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The effect of the cencept of DNS in patients with chronic vertebrogenic syndrome of lumbar spire
Šulová, Eva ; Kobesová, Alena (advisor) ; Valouchová, Petra (referee)
The main aim of the presented diploma thesis was to record objective and subjective changes after therapy with DNS concept in a group of 13 people with LBP. Moiré projection topography was used to record postural changes after 5.5 week therapeutic intervention. It was not clear, whether DNS exercise would help them to achieve visible postural changes and whether this technique is able to record these changes, which would mean that it is a suitable option for objectivisation of therapies focusing on correction of stabilisation and postural functions. Pedoscan was used for further objectivisation of the effect of DNS concept. The chosen correlate of the mentioned objective evaluation was Oswestry disability index, evaluating limitations of common everyday activities resulting from pain in the lower back, and the Numeric pain scale. Patients underwent 5 hour-long physiotherapeutic lessons, the recommended frequency of exercises in the household environment was 3-4 times per day. The probands exercised with the use of DNS concept according to the individual examination findings, especially in the area of the integrated spine stabilisation system. The data were statistically elaborated by Wilcoxon Signed-Rand test, which a non-parametric variant of the pair T-test. It is obvious from the results that...
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The effect of the cencept of DNS in patients with chronic vertebrogenic syndrome of lumbar spire
Šulová, Eva ; Kobesová, Alena (advisor) ; Valouchová, Petra (referee)
The main aim of the presented diploma thesis was to record objective and subjective changes after therapy with DNS concept in a group of 13 people with LBP. Moiré projection topography was used to record postural changes after 5.5 week therapeutic intervention. It was not clear, whether DNS exercise would help them to achieve visible postural changes and whether this technique is able to record these changes, which would mean that it is a suitable option for objectivisation of therapies focusing on correction of stabilisation and postural functions. Pedoscan was used for further objectivisation of the effect of DNS concept. The chosen correlate of the mentioned objective evaluation was Oswestry disability index, evaluating limitations of common everyday activities resulting from pain in the lower back, and the Numeric pain scale. Patients underwent 5 hour-long physiotherapeutic lessons, the recommended frequency of exercises in the household environment was 3-4 times per day. The probands exercised with the use of DNS concept according to the individual examination findings, especially in the area of the integrated spine stabilisation system. The data were statistically elaborated by Wilcoxon Signed-Rand test, which a non-parametric variant of the pair T-test. It is obvious from the results that...
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Physical therapy facilities in Down syndrome
ŠULOVÁ, Eva
This bachelor thesis deals with the possibilities of influencing locomotor skills of children with Down syndrome by physiotherapy. In the theoretical part two key phenomena involved in the postural behavior of these persons are mentioned, which are low muscle tone (hypotonia) and laxicita ligament, caused by the presence of abnormal collagen type VI. These two genetically conditioned phenomena, according to the cited literature, are associated with impaired muscle cocontraction, with inadequate equilibrium reactions and faulty proprioceptive feedback for posture and locomotion. The research group consisted of three children of preschool and younger school age diagnosed with Down syndrome. Using the qualitative research method, information obtained from medical history and kinesiologic examination were recorded. In all 3 patients, poor posture was described, deficit of postural stability in upright standing, dynamic balance and deep and superficial sensation deficits were found. Therefore the therapy included elements of exercise in developmental series, sensomotoric exercises and equilibrium reactions training, exercises on a ball, working with physical schema, proprioceptive and exteroceptive stimulations, exercises to promote psychomotor development (exercise to music, according to pictures of animals), functional taping and breathing exercises. After completion of three-month individual therapy, postural stability in upright posture (in 1 patient), dynamic balance (in 3 patients), the quality of step cycle (in 2 patients) and the quality of posture (in 3 patients) were affected. In all the children the postural finding was affected by the change of the function of lower blade fixators. The therapy was limited by a lower level of cooperation caused by the mental handicap of children with DS. In this study, the positive effect of physiotherapy in the mentioned qualities on postural and locomotion skills in children with Down syndrome has been proved.
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