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Quality of postural stabilization in patients indicated for total hip replacement compared to the population without advanced coxarthrosis
Vojtová, Anna ; Kobesová, Alena (advisor) ; Oplatková, Lenka (referee)
The aim of the study was to determine whether the quality of postural stabilization is impaired in patients referred for total hip replacement (THR) due to advanced coxarthrosis compared to the control group of age matching healthy subjects. Postural stabilization was assessed using four tests according to the Dynamic Neuromuscular Stabilization by a trained DNS therapist. Twenty-six patients referred for THR were included in the study. The control group consisted of 25 subjects without subjective and clinical signs of coxarthrosis. In the experimental group with advanced coxarthrosis, the quality of postural stabilization assessed by DNS functional tests (Respiratory stereotype test, Intra-abdominal pressure regulation test, Diaphragm test and Hip flexion test) was impaired compared to the control group (p<.001 for all tests). In the experimental group, the side of advanced hip arthrosis presented with significantly worse quality of postural stabilization comparing to the non-painful side (p = .012) and comparing to the control group, in which symmetrical quality of postural stabilization was confirmed (p= .379). Furthermore, a strong correlation was identified between the hip range of motion and postural stabilization (r = .467 - .695). A strong negative correlation was found between the hip...
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Abdominal wall activity in patients indicated for total hip replacement compared to the population without advanced coxarthrosis
Opichalová, Klára ; Kobesová, Alena (advisor) ; Oplatková, Lenka (referee)
Introduction: The aim of this study was to explore the relationship between postural stabilization insufficiency and severe coxarthrosis indicated for total joint replacement. Postural stabilization insufficiency was assessed by abdominal wall activity. Methods: 51 participants were recruited. 26 patients with hip arthrosis (13 males and 13 females) were included in the experimental group (mean age 70.5 years, SD 9.1) and 25 participants (10 males and 15 females) in the healthy control group (mean age 70.5 years, SD 7.7). The Ohmbelt device can be used to assess the intra-abdominal pressure indirectly via abdominal wall expansion measurement. The pressure sensor within the Ohmbelt device was attached to the abdominal wall at the area above the inguinal ligament (anterior sensor) and contralateraly at the trigonum lumbale (posterior sensor) by an adjustable belt. The pressure exerted by the abdominal wall wS monitored by the sensors. All subjects were measured twice (once with the anterior sensor, the second time with the posterior sensor) in 3 postural situations - resting breathing in the upright sitting position, the diaphragm test, and holding a 2kg dumbbell in front of the body in the upright sitting position. Results: No statistically significant differences (p>0.05) were found between groups...
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The Assessment of the Impact of the Sports Aerobics on the Postural Stabilization of the girls aged 8 to 10 years
Roubková, Leona ; Satrapová, Lenka (advisor) ; Nováková, Tereza (referee)
Title: The Assessment of the Impact of the Sports Aerobics on the Postural Stabilization of the girls aged 8 to 10 years Definition of the problem: This thesis deals with testing of the postural stabilization and also deals with detection of the occurrence of hypermobility in two groups of girls aged 8-10 years. The first group consist of girls that do sports aerobics and second group consist of girls that do not do any sport. Objectives: In the theoretical part I will devote a summary of findings on the development of postural security, with motor development and motor learning and also very briefly the hypermobility. The aim is to verify if the sports aerobics has a formative influence on postural stabilization of girls at a school age. I examine if the high training load at this early age leads to changes in postural motor skills in terms of its positive or negative influence. Furthermore, the research confirms the higher incidence of hypermobility among athletes. Methods: Selection of the research group on a voluntary basis and according to predetermined criteria. Practical testing of children assembled using two test batteries. Statistical data processing (Student's t-test, Spearman's correlation coefficient). Comparing the results between the two groups of girls. Results: Two test sets...
