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Monitoring of postural stability of crural diaphragm in patients suffering from functional disorders of upper digestive system with the help of manometry
Sedláčková, Iveta ; Bitnar, Petr (advisor) ; Kodríková, Kateřina (referee)
The diploma thesis aims to describe the functional disorders of the upper gastrointestinal tract with an emphasis on gastroesophageal reflux disease. The theoretical part describes the anatomy, pathophysiology, etiology of GERD and treatment options. In the practical part is measured postural reactivity of the diaphragm in the selected 15 probands with GERD. We measured the postural reactivity of the diaphragm using high resolution manometry in various postural situations: lying on the back with flexion of lower limbs above the surface, standing and standing on the AIREX mat, for standing patients, we used weights of 3,6 and 9 kilos inside and outside the center of gravity. Patients also completed the GERD Health-Related Quality of Life questionnaire. The measurements confirmed an increase in resting pressure in all positions except standing, which correlated with the highest occurrence of reflux episodes in standing. The results were compared with a healthy control group. The activation of the crural part of the diaphragm was the same in both groups. We found in patients with GERD decreased coordination, delayed and influent activation of the crural diaphragm. The most significant increase in pressure in GERD patients occurred in the postural position of the flexed lower limbs and in standing...
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The possibilities of physical therapy in patients with gastroesophageal reflux disease
Zeiselová, Jitka ; Kodríková, Kateřina (advisor) ; Pešková, Lucie (referee)
This bachelor thesis is focused on the problematics of the Gastroesophageal Reflux Disease and on the possibilities of its treatment by physical therapy. According to The Montreal Consensus the gastroesophageal reflux disease is defined as a condition which develops when the reflux of stomach contents causes troublesome symptoms and/or complications. It ranks among the most common gastrointestinal diseases, its prevalence in Europe moves between 8,8 - 25,9 %. As the gastroesophageal reflux disease can be influenced by the patient's lifestyle we can classify it as a lifestyle disease. Theoretical part of the thesis introduces the disease, its etiopathogenesis, symptomatology, diagnostic and therapeutic possibilities. The main aim of the theoretical part is to state an overview of possible physical therapy in patients with this disease. The practical section of the thesis consists of two case reports which include examination in the beginning and at the end of the therapy and the description of the therapy itself.
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The influence of rehabilitation by electrotactile stimulation through the tongue on stability of stance and gait in patients with degenerative cerebellar ataxia
Kodríková, Kateřina ; Čakrt, Ondřej (advisor) ; Vyhnálek, Martin (referee)
INTRODUCTION This graduation theses considers with the influence of rehabilitation by electrotactile stimulation of the tongue on stability of stance and gait in patients with degenerative cerebellar ataxia. Electrotactile stimulation of the tongue is an innovative method based on biofeedback principle, which uses additive sensory information about the position of the head to train the postural stability METHOD We used this method in six patients (four men and two women) with this disease. Patients went through intensive twelve-day therapy. The duration of the lessons was 30 minutes twice a day. We examined postural stability of the patients by using clinical evaluations (Balance Evaluation Systems Test, Dynamic Gait Index), posturography (modified Clinical Test of Sensory Interaction for Balance) and questionnaires (Activities -specific Balance Confidence, Dizziness Handicap Inventory) before and after the therapy. RESULTS The patients showed significant improvement in both clinical tests after the therapy. The results of posturography measurement are not so definite - the significant improvement was achieved only in some measured parameters. Both questionnaires did not show significant improvement. CONCLUSION The results of this study show, that electrotactile stimulation tongue could have a...
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