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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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Effect of Flowin intervention programme on core
Teunerová, Andrea ; Baláš, Jiří (advisor) ; Hráský, Pavel (referee)
Title: The Effect of Flowin Intervention Programme on Core Objectives: The aim of this work was to verify the validity of field testing HSS focusing on M. transversus abdominis and evaluate short-term intervention program Flowin to strengthen the CORE group floorball players. Methods: The research group (n = 13) consisting of junior elite floorball players were randomly divided into experimental (N = 7) and control (N = 6) group. The experimental group underwent a 10-week program Flowin aimed at strengthening CORE. The control group continued normal training. The level of engagement CORE was assessed by modified Bunkie test. This is a test in three positions with the aim to maintain the line shoulder-hip-ankle for 30 s. Objectivization was based on video and evaluation path node. To verify the validity testing CORE was selected from a physiotherapist. The four parameters determining the state of the deep stabilizing muscles evaluated on a scale of 1 to 5. It was chosen testing before and after the intervention program. Results: Demonstrated no relationship trajectory node with the evaluation of physiotherapists (R = 0.105). Was no evidence of effectiveness of the intervention program Flowin (average total trajectory in the second measurement was performed in the experimental group: 0.16 ± 0.14 m,...
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Activation the deep stabilization of the spine in women after gynecologic operations
JIRÁNKOVÁ, Tereza
The theme of this bachelor work is the deep stabilizing spinal system activation of women after undergone gynecological operations. The deep stabilizing spinal system is the system which involves muscles participating in spinal stabilization in all daily life movements. The participation of these muscles is automatical,unconscious.Right coactivation is responsible for high quality setting and optimal pressure in particular spinal joints. Deep stabilizing system dysfunction is one of possible causes of vertebraegenic problems or wrong posture. We speak about pelvis bottom muscles,diaphragm,nucha deep ones,m.mulitifidii and m.transversus abdomonis. In spite of the fact that gynecological operations are carried out very carefully (abdominal way), they leave some changes on musculoskeletal system. I have chosen two most carried gynecological operations for my bachelor work/abdominal hysterectomy and Caesarean section. I have divided my work into two parts. The theoretical one is aimed at mapping available information about deep stabilizing system and gynecological operations. The research one is the core of the work. It is about practical research of deep stabilizing spinal system activation of women after gynecological operations and their profound analysis. The aim of the theoretical part of my bachelor work was mapping of available information about mentioned matter and the description of deep stabilizing spinal system. You can find there the description of particular parts of deep stabilizing system from the point of view anatomy and their function. Then there are described the possibilities of its examination and the last but least the methods used in activation. After the explanation what the deep stabilizing system is the theoretical part follows which is aimed at gynecological operations. I have tried to describe their indications, course and their possible complications. One part is about female sexual organs anatomy. The main aim of the bachelor work research part was brief description of the musculoskeletal system changes during therapy. I have applied the qualitative research method. Two women of different age and diagnosis have been chosen for my research. Therapy was carried out at their home environment in the period of 5 and 8 weeks. The research results were worked out in the casuistry forms which contain input and output kinesiological analysis, therapy course, short-term and long-term rehabilitation plan. The therapy was carried out once a week under the therapist supervision. Then the patients were instructed and trained in the right exercise set and they were given exercise plan for every day. After gynecological operations there were some changes in musculoskeletal system particularly in abdomen area exactly in the location of the cut. This area was not active entirely. There was not abdominal breathing. Activity of abdominal muscles was taken over by musculus rectus abdominis. Lateral groups of abdominal muscles (musculus obliquus internus abdominis,musculus obliquus externus abdominis and musculus transversus abdominis) were not activated entirely. Both patients learnt the right breathing sterotype and their deep stabilizing system was activated. Realizing their own body and how to operate with it was the result of the therapy. The therapy was finished with the form of output kinesiological analysis containing appropriate examination. The research proved the efficiency of activating deep stabilizing spinal system after gynecological operations not only from the point of view physiology, but from the point of view psychic too.
