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Comparison of physiotherapy approach with other conservative approaches in the treatment of lateral epicondylitis
Bušek, Kamil ; Kejhová, Eva (advisor) ; Kajzar, Jiří (referee)
OF BACHELOR THESIS Author: Kamil Bušek Supervisor: Ing. Eva Kejhová Title of bachelor thesis: Comparison of physiotherapy approach with other conservative approaches in the treatment of lateral epicondylitis Abstract: This bachelor thesis is observing the differences in comparison of the physiotherapy approach with other conservative treatment options for lateral epicondylitis in acute and chronic conditions. The work is processed by the search method and consists of theoretical and special parts. The theoretical part deals with a description of anatomical structures, kinesiology, biomechanics and examination of the elbow joint as a whole. Other chapters are focused on the problematic of the lateral epicondylitis, which describe the etiology, clinical picture of acute and chronic forms, differential diagnosis, examination and treatment, where the emphasis is mainly on the conservative methods. The special part of this thesis is written on the basis of the results of literature research with the focus on finding the studies that are comparing a treatment of chronic and acute forms of the lateral epicondylitis. The thesis describes and compares the usuals physiotherapeutic methods such as mobilization, manipulation, eccentric and concentric exercises or kinesiotaping, as well as frequently used...
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Evaluation of cryotherapy efficacy in medial and lateral epicondylitis.
Huňáček, Ondřej ; Malá, Jitka (advisor) ; Reckziegelová, Petra (referee)
Title: Evaluation of cryotherapy efficacy in medial and lateral epicondylitis Objectives: Finding out whether the combination of cryotherapy and manual physiotherapy statistically significantly affects the pain and function of the elbow joint in lateral and medial epicondylitis. Furthermore, a comparison of the group undergoing manual physiotherapeutic treatment with cryotherapy as an additive component of rehabilitation versus the group undergoing manual therapy only. Methods: Data collection was performed using a standardized Patient-Rated Elbow Evaluation (PREE) questionnaire with Visual Analogue Scale (VAS), through which probands evaluated the effect of procedures used in the control and experimental group on elbow pain and function. To determine the efficacy of examined intervention, the data collected before and after the experiment were used. To compare the control and the experimental group, the differences achieved for each group were used. For the statistical analysis the parametric tests were used, since Shapiro-Wilk tests showed a normal distribution of the data. A two-sample t-test was used to determine the homogeneity of the groups and also to compare the results between the groups. Paired t-test was used to test the change in condition before and after the experiment. All...
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The objectification of using of kinesio taping to influence a muscle tone in epicondylitis
Rosenmüllerová, Lenka ; Šifta, Petr (advisor) ; Nováková, Pavlína (referee)
Title The objectification of using of kinesio taping to influence a muscle tone in epicondylitis. Objectives The aim of this master thesis is to find an effect of inhibitive kinesiotape application to muscle tone of hypertonic m. extensor digitorum communis and to pain of lateral epicondyl in lateral epicondylitis. Method The master thesis is divided to theoretical part and empirical research, which is based on the first part. The evaluation of m. extensor digitorum communis tension after kinesiotape application is provided by myotonometry method. The measurement is performed in 5 tested persons before and after two-day kinesio tape application. The questionaire Numeric pain rating scale helps to find a change of pain before and after kinesio tape application and then the dependence of pain to muscle tone change. Results The myotonometer measurement found a decrease of m. extensor digitorum communis tension for 4 from 5 tested persons after two-day application. The pain of lateral epicondyl was reduced for all probands. Keywords lateral epicondylitis, tennis elbow, muscle tone, kinesio taping, myotonometer
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The objectification of using of kinesio taping to influence a muscle tone in epicondylitis
Rosenmüllerová, Lenka ; Šifta, Petr (advisor) ; Nováková, Pavlína (referee)
Title The objectification of using of kinesio taping to influence a muscle tone in epicondylitis. Objectives The aim of this master thesis is to find an effect of inhibitive kinesiotape application to muscle tone of hypertonic m. extensor digitorum communis and to pain of lateral epicondyl in lateral epicondylitis. Method The master thesis is divided to theoretical part and empirical research, which is based on the first part. The evaluation of m. extensor digitorum communis tension after kinesiotape application is provided by myotonometry method. The measurement is performed in 5 tested persons before and after two-day kinesio tape application. The questionaire Numeric pain rating scale helps to find a change of pain before and after kinesio tape application and then the dependence of pain to muscle tone change. Results The myotonometer measurement found a decrease of m. extensor digitorum communis tension for 4 from 5 tested persons after two-day application. The pain of lateral epicondyl was reduced for all probands. Keywords lateral epicondylitis, tennis elbow, muscle tone, kinesio taping, myotonometer
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Effect of Physiotherapy on the treatment of tennis elbow
MARHOUN, Ondřej
Tennis elbow syndrome, also known as lateral epicondylitis, is a condition that affects the area called enthesis. Enthesis, the transition from tendon to bone, take part in transfer of mechanical energy produced by muscles to the movement. These days 1-3% of the world population suffer from this condition (Dungl, 2005; Goguin, Rush, 2003; Johnson, 2007). There are two stages of lateral epicondylitis. The acute stage occurs after previous overworking, contrary to the chronical stage, which developes as a result of long-term overworking and produces structural changes. In 75% of cases tendon m. extensor carpi radialis brevis is damaged. The therapy during the acute stage is succesful in 90% of cases. Therefore early start of the treatment is important (Dungl, 2005). There are many causes of lateral epicondylitis. Overworking of certain muscles is the most common exogenic cause. According to Véle (2007), it is mainly incoordination of these muscles, that leads to pathologies producing pain in the area of enthesis. Because of overworking, extensors of the wrist have higher oxygen consumption. Therefore a tendon, mostly m. extensor carpi radialis brevis tendon, haven´t sufficient oxygen intake and can´t work normally. It leads to fascia shortening and stiffness of muscle fascicle. The trigger points can also form inside of muscle fascicle. Trigger points are caused by neuromuscular synapse disorder. Stiff muscle fascicles cause increased tension in the muscle ligament. Because of it small microtraumata of the tendon structure, calcificated and non-calcificated cartilage and periosteum emerge. Microtraumata induce nociceptive stimulation, that cause pain (Faltus, 2010; Jarošová, 2010, Kolář, 2009). The aim of this thesis is to evaluate possibilities of treatment of tennis elbow and find out, whether kinesiotherapy and aplication of kinesiotaping have possitive influence on it. For this purpose a set of special exercises was created. The practical part of this thesis consists of qualitative study of three probands. Every proband should do once a day a set of specific exercises for five weeks and in addition, they attended special sessions seven times. In one case it was acute stage of lateral epicondylitis, probably because of long term stereotype movements of the wrist. Another two probands suffer from the chronical stage, probably due to everyday working on computer, that often leads to overworking of extensors. When working, all of probands usually used a lot of muscles in their movements, that should have been relaxed at the moment. In this way, patological motor stereotype can be created. It leads to cervical spine pain, shortening of the upper trapezius or pectoral muscles, diaphragm insufiention or rhomboid muscles weakening.
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