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Relationship between trunk anthorpometric parametres and back pain
Švejdová, Monika ; Kobesová, Alena (advisor) ; Stříbrný, Martin (referee)
The aim of this study was to compare the anthropometric parameters of the trunk in 50 chronic low back (LBP) patients with a control group of 50 age and sex matching healthy subjects. No significant inter - group difference was identified between the fossa jugularis-processus xiphoideus distance and processus xiphoideus-pubic symphysis distance. A larger waist circumference and waist-to-height ratio, smaller respiratory amplitude and a higher incidence of diastasis recti were observed in the LBP group compared to the control group. However, the increased frequency of diastasis recti in the LBP group was not significant. The results of the study do not support the hypothesis that LBP patients present with different anthropometric parameters of the trunk possibly resulting from the suboptimal postural development during first years of the life. An association between chronic LBP, increased waist circumference, and limited respiratory amplitude has been confirmed.
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Use of the Pressure Biofeedback Unit to assess m. transversus abdominis activity - a pilot study
Blektová, Veronika ; Vomáčková, Helena (advisor) ; Stupková, Michaela (referee)
Title: Use of the Pressure Biofeedback Unit to assess m. transversus abdominis activity - a pilot study Aims: The aim of this Master's thesis is to create an extended rating scale to assess the stabilizing ability of the transverse abdominis muscle measured by the Pressure Biofeedback Unit through PRONE test. Another aim of this thesis is to determine whether the extention of the original rating scale designed to evaluate the stabilizing ability of the transverse abdominis muscle measured by the Pressure Biofeedback Unit in the PRONE test will increase sensitivity of this evaluation. Methods: This thesis is a quantitative study, i tis a quasi-experimantal study. A deliberately selected group of young active men n = 40 with a mean age of 25,63 2,61 who suffer from chronic low back pain without a neurological finding for at least 3 months was used for this study. The size of the research sample was determined using statistical power calculation software G*Power. A questionnaire for experts in the field of physiotherapy was used to create a proposal for the extended rating scale. The Fleiss' K and the arithmetic mean were calculated to evaluate the inter-rater agreement and content validity of the individual items in the questionnaire. The measurement itself took place in the premises of Posádkové...
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Kinematic analysis dinamic neuromuscular stabilization tests in people with low back pain.
Burešová, Vendula ; Valouchová, Petra (advisor) ; Kobesová, Alena (referee)
The main target of this thesis was to detect objective changes in the implementation of four postural locomotor tests DNS and during walking. The movements were recorded using the optical MoCap - the kinematic analysis Qualisys. The particular interest of the investigation was to determine the current stabilization of the spine system in individual subjects aged 25 to 55 years, which was documented by means of the angular deflection of each segment, the flat segment deviation or the shift of the marker in a coordinate system. The measurement results were compared between ten individuals with LBP and ten persons without any difficulty who were placed into the control group. The data were collected using the software QTM and Visual3D and subsequently were statistically processed. A statistically significant difference was observed during walking when comparing the angular deflection of the pelvis to the chest at the rotation and lateroflexion (ř). The significant difference of the pelvis shift toward the chest during flexion and rotation (ř) was showed in a deep squat test, but the difference was not confirmed in lateroflexion (ř). Furthermore, no statistical difference of the lateral deflection of the same segment (pelvis or chest) (cm) in patients with LBP compared to all subjects during the...
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Evaluation of the Effectiveness of Back Schools in Vertebrogenic Syndromes of Low Back
Spálovská, Hana ; Pavlů, Dagmar (advisor) ; Novotná, Irena (referee)
Title: Evaluation of the Effectiveness of Back Schools in Vertebrogenic Syndromes of Low Back Objectives: To compare the effectiveness of particular back schools. The main goals were to prove the successfulness of back schools in patients with vertebrogenic algic syndrome, to find out jobs with the most promising response to back schools and to reveal possible use of back schools in children. Methods: The dissertation has a descriptive-analytical character and was conducted as a literature review. Results: The results showed the effectiveness of the back schools concept in chronic low back pain. The effect was particularly obvious after two-month duration of the programmes. The most promising results were observed in professionals whose lumbar spine is overexerted due to heavy loads lifting or due to daily routines set into ergonomically inconvenient workplace. The back school concept might be used in children as well, who can mainly take advantage of active exercises and correct ergonomics. This dissertation also sums up other physiotherapeutic concepts relating to this subject. Key words: Back school, low back pain, prevention
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Trunk anthropometric parameters by patients with chronical back pain and by healthy population
Havlíčková, Barbora ; Kobesová, Alena (advisor) ; Bitnar, Petr (referee)
The aim of this study is to compare anthropometric parameters of the trunk between a group of patients with low back pain and a control group without pain. These findings would support the theory that low back pain may be caused by non-ideal postural-locomotion development in childhood, resulting in measurable morphological variations in adulthood. 60 individuals with low back pain (patients) and 60 healthy volunteers (controls) participated in the study. It was confirmed that the distance between the jugular fossa and xiphoid process is shorter in relation to the body height in the group of patients versus the control group. Conversely, there was a significantly longer distance between the xiphoid and symphysis relative to the body height among the patients. Furthermore, diastasis of rectus abdominis muscle was observed more frequently in the low back pain group. These findings suggest that patients with low back pain present with trunk morphological differences when compared with a matching healthy group. Keywords Low back pain, jugular fossa to xiphoid process distance, xiphoid to symphysis distance, rectus abdominis muscle diastasis, motor development, morphology, anthropometry
