|
|
Frozen shoulder sy - effective physiotherapeutic approaches: systematic review
Drhlík, Michal ; Pavlů, Dagmar (advisor) ; Žáková, Lenka (referee)
Title: Frozen shoulder syndrome - effective physiotherapeutic approaches: systematic review Objectives: The aim of this work was to determine from studies concerning the treatment of the primary form of frozen shoulder syndrome using physiotherapeutic methods and published in the last 10 years, which brings the best results in reducing pain, increasing range of motion and improving affected shoulder function. Methods: Randomized controlled studies (double and single-blind) dealing with the physiotherapeutic intervention of frozen shoulder treatment with a data range of publications from September 1, 2011 to August 31, 2021 were searched. 3 databases were selected for this purpose: Cochrane Library, PubMed and Web of Science. Articles could be written in English, Czech, German, Slovak or Spanish. Different names of the studied disease were chosen as key words: adhesive capsulitis, contracted shoulder, frozen shoulder and periarthritis. Only articles with most probands between the ages of 30 and 70 were included. Persons with associated shoulder joint diseases such as rheumatoid arthritis (excluding diabetes mellitus) were excluded. The analysis of selected articles was performed from clearly compiled tables for individual studies and from 3 summary tables of associated individual physiotherapeutic...
|
|
|
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...
|
|
|
The use of a shock wave in the physiotherapy
NOVÁK, Jan
Except a few scientific studies there is not yet enough available literature, written in Czech language, which would summarize theoretical information on the effects of shock wave therapy. In my thesis I tried to clarify physical conditions associated with emergence and specific spread of shock waves in various media and other physical principles which explain behavior and effects of shock waves passing through different types of tissues. From the results of expert studies and articles I made a survey of the most common possibilities of use of shock waves in medicine - especially in physiotherapy. In the practical part I evaluate the effects and course of shockwave therapy in three randomly selected patients diagnosed with epicondylitis radialis humeri (tennis elbow). Patients were treated by a series of applications of radial shock waves, when one session amounted to 1500 - 2000 shocks of varying frequency of 4-21 Hz and the pneumatic pressure of 2 - 3.2 bar. The results show that the patient may respond differently to shockwave therapy. Due to the fact that in a relatively small research sample quite disparate results have been recorded - the first patient significantly improved, the second improved slightly and the third got worse on the contrary - we can better understand the diversity of opinions of the professional public on the meaningfulness of the shock waves use in orthopedic diagnoses. For the practical part the method of qualitative research was chosen. Interview techniques, observations, case reports, data analysis and research were used. The research was conducted in the rehabilitation centre OLMA R + in České Budějovice and Rehabilitation Department of Polyclinic South MEDIPONT Ltd. in the time period from January to April 2012.
|
guest ::
