The aim of this study was to demonstrate the effectiveness of the diagnostic and therapeutic medical information system Computer Kinesiology in physiotherapy in patients with low back pain who were not responding to conventional therapy. Computer Kinesiology is primarily intended for the diagnostics and therapy of functional disorders of the locomotor system. This pilot study population included 55 patients (Group 1) with acute and chronic back pain and 51 persons (Group 2) without back pain. The third group was a control group of 67 healthy volunteers with no evidence of musculoskeletal pathologies and no back pain. All 173 subjects were examined three times by the diagnostic part of the Computer Kinesiology method. Groups 1 and 2 were treated after every diagnostics. Group 3 was not treated. The effect was evaluated by H score. Improvements after therapy were defined by reducing the H score by at least 1 point. In Group 1, the H score decreased by at least 1 point in 87.3% (95% CI: 75.5-94.7) and in Group 2 in 78.4% (95% CI: 64.7-88.7). There was no change of distribution of H Score grade in Group 3. The improvement neither depended on gender, age, and BMI nor was it influenced by the length of the therapy. This study demonstrated a high therapeutic efficacy of the Computer Kinesiology system in patients with back pain (Group 1) and in persons without back pain (Group 2) who used the Computer Kinesiology system for primary and secondary prevention of back pain.

• MeSH
• Diagnosis, Computer-Assisted MeSH
• Adult MeSH
• Expert Systems * MeSH
• Kinesiology, Applied methods   statistics & numerical data   MeSH
• Middle Aged MeSH
• Humans MeSH
• Low Back Pain diagnosis   prevention & control   therapy   MeSH
• Young Adult MeSH
• Pilot Projects MeSH
• Primary Prevention MeSH
• Secondary Prevention MeSH
• Case-Control Studies MeSH
• Physical Therapy Modalities statistics & numerical data   MeSH
• Treatment Outcome MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Young Adult MeSH
• Male MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Geographicals
• Czech Republic MeSH

Objectives. The main objective of this work was to assess the most frequent injuries in female handball players who played the premium Czech competition – MOL League Women – and the 3rd highest competition – 2nd League Women – during the 2017/2018 season. The objectives also included ascertaining whether preventive and compensation exercises are included in the teams' training units. Methods. The questionnaire method was selected. A non-standard questionnaire was sent out to all players in the two competitions. A total of 112 questionnaires were analysed. Results. Injuries in the ankle area were found to the most frequent type of injury, reported by 56.3% respondents. Injuries in the hand and knee areas followed, concerning 50.9% and 46.4% respondents, respectively. Recovery and compensation procedures were found to be inadequately used in the handball players' regime.

• Keywords
• házená,
• MeSH
• Fractures, Bone epidemiology   classification   rehabilitation   MeSH
• Lacerations MeSH
• Humans MeSH
• Ankle Injuries epidemiology   rehabilitation   MeSH
• Tibial Meniscus Injuries epidemiology   rehabilitation   MeSH
• Tendon Injuries epidemiology   rehabilitation   MeSH
• Athletic Injuries * epidemiology   classification   prevention & control   MeSH
• Shoulder Impingement Syndrome epidemiology   rehabilitation   MeSH
• Physical Therapy Modalities statistics & numerical data   MeSH
• Check Tag
• Humans MeSH
• Female MeSH

• Keywords
• MD-Lumbar,
• MeSH
• Anti-Inflammatory Agents, Non-Steroidal therapeutic use   MeSH
• Back Pain drug therapy   MeSH
• Adult MeSH
• Collagen administration & dosage   pharmacology   MeSH
• Middle Aged MeSH
• Pain Measurement MeSH
• Disability Evaluation MeSH
• Aged MeSH
• Spondylolisthesis * diagnostic imaging   drug therapy   classification   rehabilitation   MeSH
• Drug Utilization statistics & numerical data   MeSH
• Physical Therapy Modalities statistics & numerical data   MeSH
• Treatment Outcome MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Male MeSH
• Aged MeSH
• Female MeSH

