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Case Study of physioterapy treament of a patient after fracture of the proximal humerus treated by osteosynthesis
Sejkorová, Barbora ; Neuwirthová, Svatava (advisor) ; Mahr, Edwin (referee)
Title: Case study of physiotherapy treatment of a patient after fracture of the proximal humerus treated by osteosynthesis This thesis deals with the issues of physiotherapy treatment after fractures of the proximal humerus treated by osteosynthesis. On the basis of knowledge of functional anatomy, kinesiology, traumatology, orthopaedics and by Czech and foreign literature there is an effort to clarify the time and practice schedule of post-operative rehabilitation for the above diagnosis. The work is divided into a theoretical and a practical part. The theoretical part deals with the function of the shoulder girdle, its individual structures and the influence of segmental defects of the shoulder girdle on upper limb mobility. It also deals with proximal humerus fractures and their treatment. In conclusion, it discusses the issue of post-operative rehabilitation in terms of time and practice. The practical part describes the specific case study of a female patient after the osteosynthesis of the proximal humerus. It includes an initial kinesiological analysis on the basis of what a physiotherapy procedure had been applied to improve the overall mobility of the upper limb. After finishing treatment a final kinesiological analysis and evaluation of the effect of therapy have been performed, both...
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Case study of physiotherapy treatment of a patient after removal of osteosynthetic material for comminuted fracture of the proximal humerus
Rosenmüllerová, Lenka ; Kozáková, Alena (advisor) ; Křížková, Štěpánka (referee)
Title: Case study of physiotherapy treatment of a patient after removal of osteosynthetic material for comminuted fracture of the proximal humerus Objectives: The objective of this bachelor's work is to describe issues of comminuted fracture of the proximal humerus which is treated with osteosynthesis with subsequent removal due to failure. The main objective is to focus on efficiency of physiotherapy methods which are used. The part of work is also case study of a patient with referred diagnosis. Method: The first general part of work deals with referred issues. It describes anatomy, kinesiology and biomechanics of shoulder girdle then characterize diagnosis of a fracture of the proximal part of humerus, possible complications, methods of treatment and the most often used methods in rehabilitation care of a patient with this diagnosis. The second special part is processed as case study of a patient after removal of osteosynthetic material for comminuted fracture of the proximal humerus and it includes input physiotherapy examination, short-term and long-term physiotherapy plan, suggestion of therapy, description of all the physiotherapy units, output physiotherapy examination and conclusion which contains an evaluation of effect of chosen therapy. The special part is written on the basis of...
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The comparative kineziologic analysis of forward stroke on wheelchair and crawling
Vatěrová, Hana ; Kračmar, Bronislav (advisor) ; Suchanová, Klára (referee)
Title: The comparative kineziologic analysis of forward stroke on wheelchair and crawling. Objectives of the Thesis: The aim of the thesis is to compare muscle activity of selected muscles in shoulder girdle during forward stroke on wheelchair and crawling. Method: Surface electromyography combinated with kinematography analysis used synchronized video recording. Results and Conclusions: As the research shows, there is a difference in muscle activity (timing) between forward stroke on wheelchair and during crawling. It was proved that the activity of forward stroke on wheelchair does not have natural locomotive character. Keywords: Forward stroke on wheelchair, crawling, shoulder girdle, surface electromyography, kinematics analysis.