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The use of the screening test with the neuro-orthopedic equipment Propriomed in diagnostics of postural stabilization and postural dysfunction
Klaudinyová, Anna ; Rašev, Eugen (advisor) ; Maršáková, Kateřina (referee)
Title: The use of the screening test with the neuro-orthopedic equipment Propriomed in diagnostics of postural stabilization and postural dysfunction. Aim of the work: The aim of this work was to find out whether it is possible to use the provocation test with the neuro-orthopedic equipment Propriomed in the diagnostics of dysfunction of postural stabilization. Methods: With each proband, after briefing, the provocation test on Posturomed, measured in the program Microswing 6 in mode "Stand - Schritt - Messung," was performed three times. The obtained data were evaluated by the program Posturomed Commander by means of eight parameters. The median of the eighth parameter evaluating the resultant total postural stabilization (calculated from three measurements in the program Microsoft Office Excel 2007) was used to divide probands into a group of those posturally stable (n=19) and a group of those with mild postural dysfunction (n=30). With each proband, the provocation test with Propriomed, measured in the program Microswing 5 in mode "Propriomed Körper 4 - fach," was also performed three times after briefing. The obtained data were evaluated by the program Microswing 5 and the median of the resultant total postural stabilization was also calculated from them. In two research groups, we compared the...
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Impact evaluation of a anterior cruciate ligament rupture on postural stabilization by a method postural somatooscillography before and after reconstruction surgery
Traplová, Kristýna ; Rašev, Eugen (advisor) ; Véle, František (referee)
Title: Impact evaluation of a anterior cruciate ligament rupture on postural stabilization by a method postural somatooscillography before and after the reconstruction surgery Objective: Compare measured postural stability values by postural somatooscillography which will be carried out before planned ACL reconstruction surgery rupture, early after the surgery and in a longer time period after rehabilitation. Methods: This thesis has been created as a pilot study using a descriptive and associative form. Research part focuses on measurements done on the Posturomed surface during postural provocation test. Platform movement has been recorded by accelerometer and transferred into Microswing diagnostic system and evaluated using the Postural somatooscillography Posturomed Commander application. Results: After reconstruction surgery is the ability of postural stabilization better than before surgery. Postural stabilization has been improving within the group of probands during all measurements. However, the ability of long-term stabilization is at very low level in comparison to healthy subjects. Postural stabilization of uninjured limb is better than stabilization of injured limb in all research stages. Key words: anterior cruciate ligament, injury, postural stabilization, Posturomed
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Assessment of postural stabilization in a group of preschool children
Klauberová, Zuzana ; Dvořáková, Hana (advisor) ; Přibyl, Ivan (referee)
The thesis is looking into an assessment of a postural stabilization in a group of preschool children using an unused test in children testing "Kneeling with Support on Palms", which was used by its creators Voráčková and Šafářová in a group of adult sportsmen, and for comparison is used Matthias test, which is usually used in children testing. The thesis is focused on optimal body positions in the ontogenetic progress in the preschool age, the right body postural, dangers of origin of pathologies in postural stabilization, pathologies in body postural and the usually used diagnostic in the assessment of body postural. Results are showing a possibility of the using the test "Kneeling with Support on Palms" in preschool groups and at the same time showing chosen pathologies in the body postural of three and six years old children. The success in the thesis is a fact, that correlation with Matthias test shows for validity of the test "Kneeling with Support on Palms" and it brings information, that the test "Kneeling with Support on Palms" can be used in preschool age groups after confirmation of its reliability and objectivity. Key words: postural stabilization, body positions, preschool children, deflection in body postural
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Correlation between clinical evaluation by functional postural tests and ability to activate abdominal wall measured by digital pressure sensors
Stříbrný, Martin ; Jačisko, Jakub (advisor) ; Kobesová, Alena (referee)
The theoretical part of the diploma thesis describes the role of abdominal muscles in intra-abdominal pressure and the effect on postural stabilization. The issue of postural stabilization was analyzed in a physiological situation and frequent pathologies related with inadequate postural stabilization have been described. The current possibilities of evaluating the activity of abdominal muscles and intra-abdominal pressure were presented. Methodology: 25 healthy probands (mean age 22.4 years, SD ± 1.76) were evaluated in five posturally different situations - breathing stereotype test, intra-abdominal pressure regulation test, diaphragm test, hip flexion test and arm elevation test. Testing was performed with a prototype of the DNS Brace digital pressure sensor. The resulting pressure values of the abdominal wall expansion were correlated with the corresponding postural tests according to the DNS concept, which were performed by two DNS instructors with more than five years of experience. Results: A statistically significant correlation (p = 0.001 to 0.24) between abdominal wall pressure values and palpation-evaluated postural tests was demonstrated in four of the five tested positions. Correlation was strong in diaphragm test (r = 0.75 and 0.661) and mean in other tests (r = 0.567 to 0.415). Only...
