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Foot and ankle kinematics in patients with femoroacetabular impingement syndrome
Janáková, Daniela ; Zahradník, Petr (advisor) ; Chládek, Petr (referee)
Femoroacetabular impingement syndrome (FAI) is a hip impairment, which is according to recent studies significant contributor to hip osteoarthritis. Current research is dedicated to evaluate movement patterns of hip, pelvis and spine in patients with FAI using a motion analysis capture system. Biomechanics and kinesiology relations between spino-pelvic complex and lower limb joints led us to choose the topic of this thesis. The goal of this study was to define the movements of ankle and foot in patients with FAI syndrome and to compare with asymptomatic control group. To measure the parameters during gait we used Qualisys motion capture system and then the data were processed in Qualisys Track Manager 2020.03. We assessed the movements of ankle, rearfoot and the progression foot angle during the stance phase of gait cycle. Moreover, we measured the step length, gait speed and passive range of motion of the hip in both exploratory groups. In total we examinated 30 subjects, 15 with FAI syndrome and 15 asymptomatic volunteers with physiologic hip condition. We demonstrated three significant between group changes in average ankle range of motion in sagittal plane, foot progression angle and passive range of motion of the hip.
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Evaluation of short-term and long-term effects of surgical treatments in patients with femoroacetabular impingement syndrome
Janáková, Daniela ; Tolar, Jan (advisor) ; Zahradník, Petr (referee)
This thesis is dedicated to femoroacetabular impingement syndrome (FAI), which is lately being related to hip preservation surgery. There are three major types of surgical approaches to address pathological contact of the proximal femur and acetabulum: arthroscopy, surgical hip dislocation and minimally invasive hip surgery. The first part provides summary of hip anatomy, biomechanics and kinesiology. Further, we present current findings about FAI etiology, pathogenesis, clinical examination and management options. The main part introduces findings of up-to-date published studies regarding the surgical outcomes. In the second part we presented three case reports of patients with FAI, who underwent one of the above mentioned surgical procedures. They were repeatedly physically examined and asked to fill in the West Ontario MacMaster Universities Osteoarthritis Index (WOMAC) questionnaire.
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Femuroacetabular impingement syndrome - possibilities of therapy and rehabilitation in adolescents and young adults
Tůma, Martin ; Opálková, Michaela (advisor) ; Obešlo, Marek (referee)
Femoroacetabular impingement syndrome (FAI) is a clinical diagnosis that is characterized as a mechanical conflict between the edge of acetabulum and the pericapital part of femoral neck. It is increasingly accepted as an etiological factor in the development of hip arthritis, occurring in young and sport-active individuals. The thesis is divided into two basic parts. The first is theoretical and introduces the reader on the basic of research study of Czech and foreign literature, first with the syndrome itself, its types, aetiology and possibilities of diagnostics. It also summarizes the current possibilities of therapy and rehabilitation in adolescents and younger adults. The second part is practical and is processed in the form of a case report of a patient undergoing conservative treatment. The work is accompanied by photographic documentation.
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Kinematic analysis of patients with femoroacetabular impingement syndrom
Dinda, Ondřej ; Valouchová, Petra (advisor) ; Oplatková, Lenka (referee)
Bibliographic identification DINDA, Ondřej. Kinematic analysis of patients wiht femoroacetabular impingement syndrome. Prague: Charles University, 2nd Faculty of medicine, Department of Rehabilitation and Sports Medicine, 2017. 82 pages. Supervisor: Mgr. Petra Valouchová, Ph.D. Abstract The purpose of this master thesis was to find out, if there are objective changes in biomechanics of the gait and upstairs gait by objectives with diagnosed femoroacetabular impingement syndrome and by healthy objectives. The data were acquired using kinematic analysis Qualisys and processed using software Qualisys track manager and Visual3D. The subject of research was the range of motion in hip joint in frontal and sagittal plane, than the movement of pelvis in frontal plane, movement of pelvis against thorax in transversal plane and deviation of the axis of spine in frontal plane. These parameters were documented using angular deviation of the segments, deviation of the segments in the plane or shifting of the markers in coordinate system. The conclusions were than statistically evaluated. There were 20 objects with diagnosed femoroacetabular impingement syndrome in the age from 23 to 47 years of age included in the study. In the gait research, a significant difference in angular deviation of the pelvis against thorax in...
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