Search

Tittle:Influence of drugs from the group SYSADOA for knee osteoarthrosis Objectives:The aim of the thesis is to evaluate the effect of three months use of drugs from the group SASADOA on subjective perception of the difficulties associated with knee osteoarthritis and to determine the intensity of gonarthrosis progression in connection with knee cartilage width. Methods:For the study18 probands were obtained from rehabilitation and orthopedic institutions in Prague. The criterion for recruitmen t was knee joint osteoarthrosis of II. degree. For all participants there was conducted input kinesiology analysis and clinical examination, patient's medical history and filled in WOMAC questionnaire. All participants were sent for an X-ray of the knee. Group of probands was randomly divided into two groups. An experimental group was taking Proenzi 3 plus, a control group was taking placebo. Both groups were taking medications for 12 weeks. After this time the probands arrived to check- up and second filling in of the WOMAC questionnaire. The experimental group that had been taking Proenzi 3 plus received placebo for additional 12 weeks, the control group received Proenzi 3 Plus. After finishing preparations all probands were invited to the last visit where they underwent follow-up examination, the third...

6 Abstract Title: Noninvasive image analysis of hallux valgus. Objectives: Propose a simple, cheap, fast and non-invasive method for diagnostics and monitoring the effect of therapy of hallux valgus deformity. Methods: Evaluation the parameters in X-ray and photography which were taken before and after therapy of hallux valgus. I measured angles on foot in programme AutoCAD and confront the correlation of angles in X-ray and photography. I also looked for an angle similar to the hallux valgus angle. Results: The method of photography can be effective in physiotherapeutic practise. This diploma is a case study, therefore we cannot consider the results implicitly significant. Keywords: Hallux valgus angle, X - ray, photography, HV I angle, HV II angle

Title: Knee - straining of modern gymnasts For the basic study of human movements we need to take into consideration geometry of moving units (bodies), kinematics and dynamics. The theoretical part generally describes all the subjects connected to the research project, especially information about functions of human musculoskeletal system, description of basic biomechanics of knee joint,walking and methods of acquiring and processing of data for kinematic analysis of walking. The experimental part focuses on straining on a knee joint of modern gymnasts. It is a methodical analysis of straining on a knee joint. The foundations for this diploma thesis are data recorded by the Kistler system which we used for measuring of the dynamical part of a jump. We also used the swedish Qualysis Motion Capture system for the kinematic analysis. All the data were processed by Qualysis Track Manager software. The results of the research is kinematical - dynamic analysis, which is further used for the result of full - year of legs - straining of selected type of sport movement. Key words: biomechanics of knee joint, walking, kinematic analysis, gymnastic jumps

Title of the thesis: Identifiers of the hypokinetic stress while driving a car Objectives: This work is part of a long - term study in the field of detection of mechanical features of the spine by TVS (Transfer Vibration through Spine), mainly for diagnostic purposes. The aim is to contribute to the further development and testing of the method. The essential aim is to find such quantitative identifiers, which enable reliable and clear assessment of the qualitative changes in the features of the spine during the given stress (driving a truck). Method: The theoretical part of the thesis consists of literature review, theoretical analysis of the method and characteristics of the mechanical features of the spine. The practical part is performed in the form of an experimental pilot study dealing with the effect of hypokinetic stress (driving a truck) on the change of the parameters of the rheological features of the axial system of an individual human. Results: As part of this work, the TVS methodology was tested to determine the current status of truck drivers, which proved to be sensitive enough. The work was able to define appropriate quantifiers to assess qualitative changes in features of the spine. The overall attenuation of the spine decreased by ride from the original value of 1015:1 to 626:1....

