|
|
Clinic and physiotherapy at overloaden nuchal muscles
KOLIBÍKOVÁ, Eliška
Abstract My thesis is focused on physiotherapy of overstrained neck musculature. This issue is familiar to me also due to the fact that it relates to me personally from the health point of view. I have selected three patients with whom I worked for this research. I have been monitoring the first patient for three months, and two other patients for six visits. The cervical spine is the most mobile and most strained spinal part. The problem of overstrained neck musculature is often highly underestimated; there are rare prevention programs focused on cervical musculature available, and it is not known how to prevent it. The goal of my thesis is to approach and describe the issue of overstrained neck musculature, as well as to use these findings in real life. To discover some causes of these problems. The last goal is to measure, based on the examinations and follow-up therapy in randomly selected patients, the effect of overstrained neck musculature therapy, through the patient{\crq}s individual feedback and the objective evaluation of the physiotherapist{\crq}s examination. To achieve my goals, I have used a qualitative research approach. Patient cooperation played an important role in therapies {--} two of the patients have cooperated very well, our targets have been achieved together, but the third patient did not cooperate with home exercising, she made just therapeutic visits where only partial success has been achieved in treatment. She left the study in a stabilized condition, but it is disputable, how long she will stay pain-free. I used kinesiological analysis in examinations {--} at first the patient{\crq}s history was collected, and then the patient was visually examined {--} from the front, back and side; through palpitation {--} examination of active movements of the cervical spine in the sitting position and thereafter during passive movements. Examination of cervicothoracic transition and thoracic spine. The following techniques have been used: soft techniques, rib mobilisation by Mojžíšová, Čápová's exercises, post isometric relaxation of muscles and its modifications {--} anti-gravitation relaxation, facilitation {--} ball massages, manipulation + physical therapy. I have prepared both short- and long-term rehabilitation plans for all patients. Besides that, I mentioned examples of methods primarily focused on movement education and correct body posture. Results of my thesis can be used by both the unprofessional (as an information source) and professional public.
|
guest ::
