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The effect of increased neck muscle tension on tinnitus
Zlesáková, Adéla ; Oplatková, Lenka (advisor) ; Babková, Lenka (referee)
This research bachelor thesis deals with the problem of cervicogenic somatosensory tinnitus with a focus on the effect of increased tension of the neck muscles. The theoretical part provides a brief anatomical description of the studied area in the context of the changes that occur there and lead to the development of tinnitus. It then elaborates on the diagnostic procedures and finally on the possibilities of intervention, which are within the competence of the physiotherapist. The practical part consists of case studies of two patients. The knowledge from the theoretical part was used to construct the examination and therapy that was then applied to these patients in order to verify the effect of manual therapy in tinnitus patients. A Visual Analogue Scale, the Tinnitus Handicap Inventory questionnaire and a goniometric examination assessing cervical spine range of motion were used for objectification. Patients' condition was assessed before and after the 10 week long therapy. The aim of the therapy was to relieve hypertonus in the neck region and subsequently reduce the intensity of tinnitus.
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The impact of a herniated disc on spinal movements in the sagittal plane
Slámová, Martina ; Oplatková, Lenka (advisor) ; Demeková, Júlia (referee)
This research thesis with one case study focuses on the impact of a herniated disc on spinal movements in the sagittal plane. The theoretical section describes the anatomy and kinesiology of the intervertebral disc, spinal kinesiology with an emphasis on analysing movements in the sagittal plane. Furthermore, it presents insights into the influence of an intervertebral disc herniation on spinal movements and examines the correlation between posture and disc herniation. The aim of the research paper is to summarize the existing knowledge, particularly regarding the effect of a disc herniation on spinal movements in the sagittal plane. In the practical part, a case study of a single subject with a lumbar herniated disc is presented. This subject underwent two examinations with a six-week interval, aiming to evaluate the impact of improved trunk stability using the Dynamic Neuromuscular Stabilization (DNS) method on spinal parameters and their development in the sagittal plane. Objective evaluation methods include the Thomayer test, Schober's test, Stibor's test, selected functional tests according to DNS, Oswestry Disability Index (ODI), Roland-Morris Disability Questionnaire, and Visual Analog Scale (VAS) for pain assessment. Kinesiological examinations were performed for standing and walking, and...
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Idiopathic scoliosis in relation to defective position of the lower extremities and the sole of the feet
Sviteková, Sophie ; Oplatková, Lenka (advisor) ; Šafářová, Marcela (referee)
The following bachelor's thesis deals with the issue of the relationship between idiopathic scoliosis and defective position of the lower limbs and feet. At first, the thesis analyses the theoretical side of the problem - biomechanics and kinesiology of the spine and lower limbs, clasification of scoliosis and different types, postural stability, gait. In the following chapter, the thesis focuses on the issue from a practical side of view, which includes an examination of patients from different views, from behind, from the side, from the front and on a podoscope (physiosensing), which measures the static and dynamic load of the feet. As part of the examination, various assymetries of the spine and lower limbs are investigated in connection with idiopathic scoliosis. The results of all the measurements of the patients are in the final chapter compared to each other and subsequently, in the discussion part, with results examined by different studies dealing with the same issues. We try to find out if their results match with ours. The goal of this bachelor's thesis is to find out, what impact have spine curvatures on the posture of the pelvis, lower limbs, feet and also the other way around. We are also proving the mutual connection between individual body segments which together make up one complex...
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Quality of postural stabilization in patients indicated for total hip replacement compared to the population without advanced coxarthrosis
Vojtová, Anna ; Kobesová, Alena (advisor) ; Oplatková, Lenka (referee)
The aim of the study was to determine whether the quality of postural stabilization is impaired in patients referred for total hip replacement (THR) due to advanced coxarthrosis compared to the control group of age matching healthy subjects. Postural stabilization was assessed using four tests according to the Dynamic Neuromuscular Stabilization by a trained DNS therapist. Twenty-six patients referred for THR were included in the study. The control group consisted of 25 subjects without subjective and clinical signs of coxarthrosis. In the experimental group with advanced coxarthrosis, the quality of postural stabilization assessed by DNS functional tests (Respiratory stereotype test, Intra-abdominal pressure regulation test, Diaphragm test and Hip flexion test) was impaired compared to the control group (p<.001 for all tests). In the experimental group, the side of advanced hip arthrosis presented with significantly worse quality of postural stabilization comparing to the non-painful side (p = .012) and comparing to the control group, in which symmetrical quality of postural stabilization was confirmed (p= .379). Furthermore, a strong correlation was identified between the hip range of motion and postural stabilization (r = .467 - .695). A strong negative correlation was found between the hip...
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Analysis of processing Rehawalk data in patients after stroke
Řiháková, Emma ; Oplatková, Lenka (advisor) ; Pintarová, Sylva (referee)
Diploma thesis entitled "Analysis of Gait data utilizing the Rehawalk treadmill in post- stroke patients," is focused on investigating the gait parameters of individuals who have suffered a stroke and subsequently undergone analysis on the Zebris Rehawalk treadmill. This study specifically examines temporal and spatial parameters, including step length, anteroposterior Center of Pressure (COP) position, and lateral COP symmetry. The theoretical section of the thesis provides an in-depth discussion on stroke causes, clinical effects, and rehabilitation interventions. Furthermore, it provides an overview of the Zebris Rehawalk treadmill, employed for both analytical and therapeutic purposes, along with a delineation of its specifications. The central objective of this research was to determine how the aforementioned gait parameters evolve over time among post-stroke patients. The resulting values indicate the effectiveness of post-stroke gait therapy, which is an important component of independence and autonomy. The study includes participants who have experienced a stroke, the experimental cohort (n=24; females=5, males=19), as well as a control group, healthy individuals (n=47; females=32, males=15). The control cohort was utilized solely for the purpose of result comparison concerning...
