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Case Study of physiotherapy treatment of a patient with the diagnosis of cervicobrachial syndrome
Čapková, Alena ; Štiková, Barbora (advisor) ; Reckziegelová, Petra (referee)
Title: Case Study of physiotherapy treatment of a patient with the diagnosis of cervicobrachial syndrome Target: The objective of bachelor thesis is to describe the problems cervicobrachil syndrome Abstract: This bachelor thesis consists of two parts. The theoretical part contains of anatomy, physiology, kinesiology of cervical spine. It states here the definition, cause, clinical features, therapeutic approaches to the issue. A special section is the most important part of the bachelor thesis. A special section is devoted to case report and determination of the a physiotherapy plan. The case report discussed in detail contains anamnesis, the input kinesiology analysis, short- and long-term plan, records of the therapeutics units, the output kinesiology analysis and evaluation of the effect therapy. Key words: Cervicobrachial syndrome, cervical spine, vertebral illness, case report, physiotherapy.
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The effect of physiotherapeutic procedures on cervical spine surgery.
Valášková, Veronika ; Dudová, Agnieszka (advisor) ; Pánek, David (referee)
Author: Bc. Veronika Valášková Title of the work: The effect of physiotherapeutic procedures on cervical spine surgery. Aim: The aim of my thesis is to give an overview of the physiotherapy treatment after surgery of herniated cervical intervertebral disc. Methods: This thesis is written as a review of literature sources. The thesis consists of three parts, the first of which highlights the issue of kinesiology, biomechanics, stability of the cervical spine, pathophysiology of a prolapsed spinal disc and imaging issues involved in the discovery of a the actual prolapse. The second part deals with the various surgical techniques and associated complications. The final theoretical part looks into physiotherapy treatment after the operation. I examine the chronology of physiotherapy after the operation, and ascertain if there is a necessity to apply a neck brace after the surgery. It is important to answer the question of when it is possible to return to work and when the patient can return to their original physical activities. Results: The results of this thesis shows that postoperative care in individual departments vary and is inadequately described within available resources. Subsequent physiotherapy is dependent on the patient's condition before the operation, the operation itself, and its...
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The influence of manual therapy of cervical spine and temporomandibular joint on tinnitus.
Sakr, Mohamad ; Malá, Jitka (advisor) ; Vláčilová, Ivana (referee)
To assess the effectiveness of physical interventions for cervicogenic and temporomandibular joints to reduce Tinnitus. Moreover, this systematic review will assess various physical therapy and optimal tinnitus management approaches. Methodology A systematic review of potential literature was performed following PRISMA guidelines. A comprehensive electronic search across PubMed, CINAHL, Science Direct, Embase, Cochrane library, and Scopus from 1991 to October 2022. I assessed the standard mean difference of intervention within and between the studies. The quality assessment of randomized and non-randomized control trials is performed using the Cochrane risk of bias assessment and the Newcastle-Ottawa scale respectively. Results Nine studies were included in this systematic review (1 cohort and 8 clinical trials). 470 patients were included overall. I used Visual analog scale (5 studies), Tinnitus handicap inventory (4 studies) and self-design questionnaires (3 studies) to describe the results. Different manual therapies were used to intervene and all of them showed statistically significant effect in improving subjective tinnitus in patients. Conclusion The results of this systematic review suggested a favorable role of manual therapy for the management of tinnitus. Prominent change in the pain...
