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Physiotherapeutic procedures in the treatment of postpartum stress incontinence
MARELOVÁ, Alžběta
This bachelor thesis focuses on physiotherapeutic procedures in the treatment of postpartum stress incontinence. It is divided into theoretical and practical parts. One of the aims of my thesis is to describe the therapeutic approaches that can be used to treat postpartum stress incontinence. Then, in the theoretical part, I focus on describing the postural changes caused by pregnancy and the period during the postpartum period. The last aim is to describe the effect of the chosen therapy on the woman's posture and the impact on quality of her life. In the theoretical part, information on the current state of the problem is given, as well as the anatomy and physiology of the organs in the body. The following chapter deals with stress incontinence, specifically its classification, epidemiology, etiology, diagnosis and treatment. The next chapter deals with the changes on a woman's body during pregnancy, and last but not least, there is a chapter discussing pelvic floor problems and the possibilities of physiotherapeutic procedures to affect (not only) the pelvic floor muscles. The practical part describes the methodology of the work, the examination content and the results are noted in the form of case reports. In total, there are case reports of 2 probands, who were at different times after childbirth and suffered from different degrees of stress incontinence after childbirth. For 10 weeks the probands practiced the given exercises, a description of which can be found in one of the chapters. At the same time, their examples can be seen in the photographs in the booklet, which is included in the appendices. The work can be an inspiration for physiotherapists who work with the pelvic floor area or specifically with women after childbirth. It can also be useful to anyone dealing with a problem in the pelvic floor area. The booklet can be the first step in solving it, as it contains educational information as well as basic exercises for the pelvic floor muscles.
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Myofascial pain syndrome in the pelvic area
Hujová, Kateřina ; Bitnar, Petr (advisor) ; Langerová, Marie (referee)
Myofascial pain syndrome (MFBS) in the pelvic region is characterized by the presence of trigger points (TrPs) in the pelvic floor (PF) muscles and pain that is localized directly in the pelvis but simultaneously radiates to surrounding structures. This pain is often difficult to distinguish from internal complaints, which are often mimiced or accompanied by the pain. This bachelor's thesis addresses the subject of pain in the pelvic region and TrPs, which are related to myofascial structures, particularly PD. In the theoretical part, it aims to bring together the existing knowledge on MFBS with a narrower focus on the pelvic region and to present a comprehensive examination procedure and treatment options. The examination of PD in MFBS should be comprehensive, including history, palpation, dynamic tests and pelvic region specific tests. Therapy is initiated with manual techniques (MT), includes therapeutic physical education (TPE) methods to integrate the pelvis into global movement patterns. Training awareness of PD and the ability to relax it play an important role as well. The psychological side of the person should not be neglected, as pelvic difficulties are related to the intimate parts, in many cases reducing the quality of life and limiting the performance of daily activities. For five...
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Physiotherapy in patients with coccygodynie
Šmídková, Andrea ; Hylmarová, Ludmila (advisor) ; Horká, Bohumila (referee)
Autor: Andrea Šmídková Instituce: Rehabilitační klinika LF v Hradci Králové Vedoucí práce: Mgr. Ludmila Hylmarová Počet stran: 120 Počet příloh: 4 Rok obhajoby: 2013 Klíčová slova: bolestivá kostrč, sakroiliakální skloubení, ligamentózní bolest, svaly pánevního dna The thesis deals with the issues and the treatment of a painful coccyx and pelvic floor syndrome called coccygodynia. The theoretical part describes the anatomy, kinesiology and pelvic region biomechanics as well as pathokinesiology of pelvic disorders. The main part of the thesis focuses on the coccyx and pelvic floor syndrome, its diagnostic and therapeutic methods, clinical symptoms, complex therapeutic rehabilitation and the prognosis. The practical part includes case histories of two coccygodynia patients, their examination and physiotherapy methods carried out in an outpatient clinic. The thesis finishes with evaluation and a comparison of the results of both patients' therapies.
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Physiotherapy in patients with coccygodynie
Šmídková, Andrea ; Hylmarová, Ludmila (advisor) ; Horká, Bohumila (referee)
Autor: Andrea Šmídková Instituce: Rehabilitační klinika LF v Hradci Králové Vedoucí práce: Mgr. Ludmila Hylmarová Počet stran: 120 Počet příloh: 4 Rok obhajoby: 2013 Klíčová slova: bolestivá kostrč, sakroiliakální skloubení, ligamentózní bolest, svaly pánevního dna The thesis deals with the issues and the treatment of a painful coccyx and pelvic floor syndrome called coccygodynia. The theoretical part describes the anatomy, kinesiology and pelvic region biomechanics as well as pathokinesiology of pelvic disorders. The main part of the thesis focuses on the coccyx and pelvic floor syndrome, its diagnostic and therapeutic methods, clinical symptoms, complex therapeutic rehabilitation and the prognosis. The practical part includes case histories of two coccygodynia patients, their examination and physiotherapy methods carried out in an outpatient clinic. The thesis finishes with evaluation and a comparison of the results of both patients' therapies.