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Effect of Dynamic neuromuscular stabilization autotherapy on functional foot disorders
Vojtěchovská, Karolína ; Oplatková, Lenka (advisor) ; Novák, Jakub (referee)
This thesis aimed to demonstrate the effect of Dynamic Neuromuscular Stabilization autotherapy on functional foot disorders in comparison with autotherapy according to the analytical approach. The theoretical part summarized the findings regarding foot and gait kinesiology, developmental kinesiology as a pivotal period for gait development and foot formation, the relationship between foot and posture, and functional foot defects. METHODOLOGY: In this study, 26 probands aged 20-26 years were divided into two groups, namely, the DNS group and the Analyst group. The names of the groups were chosen according to the type of self-therapy. At the beginning of this work, an initial measurement was conducted where probands in both groups were measured using Physionesnig platform in selected five tests. These tests are Static analysis, Unilateral Stance, Sit-to-stand, Weight bearing squat, Dynamic analysis. After the initial measurement using the Physiosensing platform, individual probands were instructed and coached by the physiotherapist in self- therapy regarding the given exercise set-up. After a 6-week autotherapy session, a second measurement was performed. The measured data were statistically processed using the Jamovi program, version 2.3.26.0. RESULTS: The main results of the study show that neither group...
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Abdominal wall activity in patients indicated for total hip replacement compared to the population without advanced coxarthrosis
Opichalová, Klára ; Kobesová, Alena (advisor) ; Oplatková, Lenka (referee)
Introduction: The aim of this study was to explore the relationship between postural stabilization insufficiency and severe coxarthrosis indicated for total joint replacement. Postural stabilization insufficiency was assessed by abdominal wall activity. Methods: 51 participants were recruited. 26 patients with hip arthrosis (13 males and 13 females) were included in the experimental group (mean age 70.5 years, SD 9.1) and 25 participants (10 males and 15 females) in the healthy control group (mean age 70.5 years, SD 7.7). The Ohmbelt device can be used to assess the intra-abdominal pressure indirectly via abdominal wall expansion measurement. The pressure sensor within the Ohmbelt device was attached to the abdominal wall at the area above the inguinal ligament (anterior sensor) and contralateraly at the trigonum lumbale (posterior sensor) by an adjustable belt. The pressure exerted by the abdominal wall wS monitored by the sensors. All subjects were measured twice (once with the anterior sensor, the second time with the posterior sensor) in 3 postural situations - resting breathing in the upright sitting position, the diaphragm test, and holding a 2kg dumbbell in front of the body in the upright sitting position. Results: No statistically significant differences (p>0.05) were found between groups...
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Psychosomatic approach in physiotherapy in postcovide syndrome
Bezecný, Vít ; Stackeová, Daniela (advisor) ; Oplatková, Lenka (referee)
The thesis deals with the physiotherapeutic view of the post-covid syndrome and the psychosomatic approach to it. It is based on theoretical studies dealing with the connection between the psychological and somatic aspects of this disease and the extent of its influence on the patient's psychological and physical condition. On the basis of diagnostic tests of postural and respiratory functions, a 6-minute walk test and structured questionnaires (PHQ-9, PHQ-15, CAT and FAS) investigating the subjective feelings of the patient, such as experiencing illness, stress, fear and depression, it establishes possible physiotherapeutic interventions for the treatment of patients with post-covid syndrome. The work in the practical part presents a detailed proposal for a rehabilitation plan for patients with post-covid syndrome, based on the correction of the postural system, physiotherapy using the respiratory and postural functions of the diaphragm, respiratory physiotherapy and overall improvement of physical condition. Its effect is presented in the form of two case studies. Standardized questionnaires show an improvement in the physical and psychological condition of both patients. The results also show that in both cases there was an increase in breathing amplitude, up to 5 cm. The positive impact of the...
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Sport and Movement Activity in Scoliotic Patients
Šrámková, Anna ; Šafářová, Marcela (advisor) ; Oplatková, Lenka (referee)
This research thesis deals with the issue of sports in scoliosis. Its aim is to process professional studies that have examined the prevalence of scoliosis in various sports disciplines and to provide recommendations for sports activities for scoliotic patients. The thesis describes suitable and unsuitable sports or movement activities for patients with adolescent idiopathic scoliosis and explores whether it is appropriate to prohibit movement for these patients or not. We assume that physical activity in patients with scoliosis is more appropriate than an absolute ban on sports. This assumption was confirmed in this thesis, although there are sports that can cause postural asymmetry and possibly even scoliosis. The level at which the sports activity is performed and the volume of activity are important. As part of the research thesis, a case study of one scoliotic patient was included, and X-ray examination was used as an objective method of evaluation, which was performed twice with a time interval.
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Pudendal nerve neuralgia
Kozlová, Kateřina ; Havlíčková, Michaela (advisor) ; Oplatková, Lenka (referee)
1 Abstract This research bachelor thesis with case report deals with neuralgia of the pudendal nerve. In the theoretical part, the anatomical and kinesiological insight into the pelvic floor will be described, the course of the nervus pudendus, its innervation districts and the possibilities of variation in the course. Furthermore, in the theoretical part, the knowledge about pudendal neuralgia, such as symptomatology, etiology, diagnosis and intervention options with regard to physiotherapy and electrotherapy will be elaborated. In the practical part the knowledge from the theoretical part will be used and applied to a patient with chronic pelvic pain. To objectify the results, a visual analogue scale and questionnaires that the patient fills in during the initial and exit examination will be used and the results will be compared. The aim of the practical part is to reduce pain and discomfort after a series of therapies. Keywords Nervus pudendus, pudendal neuralgia, sensitization, manual therapy
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