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The effectiveness of exercise on unstable surfaces for physiotherapy students at the University of South Bohemia
ČEJKOVÁ, Veronika
The topic of my thesis is ?Effectiveness of exercising on shaky planes with students of physiotherapy?. Shaky planes and exercising on them positively influences our organism, especially our deep stabilization system. The deep stabilization system is imporatnt for the right body posture. The deep stabilization system is formed by the muscle coordination of the diaphragm, muscles of the abdominal wall, basinal bottom and mm. multifidi. The muscles of the deep stabilization system influence the stabilization of the backbone. If there´s not the right muscle coordination, the backbones is unprotected. The dysfunction of the stabilization of the backbone causes pains of the musculosceletal system, after a longer time degenerative ilnesses emerge. To avoid these problems we have to strengthen the muscles of the deep stabilization system and for this we can use exercising on shaky planes. In me thesis the tested people are using the Bosu ball. The study has been made on the basis of a qualitative survey. The case study has been used. The examination of the tested people has been made on the basis of investigating the biggest possible amount of inforamation. An anamnesis of every tested person has been made and also an aspect and palpation examination has been made. Next a breath stereotype of every tested person has been made, walk and the deep stabilization system. The examination was made before the therapy, as an entry examination. After 4 weeks of exercising, a final examination was made. The final examination consists of the same tests as the entry examination. The final examinatiuon also contains an interview with every tested person, in which I was trying to find out how each tested person was feeling during the exercising and how the exercising influenced each tested person and wheather they want to continue exercising. Exercising lasted for 4 weeks and every tested person worked out 3 times a week. There were two groups of three tested people. The first group used the Bosu ball. All tested people did the same kinds of exercises. There were ten kinds of exercises for every week. When first trying each kind of exercise, the people were checked and I explained them how to do it correctly. Next week there were new kinds of exercises and the old ones were checked again. In the second group of tested people, every person chose their kind of exercise according their concerns. They tried pilates, swimming or going to the gym. After 4 week the results were checked and the effectiveness of the exercises on the deep stabilization system of the backbone. The theoretical part of the thesis describes the anatomy of the deep stabilization system, its examination, function. The therapy and aids that can be used for influencing the deep stabilization system are decribed in the theoretical part. Also the history and the development of the topic of human perceptual and motor skills in the Czech Republic and in other countries has been described. In the practical part the aimes of the thesis are described, the research tasks and the methods used. The most important part is the case interpretation of the tested people with the results of the research. In the attachment there are photographs of the tested people made at the time of the entry and final examinations. There is also a brochure containing a list of exercises which were used. From the results we got from every tested person, it is obvious that their deep stabilization system was positively influenced. The other tested people showed a total or partial pain elimination, but the deep stabilization system was not influenced except the case of pilates. The results of this thesis can be used by other physiotherapists for the need of instruction or for other research. There is also a brochure added containing a list of exercises, which can be used by physiotherapists exercising on the Bosu ball or by the public.
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Effect of jumping training on the postural functions of the spine
KEPKOVÁ, Jana
For my bachelor thesis I chose the theme ?The Effect of Jumping Exercise on Postural Functions of the Spine.? Jumping is safe and gentle aerobic exercise on mini trampolines, which has beneficial effect on virtually all systems of the human body. Speaking about the deep stabilization system, we mean muscle interplay mm.multifidi, diaphragm, pelvic floor and abdominal muscles, which together regulate intra-abdominal pressure. This muscular interplay which ensures stabilization of the spine is activated throughout all movements. Its dysfunction is one of the most significant factors causing back pain. The jumping exercise strengthens these important muscles and improves the overall stability of the body. The objective of the research was to assess the deep stabilization system with respect to kinesiology and kinesiotherapy and to find out whether and how the jumping exercise influences the postural functions of the spine. The data for the thesis were collected by means of qualitative research, by the method of case study and the technique of personal case study. The examination of probands includes a brief history, palpation and visual examination, the examination of deep stabilizing system by functional tests and then also the testing by L.A.S.A.R posture device. Based on the comparison of the initial examination and the final examination, which followed after 10 weeks of jumping exercise, a previously set research question was answered. The thesis involves the theoretical part, which describes the jumping exercise, anatomy, examination of the deep stabilization system and its importance for our body. The practical part involves objectives of the thesis, research questions, the description of methodology, discussions with the authors from which I drew information and primarily, processed results in the form of case reports. The research results show that there were clear positive effects of the deep stabilization system and other structures in all probands. On the jumping lessons the probands were regularly forced to activate the muscles of the deep stabilization system, which resulted in reduction of back pains, in reduction of knee pain in one case and the overall stability of the body improved. The results of the thesis could be used in therapeutic procedures of physiotherapists, for the purposes of further research, in teaching and also in the implementation of more efficient jumping lesson, etc.
