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Musculoskeletal Ultrasound in Physical and Rehabilitation medicine: possibilities in the assessment of selected morphological changes of upper limb
Giannelli, Karolína ; Mezian, Kamal (advisor) ; Hrazdíra, Luboš (referee) ; Nedělka, Tomáš (referee)
This thesis deals with the issue of ultrasound diagnostics and ultrasound-guided interventional procedures in selected pathological changes of the upper limb. Ultrasound examination directly in specialists' offices, including rehabilitation physicians, has been a worldwide trend in the last two decades. The main advantages include the possibility of assessing the pathological findings directly related to the clinical examination. The benefit is speeding up the establishment of an accurate diagnosis and initiating adequate treatment. Indirectly, the costs associated with examination by other imaging techniques and therapy are reduced. This thesis aims to present diagnostic and therapeutic options for selected morphological changes in the upper limb, including less common pathologies, such as case reports of intramuscular haemangiomas, whose diagnosis was significantly contributed by ultrasound examination. In addition to diagnosis, ultrasound is used to navigate interventions, increasing the safety and effectiveness of these procedures. The research part of this thesis is focused on identifying the optimal site of median nerve injection in carpal tunnel syndrome. This study is a prospective, randomized, blinded study with 46 patients with carpal tunnel syndrome. We compared the effect of two...
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Effect of physical exercise on ultrasonographic assessment of Achilles tendon region in runners
Benešová, Adéla ; Machač, Stanislav (advisor) ; Novák, Jakub (referee)
The master thesis entitled "The effect of physical activity on the ultrasonographic evaluation of the Achilles tendon in runners" aims to elucidate the role of physical activi-ty on the outcome of ultrasonographic (USG) examinations. Thirty-two runners un-derwent a 10km run preceded by a USG examination to evaluate and measure their Achilles tendon (AT). These findings were compared with the results of an identical USG examination acquired after the run. Statistical analysis showed significantly diffe-rent values for the following parameters: cross section area (CSA), m. flexor hallucis longus (m. FHL) diameter and heel fat pat compresibility (HFP). Subjectively assessed retrocalcaneal bursa size also showed differences in dimensions. Another focus of the study was to compare the client-centric state of the AT assessed by the VISA-A questi-onnaire with the CSA values and the size of the musculotendinous junction (MTJ) angle of the m. soleus. The size of CSA was inversely correlated with VISA-A values. MTJ angle and VISA-A did not show a statistically significant association.
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Analysis of risk factors for development of tendinopathies in runners - literature review
Voleský, Kryštof ; Pavlů, Dagmar (advisor) ; Pánek, David (referee)
Title: The analysis of risk factors for tendinopathy in runners Objectives: The aim of this thesis is to find out the most important risk factor for development of Achilles tendinopathy, detect the most relevant diagnostic approach with preventive monitoring for Achilles tendinopathy and evaluate the best treatment for Achilles tendinopathy in runners. Methods: The diploma thesis is in form of literary review. The Scopus, PubMed and Web of science databases were used to search for studie using a combination of keywords. A total of 1084 titles were identified. Due to duplicates 402 titles were excluded. On the basis of the name of the article 51 titles were included. On the basis of the availability 50 titles were included. On the basis of the abstract 46 titles were included. Finally 29 titles were included in this review. Results: The most important risk factor for development of Achilles tendinopathy was training intensity for distances 1500-3000 m, week running volume >65 km or being new to running. The most relevant diagnostic approach for Achilles tendinopaty was clinical examination assessing pain (Achilles tendon pain, positive palpation test) and function (pain during physical aktivity) of Achilles tendon. This approach serves as indication for sonographic assessment of Achilles tendon...
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Tendinopathy of Achilles tendon
Bilinkiewiczová, Eva ; Dejmková, Eva (advisor) ; Doubková, Lucie (referee)
Tendinopathy of Achilles tendon is a degenerative disease which affects mid-portion or insertional part of the tendon. The bachelor's thesis deals with the overal issue of this disease, theories of etiology, clinical manifestation, kinds of examination, diferencial diagnosis and types of therapy and focuses on conservative therapy. The thesis is supplemented with a case report of patient, who followed rules of recommended therapy on the basis on used studies, with final evaluation of patient's state of health. Powered by TCPDF (www.tcpdf.org)
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