This research is focused on "swimmer's shoulder" and on affection of chosen aspects by kinesiotape. Theoretical part describes a summary of knowledge about origin, diagnostic and treatment of swimmer's shoulder. Kinesiotaping as a nowadays treatment method and its effects are also specified. The thesis provides a brief description of chosen aspects (pain, tactile acuity and proprioception) and their measuring by objectification methods. Practical part deals with measuring, evaluation and comparing of mentioned aspects before and after treatment by kinesiotape. Methods: 20 competitive swimmers (average age 18,3 years, SD ± 3,10) with shoulder pain were chosen for investigating and measuring. Pain was observed by visual analog scale (VAS) and pressure algometry, tactile acuity by esthesiomether and proprioception by a special method, all before and after treatment. A control group without kinesiotape was included to the research. Results: The experiment showed that tactile acuity was altered in patients with kinesiotape by 27,5 mm in average. This result was evaluated as statistically significant (p = 0,0023). Although values of pain measured by VAS and pressure algometry were enhanced, they were not very significant on the importace level 0,05 (p = 0,1540, resp. 0,1575). Proprioception was also...

The purpose of this study was to observe the joint reposition error and tactile acuity of patients with chronic mild to moderate neck pain and compare those values to healthy controls to further investigate the effect of neck pain on neck function and the need for sensorimotor training in patients with chronic neck pain. In spite of some inconsistencies in the literature and methodology, both the two-point discrimination test and the joint reposition error test can give clinicians valuable, inexpensive and quick objective data that can be used in the diagnostic portion of an examination as well as in designing and assessing change during a rehabilitation program. This study found a significant increase in neck joint reposition error (JRE) in flexion in participants suffering from neck pain when compared to healthy controls. JRE averaged 2.75° ± 1.52° in flexion healthy controls and 4.53° ± 1.74° in flexion in participants with chronic neck pain. Additionally, the dermatome found to be most affected by neck pain was C5. Further research is needed to examine both the effect of proprioceptive training on neck pain and the effectiveness of the two-point discrimination threshold test and the joint reposition error test as diagnostic tools and indicators of progress in the treatment of chronic neck pain.

The main purpose of this thesis, called The local changes in discriminatory sensation above a myofascial Trigger Point, was to assess the relationship of a local nociception in the form of the myofascial Trigger Point to the local discriminatory sensation. Based on the theoretical information, hypothesis concerning the relationship of MTrP and two point discrimination were experimentally checked. The subject of the research was the trigger point trapezius pars ascendens. Localized MTrP was clinically evaluated in terms of both static and dynamic factors. Using a palpometer, its sensitivity by level of pressure generated pain (pressure generated pain threshold) was rated. The quality of two-point discrimination was rated as well. Furthermore it was also rated how a made isometric relaxation changed the sensitivity as nociceptive so discriminatory. Discriminatory sensation (attention threshold (AT-TPD), stable threshold (SSV-TPD)) in the region above the trigger point was measured by a mechanical caliper with modified tips radius of 1mm. Generally 23 probands were examined, 11 of them had simultaneously diagnosed a presence of the constitutional hypermobility. The results of the work confirmed that the made isometric relaxation had a significant influence on the change of thresholds discrimination of two...

Title: Objectification of surgical treatment of carpal tunnel syndrome Objectives: The main aim of this work is to evaluate the effectiveness of surgical treatment of carpal tunnel syndrome. Methods: In this work was used a two-point discrimination test, that evaluated tactile sensory of the hand with carpal tunnel syndrome. It evaluated the change of discriminatory sensation after surgical treatment of carpal tunnel syndrome. The results of testing were evaluated by using the SigmaPlot statistic program SigmaStat 9.01 to 3.1 integration. Results: Research found that two-point discrimination in region of median nerve innervated is improved by surgical treatment of carpal tunnel syndrome, it improves the tactile sensory of the hand, which is impaired by carpal tunnel syndrome. Effect of physiotherapy on improvement of the discriminatory sensation after surgery was not demonstrated. However, the physiotherapy after surgical treatment of carpal tunnel syndrom is important. Keywords: carpal tunnel syndrome, sensory discrimination, a two-point discrimination test

<p>The oral sensory ability in children can be assessed through test of intraoral stereognosis and two-point discrimination. Currently, these two tests are not frequently used in clinical settings, and normative data are not always available. The aim of this study was to establish normative data for these two tests in children aged 5;6 to 7;0 years. Further, intention was to compare the results with respect to age and gender. In total 103 children participated, 49 boys and 54 girls. The participants were divided into three age-groups. The results regarding intraoral stereognosis showed significant differences between genders, where boys performed poorer than girls. Differences between two of the three age-groups could also be established. The results show that an improvement can be expected in children six years and older.</p><p>Regarding two-point discrimination 73 of the 103 children performed perfectly. The remaining children’s scores were also consistently high. No differences between gender and age were found.</p><p>There was no correlation between the test results of intraoral stereognosis and two-point discrimination. Therefore it would be necessary to perform both these tests in assessment, since they probably examine two separate aspects of the oral sensory ability.</p><p> </p> / <p>Oral sensorisk förmåga hos barn kan bland annat utredas genom test av intraoral stereognosi och tvåpunktsdiskrimination. Dessa två test är i nuläget inte särskilt kliniskt utbredda, och normvärden saknas ofta. Föreliggande studie syftade till att fastställa normvärden för dessa två test hos barn mellan 5;6 och 7;0 år. Vidare jämfördes även testresultaten med avseende på åldersgrupp och kön. 103 barn deltog i studien, varav 49 var pojkar och 54 var flickor. Deltagarna delades in i tre åldersgrupper. Resultatet visade signifikanta könsskillnader på test av intraoral stereognosi, där pojkarnas resultat var något sämre än flickornas. Även skillnader mellan två av åldersgrupperna konstaterades gällande intraoral stereognosi. Resultatet visar att en förbättring på testet kan förväntas då barnen har fyllt sex år.</p><p>Angående test av tvåpunktsdiskrimination klarade 73 av de 103 barnen testet felfritt, och överlag presterade barnen mycket bra på testet. Inga skillnader mellan kön eller åldersgrupper noterades beträffande test av tvåpunktsdiskrimination.</p><p>Testresultaten av intraoral stereognosi och tvåpunktsdiskrimination korrelerade inte. Därför är det sannolikt nödvändigt att i utredning utföra båda testen, eftersom det kan röra sig om två olika aspekter av intraoral sensorik.</p><p> </p>