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Functional disorders of the locomotor system in patients with primary dysmenorrhea
Nosková, Petra ; Ježková, Martina (advisor) ; Jevič, Filip (referee)
The thesis deals with primary dysmenorrhea (PD) in relation to the locomotor system. The aim of the the sis was to compare the frequency of selected joint blocks and the incidence of constitutional hypermobility in PD patients in comparison with the control group. The patient group included 9 women with PD symptoms and the control group consisted of 10 women without these symptoms. The incidence of atlanto - occipital joint block within the patient group was significantly higher than within the control group (p < 0,05). The total number of stuck ribs was also considerably higher in PD patients (p < 0,01). Pain on palpation on the top of the coccygeum apex was significantly higher within the patient group (p < 0,001). Patients with PD did not show significantly different results in Beighton score test for constitutional hypermobility assessment when compared with the control group. Another aim of the thesis was to judge the effect of physical therapy on PD symptoms. For three months, the group of 9 patients had been encouraged to do regular exercises with the impact on postural stability and diagnosed functional disorders of the locomotor system by means of physical therapy. As was shown after the therapy, the reduction of the total number of stuck ribs was statistically significant (p < 0,001). Furthermore,...
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Reactive changes in muscles of the pelvic floor in selected gynecological affections
Králová, Marta ; Čech, Zdeněk (advisor) ; Kolář, Pavel (referee)
The aim of this thesis was to partially locate the reactive functional disorders of the pelvic 1100r muscles and their total effect on the musculoskeletal apparatlls in kontext 01' the whole po ture concerning femaJc patients with a clearly deťined gynaecological affecdon as endometriosis or fllnctio nal steriJ ity in comparison to a control group. The examination was conceived as a ki nesio logical analysis, which was aimed on places that are. according to sp cial ized literature. affected by the pelvic !loor mllscles and a palpation examination, simple to perfonn in rOlltine practi ce. The palpation inspection ofthe paracoccyg al portion of mllscu lus coccygeus and ofthe sacrospinalligament was conductcd with a description of possible irradiation and pain according to a basic surv y. We fO llnd a higher rate 01' pain in a group of 4 pat ients with a gynaecological affection in c mparison to a control grollp of the same size. There was a bilate1'al finding with irradiation in all 4 gynaecological patients, whi cb they described as bothering Ol' lInbearable. Conc rning tbe women in the control group, th re wa ' a positive fi nding in 2 out of 4. The degr e of pain was described f1'om slight to bothering sorcness. These outcomes indicate that gynaecological affections as a supposed source of nociceptive irr...
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Education of women with functional disorders of the motion system to the physiological activity of the pelvic muscles using physiotherapy practice
POLÍVKOVÁ, Lenka
This work deals with pelvic floor muscle issues. The topic is Educating woman with functional disorders of the locomotor system for the physiological activity of the pelvic floor using physiotherapy techniques. The first part focuses on the anatomical relationships in the pelvic area in terms of single organs, breathing mechanics, pelvic floor work and abdominal musculature. Further chapters are about pregnancy, childbirth and the postpartum period in relation with pelvic bottom and dysfunction of the pelvic floor mechanism. Theory of functional disorders has been explained as a result of the changes woman's body goes through. The aim of the theoretical part was to summarize knowledge about the function of the pelvic floor, dysfunction mechanism and the possibility of a therapeutic effect on functional disorders of the musculoskeletal system. The second part has developed the methodology and therapeutic procedures for two research files with respect to PF activity as part of the deep stabilization system. The first group were women before childbirth in the 2nd and 3rd trimester of their pregnancy; the second group consisted of women after childbirth - during the postpartum period. Characteristic for both research files were the presence of functional disorders of the musculoskeletal system. For the research were used qualitative methods of data acquisition; case history, observation, input and output kinesiology analysis and interview. The main aim of this work is to determine the rehabilitation plan for women in the 2nd and 3rd trimester of pregnancy and the determination of the rehabilitation plan for women in childbed. Both rehabilitation plans contain special set of PF exercises, which include education for their proper implementation. Selective clients have opportunity to insight into the understanding of this muscle group work, not only useful during exercises, but even during every day activities. The Bachelor thesis can be used in physiotherapists' clinical practice. Also, as a source of information for professionals and the general public.
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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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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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