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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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Obesity, osteoartrhritis and physical activity
Vojtová, Anna ; Hašpicová, Marcela (advisor) ; Slabý, Kryštof (referee)
The Bachelors thesis ,,Obesity, osteoartrhritis and physical activity" is focused on monitoring and evaluating movement regime, changes in postural tereotypes and musculoskeletal pain in obese adult patients during preparation and in the period following bariatric surgery, or after sensomotoric training without bariatric surgery. The aim of the work will be the elaboration of the last available literature onthe topic.I process the case reports of two patients describing changes in posture and postural stereotypes during a weight reduction with and without exercise regime in the practical part. The evaluation will be based on measuring postural stability using computer posturography, objectification amplitude of movement of thesupportingjoints by the Moover instrument. Body compartment composition will be analysed by bioimpedance measurement on the Tanita instrument, and subjective perceptionof pain and quality of life throughout the reduction program will be assessed through standardised questionnaires. (DIBDA- Questionnaire of pain interference with daily activities, Pain Map, Questionnaire of the impact of body weight on quality of live(IWGOL-Lite) The results from computer posturography didn't show improvement in postural stability. Patient after a signifiant weight reduction shows a reduction...
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