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Evaluation of children with fecal incontinence.
Damková, Adéla ; Lepšíková, Magdaléna (advisor) ; Havlíčková, Michaela (referee)
The bachelor's thesis on the possibilities of objective examination of children with fecal incontinence is presented in the form of a review with case studies. The introductory theoretical part is devoted to the basic anatomical knowledge of the pelvic floor, the physiology of the defecation process, micturition, and the mechanism of fecal incontinence, as well as the often associated urinary incontinence. Furthermore, the causes of fecal incontinence with regard to the pediatric population are mentioned. The special section includes methods of evaluation and examination of fecal incontinence used in pediatric patients, and last but not least, the issue of biofeedback as a therapy aimed at strengthening the pelvic floor muscles is presented. The practical part of the thesis includes two case studies of patients, which include an initial kinesiological examination, therapy description, and photo documentation.
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Somatognosis in patients with chronic vertebrogenic disorders
Křikavová, Alena ; Kolář, Pavel (advisor) ; Lepšíková, Magdaléna (referee)
This thesis called "Somatognosia by the chronic back pain patients" summarizes in its theoretical part the information about the concept of one's own body perception and clears up the terms body image and body schema in various contexts. The experimental part of the thesis includes testing of somatognosia on two sets. This research aims to compare the level and quality of somatognosia by the chronic back pain sufferers and healthy individuals. Powered by TCPDF (www.tcpdf.org)
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Comparison of the size of scoliosis curve in patients with idiopathic scoliosis from x-ray picture and rasterstereography record
Bilinkiewiczová, Eva ; Lepšíková, Magdaléna (advisor) ; Doubková, Lucie (referee)
Scoliosis is defined as a patological curvature of spinal cord of more than 10ř in frontal plane which is combined with rotation of vertebral bodies and also with disruption of fyziological curvatures in sagittal plane. Idiopathic scoliosis is the most frequent type of this diagnosis. The thesis deals with overal issue of this disease, theories of etiology, incidence, classification, types of examination, possibilities of new testing and therapy. The practical part describes rasterstereographic DIERS Formetric III 4D testing and coparison with RTG examination. The study was carried out with 17 girls and 1 boy with idiopathic scoliosis 11 - 46ř at the age of 11 - 17 years. Results of this testing were statistically analysed. Best results were found out in measurements by automatically set range for a group of patients with Cobb angle ≤ 25ř - for 95% differences the limits of correspondance were ± 4ř, the average error was 0,3ř. For group of all patients the limits of correspondance were ± 14ř, the average error was 1,5ř. The results confirmed, that with an increase of Cobb ange a bigger error and systematic error appears.
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The effect of the Feldenkrais method on body schema
Bestová, Zuzana ; Lepšíková, Magdaléna (advisor) ; Doubková, Lucie (referee)
Bibliografic identification BESTOVÁ, Zuzana. The effect of The Feldenkrais method on body schema. Prague: Charles University in Prague, 2nd Faculty of Medicine, Department of rehabilitation and exercise medicine, 2012. 96 pages. Supervisor Mgr. Magdaléna Lepšíková. Abstract The diploma thesis deals with neurophysiological concept of body schema and evaluation of the effect of the Feldenkrais method (FM) on its quality. The research comprises two groups of probands without motor system disorders. The participants passed an investigation of the body schema quality by the following tests: a test of estimation of body dimensions (width of mouth, width of shoulders, width of hips and length of foot), a modification of Petrie's test, a test of proprioception and a test of graphestesia. The examination was accomplished before FM investigation and after the course. The first group (group A) comprised 13 individuals (5 males, 8 females) who participated in a semestral course of FM, the second group of probands (group B) included 17 individuals (3 males, 14 females) underwent a two days long FM program. A significant improvement (p = 0,0027) in the estimation of the length of foot was detected after FM intervention in group B. There was not a significant improvement in any of estimated body dimensions in group A....