BACKGROUND: Low back pain (LBP) is the most common type of musculoskeletal pain, thus it is one of the most commonly encountered conditions in Physical and Rehabilitation Medicine. The physicians who are primarily responsible for the nonsurgical management of LBP are physiatrists. OBJECTIVE: The present study aimed to investigate the approaches of physiatrists to low back pain across Europe. Preferences, tendencies, and priorities in the diagnosis, management, and treatment of LBP, as well as the epidemiological data pertaining to LBP in PRM practice were evaluated in this Europe-wide study. METHODS: The study was conducted under the control of the European Society of Physical and Rehabilitation Medicine (ESPRM) Musculoskeletal Disorders Research Committee. A total of 576 physiatrists from most European countries participated in the survey. RESULTS: The results show that physiatrists frequently deal with patients with LBP in their daily practice. Most patients are not referred to other departments and are treated with various conservative methods. Less than one-fifth of patients are primarily referred for surgery. The physiatrists believe that a clear diagnosis to account for cases of low back pain is rarely established. The most common diagnosis is discopathy. History and physical examination remain the most valuable clinical evaluation tools for low back pain according to physiatrists. Less than half the patients require a magnetic resonance imaging. Non-steroidal anti-inflammatory drugs are the most commonly prescribed drugs for low back pain. Exercise, back care information, and physical therapy are the preferred conservative treatments. More than half of the physiatrists offer interventional treatments to patients with low back pain. CONCLUSION: The present study is a preliminary report that presents the attitudes of European physiatrists in the management of low back pain. Further researches are warranted to standardize the conservative management of LBP.

• MeSH
• Medical History Taking MeSH
• Anti-Inflammatory Agents, Non-Steroidal therapeutic use   MeSH
• Adult MeSH
• Physical Examination MeSH
• Referral and Consultation statistics & numerical data   MeSH
• Practice Patterns, Physicians' statistics & numerical data   MeSH
• Middle Aged MeSH
• Humans MeSH
• Low Back Pain therapy   MeSH
• Young Adult MeSH
• Cross-Sectional Studies MeSH
• Surveys and Questionnaires MeSH
• Physiatrists * MeSH
• Physical Therapy Modalities statistics & numerical data   MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Young Adult MeSH
• Male MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Geographicals
• Europe MeSH

Cíl: Cílem této demografické studie bylo zjištění kvality a dostupnosti fyzioterapie u pacientů s Parkinsonovou nemocí. Soubor a metodika: Dotazník inspirovaný dříve publikovanými zahraničními studiemi byl zaslán 368 pacientům s Parkinsonovou nemocí, kteří splnili vstupní kritéria (alespoň jedna návštěva Centra extrapyramidových onemocnění Neurologické kliniky 1. LF UK a VFN v Praze za poslední 2 roky; stadium Parkinsonovy nemoci dle Hoehnové a Yahra < 5; trvalé bydliště v Praze). Dotazník hodnotil limitaci pacientů v šesti klíčových oblastech pro fyzioterapii (chůze, přesuny, manuální zručnost, stabilita/pády, držení těla, kondice), limitaci v běžných denních činnostech, využívání a spokojenost s absolvovanou fyzioterapií a další vybrané parametry terapie. Výsledky: Celkově bylo hodnoceno 248 dotazníků. Preskripce fyzioterapie u pacientů s relevantním problémem (limitace v klíčové oblasti a zároveň motivace se v ní zlepšit) v některé z šesti klíčových oblastí se pohybovala od 15 % (manuální zručnost) do 22 % (chůze). Efekt fyzioterapie byl hodnocen jako uspokojivý u 79 % pacientů a vydržel > 3 měsíce u 42/64 pacientů, kteří tuto otázku zodpověděli. Celkem 10 % pacientů změnilo fyzioterapeuta pro nespokojenost. Závěry: Vzhledem k velmi nízké míře preskripce fyzioterapie je zapotřebí reorganizace aktuálního modelu péče o pacienty s Parkinsonovou nemocí v České republice. Nabízí se v zahraničí prověřený a efektivní model péče ParkinsonNet.

Aim: The aim of this study was to investigate the quality and availability of physiotherapy for patients with Parkinson's disease. Materials and methods: Questionnaire inspired by previously published studies was sent to 368 Parkinson's disease patients who met the inclusion criteria (at least one visit in the Movement Disorders Center of the General University Hospital in Prague within the last 2 years; Parkinson΄s disease, Hoehn & Yahr stage <; 5; residence in Prague). The questionnaire consisted of items concerning limitations in six core areas for physiotherapy (gait, transfers, manual dexterity, balance/fal­ls, posture, and physical capacity), limitation in daily living activities, utilization of physiotherapy, patients' satisfaction and other characteristics of the therapy. Results: Questionnaires were returned by 248 patients. Prescription rate in patients with a relevant problem (limitation in a core area and motivation to improve in it) in one of the six core areas ranged from 15% (manual dexterity) to 22% (gait). Most patients (79%) were satisfied with physiotherapy and the overall effect lasted > 3 months in 42/64 patients who answered this question. In total, 10% of the patients changed their physiotherapist due to dissatisfaction. Conclusion: Because of the very low physiotherapy prescription rate, reorganization of Parkinson's disease-related health care is needed in the Czech Republic. An efficient model of health care tested abroad could be ParkinsonNet. The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study. The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