Title: Human axial system: identification of connective tissues changes Objectives: The main objective of this thesis was to compile a review of techniques and methods currently used in identification of connective tissues changes. Methods: The method used in this thesis is a critical literature review - a study of research papers from available information sources accompanied by author's comments. Foreign sources are represented mostly by research papers accessible via electronic archives such as ScienceDirect, Pubmed, Springer, Wiley. Also other foreign publications were used. The theoretical part is focused on basic anatomy and physiology of the spine and states main methods of identification of connective tissues changes involved in this area. The main part describes particulars of researches dedicated to identification of functional and morphological characteristics of different spinal components. Results: In addition to classic methods of spinal research, the thesis introduces also new developing techniques and methods. Procedures used in current research are described; their advantages and limits are explained. Key words: spine, biomechanics, loading, intervertebral disc, method

Disease and diagnosis of cardiovascular system Abstract In this bachelor's thesis, we are dealing with cardiovascular diagnostic methods and the most common diseases affecting the cardiovascular system. The text briefly introduces the basic diagnostic methods of the cardiovascular system. Furthermore, we focus on the most common heart diseases and possible diagnosis using these methods. Out of these diagnostic methods, we will focus on the CVS method (Classification of cardiovascular system), which is developed by the Institute of Thermomechanics AS CR in cooperation with the Faculty of Physical Education and sport, from which we are expecting in future the prediction of hypertension. This work also serves as a theoretical basis for the future experimental part of the research. Keywords: atherosclerosis, hypertension, diagnostic methods of cardiovascular system, diseases of cardiovascular system, CVS

Title: Effect of physiotherapy in respiratory diseases during healing stays Objective: The main objective of this work is to analyze the importance of physiotherapy as one of the treatments used in the care of pediatric patients with bronchial asthma. Method: In the theoretic part of the dissertation anatomy and physiology of the respiratory tract, respiratory biomechanics, problems of asthma bronchiale, possibilities of asthma treatment, prevention and improvement of quality of life in children with respiratory difficulties under physiotherapy are discussed. The practical part is made as a pilot experimental study of influence of various physiotherapy unit length on patiens respiratory parameters. For monitoring of changes in respiratory displays standardized spirometry measurement was provided supplemented by electronic stethoscope examination. Results: The positive effect of respiratory and movement physiotherapy in children with asthma bronchiale was demonstrated. Further the optimal length of one therapeutic unit in the interval between 10 and 30 minutes was defined. Key words: Asthma bronchiale, spirometry, respiratory physiotherapy, school age

Author: Bc. Petra Mertová Title: The effect of kinesiotape application on rheological properties of the knee joint with chondromalacia patellae Problem definition: Chondromalacia patellae is a very frequent diagnosis related to knee injuries. Diagnosing chondromalacia is very difficult. Knee arthroscopy is the best method for evaluating the cartilage condition, however this technique is invasive. Kinesiotaping is a therapeutic method extensively used to affect knee pain. Patellar taping is an effective method in improving symptoms resulting from patellofemoral joint problems, nevertheless the evaluation of its effect has not yet been objectively investigated. Aim of the thesis: The aim of this study is firstly to discover the possibility to noninvasively detect chondromalacia patellae using the method of biorheometry and secondly to discover the impact of kinesiotaping on rheological properties of the knee joint with chondromalacia patellae. Method: The designed experiment was performed as a pilot case study using the method of biorheometry. The history of the patient was monitored using a questionnaire and by a clinical examination of the knee joint. Two questionnaires were created to evaluate the functional state of the knee joint. Measurements were done on a special device called biorheometer....

Transfer Vibration through Spine Abstract In the bachelor project we deal with the topic of Transfer Vibration through Spine. The problem of TVS is trying to be solved by the critical review method. We analyse some diagnostic methods and methods of treatment based on this principle. Close attention is paid to the method of Transfer Vibration through Spine that is being currently solved by The Research Institute of Thermomechanics in The Czech Academy of Sciences in cooperation with Faculty of Physical Education and Sport. In the text are also searched mathematical description and biomechanical qualities of spine system that are related to these mentioned methods. The project is also used as a theoretical base for future experimental part of the research. Keywords: mechanical wave, intervertebral disc, spine, Transfer Vibration through Spine, connective tissue.

