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Influence of painful menstruation and associated back pain in university students using method of Ludmila Mojžíšová
Dvořáková, Barbora ; Křivánková, Markéta (advisor) ; Hošková, Blanka (referee)
Title: Influencing of painful menstruation and associated back pain in university students using Ludmila Mojžíšová method Objectives: The aim of this thesis was to investigate the effect of Ludmila Mojžíšová method on painful menstruation and the occurrence of associated symptoms. Methods: Research is conducted in the form of an experiment. The diploma thesis includes a theoretical and a practical part. The monitored group consisted of 8 female university students with painful menstruation, in whom the doctor ruled out a more serious cause of these difficulties. The practical part was focused on examining 8 weeks of exercise of the compiled plan together with other techniques according to Ludmila Mojžíšová's method for menstrual pain. The intervention consisted of 4 individual meetings and subsequent independent exercise for 8 weeks with a frequency of ideally at least 30 minutes every day. Kinesiology analysis, anamnesis taking and non-standardized Menstrual Distress Questionnaire were chosen as data collection methods. Results: For the evaluation of the practical part of the work, 4 hypotheses were established. For each subject, the effect of the chosen intervention was assessed through a visual analog pain scale, the MDQ questionnaire and a kinesiology analysis form. Hypotheses were...
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The effectiveness of physiotherapeutic intervention on primary dysmenorrhea.
Němečková, Eliška ; Malá, Jitka (advisor) ; Kučerová, Ilona (referee)
Title: Effectivness of physiotherapeutic intervention on primary dysmenorrhea therapy Objectives: The aim of this study is to determine the effectiveness of a twelve-week physiotherapy intervention including manual therapy according to dysmenorrhea. Methods: This experimental study evaluates the benefits of physiotherapeutic intervention in women with primary dysmenorrhea. Female probands suffering from primary dysmenorrhea were selected and randomly divided into two groups. Two standardized qualitative questionnaires, Menstrual Distress Questionnaire and Short-Form McGill Pain Questionnaire were used to assess dysmenorrhea and the effect of therapy at the beginning of the experiment and at the end of the experiment after three months. During these months, three physiotherapy interventions were performed, which included examination and treatment by joint mobilisation series and examination and treatment of the pelvic floor muscles The control group did not undergo any treatment of primary dysmenorrhea for three months. Results: Differences in the income and outcome values of the Menstrual Distress Questionnaire and pain descriptors from the Short-Form McGill Questionnaire in probands who underwent the intervention were statistically significant (p <0.05). The differences in the mean values of the...
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Influence of body position on pelvic floor muscle contraction strength
Zahořová, Markéta ; Křivánková, Markéta (advisor) ; Hráský, Pavel (referee)
Title: Methods of secondary prevention of the pelvic floor after childbirth Objectives: This is a theoretical work with a descriptive-analytical part. It includes an analysis of the literature from available sources, an analysis of active approaches in the secondary prevention of the pelvic floor and the creation exercise unit for further research. Methods: Literature analysis including processing of information from available sources. Results: Handbook of pelvic floor training with methodical descriptions. Keywords: Pelvic girdle, pregnancy, gynecological weaknesses after childbirth, incontinence, pelvic organ prolapse, sexual dysfunction, pelvic floor examination, Arnold Kegel method, Ludmila Mojžíšová method, Alexander method, Feldenkrais method, Cantienica, exercise unit
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Dysfunction of pelvic floor
Divišová, Kamila ; Šorfová, Monika (advisor) ; Tlapáková, Eva (referee)
Title: Pelvic floor dysfunctions Objectives: The aim of this thesis is to determine the effect of physiotherapy based on the methodology of Ludmila Mojzisova on patients that were showing pelvic floor dysfunction symptoms. The objective is to take the clinical picture of the patients and compare it to the typical findings of Mojzisova. Also to determine which one of the clinical history events had most likely the biggest impact on the development of the dysfunction. Methodology: For the assessment of the effectiveness of the therapy on the patient, I used the pain scale called visual analogic scale (VAS), that was recorded at the beginning and at the end of the therapy. For the comparison of the clinical picture, I used the aspection while focusing on the divergence from the posture and assessment of spasms and blockades according to Mojzisova. This was completed with a test of stretching maneuvers and deep and superficial sensation. In order to determine the root cause of the problem of each patient, I used their clinical history. Findings: This diploma thesis confirmed the benefit of the Mojzisova method therapy in lowering the pain levels and improving the functional state of probands. This was further confirmed by the clinical picture of the study subjects. The most probable root cause of the...