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Somatognostic functions and spatial memory in patients with failled back surgery syndrome
Křikavová, Alena ; Lepšíková, Magdaléna (advisor) ; Petrová, Naďěžda (referee)
Aim: The aim of this thesis is both evaluate a somatognosis quality and consider rate of personality dimensions in patients with FBSS. Methods: 30 patients with FBSS and 25 probands of healthy control group were examinated in laboratory of spatial cognition called Blue Velvet Arena. They underwent spatial navigation task and body scheme tests. We made comparative analysis of these measurements between groups. We evaluated personality dimensions in patients group, by using NEO personality inventory and Petrie test. Finally we consider relationships of these variables and another related factors. Results: Signicant difference between patient's group and control group was found both in spatial navigation task and body scheme tests. In spatial navigation task control group had lower results compared to the patient's group. In body scheme tests was found reverse results. We found high correlation of body scheme with age, pain duration and activity level. There was high percentage of underestimating probands and probands with high score of conscientiousness. Error rate (judgement out of tolerance zone) was higher in patient's group compared to the control group. Conclusions: Our results states that patients with FBSS have lower quality of somatognosis in light of body scheme. We hypothesise, that body...
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Therapeutic options and effects in the treatment of pregnancy related low back pain
Čechová, Nina ; Lepšíková, Magdaléna (advisor) ; Ježková, Martina (referee)
Back pain is very common problem that affects most pregnant women. This work focuses in the theoretical part on the distribution of back pain during pregnancy, differential diagnosis, risk factors, prevention and treatment possibilities. Our study involves 272 women that evaluated thein state during pregnancy completing the questionnaire. 85% of women stated back pain during pregnancy and only 8.8% of that consulted their problem with an expert. As a risk factors of pain was confirmed multiparity and younger age of women. BMI as a risk factor wasn't confirmed. Physical activity performed before a woman becoming pregnant as a risc factor reducing the back pain wasn' t confirmed. The incidence of urinary incontinence during pregnancy increases. In our questionnaire, it was confirmed by 22.8% of women. Women's awareness of the support strip was good, but only 7.9% of women benefited from this type of equipment.
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Examination of gait in patients whit idiopathic scoliosis. Objectification using treadmill
Švábková, Anna ; Lepšíková, Magdaléna (advisor) ; Černý, Pavel (referee)
This master thesis concerns gait in patients with idiopathic scoliosis. Idiopathic scoliosis constitutes about 80 % of all scoliosis cases and its adolescent type is the most common form of spine deformity in the child population. The theoretical part outlines existing knowledge on this medical condition and its treatment, focusing on conservative therapy by corrective spinal orthoses. It further describes the physiological stereotype of gait and differences observed in patients with idiopathic scoliosis. It also discusses the effect exerted on bipedal locomotion by corrective spinal orthoses. The aim of the practical part is to examine whether there is a relationship between the severity of the main spinal curvature in subjects with scoliosis and the degree of asymmetry between their lower limbs for selected parameters of gait. Since this part concerns gait both without and with bracing, it can also analyse the impact of corrective spinal orthoses on the degree of the given asymmetries. The selected parameters of gait are ascertained by the method of dynamic plantography using a Zebris FDM- T System device. The research sample consists of 14 subjects (12 girls and 2 boys) between the age of 9 and 17 years with idiopathic scoliosis who receive conservative treatment including bracing. The results...
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Body schema and spatial orientation patients with Failed Back Surgery Syndrome
Kšírová, Julie ; Lepšíková, Magdaléna (advisor) ; Petrová, Naďěžda (referee)
This diploma thesis summarizes recent knowledge about body scheme, spatial orientation and their change in context of chronic pain. The purpose of this work is to find out if chronic pain negatively affects the body scheme and spatial orientation. The thesis includes a comparative analysis of experimental measurements between the patients with Failed Back Surgery Syndrome and healthy control group. The analysis compares tasks based on spatial orientation and body scheme tests. Results show the patients' group having lower results in body scheme related tests, showing a noticeable disparity compared to the control group's test scores. These results were further supported by portion of spatial orientation based tasks, where patients' group again performed at significantly lower level than the control group. In conclusion, our thesis, along with other academic works, states that there is a correlation between chronic pain, disrupted body scheme and spatial orientation. However, at the present time it could not be determined whether the pain precedes the effect of disrupted body scheme or vice versa. Powered by TCPDF (www.tcpdf.org)
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