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Delivery injuries and maternal age
Faltová, Anna ; Dvořák, Jan (advisor) ; Přáda, Jan (referee)
The bachelor's thesis aim was to find out whether older age of mother during labour could be a potential risk factor for birth injuries. Bachelor thesis has two parts, theoretical and practical. The theoretical part describes the problematics of birth injuries and summarizes several foreign studies, which consider the age of mother as a risk factor for some birth injuries. The hypothesis was that older age is a risk factor for birth injuries. The aim of the practical part was to find whether the hypothesis is correct or not. The hypothesis was tested by comparing the incidence of different birth injuries between four groups of women settled by age (18-25 years, 26-30 years, 31-35 years, >35 years). In most cases the lowest number of injuries were in the youngest group (18-25 years), but the differences between groups were not statistically significant. Due to the small sample of women, I have analysed, the hypothesis could not be conclusively confirmed, but also conclusively disproved. Key words: delivery injuries, maternal age, vaginal delivery, pelvic floor, levator avulsion, pelvic floor dysfunction, OASI
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Influence of the physical therapy on the pelvic floor rehabilitation
Podskalská, Patricie ; Hurt, Karel (advisor) ; Slámová, Adéla (referee)
OF BACHELORS THESIS Name, surname: Patricie Podskalská Supervisor: MUDr. Karel Hurt DrSc. Opponent: Title of bachelor thesis: Influece of physical therapy on the pelvic floor rehabilitation Abstract of bachelors thesis: The topic of this bachelor thesis is an influence of a physical therapy on the pelvic floor rehabilitation. The thesis consists of a theoretical and practical part. The theoretical part first describes problems related to pelvic floor dysfunction and continues with the summary of the most important parts of the examination, which are performed in case of suspicion of a pelvic floor musculature disorder. In the last chapter of the theoretical part the thesis discusses individual possibilities of the physical therapy and its effects on pelvic floor muscles. The practical part consists of two case reports of patients diagnosed with a chronic pelvic pain. The patients were treated with a shock wave therapy. A subjective evaluation of pain NRS (numeric rating scale) was used to evaluate the efficiency of the therapy. The aim of the thesis is to collect informations about the pelvic floor dysfunction and particular types of physical therapy used for its treatment. Key words: pelvic floor, pelvic floor dysfunction, shock wave, magnetic stimulation, electrical stimulation
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Sexual dysfunction and pelvic floor dysfunction in patients with systemic rheumatic diseases
Heřmánková, Barbora ; Špiritović, Maja (advisor) ; Nováková, Tereza (referee)
Title: Sexual Dysfunction and Pelvic Floor Dysfunction in Patients with Systemic Rheumatic Diseases Objectives: To assess sexual functions, quality of life and pelvic floor function in female patients with Systemic Sclerosis (SSc) and Idiopathic Inflammatory Myopathies (IIM) compared to age-/sex-matched healthy controls (HC). Methods: In total, 41 women with SSc (mean age: 50.9, disease duration: 5.8 years), who fulfilled the ACR/EULAR 2013 classification criteria for SSc, 41 healthy controls (mean age: 50.9) without rheumatic diseases, 22 women with IIM [mean age: 55.1, disease duration: 7.9 years, dermatomyositis (DM, 8)/ polymyositis (PM, 10)/ necrotizing myopathy (IMNM, 3)/ inclusion body myositis (IBM, 1)], who fulfilled the Bohan/Peter 1975 diagnostic criteria for DM/PM, and 22 healthy controls (mean age: 55.1 years) filled in 12 well-established and validated questionnaires assessing sexual function/quality of life, pelvic floor function, fatigue, physical activity and depression. Results: Compared to HC, patients with SSc and IIM had significantly higher prevalence and greater severity of sexual dysfunction (FSFI, BISF-W: in all subscales as well as total scores), dysfunction of pelvic floor (PISQ-12), and worse sexual quality of life (SQoL-F). Worse scores in SSc patients were associated...
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