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Objectivization of Dynamic Neuromuscular Stabilization effect on foot supporting function using Senno Gait device
Hejdová, Tereza ; Kobesová, Alena (advisor) ; Davídek, Pavel (referee)
The thesis evaluates the immediate effect of one therapeutic unit that using Dynamic Neuromuscular Stabilization (DNS) on the foot support function. The aim of the experiment was to verify effect of a single DNS therapeutic unit would to the determined parameters. The main expected effect was the optimization of the dynamic function of the foot and achieving better stability during the stance phase of a gait cycle. Methods: For the study, the asymptomatic group of 30 probands aged 24-36 years, 10 men and 20 women was selected. Fifteen probands were randomly divided to two groups - fifteen experimental group and fifteen to the control group. Subjects enrolled in the experimental group were measured before and after one forty minute therapeutic unit of DNS concept. The control group underwent two measurements at the same time interval, but without the therapeutic unit. The Senno Gait instrument was used for measuring. It contains insoles with motion sensors. It collects the data at a 100 Hz sampling rate for 1 minute while walking at its own normal speed. Results: Compared to initial examination, the significant shortening of the standing phase in the left lower limb (p = 0.003) and in the right lower limb (p = 0.034) was observed. The gait rate was unchanged after the DNS therapy in the...
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Effect of strength training on postural stabilisation
Klein, Juraj ; Lopot, František (advisor) ; Kubový, Petr (referee)
Title: Effect of strength training on postural stabilisation. Objectives: The main objective of the theoretical part of the thesis was to summarize the knowledge concerning postural stabilization, strength training and possibilities of postural stability evaluation. The aim of the practical part was to find out what is the effect of strength training on postural stabilization. Methods: The thesis was measured in the premises of the Laboratory of Biomechanics FTVS UK in Prague and was attended by 10 probands. Participants underwent a four-week training plan to develop general strength abilities. We evaluated the impact of strength training by our provocation test and its 3D kinematic analysis using Qualisys optical system. The measurement consisted of an input part before the intervention and an output part after the intervention. The measured values were analyzed in Qualisys Track Manager and then transferred to Microsoft Excel, where they were evaluated and compared. Results: The results showed a significant difference between input and output measurements of postural stabilization. There was a significant improvement in stabilization after four weeks of training, with a noticeable improvement in stabilization on the lower left limb. Properly selected strength exercise has a positive effect on...
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Analysis of postural reactions during exercise with loading of the upper limbs by centrifugal force
Dudová, Daniela ; Šorfová, Monika (advisor) ; Tlapáková, Eva (referee)
Title: Analysis of postural reactions of excercise with a load of upper limbs by centrifugal force. Summary: The aim of the study is the kinematic analysis of selected body segments (C7, Th4, Th8, Th12, AC and SIPS) during performance with a special exercise tool Marrko Core®. Another goal is to confirm the existing knowledge in the field of kinesiology about the rotation of spinal segments. In addition, we aim to compare the selected exercises with each other and asses their suitability for application in the general population with back pain of various etiologies. The experiment was performed as a biomechanical study, where specific biomechanical parameters in human body kinetics and muscle activity were measured during performance of specific exercises. All measurements have been undertaken in laboratory BEZ UK FTVS. Systems Qualisys, Kistler and EMG Noraxon were used for measurements of chosen parameters in human body kinetics and muscle activity. Participants: Participants attended in this study (8 individuals- 4 women and 4 men) were all healthy individuals, 20-40 years old, without any limitation of mobility and pain free. They were all recreational athletes. Key words: EMG, Kistler, Qualisys, postural stabilizatio
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