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The Use of Elements of Fascial Manipulation in Patients with Low Back Pain
Kačerová, Veronika ; Táborská, Silvie (advisor) ; Novotná, Marie (referee)
Author: Veronika Kačerová Tutor: Mgr. Silvie Táborská Opponent: Title of bachelor thesis: The Use of Elements of Fascial Manipulation in Patients with Low Back Pain Abstract: This bachelor thesis deals with an approach called Fascial Manipulation. Concretely, it is about the possibilities of using elements of this approach in patients with low back pain. Almost everybody somehow deals with low back pain in life. Fascial Manipulation could be the key in solving this problem. The thesis is divided into theoretical and practical part. The theoretical part is divided into four sections. The first one is about the anatomy of lower back, the second one is about lumbalgia in general, the third one is about fascial system highliting the clinical point of view, the forth one is about Fascial Manipulation. The practical part involves case studies of two patients with low back pain (chronic and acute). The aim of this part is to find out the effects of a therapy based on elements of FM in patients with lumbalgia. Every therapy took aproximately 20-30 minutes and was held in a time period of 8 weeks. Key words: low back pain, Fascial Manipulation, fascia, lumbalgie, manual techniques
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The Use of Elements of Fascial Manipulation in Patients with Low Back Pain
Kačerová, Veronika ; Táborská, Silvie (advisor) ; Novotná, Marie (referee)
Author: Veronika Kačerová Tutor: Mgr. Silvie Táborská Opponent: Title of bachelor thesis: The Use of Elements of Fascial Manipulation in Patients with Low Back Pain Abstract: This bachelor thesis deals with an approach called Fascial Manipulation. Concretely, it is about the possibilities of using elements of this approach in patients with low back pain. Almost everybody somehow deals with low back pain in life. Fascial Manipulation could be the key in solving this problem. The thesis is divided into theoretical and practical part. The theoretical part is divided into four sections. The first one is about the anatomy of lower back, the second one is about lumbalgia in general, the third one is about fascial system highliting the clinical point of view, the forth one is about Fascial Manipulation. The practical part involves case studies of two patients with low back pain (chronic and acute). The aim of this part is to find out the effects of a therapy based on elements of FM in patients with lumbalgia. Every therapy took aproximately 20-30 minutes and was held in a time period of 8 weeks. Key words: low back pain, Fascial Manipulation, fascia, lumbalgie, manual techniques
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Kinematic analysis dinamic neuromuscular stabilization tests in people with low back pain.
Burešová, Vendula ; Valouchová, Petra (advisor) ; Kobesová, Alena (referee)
The main target of this thesis was to detect objective changes in the implementation of four postural locomotor tests DNS and during walking. The movements were recorded using the optical MoCap - the kinematic analysis Qualisys. The particular interest of the investigation was to determine the current stabilization of the spine system in individual subjects aged 25 to 55 years, which was documented by means of the angular deflection of each segment, the flat segment deviation or the shift of the marker in a coordinate system. The measurement results were compared between ten individuals with LBP and ten persons without any difficulty who were placed into the control group. The data were collected using the software QTM and Visual3D and subsequently were statistically processed. A statistically significant difference was observed during walking when comparing the angular deflection of the pelvis to the chest at the rotation and lateroflexion (ř). The significant difference of the pelvis shift toward the chest during flexion and rotation (ř) was showed in a deep squat test, but the difference was not confirmed in lateroflexion (ř). Furthermore, no statistical difference of the lateral deflection of the same segment (pelvis or chest) (cm) in patients with LBP compared to all subjects during the...
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Therapeutic intervention of low back pain - comparing of two therapeutic approaches
Pešlová, Veronika ; Pavlů, Dagmar (advisor) ; Neuwirthová, Svatava (referee)
Title: Therapeutic intervention of low back pain - comparing of two therapeutic approaches Objectives: The main objective of this experimental study was to compare two therapeutic approaches: Sensorimotor stimulation by Janda Vávrová and Proprioceptive neuromuscular facilitation in patients with low back pain. Methods: Experimental comparative study aimed at comparing the effect of Proprioceptive neuromuscular facilitation method of Kabat and Sensorimotor stimulation by Jandy and Vávrová in patients with chronic low back pain. The probands were selected from among patients of private healthcare facilities Medi-centre Skalka s.r.o. The assessment of pain, we used a standardized questionnaire Oswestry. The data will be processed using statistical method Mann-Whitney U test. Results: The study showed no significant difference in treatment effect low back pain between Sensorimotor stimulation method by Janda and Vávrová and Proprioceptive neuromuscular facilitation. Keywords: Proprioceptive neuromuscular facilitation, Sensorimotor stimulation by Janda Vávrová, low back pain.
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Evaluation of the Effectiveness of Back Schools in Vertebrogenic Syndromes of Low Back
Spálovská, Hana ; Pavlů, Dagmar (advisor) ; Novotná, Irena (referee)
Title: Evaluation of the Effectiveness of Back Schools in Vertebrogenic Syndromes of Low Back Objectives: To compare the effectiveness of particular back schools. The main goals were to prove the successfulness of back schools in patients with vertebrogenic algic syndrome, to find out jobs with the most promising response to back schools and to reveal possible use of back schools in children. Methods: The dissertation has a descriptive-analytical character and was conducted as a literature review. Results: The results showed the effectiveness of the back schools concept in chronic low back pain. The effect was particularly obvious after two-month duration of the programmes. The most promising results were observed in professionals whose lumbar spine is overexerted due to heavy loads lifting or due to daily routines set into ergonomically inconvenient workplace. The back school concept might be used in children as well, who can mainly take advantage of active exercises and correct ergonomics. This dissertation also sums up other physiotherapeutic concepts relating to this subject. Key words: Back school, low back pain, prevention
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