• MeSH
• Activities of Daily Living MeSH
• Health Services Accessibility * statistics & numerical data   MeSH
• Quality of Health Care organization & administration   MeSH
• Humans MeSH
• Needs Assessment MeSH
• Parkinson Disease * rehabilitation   MeSH
• Surveys and Questionnaires MeSH
• Patient Satisfaction MeSH
• Physical Therapy Modalities * statistics & numerical data   MeSH
• Health Services Needs and Demand organization & administration   statistics & numerical data   utilization   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH

Cieľ práce: Hodnotenie účinku McKenzie metódy v porovnaní s klasickou fyzioterapiou u pacientov s chronickou bolesťou cervikálnej chrbtice. Sledovanie tonusu m. trapezius v zaťažení a stupňa dizability. V skupine liečenej McKenzie metódou súvis fenoménu centralizácie s hodnotami tonusu m. trapezius. Vzorka: Výskumná vzorka pozostávala z 55 pacientov, ktorí boli stratifikovaným výberom rozdelení do dvoch skupín. Skupina A bola liečená McKenzie metódou s pridaním klasickej fyzioterapie (n=30), skupina B bola liečená výlučne klasickou fyzioterapiou (n=25). Kontrolnú skupinu C predstavovali zdraví jedinci (n=24) bez liečebného zásahu. Metódy: Na hodnotenie dizability bol použitý Neck disability index/NDI/. Metódou na meranie tonusu m. trapezius z oblasti C7 bola povrchová EMG prostredníctvom 2-kanálového prístroja EMG - Biofeedback 2000 x-pert /Firma Schuhfried/, hodnoty tonusu boli merané v μV, v zaťažení, počas vykonávania opakovanej elevácie lopatiek. Hodnotený bol fenomén centralizácie prostredníctvom 4-stupňovej škály. Výsledky: V hodnotení celkového skóre dotazníka /NDI/ a v hodnotení tonusu m. trapezius v zaťažení medzi skupinami A, B neboli po celú dobu sledovania zaznamenané signifikantné rozdiely. Pred liečbou boli hodnoty tonusu m. trapezius u zdravých signifikantne nižšie (p<0,05) v porovnaní so skupinami A, B. V skupine A bol zaznamenaný fenomén centralizácie po týždni u 60 %, po mesiaci u 100 % pacientov. Po mesiaci v skupinách A a B došlo k signifikantnému ústupu disability (p<0,05). Nedošlo k signifikantnému poklesu tonusu m. trapezius. Tri mesiace po liečbe bol zaznamenaný u skupín A a B ďalší pokles disability(p<0,05). V hodnotení tonusu m. trapezius v zaťažení pred liečbou boli hodnoty tonusu m. trapezius u zdravých signifikantne nižšie (p<0,05). Tri mesiace po liečbe došlo k signifikantnému poklesu v skupinách A a B (p< 0,05) a zároveň neboli zistené signifikantné rozdiely oproti zdravým. Záver: V predkladanej štúdii sa nám podarilo signifikantne redukovať dizabilitu po mesiaci a ďalej po troch mesiacoch liečby v skupinách A a B a signifikantne redukovať tonus m. trapezius v zaťažení, po troch mesiacoch liečby u oboch skupín A a B. Nebola potvrdená dynamika fenoménu centralizácie s dynamickou poklesu tonusu m. trapezius v skupine A.