Title: Analysis of plantar pressures distribution at patients after microdiscectomy L5/S1 Author: Petra Végsöová Objective: The topic of the thesis is to analyze distribution of plantar pressure at "broken" and "healthy" foot. The work is based on comparison of plantar pressure distribution on "broken and healthy" footprint in static position before and after intensive daily rehabilitation. Method of solution: Twelve 40-65 years-old individuals were chosen for the study. They were treated for L5/S1 microdiscectomy and rehabilitated daily at Rehabilitation clinic Malvazinky in Prague. This group of individuals was examined in two ways; by a physiotherapist, who analysed their state of health using kinesiology analysis, and by Plantograph V07, which is used for examination of state of pressure between sole of foot and miniature pressure sensors shaped in a grid. Three weeks of rehabilitation was ended by the same ways of examination used at the beginning of therapy. The results were processed and compared by a computer. Key words: back pain, radicular syndrome, microdiscectomy, radicular pain, analysis of plantar pressures, plantograph

Work title: The response of the visual system when driving a car in real conditions and in a simulator during a parallel motor task. Aims: To implement a laboratory measurement in a driving simulator and in real conditions during a parallel motor task. To track the response of the visual system during the task and to determine potential differences in the response of the visual system and in the speed in the simulator and in the real car environment. Methods: The laboratory measurement was realized in a driving simulator OCTAVIA II. The measurement in real conditions was realized in Škoda Octavia as well. The eye-tracking method was used to track the drivers` eyes. Results: In the simulator the more experienced driver managed to do the parallel motor task within a shorter period of time than the less experienced driver, lower frequency of looks at the radio during the tasks with the more experienced driver was not proved. There was not an evidence of more balanced speed during the drive with the more experienced driver in the simulator. On the average the driver spent shorter time doing the tasks in the real environment than in the simulator and the total number of looks at the radio was lower. The speed of the drive in the real environment was lower than the speed in the simulator. Key words:...

Title: Instrumental Gait Analysis in the ACL Patient Aim: to present an up to date review on the topic of instrumental analysis of straight ahead gait on a plain surface (both over-ground and on a treadmill) in ACL patients (both deficient and reconstructed). A second aim is to introduce the clinician (especially in the field of physiotherapy/rehabilitation) to the topic of gait analysis and its specific use for the ACL patient. Methods: a systematic review on the topic Results The review answers the questions of what instrumentation, phases of gait and variables is best to use/measure for clinical purposes. It also identifies and discusses three main gait strategies used by ACL patients: quadriceps avoidance, knee stiffening, pivot shift avoidance. Keywords: gait, analysis, walking, clinical, instrumental, anterior cruciate ligament, ACL, deficient, reconstruction, injury

The study is based on the program of monitoring of the state of surgically created vascular accesses by measuring the vascular access blood flow (QVA). Besides the comprehensive analysis of factors influencing the value of QVA it discussed in detail hemodynamic changes caused by the presence of non-physiological arteriovenous anastomosis. The study is based on data acquired in the course of more than 10 years during which this program has been routinely used and is based on data from 506 patients with a total of 4,296 measurements of QVA. In patients, QVA is significantly inter- and intraindividually variable. QVA is significantly influenced by multiple factors and corresponds also to the overall health of the patient. No simple factor has been proven to predominantly influence QVA. The study points out the significant long-term physiological variability of QVA (23%) as a parameter that was not taken into account despite its importance in deciding on the correct indication of radiological interventions. The study also analyzes the strong correlation between QVA and cardiac output. It brings a new method of evaluation of the influence of vascular access on myocardium through a calculation of the load of left ventricle and shows that there is a strong non-linear dependency between the flow and the...