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The Effect of Proprioceptive Neuromuscular Facilitation to Cervical Spine Posture in Road Cyclists
Bezděková, Hana ; Busta, Jan (advisor) ; Bačáková, Radka (referee)
Author: Bc. Hana Bezděková Title: The Effect of Proprioceptive Neuromuscular Facilitation to Cervical Spine Posture in Road Cyclists Objectives: The aim of this diploma thesis is to assess the effect of 6 weeks proprioceptive neuromuscular facilitation theraphy on posture of the cervical spine in road cyclists. Methods: This is a quaziexperimental study with general noninvasive examination. Photogammetry was used for evaluation of posture of the cervical spine and craniocervical flexion test was used to assess strength in deep neck flexors. The group that was examined consisted of 8 men and 2 women. Statistical analysis was performed using Shapiro-Wilk test, coupled t-test and regression. The siginificance level was set to α = 0,05. Cohen's d test was used to verify material significance. Results: There was no statistical and effect size significance found in input and output difference of craniovertebral angle in the experimental group after 6 weeks of PNF exercises. On the other hand, we have proven the statistical and effect size significance in strenght of deep cervical flexors before and after PNF treatment. Road cyclists are also, proportionally to time spent road cycling, more vulnerable to forward head posture. Keywords: proprioceptive neuromuscular facilitation, road cyclists, cervical spine
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Physiotherapy for patients with cervical spine pain due to its overloading
GALLOVÁ, Iveta
This bachelor thesis focuses on the issue of cervical spine pain. Specifically, the thesis deals with pain caused by overloading of this area and examines by what means this overloading is created. The aim of the work was to map selected physiotherapeutic procedures that can relieve or eliminate cervical spine pain. The second goal was to describe the basic ergonomic requirements for working sitting at a desk. Another goal was to design and create an exercise unit for autotherapy in patients with cervical spine pain, which is related to the last goal of the work, which was to create educational material for patients with a demonstration of exercise unit for relief exercises. Firstly, the theoretical part describes the anatomy of the cervical spine, including a description of the vertebrae, structures connecting the spine and the muscles that surround this section of the spine. I further dealt with the description of the mechanisms by which cervical spine can be overloaded. In the theoretical part of the work, I provided great attention to the description of selected physiotherapy options used to treat the cervical spine pain. The conclusion of the theoretical part was devoted to the ergonomics of sitting, where I defined the term of ergonomics and thoroughly described the correct working position while sitting and the correct way of sitting. In the practical part of the work, I conducted qualitative research, in which I performed input and output kinesiological analysis in 5 probands suffering from frequent cervical spine pain, who were at the same time spending at least 6 hours a day sitting. This kinesiological analysis consisted of anamnesis, examination of aspects and palpations, dynamic tests of the spine and a muscle test. Individual examinations were performed within 2 months. During these 2 months, the probands had the task of practicing my exercise unit, which I created at the beginning of the practical part of the work. This exercise unit was focused primarily on stretching and relaxing the cervical spine and was designed to be space-saving and time-saving so that probands could perform it at any time at school or work. The probands were tasked with training this unit for 2 months at least 3 times a week. During the initial examination, I also evaluated the working position of probands and subsequently adjusted it so that the musculoskeletal system was loaded as little as possible. At the end of the research, I compared the input and output data. The results of the research show that by setting the right ergonomic sitting position and regular exercises focused on stretching and strengthening the cervical spine area, it is possible to reduce the tension of overloaded muscles in this area and subsequently prevent and relieve the pain. This bachelor thesis can be used in the clinical practice by physiotherapists who deal with the issue of pain in the cervical spine. The information contained in this bachelor's thesis can also serve as an educational material for the general public, which is endangered by arising of these difficulties or is already suffering from this problem.
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Respiration and posture influence on the activity of upper and lower esophageal sphincters
Bitnar, Petr ; Kobesová, Alena (advisor) ; Dolina, Jiří (referee) ; Malá, Jitka (referee)
Respiration and posture influence on the activity of upper and lower esophageal sphincters Abstract This work explores the effect of postural respiratory function on pressures in the upper esophageal sphincter (UES) and the lower esophageal sphincter (LES). UES and LES pressures were measured using a high-resolution manometry (HRM). Leg raise in a supine position results in significant pressure increase in the UES and LES. Traction of the cervical spine and chest stabilization maneuver significantly reduces pressure in the UES and significantly increases pressure in the LES. Abdominal wall activity, i.e. intra-abdominal pressure (IAP) affecting UES and LES function, was measured using Ohm Belt sensors. IAP is related to body position, i.e. posture. Using verbal and manual guides, the subject can be instructed to increase abdominal wall activity and thus regulate (increase) IAP. Of the five monitored positions (sitting, lying on the back with leg raise, "bear", squat and hang), the greatest increase in IAP occurred in the bear position, i.e. in the position on all fours with a support on both hands and feet. IAP activation, which is significantly dependent on diaphragm activation, can potentially affect LES pressure and UES pressures. Based on the systematic review, it can be concluded that breathing...
