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Relationship between trunk anthorpometric parametres and back pain
Švejdová, Monika ; Kobesová, Alena (advisor) ; Stříbrný, Martin (referee)
The aim of this study was to compare the anthropometric parameters of the trunk in 50 chronic low back (LBP) patients with a control group of 50 age and sex matching healthy subjects. No significant inter - group difference was identified between the fossa jugularis-processus xiphoideus distance and processus xiphoideus-pubic symphysis distance. A larger waist circumference and waist-to-height ratio, smaller respiratory amplitude and a higher incidence of diastasis recti were observed in the LBP group compared to the control group. However, the increased frequency of diastasis recti in the LBP group was not significant. The results of the study do not support the hypothesis that LBP patients present with different anthropometric parameters of the trunk possibly resulting from the suboptimal postural development during first years of the life. An association between chronic LBP, increased waist circumference, and limited respiratory amplitude has been confirmed.
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Possibilities of evaluating the effect of rehabilitation aimed at improving postural stability in adults.
Heřmanská, Dagmar ; Stříbrný, Martin (advisor) ; Kolář, Jáchym (referee)
The paper deals with the comparison of different options for assessing the effect of physiotherapy aimed mainly at improving postural stability in adult patients. The theoretical part of the bachelor thesis defines postural stability, its optimal function in physiological situations and the most common pathologies. The clinical consequences of postural stability disorders and their treatment options are discussed. The most frequent consequence of insufficient postural stability is chronic low back pain (in the English literature "LBP"). The knowledge about the possibilities of clinical evaluation of the effect of physiotherapy is discussed. It is a subjective assessment by the patient, using PROM questionnaires (Patient- reported Outcome Measures) and DNS manual. Furthermore, the possibilities of objective assessment-dynamometry (DNS Brace device), Moiré and Pedoscan are described. The paper describes the principle of these devices and evaluates their advantages and disadvantages in clinical practice. The practical part contains case reports of two patients with chronic LBP. The patients are evaluated with the above mentioned procedures before and after a series of six hourly therapies with weekly frequency. The therapy was performed at the Pavel Kolar Center for Movement Medicine under the...
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The influence of psychological safety on the motivation and personal engagement of workers in social services in Domov Maxov
Stříbrný, Martin ; Krejčí, Jiří (advisor) ; Bosá, Monika (referee)
Diplomová práce cílí na klima psychické bezpečnosti a možnou souvislost s motivací a osobní angažovaností pracovníků v sociálních službách v jedné organizaci poskytující sociální služby dospělým lidem se zdravotním handicapem. Hlavní text diplomové práce je tvořen teoretickou a praktickou částí, přičemž teoretická část se zaměřuje na definování a vymezení pracovních uskupení a návazně pak klimatu psychické bezpečnosti ve spojitosti s pracovním prostředím, dále pak vymezení pojmů motivace a osobní angažovanost. V praktické části diplomové práce jsou vyhodnocena data získaná prostřednictvím kvantitativního dotazníkového šetření v organizaci poskytující čtyři druhy sociálních služeb. Sociální službu Chráněné bydlení, Sociálně terapeutické dílny, Domov pro osoby se zdravotním postižením a Domov se zvláštním režimem. Dotazníkového šetření se účastnilo celkem 29 pracovníků v sociálních službách této organizace. Dotazník zkoumal klima psychické bezpečnosti v daných sociálních službách. Polostrukturované rozhovory se zaměřují na odhalení souvislostí mezi klimatem psychické bezpečnosti, motivací a angažovaností zaměstnanců pracujících v sociálních službách v rámci jedné organizace. Rozhovorů se účastnili vždy dva zástupci z každé sociální služby. Výsledky výzkumného šetření poukázaly na souvislost mezi...
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Assessment of physical river habitat diversity of streams. Application in experimental catchments of upper Blanice River.
