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The pain of Achilles tendon in endurance runners aged 15 to 30 years
MAŠKOVÁ, Markéta
This bachelor thesis focuses on long-distance runners suffering from pain of Achilles tendon. It presents basic findings about reasons of the inconvenience, prevention and treatment. The first objective of the thesis was to describe potential causes of pain of Achilles tendon suffered by long-distance runners; the second objective was to propose prevention measures and the third objective was oriented at compilation of a suitable therapeutic procedure. The research questions asked whether the proposed therapeutic plan would be effective and whether it will operate also as a prevention of an injury. The theoretical part contains basic information about the leg anatomy, brief description of long-distance running and its techniques and an overview of potential causes of injury or pain of Achilles tendon. It also contains a lists of methods that prevent the injury and examination methods, including instructions about pathology identification, and it is concluded with a list of treatment methods. The practical part used a method of qualitative research, including interview and observation (input and output kinesiological analyses), special examination methods, processing of case reports and data analysis. The research group consisted of 2 male and one female track and field athletes specializing in long-distance running from the Sokol Opava sports club. Each of them underwent a therapy that lasted approximately two months and the results have been provided in case reports. Each case report includes the case history, initial kinesiological analysis, short-term and long-term rehabilitation plan and the course of the therapy. Each case report is concluded with a kinesiological analysis and evaluation of treatment effects. Results of the research have been affected by the approach of the individuals and severity of their problems. The pain has completely disappeared in one person and it has persisted in the other two. The two latter cases were affected by the following factors: in the first case the quiet mode was not complied with and the rehabilitation was conducted at full load; in the second case the significant factor was the severity of the problem as the person had suffered Achilles tendon rupture in the past. The bachelor thesis has been written to present the acquired information and experience in order to inform the general public interested in this issue and, particularly, coaches, runners and physiotherapists.
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Hand Injuries and Rehabilitation in Rock Climbing
Hebelková Činčerová, Milada ; Dylevský, Ivan (advisor) ; Kvítek, Václav (referee)
lnjuries of upper extremity, which are caused by climbing aktivities on the indoor climbing walls or outside on the rocks, are mostly injuries of tendons of the hand, mainly the fingers, due to overload of the hand and the use of different grips. The overuse injuries with resulting inflammation are the most frequent, followed by partial and total ruptures of flexor tendons pulleys. Next there can originate some injuries caused by overload or increased farce as dislocations with articular capsule injuries. The fractures are caused by great forces and they are less frequent compared to tendon and capsular injuries. One of the most common injuries on climber's hand are closed ruptures of finger pulleys. I tried to reach up and map the situation of injuries of climber's hand during rock climbing and create some statistic of these injuries to find out the solution for the shortest recovery, and list out the therapy procedures. Our primary study included ten climbers with the pulley injury. Using the ultrasonography and magnetic resonance we have diagnosed the value of injury and proposed an individua! treatment, conservative or surgical repare of pulley and then with the use of questionnaire analysed the results and the time needed for recovery and the length of break in climbing activities. Key words:...
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Physiotherapy after Achilles tendo injuries
HERCOGOVÁ, Eva
At the present time there are more and more injuries of the Achilles tendon. We meet with varied opinions of the therapy which has connections with the injury status of the Achilles tendon. The task of this work is to find out the effect of two different physical therapy plans on the physical condition of patients. It follows the existence of differences in the total therapeutic length. It deals with the question of the application of the unit therapeutic plan for all the patients with the Achilles tendon injury. The synthesis of observations of Achilles tendon problems is the first aim of this work. The theoretical part of this work focuses on the synthesis of observations of Achilles tendon problems as well. The work defines different Achilles tendon injuries. The Achilles tendon rupture is described in detail. The pieces of knowledge about anatomy, investigation, diagnostic processes and possibilities of treatment which are mainly from physical therapy point of view are summarized. Complications, prognosis and prevention are mentioned in this work. The other aim of this work is to draw two different therapeutic plans of the homogeneous complex of two probands. The practical part of the work focuses on making varied therapeutic plans of the homogeneous complex of two probands since the time of removing the plaster bandage. The methodology of the qualitative research with techniques of the anamnestic conversation, observation and application of therapeutic plans withing the frame of two cases history one of which is total with the submission of physical therapy methods, concepts and physiatrics is mentioned and used. The other therapeutic plan misses physiatrics because not every rehabilitative places of work have the possibility to use the combined therapy. The results were evaluated by comparing of two output kinesiology analyses of the homogeneous complex of two probands. Both used therapeutic plans have positive effect in reference to motivation to a patient to another therapy, improving quantity of motion of ankle joint and increasing of muscular force. It is not possible to make the unified therapeutic plan for every patients with the Achilles tendon injury. It is necessary to follow the individualization which continues the detailed input checkup. It is also more profitable to include the complex physical therapy plan to the rehabilitaion.