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Kinesiotherapy in the third trimester of pregnancy and childbirth preparation
HANZALOVÁ, Edita
The bachelor thesis deals with kinesiotherapy in the 3rd trimester of pregnancy and subsequent preparation for birth. Pregnancy is a physiological state when the body nourishes two organisms. Because of the baby nourishment pregnancy is certain strain for pregnant woman?s organism. Kinesiotherapy at the final stage of pregnancy is very important. The theoretical part describes physiological changes in female organism during pregnancy. Changes particularly occur in the respiratory system, circulatory system, musculoskeletal system and in body weight. From physiotherapeutic point of view particularly the changes in the postural system and selected muscles are described. Sudden weight growth affects the overall body posture and the structure of pregnant woman?s foot arch. The theoretical part also describes physiological birth, its phases and their length. The last chapter of the thesis theoretical part focuses on the most frequently applied kinesiotherapy methods. These are Ludmila Mojzisová method, Pilates method and gravidyoga. Outline of further kinesiotherapy methods then follows. The bachelor thesis has two aims and one research question set. The first aim is to introduce motion therapy among women in the 3rd semester of pregnancy. The second aim is to prepare pregnant women for the birth by means of kinesiotherapy. The research question deals with finding whether kinesiotherapy has positive influence on the birth progress. Quantitative research method in the form of elaboration of case studies from three respondents was applied to meeting the goals in the practical part. The respondents attended pregnancy exercise and birth preparation classes. Case history was taken from of each pregnant woman to get the necessary data. The interview included information on accidents, operations, painful states, sport activities both before and during pregnancy. Static and dynamic check-up of aspections was then performed. The static check-up focused on overall body posture in back, side, and front views and was documented. The dynamic check-up monitored backbone development and hypermobility test. The practical part then describes individual therapies. An individual kinesiotherapeutic plan is described for all three respondents. The practical part is concluded in an output kinesiological analysis several days after the birth. The output examination also includes an interview on the birth progress and mental state of the respondents. The research confirmed that kinesiotherapy was beneficial for pregnant respondents in the 3rd trimester of pregnancy. The locomotor system problems caused by pregnancy changes in female organism were reduced or eliminated. The clients describe mental well-being during motion activities as well as between the visits. Birth preparation in the form of breathing in the individual birth phases and training of relief position was included into the therapy near the end of pregnancy. The women used the relief position on the big ball in the first birth period and as well as breathing specific for the individual birth phases. The research did not confirm whether kinesiotherapy influences the birth progress. Two of the three respondents delivered without significant complications. The delivery of the woman No. 1 was on the due date. The woman No. 3 delivered less than 3 weeks before the due date. The delivery was without serious complications in both the women. However there were complications in the respondent No. 3 caused by wrong position of the child. Caesarean section in epidural anaesthesia followed. The woman had no problems after the anaesthesia and was transported to the postpartum ward the next day after the intervention. This bachelor thesis may be used as educational material for students and graduates in physiotherapy. It is also suitable for the public, particularly for women in
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Surrounding People´s Reaction to a Couple Dealing with the Problem of Involuntary Childlessness
HEŘMANOVÁ, Bohuslava
Infertility is described as a condition in which a couple for at least one year, despite regular unprotected sexual intercourse, fails to become pregnant. It currently affects about 15% of couples. Acceptance of the diagnosis and subsequent treatment is a huge strain both in physical and mental aspects. People dealing with the problem of involuntary childlessness are usually very sensitive to the response of surrounding people. In the theoretical section infertility is defined as a disease, its causes are mentioned and possible solutions discussed. Assisted reproduction and substitute family care are described. Exercises using the method of L. Moses, spa treatment, alternative treatment options, and childlessness are also included. Communication of an infertile couple with surrounding people is described. The psychosocial impact of involuntary childlessness is also mentioned. The objective of the thesis was to survey surrounding people´s reactions on an infertile couple´s diagnosis and subsequent therapy. Another objective was to determine whether these couples feel the need to notify other people of their diagnosis and of the course of treatment, and what reaction they expect. A qualitative research strategy was chosen. The data collection was carried out using semi-structured interviews with couples who in their past had to deal with the problem of a not fulfilling parenthood. Eight couples and one woman participated in the research survey. The obtained data were evaluated by the qualitative content analysis. It has been found that an infertile couple feels surrounding people´s interest in the assisted reproduction treatment, its possibilities and progress, but also in its financial cost. Adoption is regarded as heroism, charity or foolishness from the perspective of the public. The research has shown that women in infertile couples have a greater need than men to share the infertility diagnosis and possible solutions with their close people. They also expect their close people´s assistance in the form of support, understanding and the possibility to share their experience as for the effort to get a child. These findings have answered the research questions and both the stated objectives were met. This bachelor thesis could be used by midwifery students, midwives and infertile couples as a source of information on the difficulties in communication between an involuntarily childless couple and surrounding people.
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