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Importance of foot for exercises of deep stabilizing muscles
TURKOVÁ, Alena
The issue of deep stabilization system is still topical at present as its dysfunction causes vertebrogenic problems, one of the most frequent causes of disability to work. The deep stabilization system represents a functional stabilization unit including particularly diaphragm, mm. multifidi, abdominal wall muscles and pelvic bottom muscles. Balanced interaction between muscles is important as this system participates in backbone stabilization and is involved in all moves. A foot is an important part of stabilization system as stabilization of vertically standing body starts in the foot inner muscles. Qualitative research, the method of case study was applied on the data collection. The research was performed for 9 to 12 weeks on a sample of 4 probands who suffered from vertebrogenic problems. The examination of probands consisted of anamnesis, static and dynamic check-up of aspections, palpation examination, examination of the deep stabilization system by functional test and examination of feet. The aim of the thesis was to outline how the use of the foot affects the deep stabilization system and to propose a set of exercises and aids for its correct activation. The theoretical part of the thesis describes foot anatomy and function and the most important part of the deep stabilization system, its examination and therapeutic possibilities including proper use of aids. The practical part presents the aims of the research, describes the methodology and results of the research elaborated in the form of case studies. The Annex also contains a set of exercises affecting the deep stabilization system with application of balance aids. The research results show that body posture has improved in all the probands, all the patients were capable of isolated contraction of the individual DSS parts and functional involvement of the whole system. Influencing of the feet and the whole system led to better stability and graphesthesia on the foot sole, backache has subsided. This thesis may be used in physiotherapeutic clinical practice or as educational material for patients.
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DEEP STABILIZING MUSCLES
ŘEHŮŘKOVÁ, Markéta
The topic of this bachelor thesis is a deep stabilization system. The system consists of muscles which stabilize the backbone while at rest or in motion. A dysfunction of the deep stabilization system is one of many potential causes of vertebrogenic disorders and a targeted affecting of the deep stabilization system of the backbone is a fundamental therapeutic method in treatment of back pain. The purpose of the first part of this thesis was to process information available in literature about this issue. The theoretical part of this thesis contains information about the anatomy, function, examination options and some principles and methods of therapeutic affecting of the deep stabilization system. The purpose of the research part of this thesis was to select suitable clients for effective treatment of the deep stabilization system and practical verification of the individual examination and therapeutic methods used in physiotherapy to treat vertebrogenic disorders. The practical part of this bachelor thesis uses methods of qualitative research and case studies. The research was conducted in an outpatient department of the rehabilitation ward of the hospital in Blansko. The tested group consisted of three female patients with vertebrogenic disorders who were monitored for several months. The results have been processed in form of case reports. After their deep stabilization systems were affected all the patients have reported improvement of the disorder and reduction of pain; the patients learned to breathe correctly and to activate their deep stabilization muscles, including strengthening and relaxation of the pelvic bottom and autotherapy exercises. The treatment was completed with a final examination which demonstrated that the care of the patients´ deep stabilization systems effectively reduced their symptoms, which means that the purpose of the research part of this thesis has been fulfilled. This bachelor thesis may be used in clinical physiotherapeutic practice.
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PHYSIOTHERAPY AS A PART OF FERTILITY DISORDERS TREATMENT
ROHLÍČKOVÁ, Eva
Infertility is defined as inability of a couple to conceive a child within one year of having unprotected sex at least two times a week. In 1970s the World Health Organization classified the condition as a disease. The data indicate that approximately 20-25% of couples in the Czech Republic are involuntarily childless. There are many methods used to address this condition. One of them is a physiotherapeutic approach. The purpose of this thesis was to find new (modern) views of the issue or potentially also some of its causes, and to point to the potential use of modern physiotherapeutic approaches to infertility treatment. To achieve the objective I have focused in the theoretical section on various causes of fertility disorders and their diagnostics. Further, I have tried to map some methods used in infertility treatment. I have strongly emphasized the physiotherapeutic approach, particularly methods developed by Ludmila Mojžíšová. In the practical section I have used a qualitative research method {--} the case study. The research was conducted in the Rehabilitation and Regeneration Center in Borovany near České Budějovice. Women selected for the survey were diagnosed with infertility and palpation sensitivity of pelvic bottom muscles. Three women treated with a rehabilitation method for some types of functional female infertility. The objective of the research was to map changes in the condition of muscular dysbalances in their pelvis bottom areas. In the surveyed patients improvements were found in terms of posture, breathing stereotype and pelvic bottom function. During the treatment all the three women reported gradual improvement of subjective feelings. One of the women got pregnant during the treatment. The main contribution of this thesis is the mapping of the infertility phenomenon. From the viewpoint of physiotherapy this work may be used in clinical practice by physiotherapists involved in this area.
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Effect of pelvic floor muscles in the deep stabilization system
KOTALÍKOVÁ, Kateřina
The bachelor thesis deals with back pain issues from the viewpoint of function. Backbone is an articulated axial organ and its stability, in addition to passive structures, is secured with long multi-articular muscles but their stabilization function is not sufficient. The stability is further improved with other muscular groups called a deep stabilization system (DSS). DSS in the trunk is made up on the dorsal side with short musculi multifidi, cranially with the diaphragm, ventrally with musculus transversus abdominis and caudally with the pelvic floor. The objective of the theoretical part has been to map the existing methods which affect the deep stabilization system with involvement of pelvic floor. The theoretical part contains an anatomic description of individual components of DSS, available methods of examination and particularly methodical procedures focusing on affecting of the system, mainly by involvement of pelvic floor. The objective of the practical part was to find out whether the pelvic floor has any influence on activation of the deep stabilization system and also what is the effect of gender on the involvement of pelvic floor in the course of performed physiotherapeutic procedures. The thesis has used the method of qualitative research. The research was conducted on 4 probands from my environs, who suffered from occasional pain in the backbone area and who were in the entry examination diagnosed with a disorder of frontal stability of the backbone. The monitoring lasted for ca. 2 months. The deep stabilization system was involved in all the probands. The first impulse for it, however, was the activation of pelvic floor. The therapy was concluded with a final examination which has shown that it was important to involve pelvic floor in order to activate the deep stabilization system (DSS). This has also contributed to the fulfillment of the objective in the research part. The results have been processed in the form of case studies. The bachelor thesis can be used in clinical practice of physiotherapists and some parts of it can be used as an educational material for patients.
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