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Acute Injury of Flexor Appliance From Second to Fifth Fingers of Hand
Znášiková, Pavla ; Dylevský, Ivan (advisor) ; Pavlů, Dagmar (referee)
Thesis title: Acute injury offlexor appliance from second to fifth fingers ofband Diagnosing the problem: Hand injuries represent 1/3 and 112 ofall work injuries. Most ofthe injuries are to the tendon in the palms and from the muscles flexor digitorum profundus and flexor digitorum superficialis. Anatomically the hand is quite complicated. In this small area there are many structures such as bones, tendons, muscles, veins and nerves. Their compatibility makes the band function. Bach trauma can have a very serious effect. Aims/Goals: The human band is one ofthe most complicated parts ofthe body and is also one ofthe most important. Quality oflife is seriously affected by its malfunction. After a tendon injury, surgery and good aftercare are necessary for the hand to function correctly. The aim ofthis thesis is to present a comprehensive view ofhand injuries and the different opportunities ofaftercare rehabilitation in the zones 1 and 2. Also to evaluate the effectiveness ofthe rehabilitation protocols on patients 1, 2 and 3. Analysis/solutions: My conclusions were drawn from a step by step critical analysis of the treatment schedules from injury through to rehabilitation ofpatients 1, 2 and 3, as well as a modified version ofTAM (total active motion). Some ofthe information within this thesis was...
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Physio-therapeutical methods after injuries of the flexor and extensor tendons of a hand
BENDOVÁ, Markéta
This diploma thesis entitled ``Physio-therapeutical methods after injuries of the flexor and extensor tendons of a hand{\crqq} describes the anatomy of forearm and hand muscles, as well as fascia and tendon loops. The main objective is to summarize a basic knowledge on injuries of the hand{\crq}s flexor and extensor tendons and physiotherapy of this problem. The work also includes the application of this knowledge into practice by elaboration of case reports of patients with injuries of the hand{\crq}s flexor and extensor tendons, which, among others, reveal a necessity of individual approach of the therapist and patient{\crq}s cooperation. The other objective of this study is to compare the theoretical approach to the injuries of the hand{\crq}s flexor and extensor tendons from the viewpoint of the physiotherapist in the Czech Republic and in Finland. To achieve this aim, I used the method of qualitative research; the data were collected in interviews with selected physiotherapists in the Czech Republic and in Finland. The comparison showed that the methodology used in Finland is rather similar to that used in the Czech Republic. In both countries, the process of therapy is tailored to patients individually and it respects the physician's recommendation.
