Title: Physical activity of patients after surgical treatment of the lumbar spine. Aim: Main aim of my diploma thesis is to present an up to date review on the topic of postoperative physiotherapy in short-term and long-term phase after lumbar surgery and to find out how recommendations about postoperative physiotherapy are created. Methods: A systematic review on the topic. Results: The review answers the questions about physiotherapy after lumbar surgery in short-term and long-term phase and shows current trends and unique approaches in this study area. Keywords: Lumbar spine, intervertebral disc, discectomy, physiotherapy, physical activity.

Title of thesis: Influence of intra-abdominal pressure on the stability of the lumbar spine Definition of the problem: This thesis addresses the problem of the stabilization mechanism of the lumbar spine and the influence of intra-abdominal pressure on the stability of the lumbar spine. Objectives: The aim of my thesis is to locate, evaluate and process all available resources and to bring up the issue of IAP and its influence on the lumbar spine. The work should provide the widest possible insight into the problems of IAP effects on the stability of the lumbar spine, summarize differing opinions, and allow easier orientation in the isme. Method: The work is treated as a search, focusing on the processing and retrieval of literature concerning the issue. Studies included range from 1953 to present. To which I will use a variety of sources of literature, internet and consultation with the head of my thesis. Results: The increase in IAP, which is provided by a synchronous contraction of the diaphragm, pelvic floor muscles and m. transversus abdominis, can effectively stabilize the spine. But you can not determine with certainty whether this mechanism to support the stability of the lumbar spine is indeed used or the stability is provided by contraction of muscles, leading to an increase in IAP, and...

Title: Work-Related Musculoskeletal Disorders amongst Physical Therapists and Assistants in Jeddah, Saudi Arabia Aim: 1) To determine the prevalence of work related musculoskeletal disorder among physical therapist and assistants in physical therapy departments in Jeddah city. 2) To determine what age and sex (male- female) has the highest rates of disorders 3) To determine the most problematic area in the body that physical therapist and assistants complain from. Methods: Modified Nordic musculoskeletal questionnaire which was adapted in a study was made Kuwait in the year of 2010 it's a combination of self-writing and multiple choice questions. Paper based survey was distributed to 165 participants from different work settings in Jeddah City then analysed with SPSS analytics software. Result: The percentage of Work related musculoskeletal disorder among physical therapists in Jeddah city is 86.1%. The risk factors associated with work was scored as moderate by 70.3%. The low back region is most body parts complained about by 42.42%. Both sexes (Male-Female) where affected equally as age, BMI was not related significantly except in few body parts. Also, the absence of assistive machinery devices was only significant in two (Shoulder and Wrist) body region where the rest was not significant. Thus...

Title: Issues of the motion apparatus injuries among golf players Objectives: The goal of the work is to find out the most common health problems among golf players and possible preventative measures against their formation. Methods: The work is structured as a research, which has been created on the basis of an analysis of relevant sources. The literature, printed and electronic monographs and periodical were obtained from library catalogues and the Internet. The foreign studies were obtained from databases PubMed and SPORTDiscus. Results: The most common vertebrogenic difficulty among both amateur and professional golf players is low back pain (LBP). It appears more often among men than women. Specific issues are the overload of the paravertebral muscles, occurrence of the osteophytes and degenerative changes in the area of the facet joints and intervertebral disc. Other health problems among golf players are inflammation of the rotator cuff tendons, posterior glenohumeral subluxation, acromioclavicular disfunction, shoulder joint arthritis, stress fracture of the ribs, epicondylitis, and in the area of the wrist and arm of the golf players occur especially fractures, subluxation of the joints and overload of the tendons (especially adductors, flexors and extensors). Almost all the studies...

Evidenční list Souhlasím se zapůjčením své diplomové práce ke studijním účelům. Uživatel svým podpisem stvrzuje, že tuto diplomovou práci použil ke studiu a prohlašuje, že ji uvede mezi použitými prameny. Jméno a příjmení: Fakulta / katedra: Datum vypůjčení: Podpis: ______________________________________________________________________ ABSTRAKT Název: Zhodnocení vlivu sportovního lezení na pohybový aparát se zaměřením na bederní páteř Cíle práce: Cílem práce je zhodnotit vliv sportovního lezení na pohybový aparát člověka s užším zaměřením na oblast bederní páteře pomocí předem stanovených testů a vyšetření orientujících se na bederní část axiálního systému u skupiny lezců a nelezců. Dílčím cílem je teoretické zpracování problematiky sportovního lezení, bederní páteře a shrnutí vlivu sportovního lezení na pohybový aparát. Metoda řešení: Nejprve byla provedena rešerše literatury týkající se problematiky sportovního lezení a bederní páteře. Poté byla na skupině dvaceti lezců a kontrolní skupině dvaceti nelezců provedena komparativní studie, během které bylo provedeno funkční vyšetření bederní páteře pomocí PBU ("pressure biofeedback unit") dle konceptu Spinální segmentální stabilizace a vyšetření pohybových stereotypů a zkrácených svalů dle Jandy. Výsledky byly statisticky zhodnoceny pomocí programu Microsoft...