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The influence of sports load on the shoulder joint in discus and javeling throwers and shot-putters
Pavelková, Pavla ; Špaňhelová, Šárka (advisor) ; Teyssler, Petr (referee)
Shoulder joint pain is a common phenomenon faced by javelin throwers, shot putters and discus throwers. Basic anatomical findings related to the glenohumeral joint are summarized in this work, followed by a description of the kinesiology of movement in the glenohumeral joint. Performed movement analysis of each sport makes the imagination of movements carried out during the throw easy. The chapter on the differential diagnostics of shoulder joint pain summarizes both transferred, muscle and joint pain. The final chapter examines the effect of kinetic activities on an athlete's joint. Powered by TCPDF (www.tcpdf.org)
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Painfulness of shoulder girgle in female handball players
MLÁDKOVÁ, Nikola
This bachelor thesis is focused on the issues of shoulder girdle syndrome of female handball players. The thesis is divided into two main parts. The first part deals with the theoretical basis of the shoulder girdle, its movements, handball and different kinds of injuries which may be the consequences of playing it. Furthermore the methods used for such issues are introduced in this part. The second part of the thesis, the practical part, is based on eight weeks of monitoring and practising with three junior female handball players of DHC SVŠ Plzeň. For this the qualitative research method was used, the anamnestic data were gained during interviews, after that the kinesiological analysis and a short therapeutic plan were created. Further there is the description of the therapy progress. After eight weeks of exercise the outcome kinesiological analysis was created and the long-term therapeutic plan was proposed. The evaluation of the results of the therapy was carried out both subjectively and objectively with the help of special examination tests of the shoulder joint. The therapy of the players was held 2-3 times a week, from which once a week under my supervision. During the therapy were applied the soft-technologies, tractions, approximations, centration, post isometric relaxation. Training of the weakened muscles and easing the overstrained ones by using different tools were also included. As for the methods, the proprioceptive neuromuscular facilitation was used and also the chosen elements or positions from the dynamic neuromuscular stabilization. The aim of the thesis is to draw attention to the issues of the shoulder girdle as consequences of playing handball and to suggest physiotherapeutic opportunities. Considering the gained results, we can conclude, that the therapy had a positive effect on the condition of the shoulder girdle by all female handball players, however the intensity of the effect differs. All of the players experienced alleviation of the shoulder girdle pain, strengthening of the lower scapula fixators, easing of the m. trapezius, m. pectoralis maior and eventually also easing of the muscular disbalance. Therefore we can state, that the physiotherapy is convenient as both the treatment and the prevention for female handball players.
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Influence of stabilization of the contralateral shoulder girdle on the accuracy of a football kick
POMEJE, Marek
This bachelor thesis is analysing the effect of the stabilization of contralateral shoulder girdle on the accuracy of a footbal kick. For a good accuracy of the footbal kick there is a need of the right cooperation of muscles and the motion of a shoulder gridle. Shoulder is really important part of body for footbal players. It helps with stability of the whole body while training or match. Non-stable shoulder gridle can lower the accuracy of the kick. Another problem could be that if the shoulder gridle is overloaded too often it can couse an injury. I seperated this work in two sections- theory and practical uses. In theory i will describe the characteristics of football, anatomy, kineziology and at the end of the work I will summarize the options of klinical examination of the shoulder gridle. In practical part would be used an methodology that is based on qualitative research. Research was done by kinesiological view. I was studying three football players in age from 20 to 23. With each player I did an input and output kinesiological analysis and using a structred interview I made an anamnesis. For all subjects I made an examination by view, palpacion, antropometric and goniometric examination, examination of shortened muscles, motion stereotypes and special tests of shoulder gridle. The therapy was applied for two months, two times per week for 30 minutes. The main goal was to find out how big effect can have stabilizated shoulder gridle on the accuracy of football kick and to find options of physiotherapy in this case of issues. The accuracy was tested by four custom tests, which had to simulate the situation of football kick. For all subjects was muscle release succseful, improvment of function of upper extremity and improvment of stability of shoulder gridle, but only two respondents showed improvements in accuracy of the kick. The work could be useful for increasing the awereness of sports fans and athlets. To improve interest of football players even not profesional players to stabilize their shoulder gridle. This work could be also good like studying material for football coaches.
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Possible physiotherapeutic solutions to the overload of shoulder girdles in historical fencers
SCHOLZOVÁ, Nikola
This thesis focuses on chronic overload of the shoulder girdles of historical fencers. In general, a shoulder is one of the most important joints for historical fencers. Overloading of the shoulder poses significant limits to the fencers´ abilities as it influences vigour of their chops and shielding. This thesis is divided into a theoretical and a practical part. The theoretical part comprises of the key findings of anatomy, kinesiology and biomechanics concerning the shoulder girdle. Further, it provides information about possibilities of a clinical examination. A qualitative research method was used in the practical part. Namely, this part worked with the techniques of informal interviews with respondents, history-taking, observation (kinesiology analysis), therapy applications in practice and secondary analysis of data collected. Moreover, there are the charts illustrating a change in the ranges of motions shown by the respondents at the entry and exit examination. The results of all kinds of therapy are presented in a form of case studies. The research was conducted under the supervision of Mgr. Matěj Liška in Pilsen. The test set consists of two respondents with chronic overload of the shoulder girdles. A therapeutic plan was compiled for both fencers. The plan has been successfully implemented. Fencers were thoroughly acquainted with the course and the goal of therapy and both agreed in writing with participation in this research and subsequent processing of the acquired data for my bachelor thesis. Therapy helped both respondents to relax the muscles of the shoulder girdle. Moreover, the upper limb function was improved and the ranges of motions of shoulder girdles increased. This thesis could serve as a good example of how to adequately deal with this issue. Further, it explains some relaxation, stretching and strengthening exercises for the shoulder girdle leading to an increase in the range of motion in the shoulder joint and in muscle strength.