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Physiotherapy Achilles tendo rupture incurred during sport
BERNÁ, Kateřina
The Bachelor thesis deals with the theme of "Physiotherapy of rupture of the Achilles tendon due to sport". The rupture of the Achilles tendon is most common by young men who are dedicated to professional or solely amateur sporting activity. Pathologies of the Achilles tendon are becoming more common due to an increase in sports facilities and better access to leisure sports. In the case of a tendon injury, the patient is forced to undergo treatment. Currently there are three ways of treatment: conservative, optative, and miniinvasive treatments by percutaneous technique. The latter two techniques are a popular choice among active people and athletes. The theoretical part summarizes the knowledge of the Achilles tendon, the anatomy, physiology and biomechanics. This part also deals with the emergence of rupture (its causes), clinical contexts and tests. Finally, there is a description of the various types of therapy of rupture, physiotherapy and possible contraindications during treatment. In the theoretical part, I also included a set of preventive measures which make it possible to prevent injuries. The importance of these principles is in the fact that their compliance is disappearing in the field of professional sports. The practical part was processed by qualitative research and includes targets and research questions, methods of work, the course of therapy and a description of the processed results in the form of case reports of patients. The task of set target is suggestion and realization of individual physiotherapy in patients with rupture of Achilles tendon. The research question focuses on monitoring changes in the investigated parameters after physiotherapy. The methodology section includes a characteristic of the study sample which consists of two patients diagnosed with total rupture of the Achilles tendon, both were treated at the Department of Rehabilitation of the Hospital in České Budějovice, JSC. Patients suffered an injury during sport activities (basketball, football) and subsequently they underwent operations in the form of an open operation. In this part of thesis a description of the input and output tests will be found. First, data was collected from anamnestic of patiens. Each examination of kinesiology analysis were then evaluated. The techniques of data collection were interviews and observations. The process of physiotherapy treatments recorded several local problems, which were necessary to focus while therapy was in occuring: swelling of the surrounding tissues, limitation of movement, change of soft tissue in the ankle and instep, weakened musculature leg and thigh, and rigidity of Achilles tendon. It was also necessary to conduct reeducation of walk and proprioception training with patients. After application provided physiotherapy treatment was observed in two patients improvement of values of somatometric measurements (circumference thigh, calf muscle, ankle, head of metatarsals), momentum in the ankle joint in dorsiflexion and plantarflexion and improve of muscle strength especially in the m. quadriceps femoris and m. triceps surae. Tasks of the thesis were fulfilles and the research question is answered. Results will be made public for professional physiotherapy public and the results should be useful for clinical practice of physiotherapists and for students in modern physiotherapy techniques in the diagnosis.
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Review of patients with musculosceletal injury treated during winter months in a highland hospital
Rousek, Miloslav ; Džupa, Valér (advisor)
Backround. The authors examined the incidence of musculoskeletal injuries according to their type and location in the period of winter at a highland hospital, which also functions as a regional hospital for a few winter sport resorts. Methods and results. In the sample there were 1644 patients (696 women, 948 men) treated for primary musculoskeletal injuries from 1.1. to 31.3. 2008. This was a retrospective study, the data was collected from medical reports. It included: age, sex, mechanism of injury, diagnosis and whether the patient had to be hospitalised or not. Age of the patients ranged from 1 to 95 years with an average of 29 years (31 for women and 28 for men). Younger age groups dominated among men. After 70 years of age there was a prevalence of women. Fractures were the most common cause of injury (653, 39.7%), followed by injuries to the joints' ligamentary apparatus by mechanism of distortion (379, 23.1%). Next in incidince were soft tissue injuries caused by contusion (325, 19.7%) and open wounds (241, 14.7%). The least common were luxated joints (43, 2.6%) and closed injury to muscles and tendons (3, 0.1%). The most frequent site of injury was the hand (404, 24.6%), while the least frequent sire was the thigh (17, 1.0%). Conclusions. In conclusion the study confirmed that other than the age,...
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The use of stretching in training process of athletes
Ďurica, Pavel ; Kaplan, Aleš (advisor) ; Hojka, Vladimír (referee)
Tittle (Thema works): The use ofstretching in the training proces ofathletes Student: Pavel Ďurica Supervisor: PhDr. Aleš Kaplan, Ph.D. The aims ofthesis: The aim of our thesis was to find out the use of stretching exercises in athletic training in case of regularly training individuals of different age categories and different athletic specializations. Methods: We used questionanare metod in our thesis. The substance ofthe questionnare was find out data and information about respondents and theirs opinion and attitude to stretching exercises and thein use in training process. Results: Sprinters start their athletic career as youngest. Our survey also established that sprinters and hudlers are training most frequently. Enquired athletes mostly sustain injuries of gastrocnemius muscle (19%) and biceps femoris muscle (14%) further ofankle (17%) and Achilles tendon (18%). Stretching is used most often in the beginning of a training unit (100%) and in iťs end (73%). Stretching is used minimally during the training unit as well in the case ofthe separate training unit. During the annual cycle stretching is used more in the preparatory and racing period less in the transitional period. Conduce is used by stretching minimally. Only every fourth athlete use for conduce training aids (28%) or a partner...
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