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Kinesiotaping- part of the treatment of herniated intervertebral discs in the lumbar spine
FIALOVÁ, Anna
The title of this dissertation is Kinesiotaping part of medical treatment herniated discs in lumbal area. Slipped disc belong to degenerative disease and we can observe them as an after effect of injury, too. Rising incidence has something to do with lifestyle. More and more person are doing sedentary employment and thay have got lack of motion aktivity. That result in faulty postural habits, degenerative disease of backbone and weakening of musculature. Slipped discs give rise to nerves oppression, pain radiation, painful movement or skin sensitivity damage. In this case punctum diagnosing and treatment are crucial. There is possible to choose both surgical and conservative medical treatment. I have attended to conservative therapy. Theoretical part give undivided attention to lumbar spine anatomy, classification and treatment prolapsed disc in this area. Kinesiotaping as a technique is specify. In addition are mention some extra procedure we can use. My primary aim was to describe theoretical base of treament effect of kineziotaping. Secondary aim was to elaborate 3 4 case history using qualitative research. Field research took place by dialogue, then followed initial and final examination. The volunteer had to sing informed permission. This dissertation can be used both by lay and experts and improve general knowledge of kinesiotaping and slipped disc.
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Rehabilitation of patients with prolapsed intervertebral disc in lumbar spine during surgical therapy and conservative therapy
KOTT, Petr
TThe title of the thesis is The rehabilitation of patients with the slip of intervertebral disc in the region of the lumbar spine in surgical and in conservative therapies. A lumbar disc herniation is one of the most frequent degenerative changes in the spine. It is also one of the most common diagnoses in neurology and neurosurgery indicated for surgical treatment. This is an alarming finding and therefore it must be pursued in depth. The first part is only theoretical, containing the anatomy and kinesiology of spine, the characteristics, division and diagnosis of the slip, and the description of the conservative and surgical therapies. The second part is devoted to the research, with two groups of respondents. In the first group there are three patients who underwent my five weeks? intensive rehabilitation plan. We met once every week and they did the exercises every day on their own. The first meeting was related to a complete examination and exercise education. The last meeting again included a thorough examination, and a long-term rehabilitation plan suggestion. The short-term rehab plan was mainly composed of pain relief components, searching for the relief positions. Also, we worked out the deep stabilization system, the abdominal muscles involvement, pelvic exercises, spasm loosening, sacroiliac joint relaxation, sensomotoric exercises, root stretching and kinesiotaping. Each patient was also familiarized with the secondary prevention and the contraindications for this illness. The second group are two patients who underwent a surgery at the neurosurgical department of the hospital in České Budějovice. Subsequently, they rehabilitated at the rehab department of the same hospital. This group received a complete care of the department ? the examination, the treatment, physical therapy application and file records. Their results were compared to the first group performance. The components of the therapy were: group fitness exercises, individual fitness exercises, group specific exercises (Flendkrais method elements, McKenzie, pelvic exercises), soft techniques for the scar, swimming pool fitness exercises. The aim was to describe the differences between the conservative and surgical therapies. The purpose of the practical part was to prepare and implement an intensive rehabilitation plan for particular patients, who were not indicated for the surgery, and compare the results with the patients after the surgery. A qualitative research was used for the purpose for the comparison. To gather the data, I used the following techniques: interview, anamnesis, entry and final kinesiological analysis, medical record consultations, photographing, and secondary data analysis. The field research is concluded with the result evaluation. The results show that the kinesilogical analysis was highly functional in two cases, and helped the patients. In one case it helped only partly, but it shall be stated that the patient did not exercise on his own, was not motivated and obviously wanted to stay on the sick-leave. Moreover, the results clarify that the surgery in most cases does not make do without the right rehabilitation. If the local stabilizers are not activated and the pathological movement patterns are not corrected, the relapse is quite probable, and the probability grows with every following surgery. The aims of the research were fulfilled. Key words: therapy, disc, herniation, rehabilitation.
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