The oral sensory ability in children can be assessed through test of intraoral stereognosis and two-point discrimination. Currently, these two tests are not frequently used in clinical settings, and normative data are not always available. The aim of this study was to establish normative data for these two tests in children aged 5;6 to 7;0 years. Further, intention was to compare the results with respect to age and gender. In total 103 children participated, 49 boys and 54 girls. The participants were divided into three age-groups. The results regarding intraoral stereognosis showed significant differences between genders, where boys performed poorer than girls. Differences between two of the three age-groups could also be established. The results show that an improvement can be expected in children six years and older. Regarding two-point discrimination 73 of the 103 children performed perfectly. The remaining children’s scores were also consistently high. No differences between gender and age were found. There was no correlation between the test results of intraoral stereognosis and two-point discrimination. Therefore it would be necessary to perform both these tests in assessment, since they probably examine two separate aspects of the oral sensory ability. / Oral sensorisk förmåga hos barn kan bland annat utredas genom test av intraoral stereognosi och tvåpunktsdiskrimination. Dessa två test är i nuläget inte särskilt kliniskt utbredda, och normvärden saknas ofta. Föreliggande studie syftade till att fastställa normvärden för dessa två test hos barn mellan 5;6 och 7;0 år. Vidare jämfördes även testresultaten med avseende på åldersgrupp och kön. 103 barn deltog i studien, varav 49 var pojkar och 54 var flickor. Deltagarna delades in i tre åldersgrupper. Resultatet visade signifikanta könsskillnader på test av intraoral stereognosi, där pojkarnas resultat var något sämre än flickornas. Även skillnader mellan två av åldersgrupperna konstaterades gällande intraoral stereognosi. Resultatet visar att en förbättring på testet kan förväntas då barnen har fyllt sex år. Angående test av tvåpunktsdiskrimination klarade 73 av de 103 barnen testet felfritt, och överlag presterade barnen mycket bra på testet. Inga skillnader mellan kön eller åldersgrupper noterades beträffande test av tvåpunktsdiskrimination. Testresultaten av intraoral stereognosi och tvåpunktsdiskrimination korrelerade inte. Därför är det sannolikt nödvändigt att i utredning utföra båda testen, eftersom det kan röra sig om två olika aspekter av intraoral sensorik.

Damage to the nervous system may cause sensorimotor impairment, often resulting in chronic neuropathic pain. Phantom limb pain affects multiple amputees and the treatment options are limited. A promising treatment option to reduce chronic pain is by training sensory discrimination. At the Center for Bionics and Pain Research, a sensory training device has been developed. Transcranial direct current stimulation (tDCS) is a technique to stimulate different regions of the cerebral cortex. In studies, anodal tDCS of the sensorimotor cortex has shown to improve tactile acuity. Until now, the effect of the sensory discrimination training, performed with the sensory training device, in combination with tDCS has not been tested. The purpose of this master’s thesis was to determine the effect of tDCS applied on the sensorimotor cortex on the outcomes of sensory discrimination training. The purpose was also to compare the effect of two different methods of stimulation, namely conventional and High Definition tDCS. 16 able-bodied participants underwent three single sessions with 40 minutes of sensory discrimination training: one session combined with conventional tDCS, one session combined with High Definition tDCS and one session without tDCS. The tactile acuity was determined by the two-point discrimination test and the Semmes-Weinstein monofilament test, prior to and one hour after each session. This study showed that 40 minutes of sensory discrimination training was sufficient to improve the two-point discrimination in the sensory trained areas, compared to the sensory untrained areas (p=0.02). However, the improvement in two-point discrimination was not statistically significant between the interventions, i.e. the improvement in two-point discrimination for the sessions with brain modulation was not statistically significant compared to the session without brain modulation. The monofilament assessments showed an improvement in monofilament score for the sensory untrained skin patches (p=0.053). This study concluded that single sessions of training was enough to improve two-point discrimination but not monofilament score at the site of stimulation. This study lays a foundation for what parameters to include in future studies.

Anorexia nervosa (AN) is a mental illnes manifesting itselg, among other signs, with impaired body schema and rejection of food. Principal focus of the thesis was to assess the discrimination treshold, ability to evaluate sensory perception and body self-concept in adolescent female patients hospitalised with anorexia nervosa. Our goal was to clarify and better understand the still not adequately described neurophysiological aspects of anorexia nervosa. The results were compared to control group; both groups comprised 18 girls, the average age of observed group being 14,7 ± 0,71 years and average age of control group being 15,3 ±0,71 years. Two-point discrimination was examined in three areas - arm, between shoulder blades and belly - with modified caliper. The Petrie test was used in sensory perception testing, while body self-concept was measured with BAT questionare. The examinations were performed in standardised conditions during similar day times. We found significant difference in two-point discrimination in the area between the shoulder blades with significance level α = 5 % and p-value p = 0,0001. A statistically significant difference was also observed in body self-concept with significance level α = 5 % and p-value p = 0,017. Thus we conclude that patients suffering from anorexia nervosa...