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Analysis of diaphragm movement during its postural function using m-mode ultrasonography in conjunction with spirometry
Šembera, Martin ; Kolář, Pavel (advisor) ; Tuka, Vladimír (referee) ; Šťastný, Petr (referee)
Analysis of diaphragm movement during its postural function using m-mode ultrasonography in conjunction with spirometry Abstract The diaphragm is a principal inspiratory muscle that, together with the abdominal wall muscles, regulates intra-abdominal pressure, important for the postural stiffening of the spine. This dissertation aimed to analyse the movement of the diaphragm during breathing and postural loading, in relation to changes in respiratory volumes and abdominal wall tension. The theoretical part summarizes the current knowledge about the respiratory and postural functions of the trunk muscles, especially the importance of the diaphragm in maintaining spinal stability and preventing low back pain. The experimental part deals with the evaluation of postural- respiratory movement of the diaphragm using M-mode ultrasonography in conjunction with spirometry and a device called DNS Brace. The assessment was performed during several scenarios that included breath-holding, tidal breathing and loaded breathing while lifting a weight with spontaneous or voluntary contraction of the abdominal muscles. This research suggests that when the postural demands increase, the diaphragm is displaced in a more caudal position not only during inspiration but also during breath-holding. The voluntary contraction of the...
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Objectification of the effect of physiotherapy on the activation of the abdominal wall in patients with chronic low back pain
Hoffmannová, Barbora ; Kobesová, Alena (advisor) ; Zahradník, Petr (referee)
This bachelor thesis in the form of research deals with the issue of vertebrogenic lumbar spine syndrome, its formation, examination and therapy and possibilities of objectification of therapy. The theoretical resumes the present knowledge of motor control, postural functions, spinal stabilization system and vertebrogenic lumbar spine syndrome. It also provides possibilities for therapeutic influence and objectifying physiotherapy. The thesis also presents two case studies of vertebrogenic lumbar spine syndrome, which were examined with a new Ohm belt device that measures the strength of postural stabilization and abdominal wall activity. The parameters of spinal stabilization and the amount of activation of the abdominal wall were measured before and after treatment, and the results were compared. The subjective effect of therapy was evaluated by a standardized Oswestry questionnaire assessing pain and disability. Measurement results in both patients in increased activation of the abdominal wall after therapeutic intervention. The result correlates with the subjective perception of therapy of reducing pain and alleviating disability in both patients. Keywords vertebrogenic lumbar spine syndrome, spinal stabilization, objectification of therapy, Ohm belt, Oswestry questionnaire
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Objectification of the effect of physiotherapy on the activation of the abdominal wall in patients with chronic low back pain
Hoffmannová, Barbora ; Kobesová, Alena (advisor) ; Zahradník, Petr (referee)
This bachelor thesis in the form of research deals with the issue of vertebrogenic lumbar spine syndrome, its formation, examination and therapy and possibilities of objectification of therapy. The theoretical resumes the present knowledge of motor control, postural functions, spinal stabilization system and vertebrogenic lumbar spine syndrome. It also provides possibilities for therapeutic influence and objectifying physiotherapy. The thesis also presents two case studies of vertebrogenic lumbar spine syndrome, which were examined with a new Ohm belt device that measures the strength of postural stabilization and abdominal wall activity. The parameters of spinal stabilization and the amount of activation of the abdominal wall were measured before and after treatment, and the results were compared. The subjective effect of therapy was evaluated by a standardized Oswestry questionnaire assessing pain and disability. Measurement results in both patients in increased activation of the abdominal wall after therapeutic intervention. The result correlates with the subjective perception of therapy of reducing pain and alleviating disability in both patients. Keywords vertebrogenic lumbar spine syndrome, spinal stabilization, objectification of therapy, Ohm belt, Oswestry questionnaire
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