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Possibilities of physiotherapy at chronic overload of shoulder girdles on ice hockey players
DVOŘÁČKOVÁ, Veronika
This bachelor thesis addresses the issue of chronic overloading of ice hockey player's shoulder girdle muscles. A sufficient muscle activity and range of motion in the shoulder girdle is necessary for the shooting efficiency of a player. A high rate of personal duels and the decrease of stability of the shoulder joint can lead to its chronic overloading and to a higher chance of an accident occurring. I divided this thesis into two main parts theoretical and special. In the theoretical part, I described the characteristics of ice hockey and also the anatomy, kinesiology and the possible examinations of the shoulder girdle. Furthermore, I stated information about injuries of the shoulder girdle in the field of ice hockey. The end of the theoretical part discusses the specific techniques of physiotherapy, which I used in this work. In the practical part, I applied the theoretical knowledge in the physiotherapy of three ice hockey player's shoulder girdles. I used a qualitative research methodology and collected the data in the form of a case study. The subjects of the research were three ice hockey players, aged between 21 and 24 years. I carried out the pre-therapy and post-therapy kinesiologic examinations and acquired the anamnesis of all three players in the form of a structured interview. The examinations, which I used on all subjects, were visual, touch (palpation), dynamic, anthropometric and goniometric. Also, I examined shortened muscles, motion stereotypes and I performed special tests for the shoulder joint. The therapy lasted for 3 months, once per week for 45 minutes. The main objective of this thesis was to discuss the overloading of ice hockey player's shoulder girdles and also to determine the possible uses of specific kinesiotherapy and physiotherapy methods, which could be used for prevention of injuries and straining. The result of this work is an analysis of methods and their practical use for physiotherapy of ice hockey players with chronic strained shoulder girdles. The therapy has proven to be effective for two subjects. Thanks to the chosen methods, the subjects reported a total decrease of pain and demonstrated a better stabilization of the shoulder girdles. Their stereotypes improved as well. The third subject was not fully cooperating and because of that, his results aren't as conspicuous as the results of the other two subjects, yet still they show improvement. This bachelor thesis can be used by physiotherapists and students of physiotherapy for acquiring information about this issue, as well as by coaches and players, who do not cling only on game results, but also care about the health and the prevention of injuries.
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Development of muscular imbalance in the shoulder girdle in volleyball players
VRBOVÁ, Lucie
This bachelor?s thesis deals with the development of muscular imbalance in the shoulder girdle in volleyball players. The volleyball player?s shoulder is the most exposed and vulnerable joint. In addition, the way the sport has developed, the pressure on this joint has grown. Shoulder pain limits the player?s most important move: the strength and the power of the smash and the smash serve. This thesis consists of two parts: theoretical and a practical. The theoretical part deals with the anatomy and the biomechanics of the shoulder girdle, and with the injuries of the shoulder joint most often experienced by the volleyball players, such that can be detected by a clinical examination. In the practical part I used qualitative research, and the appropriate diagnostics and measures to asses the effectiveness of physiotherapy. The research was carried out in the Beskydy Children?s Sanatorium in Metylovice. The research sample consisted of three volleyball players from the Metylovice Volleyball Club (SK Metylovice). Examination of the participants showed the presence of muscular imbalance in all of them; secondary damage to the shoulder joint was also detected in all participants. Any top-level physical performance will stress the body, often unevenly, and it is crucial to compensate it. The combination of a targeted physiotherapy methods and compensation exercises, together with spontaneous regeneration, can repair any damage, or even prevent it, and thus lead to an optimal function of the joints and the adjoining soft tissue. Physiotherapy plan was prepared for each participant and was then successfully followed. The final/exit examination showed a reduction in both the muscular imbalance and the secondary damage previously seen in the shoulder joint. In Appendix 2 I describe compensation exercises that should be included in any volleyball training programme, to prevent the development of muscular imbalance. This work could be used as a guide to effective repair approach to this problem. The suggested exercises aim to relax, stretch and strengthen the entire shoulder girdle, and thus increase the range of movement and the muscle power within the joint.
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