Stříbrný, Martin ; Matoušková, Milada (advisor) ; Šípek, Václav (referee)
The subject of bachelor thesis was to evaluate the diversity of physical habitat, using three methods of hydromorphological survey. Methodologies with different approaches of evaluation have been applied to model basin Sviňovický stream. Detailed assessment describes the downstream changes in individual characteristics. River basin represents a contrast between the upper stream, which is completely anthropogenically influenced and lower stream which is after restoration. The thesis presents the result of a field survey of different methodologies and evaluates the diversity of habitat in different flow conditions. The results of all three approaches are confirmation of positive impact of restoration to the habitat quality and especially the requirement to modify each methodology to local conditions. Longitudinal development of selected hydromorphological parameters have been observed.
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Correlation between clinical evaluation by functional postural tests and ability to activate abdominal wall measured by digital pressure sensors
Stříbrný, Martin ; Jačisko, Jakub (advisor) ; Kobesová, Alena (referee)
The theoretical part of the diploma thesis describes the role of abdominal muscles in intra-abdominal pressure and the effect on postural stabilization. The issue of postural stabilization was analyzed in a physiological situation and frequent pathologies related with inadequate postural stabilization have been described. The current possibilities of evaluating the activity of abdominal muscles and intra-abdominal pressure were presented. Methodology: 25 healthy probands (mean age 22.4 years, SD ± 1.76) were evaluated in five posturally different situations - breathing stereotype test, intra-abdominal pressure regulation test, diaphragm test, hip flexion test and arm elevation test. Testing was performed with a prototype of the DNS Brace digital pressure sensor. The resulting pressure values of the abdominal wall expansion were correlated with the corresponding postural tests according to the DNS concept, which were performed by two DNS instructors with more than five years of experience. Results: A statistically significant correlation (p = 0.001 to 0.24) between abdominal wall pressure values and palpation-evaluated postural tests was demonstrated in four of the five tested positions. Correlation was strong in diaphragm test (r = 0.75 and 0.661) and mean in other tests (r = 0.567 to 0.415). Only...
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Physiotherapy treatment of a patients after surgical implantation of total endoprothesis. Subtitle: By using exercise and diagnostic device Imoove with unstable surface
Stříbrný, Martin ; Táborská, Silvie (advisor) ; Slámová, Adéla (referee)
Title: Physiotherapy treatment of a patients after surgical implantation of total endoprothesis. By using exercise and diagnostic device Imoove with unstable surface Abstract: Bachelor thesis is focused on the issue of surgical implantation of articular endoprosthesis. Currently this is one of the most frequently performed operations. In the theoretical part, current informations of hip and knee replacement surgery and subsequent rehabilitation are processed. Selected devices with a balance platform are presented. Aim of the practical part was to evaluate the therapeutic effect of two-weeks long rehabilitation on the Imoove device after surgical replacement of the knee or the hip joint. Five patients were tested two times: 3 weeks and 3 months after surgery. Between these two tests the results were improved in the six of seven categories. The therapy with Imoove device has had a positive effect on the patients. Key words: balance platforms, endoprothesis, Imoove device, posture
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Assessment of physical river habitat diversity of streams. Application in experimental catchments of upper Blanice River.
Stříbrný, Martin ; Matoušková, Milada (advisor) ; Šípek, Václav (referee)
The subject of bachelor thesis was to evaluate the diversity of physical habitat, using three methods of hydromorphological survey. Methodologies with different approaches of evaluation have been applied to model basin Sviňovický stream. Detailed assessment describes the downstream changes in individual characteristics. River basin represents a contrast between the upper stream, which is completely anthropogenically influenced and lower stream which is after restoration. The thesis presents the result of a field survey of different methodologies and evaluates the diversity of habitat in different flow conditions. The results of all three approaches are confirmation of positive impact of restoration to the habitat quality and especially the requirement to modify each methodology to local conditions. Longitudinal development of selected hydromorphological parameters have been observed.
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