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Case Study of Physiotherapy Treatment of a Patient with the Diagnosis Morbus Crohn
Kautzová, Zuzana ; Pavlů, Dagmar (advisor) ; Zinková, Iva (referee)
Title: Case study of physiotherapy treatment of a patient with the dignosis Crohn's disease Objective: The aim of the bachelor thesis is theoretical processing of the diagnosis of Crohn's disease, physiotherapeutic examination and therapeutic methods and, of course, also the practical layout and application of therapy that is suitable to patient's medical condition. Methods: The bachelor thesis was elaborated on the basis of four-week practice, which took place in the Rheumatology Institute in Prague. The theoretical part of the thesis corresponds to the literature search of Czech and foreign professional publications and articles concerning the above- mentioned issue. This part contains not only theoretical knowledge about Crohn's disease, but also functional effects of damaged organs on the locomotor system and higher management levels. Examination and therapeutic methods related to the diagnosis and therapy of Crohn's disease and problems associated with it. The pieces of information were searched in local libraries, electronic resources, and some of them also correspond to the personal communication of experts in their field, with whom I had the privilege to meet. The practical part was designed and compiled by me (the author of the bachelor thesis) and was consulted with the head of the...
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Effect of African dance on deep stabilization system (pelvic floor) from the perspective of physiotherapy
PŮŽOVÁ, Tereza
This thesis deals with the topic of possible influence of African dance to the deep stabilization spinal system, mainly one of its parts, the pelvic floor. The lifestyle of today´s population is characterized by sedentary lifestyle which often alternates with evenings spent in fitness centers. These two extremes certainly negatively influence human´s health. That is why we can come to a conclusion that the activity of deep stabilization muscles is in imbalance or is considerably weakened, that the external muscles overtake the function of deep stabilization muscles and they try to substitute them which is unfortunately not ideal. The deep stabilization spinal system (DSSS) consists of muscle groups which serve to the postural stability and reactibility of the body (Kolář, 2009). The pelvic floor has an important role in the process. It not only holds the inner organs from the bottom but also takes a significant part on the stabilization of the center of the body. If the pelvic floor is not active enough or has another dysfunction, it can lead to a problem called coccyx and pelvic floor syndrome. Incorrect activity of the pelvic floor also suggests the incorrect activity of the DSSS (Marek et al., 2005). A possible way how to prevent or moderate these problems could be the African dance. African dance is not only an aesthetic form of entertainment, and artistic self-realization, but also a form of physical activity which brings development of all components of human´s personality and health. In its holistic concept it influences both the body and psyche of a person. It not only works with the so-called center (DSSS) and improves posture but it also brings a benefit of emotional experience and joy from the movement itself. A possible pathology of the pelvic floor can be successfully handled with African dance because a link to psychosomatics can be very frequent. The intention of the theoretical part was to make a summary of the previous findings about DSSS. I highlighted the dysfunction of the coccyx and pelvic floor syndrome. Also a summary of the information about the African dance style was introduced. As there is a very limited range of bibliographical and other sources to find To reach the set objectives and to answer the research questions, the method of qualitative research was used. Three probands, who regularly took part at the lessons of African dance, were researched. All of them were diagnosed with the coccyx and pelvic floor syndrome and insufficiency of DSSS at the beginning of the research. About two months later, medical examination showed that DSSS and pelvic floor was effected positively. The muscles of DSSS became more active and the pathological condition of the pelvic floor returned largely to "normality". This research and its results also contributed to answering the research questions and meeting the research objectives, which is that African dance is able to positively influence DSSS and coccyx and pelvic floor syndrome at these probands. This thesis was not primarily trying to reveal the cause of the coccyx and pelvic floor syndrome but it researched whether it is possible to therapeutically influence DSSS with the African dance, whether the coccyx and pelvic floor syndrome is there and whether it is possible to influence it with the dance. This thesis can be used as a basis for clinical practice of physiotherapists who are interested in the link between musculoskeletal system and dance. It can also serve as an educational material for instructors of the African dance who are interested in therapeutic and regenerative effect of the dance activity in more depth. Eventually this thesis can become an impulse for more research of this issue.
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