The Influence of Shoulder Protraction Correction to the Postural Stability Abstract This work is focused on postural stability from the view of physiotherapy and biomechanics. The basic theme was to find out to what degree the correction of shoulder protraction will influence the postural stabilization of modified tip-toe standing position. For this purpose was set up a special methodic for measuring and data evaluation. Within filling the project of this work, there was suggested and performed a special method of measuring on 2 Kistler force plates, when 1 of the plates was fixed in ½ m. height from the ground on a special inclined construction. The angle of the plate with the ground contained 60ž. There were 5 probands involved in the experiment (aged 20-30 years, having shoulder protraction without any pathology of these joints). The probands were separated up to 3 groups in compliance with the degree of shoulder protraction. Each proband was measured before and after the therapy on the 2 Kistler plates in an oblique tip-toe stand with one upper extremity leaned against the plate in 60ž abduction. The Kistler plates were placed under the lower extremities and the one upper extremity and the measuring took 30 sec. on the left and 30 sec. on the right upper extremity. The therapy took 30 minutes and it was...

This diploma thesis deals with complex quality assessment of catheterization programme run at Strahov Internal Medicine Department of the General Faculty Hospital in Prague. The evaluation was done according to K/DOQI 2006 international guidelines. The aim was to evaluate primary success of catheterization, probability of maintaining catheter functionality in time, the risk of its thrombotization and presence of infection. The evaluation was performed using Kaplan-Meier method. Moreover, the effect of additional enhancements for maintaining catheter functionality (TEGO Connector, Biopatch, heparin and Citra-LockTM) and the predictive value of selected hematologic parameters of long-term functionality of the catheters (hematocrit, plasma D-dimers) was assessed. The latter was performed on a small sample of patients. The possibility of detection of the catheter point position by measuring recirculation and its effect on dialysis was investigated by comparing X-ray control of the catheter point position to the value of recirculation measured on catheters connected either normally or inversely to the extracorporeal circulation device. Significance of the pressure values measured at input and output catheter lines was evaluated as a possible marker of the catheter functionality. Based on the analysis results,...

Diplomová práce se zabývá problematikou častých bolestí kolen u florbalových brankářů a především možnými příčinami. Teoretická část práce obsahuje shrnutí poznatků k problematice kolenního kloubu z oblasti anatomie, patologie, kineziologie, biomechaniky a reologie. Věnuje se popisu fyzických nároků na tyto sportovce a specifickému pohybu brankáře. V části experimentální je popsán samotný výzkum, ke kterému bylo přizváno 13 probandů, florbalových brankářů, 5 žen a 8 mužů (15-28 let). K výzkumu byly použity tři metody: měření pasivního odporu kloubu pomocí přístroje bioreometru, určení míry lateralizace pately na rentgenových snímcích kolenních kloubů a získání informací o sportovní zátěži a zdravotním stavu probandů pomocí speciálního dotazníku. Všechny získané informace a výsledky byly dále porovnávány a byla hodnocena míra jejich korelace. V závěrečné části práce jsou zhodnoceny výsledky výzkumu a z toho vyplývající možné příčiny bolestí kolenních kloubů, k nimž patří například patelofemorální syndrom. Abstract This thesis deals with a problem of frequent knee pain of floorball goalkeepers and their possible causes. The theoretical part summarizes knowledge about knee joint of the anatomy, patology, kinesiology, biomechnics and rheology. Describes physical demands on these...

The task of this work was to evaluate the possibility of using microwave sensors to assess hydration status in dialysis patients. For this purpose it was necessary to evaluate existing methods of monitoring fluid balance and determining the optimal postdialysis weight (dry weight) in dialysis patients, become acquainted with contemporary equipment techniques for monitoring blood volume and study the possibilities of microwave technology for monitoring of changes in tissue hydration. To confirm the usefulness of this original method was performed in GHz measurements in vivo, which was divided into three parts - measuring a group of healthy subjects, measuring a group of dialysis patients during hemodialysis (HD) and additional measurements. When the sensor were applicated on the forearm changes in resonant frequency, quality factor or Q-factor and the amplitude changes were observed. In healthy subjects assessed the effects of sex, age and BMI (body mass index). In dialysis patients were evaluated correlations of observed GHz parameters changes compared with data obtained by ultrafiltration indicated by dialysis machine. Both groups were supplemented by bioimpedance spectroscopic examination. Additional measurements was verifying factors that could affect the reproducibility and the resulting value (the...

