deep stabilization system, its activation or insufficiency in the given patients. Further, the case studies elaborate the course of therapy. The aim of this work is to describe a list of methods used in the treatment of scoliosis. Another goal is to describe postural changes in specific patients. During the therapy it appears that the DNS method can be used for different age groups due to its variety of exercises. The results show that the DNS method has affected postural changes in patients.
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Hippotherapy as an effective healing method for scoliosis
LIŠKOVÁ, Andrea
The bachelor thesis deals with hippotherapy as supportive therapy for patients with scoliosis. The thesis is divided into a theoretical and a practical part. The theoretical part is divided into two chapters, first addresses hippotherapy and the second scoliosis. The chapters explain the basic concepts necessary to get familiar with the given issue. In the subchapters of the first chapter I deal with the composition of the hippotherapeutic team, course of hippotherapy in general, positioning, indications, contraindications and with the treatment principle. In the chapter scoliosis I describe the basic terminology and the classification of scoliosis, the risk factors, therapy and therapeutical approaches. In the practical part, I introduce the aims of the work and the research itself. This part is elaborated through a qualitative survey - case study, mixed research. The research is carried out in the form of case studies of three probands with diagnosed scoliosis. Probands visited once a week the farm called "U Lištičky" in Úlehle, where they practiced hippotherapy. Each proband passed 12 hippotherapeutic units. The method of data acquisition was kinesiological analysis (on entry and exit), systematic observation and an interview. The work includes initial examination, evaluation of the initial examination, individual therapy, concluding examination, evaluation of the concluding examination and of the therapy. The individual case reports are supplemented with photo-documentation from the entrance and concluding examinations, from the course of the hippotherapeutic units and the results tables. Methods used for data collection were the following: anamnesis, aspects, pelvic examination, Adams test, plummetal examination, spinal function tests, hypermobility examination, muscle examination, two-scale stand test, Véle test, trigonometric examination, anthropometric examination, movement stereotypes and neurological examination. The aim of the work was to map out the effects of hippotherapy as a supportive treatment for scoliosis and to evaluate the results before and after the influence of hippotherapy on probands with scoliosis. The results of all three probands confirmed, that due to hippotherapy, there was a reduction in asymmetry, improvement in posture, pelvic anteversion, increased muscle strength, improvement of movement stereotypes, influencing breathing functions and stability of sitting on the horse's back. The influence of hippotherapy was demonstrated also in some functional tests and in the plumbing examination. At the same time, despite their initial concerns, the psyche of all probands was positively influenced and their relationship to the animals was deepen. Based on the evaluation of the results that were recorded, I would like to state, that hippotherapy as a supportive treatment of people with scoliosis is beneficial. The outcomes of this bachelor thesis could be used in practice as well as educational material for students of physiotherapy, therapists themselves, or as a basis for further research in this field. This work is the result of an effort to deepen the awareness of Hippotherapy as a supportive method for the treatment of scoliosis, both in professional and amateur audiences, and to point out the positive effects of hippotherapy on humans.
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Comparison of the size of scoliosis curve in patients with idiopathic scoliosis from x-ray picture and rasterstereography record
Bilinkiewiczová, Eva ; Lepšíková, Magdaléna (advisor) ; Doubková, Lucie (referee)
Scoliosis is defined as a patological curvature of spinal cord of more than 10ř in frontal plane which is combined with rotation of vertebral bodies and also with disruption of fyziological curvatures in sagittal plane. Idiopathic scoliosis is the most frequent type of this diagnosis. The thesis deals with overal issue of this disease, theories of etiology, incidence, classification, types of examination, possibilities of new testing and therapy. The practical part describes rasterstereographic DIERS Formetric III 4D testing and coparison with RTG examination. The study was carried out with 17 girls and 1 boy with idiopathic scoliosis 11 - 46ř at the age of 11 - 17 years. Results of this testing were statistically analysed. Best results were found out in measurements by automatically set range for a group of patients with Cobb angle ≤ 25ř - for 95% differences the limits of correspondance were ± 4ř, the average error was 0,3ř. For group of all patients the limits of correspondance were ± 14ř, the average error was 1,5ř. The results confirmed, that with an increase of Cobb ange a bigger error and systematic error appears.
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