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Cervicogenic headache
Patríková, Jitka ; Šifta, Petr (advisor) ; Konopková, Renata (referee)
Title Cervicogenic headache Objectives The aim of this master thesis is to present a comprehensive overview of the topic of cervicogenic headache. It focuses on the prevalence of this disease in the general population and on the cervical spine segment where the dysfunction in patients with cervical headache occurs the most frequently. It also focuses on the link between suboccipital muscles, cervical dura mater spinalis and headache on the effectiveness of different therapies for this diagnosis. Method The thesis is conceived as a scientific literature research. In order to obtain sources professional database such as Pubmed, PEDro, Medline, HighWire, Science direct were used. The thesis is divided into a theoretical and an analytical part. There have been 4 questions and 4 hypotheses set for the purposes of work the thesis. Results Based on the analysis of available studies, the thesis confirmed that the incidence of cervicogenic headache in the general population is not negligible. It has also been proved that the diagnosis is quite frequent in patients suffering from headache, which may represent up to 35 % of patients. The results of available studies indicate that the dysfunction of the cervical spine causes 15-20 % of cervicogenic headaches. In most of the cases, it is the influence of the...
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Possibilities of physiotherapy in whiplash injury syndrome
Šmahelová, Eva ; Molnár, Petr (advisor) ; Hamarová, Zuzana (referee)
Author: Eva Šmahelová Institution: Department of Rehabilitation Medicine in Hradec Králové Title of bachelor's thesis: Possibilities of Physiotherapy in Whiplash Injury Syndrome Supervisor: Mgr. Petr Molnár Number of pages: 68 Number of attachments: 3 Year of vindication: 2012 Key words: whiplash injury, injury of cervical spine, physiotherapy of whiplash injury, cervical spine. The Bachelor's thesis completes available knowledge about large problems of whiplash injury and about the abilities of physiotherapy within this problem. In the general part there is anatomy and kineziology of the spinal column aimed at the neck area and classification of injury of the neck spinal column. The special part summarizes the available information about whiplash injury (definition, incidention, mechanism of arise etc.) and refers to possible ways of therapy. The discussion is about the special consideration on the theme of the problems of whiplash and completes gained knowledge in the Bachelor's thesis.
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Case study of physiotherapy treatment of a patient with the diagnosis of cervicobrachial syndrome
Jurčáková, Andrea ; Novotná, Irena (advisor) ; Křížková, Štěpánka (referee)
Name of bachelor′′′′s thesis: Case Study of physiotherapy treatment of a patient with the diagnosis of cervicobrachial syndrome Prepared by: Andrea Jurčáková Target: The aim of this work is to describe the problems cervikobrachial syndrome Methodology: This thesis deals with the processing of case reports of patients with cervicobrachial syndrome. The work is divided into general and special. General section focuses on the definition of the disease, causes, clinical features, therapeutic approaches to the issue. Special section is the most important part of the thesis. It concentrates on a specific diagnosis. It contains the methodology of work, history, input kinesiology analysis, short- and long-term plan, records of the therapeutic units, the output kinesiology analysis and evaluation of the effect of therapy. Key words: cervicobrachial syndrome, cervical spine, cervicothoracal transition, painful vertebral syndrome
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Case study of physiotherapy treatment of a pacient after a surgical stabilization of the cervical spine
Crhová, Anna ; Malá, Jitka (advisor) ; Jarošová, Hana (referee)
Title of bachelor's thesis: Case study of physiotherapy treatment of a pacient after a surgical stabilization of the cervical spine. Aim of the thesis: Aim of the bachelor's thesis is to define disability of the cervical spine by rheumatoid artritis patient and focus on physioterapeutic procedures, which are used for patients after a surgical stabilization of the cervical spine. Method: The first part of the bachelor's thesis is teoretical and will be write up in the form of search. Aim is to collect and compare published information from proffesional articles, books and studies about issue of physioterapeutic care for patient with rheumatoid arthritis after the surgical stabilization of the spine. Will be used czech and also foreign sources, from the year 1974. The second part is special, will be write up in the form of case report of pacient with rheumatoid arthritis (IV. degree). This special part is based on terapeutic sessions with patient in the Rheumatology institute in Prague, within continuous professional practice from 9th January to 4th February 2012. The aim is to used obtained knowledges and skills from teoretical and practical studies to examine patient, do proposal and application of suitable physioteraputic methods or procedures. Key words: physioterapy, case study, cervical spine,...
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