Title: Effect of prophylactic and functional knee brace and knee sleeve on plantar pressure distribution during stance phase of gait in healthy individuals Summary: Knee bracing is a very commonly used method by both doctors and patients. Brace producers and also most of the studies focus the effect of the brace directly on the knee joint, but do not study, how it influences other regions of human body. This work studied the influence of knee bracing on plantar pressure distribution changes and also changes of the progression of the centre of pressure (COP). This study rewiewed the literature for the theoretical background in biomechanics and kinesiology of gait, description of structural, functional and methodological factors influencing the dynamic interaction of the foot contacting the ground and a review of knee brace questions. The experimental part concerns a study of the gait of 6 healthy subjects using a Footscan platform and the effects of three types of knee braces on the dynamic interaction of the foot contacting the ground. Methods: We used the Footscan modular measuring system (RSscan International, Belgium) and the force platform Kistler to detect both relative and absolute values of forces and plantar pressures under particular regions of the foot using three types of knee braces....

Work objectives : Determination of body segment transfer function as a vibration response depends on vibration-loading time. Determination of transfer function in limited frequency range coresponding with thesis scope, representing vibration loading in the best way (for example car driving). Methods : Transfer functions were set by experimental measuring in laboratory and in situ, while vehicle driving. Measuring were realized in two times, before and after vibration loading of body segment. Results of each measuring were compared with others. Results : By comparing measuring results it is obvious that body response values are lower after aplication of vibration loading than before. Subsequently, stiffness of analysed body segment increases with rising length of loading, eg. body fatigue. Measuring results show, moreover that transfer function is considerably influenced by body posture, respectively by its position. Key words : monotony, transfer function, vibrations

Work title: The discomfort experienced by racing drivers when driving in comparison to the discomfort experienced by ordinary drivers ofpassenger cars. Work objectives: The objective of this theses is actual detection of discomfort and comparison of the reaction time of professional racing drivers with drivers of passenger vehicles when driving and mutual comparison of their results. By using subjective and objective methods we will monitor and record how discomfort is manifested by individuals, how it influences their complexly dealing with movement manoeuvres and how it changes in time during the course of driving.. Method: Three professional racing drivers and a sample of randomly chosen subjects ranging in age from 20-28 years were tested in a reaction and decision making test, requiring reactions to visual impulses from the upper and lower limbs. Additional tests evaluated the discomfort ofthe test subjects and the current mental state ofthe individua!. Results: With regard to the current mental state of the individua! the mood profile of the professional drivers was 5 points more stable, which shows that the racing drivers have a greater mental endurance in comparison to ordinary passenger vehicle drivers. The discomfort intensity was 5.34 points lower for professional drivers compared to...

Work title: The vibration loading of the human organism through the child safety seats as a potential source of discomfort Work objectives: Describe possibilities of the detection of the monotonous loading as one of the reasons of the discomfort of the child safety seat. Experi mental comparing of three types fixation of child safety seats: 1. fixation by help of the seat belt; 2. fixation by the help of the system ISOFIX; 3. fixation by the help of both previous systems (safety belt and system ISOFIX) Metod: Experimental measurement of vibrations of the child safcty seat which was fixed by the help of the seat belt, child safety seat fixed by the system ISOFIX and child safety seat fixed by the help of both previous systéme (safety belt and system ISOFIX). And then following comparing of the transfer of these vibrations to passengers bodies which shall show contingent difťerences between various child saťety seats. Results: There are differences of transmissibility of vibrations by various types of fixation. In these experimental study the child safety seat fixed by help of safety belt and system ISOFIX in the same time is the best absorber of vibrations. Key words: Child safety seats, Child, Monotony, Vibrations 2