The surgical treatment options in thoracolumbar spine degeneration: The importance of morphological and clinical classifications in preoperative decision making David Bludovský Abstract: Objective: The aim of our study was to investigate the relations between subjective difficulties, clinical findings and the MR imaging in patients who have been operated for symptomatic lumbar spinal stenosis (LSS), and the possibility of using these relations for surgical treatment decision. Methods: Patients operated for lumbar spinal stenosis in 2009-2010 were included in the study. Subjective difficulties were assessed using the Oswestry Disability Index (ODI), the clinical symptoms with the modified Neurological Impairment Score for Lumbar Spinal Stenosis (mNIS-LSS). We measured the spine canal area, dural sac area, and nerve root sedimentation classification on MR. By correlation analysis at significance level p <0.05, we tested the relations between these categories. 61 patients with a median age of 67 were included. Overall, we evaluated 162 spinal segments. Results: Median of ODI values were 48. Correlation coefficients for ODI, mNIS-LSS and graphical findings were less than 0.5. Correlation coefficients greater than 0.5 were between all the MR measurement methods. Conclusions: In the group of patients indicated...

The thesis deals with creating and verifying of a set of compensatory excercises for children of younger school-age devoted to modern gymnastics. The experiment ran with two gymnastic groups from Prachatice and Volary. Every girl underwent an examination of hyperlordosis degree and a muscle strength and stretch level. Finally, it was proved that these girls suffer from hyperlordosis indeed. Therefore a set of excercises had been created and later applied on the girl gymnasts. Five months later the second measuring was realised and proved that the experiment was a success.

Title: Physical activity of patients after surgical treatment of the lumbar spine. Aim: Main aim of the diploma thesis is to investigate which physiotherapeutic intervention for patients after spinal surgery is the most effective one and offer optimal activity immediately after the surgery and in a long term phase. Investigate questions: 1. Which physiotherapeutic intervention is the most effective one? 2. Which type of physical activity is the most optimal one? Methods: A systematic review on the topic. Results: The review answers the questions about physiotherapy after lumbar surgery in acute and long term phase after surgery and shows current trends and unique approaches in this study area. Keywords: Lumbar spine, intervertebral disc herniation, microdiscectomy, physiotherapy, physical activity.

The Diploma thesis titled "Using biofeedback for patients with non-specific low back pain" in theoretic part gives basic information about motor learning, biofeedback, low back pain and postural stability. In the research part, it deals with influence of postural stability- focused therapy (performed on Nintendo Wii Fit Plus device) on low back pain and postural stability. The work also deals with influence of added feedback on reduction low back pain, postural stability and realizing intrinsic feedback. We demonstrate that this therapy reduced low back pain but has no significant influence on postural stability. We also demonstrate that added feedback has positive effect on persistence of pain and affective part of the Short Form of McGill Pain Questionary, but it does not influence postural stability. On the contrary, absence of added feedback significantly influenced the postural stability. The added feedback does not influence awareness intrinsic feedback.

Title: Physiotherapy with golf players having vertebrogenic disorders Objectives: The goal of the work is to find out and analyze, from selected foreign studies, the causes of the development of the most common pathologies in the lumbar area of the spine in adults, professionals and amateurs and based on the evaluation of the studies suggest appropriate physiotherapeutic procedures to be used as a prevention against low back pain (further LBP). Methods: The work is structured as a research, which has been created on the basis of an analysis of relevant sources. The literature, printed and electronic monographs, textbooks and specialized periodical were obtained from bibliographical databases, library catalogues and the Internet. The work contains foreign studies from USA, Canada, England and Australia. The studies were obtained from specialized medical databases: PubMed, PEDro, EBSCO. Results: The main cause of the development of LBP in golf players is the full golf swing, especially the modern type of swing. The following pathologies mainly develop in the lumbar area of the spine within the golf players: hypertonus paravertebral muscles, prolapses of intervertebral disc, fatigue vertebrae fracture and artrophaty of facet joints. In the prevention of LBP we use physiotherapeutic processes based on...