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Importance of foot for exercises of deep stabilizing muscles
TURKOVÁ, Alena
The issue of deep stabilization system is still topical at present as its dysfunction causes vertebrogenic problems, one of the most frequent causes of disability to work. The deep stabilization system represents a functional stabilization unit including particularly diaphragm, mm. multifidi, abdominal wall muscles and pelvic bottom muscles. Balanced interaction between muscles is important as this system participates in backbone stabilization and is involved in all moves. A foot is an important part of stabilization system as stabilization of vertically standing body starts in the foot inner muscles. Qualitative research, the method of case study was applied on the data collection. The research was performed for 9 to 12 weeks on a sample of 4 probands who suffered from vertebrogenic problems. The examination of probands consisted of anamnesis, static and dynamic check-up of aspections, palpation examination, examination of the deep stabilization system by functional test and examination of feet. The aim of the thesis was to outline how the use of the foot affects the deep stabilization system and to propose a set of exercises and aids for its correct activation. The theoretical part of the thesis describes foot anatomy and function and the most important part of the deep stabilization system, its examination and therapeutic possibilities including proper use of aids. The practical part presents the aims of the research, describes the methodology and results of the research elaborated in the form of case studies. The Annex also contains a set of exercises affecting the deep stabilization system with application of balance aids. The research results show that body posture has improved in all the probands, all the patients were capable of isolated contraction of the individual DSS parts and functional involvement of the whole system. Influencing of the feet and the whole system led to better stability and graphesthesia on the foot sole, backache has subsided. This thesis may be used in physiotherapeutic clinical practice or as educational material for patients.
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DEEP STABILIZING MUSCLES
ŘEHŮŘKOVÁ, Markéta
The topic of this bachelor thesis is a deep stabilization system. The system consists of muscles which stabilize the backbone while at rest or in motion. A dysfunction of the deep stabilization system is one of many potential causes of vertebrogenic disorders and a targeted affecting of the deep stabilization system of the backbone is a fundamental therapeutic method in treatment of back pain. The purpose of the first part of this thesis was to process information available in literature about this issue. The theoretical part of this thesis contains information about the anatomy, function, examination options and some principles and methods of therapeutic affecting of the deep stabilization system. The purpose of the research part of this thesis was to select suitable clients for effective treatment of the deep stabilization system and practical verification of the individual examination and therapeutic methods used in physiotherapy to treat vertebrogenic disorders. The practical part of this bachelor thesis uses methods of qualitative research and case studies. The research was conducted in an outpatient department of the rehabilitation ward of the hospital in Blansko. The tested group consisted of three female patients with vertebrogenic disorders who were monitored for several months. The results have been processed in form of case reports. After their deep stabilization systems were affected all the patients have reported improvement of the disorder and reduction of pain; the patients learned to breathe correctly and to activate their deep stabilization muscles, including strengthening and relaxation of the pelvic bottom and autotherapy exercises. The treatment was completed with a final examination which demonstrated that the care of the patients´ deep stabilization systems effectively reduced their symptoms, which means that the purpose of the research part of this thesis has been fulfilled. This bachelor thesis may be used in clinical physiotherapeutic practice.
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