The objective of the work: The comparison of the effect of special rehabilitation the McKenzie method and classic physiotherapy in patients with chronic pain in cervical spine region, based on muscle tone reduction (m. trapezius) evaluated by means of the surface EMG, decline of disability. In the group of patients treated by McKenzie method the monitoring of the association of the centralization phenomenon with m. trapezius tone values was conducted. Patient sample: Our patient research sample consisted of 55 patients who were divided into two groups by a stratified selection. The group A was treated by McKenzie method (n=30). The group B was treated by classical physiotherapy (n=25). The control group C consisted of healthy individuals (n=24) without any therapeutic intervention. Methods used: For the measurement of disability we used Neck disability index /NDI/. For the measurement of muscle tone we used the surface EMG, applying two-channel EMG apparatus- Biofeedback 2000 x-pert. The muscle tone values were measured in μV, on loaded, during performing repetition elevation of shoulder blade. Assessment of centralization phenomenon was used. Results: Before treatment In overall score evaluation in both groups A, B there were no significant differences recorded. The m. trapezius muscle tone values in healthy individuals C, were significantly lower (p<0.05), in comparison with groups A, B. In the A group the centralization phenomenon was recorded after one week in 60 %, after one month in 100 % patiens. One month after the treatment in both groups A, B a significant decline of disability occurred (p<0.05). There was no significant decrease of m. trapezius tone. Three months after the treatment further disability decline was recorded in groups A, B. In the assessment of m. trapezius muscle tone in μV in both groups occurred (p<0.05). At the same time the measured muscle tone values in μV were comparable with values in healthy individuals without pain. Conclusion: In the presented study we report how we managed to significantly reduce the of disability one month and three month after the treatment in groups A,B( p< 0.05) and also to significantly reduce m. trapezius tone reduction under loading three months after the treatment in both groups A, B (p< 0.05). The association between the centralization phenomenon and m. trapezius tone decrease was not proven.

• Keywords
• povrchová EMG, cervikobrachiální syndrom,
• MeSH
• Back Pain * rehabilitation   MeSH
• Chronic Pain rehabilitation   MeSH
• Adult MeSH
• Electromyography methods   statistics & numerical data   MeSH
• Muscle, Skeletal physiology   MeSH
• Middle Aged MeSH
• Humans MeSH
• Pain Measurement statistics & numerical data   MeSH
• Posture MeSH
• Disability Evaluation MeSH
• Prospective Studies MeSH
• Surveys and Questionnaires MeSH
• Patient Satisfaction MeSH
• Statistics as Topic MeSH
• Severity of Illness Index MeSH
• Muscle Tonus * physiology   MeSH
• Physical Therapy Modalities * statistics & numerical data   MeSH
• Exercise Therapy MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Female MeSH
• Publication type
• Comparative Study MeSH

Introduction. Different spine sagittal contours in classic and lumbar Scheuermann's disease are associated with various muscle imbalance. Material and methods. A randomized controlled trial of the efficacy of kinesiotherapy programs in patients with Scheuermann's kyphosis and lumbar Scheuermann's aged 16–26 years (mean age 20.6 ± 0.3 years) was performed. We evaluated the mobility of the spine and hip joints, the roentgenometric magnitude of thoracic kyphosis and lumbar lordosis, the parameters of EMG of the lumbar part of the muscles erector spinae using surface electrodes. Patients interviewed on the visual analogue scale (VAS), on the Oswestry Disability Questionnaire, version 2.0 (ODI), on the Pain and Anxiety Symptoms Scale (PASS) – 20. Results. After the treatment in groups with kinesiotherapy program was observed the increase of general spine mobility while bending forward, the increase of hip joint movements in sagittal plane and significant improvement VAS, ODI and PASS as compared with the control groups in the classic and atypical forms of the Scheuermann's disease, respectively. Discussion and Conclusion. We associate the efficiency of the kinesiotherapy program with applying a differential approach to prescribing the exercises according to the variation of sagittal spinal alignment.

• MeSH
• Lumbar Vertebrae physiology   radiography   MeSH
• Exercise MeSH
• Adult MeSH
• Electromyography MeSH
• Thoracic Vertebrae physiology   radiography   MeSH
• Kinesiology, Applied * methods   statistics & numerical data   MeSH
• Cohort Studies MeSH
• Hip Joint physiology   MeSH
• Humans MeSH
• Low Back Pain rehabilitation   MeSH
• Pain Measurement MeSH
• Adolescent MeSH
• Young Adult MeSH
• Postural Balance MeSH
• Range of Motion, Articular MeSH
• Scheuermann Disease * radiography   rehabilitation   therapy   MeSH
• Patient Satisfaction MeSH
• Statistics as Topic MeSH
• Muscle Hypertonia complications   rehabilitation   MeSH
• Physical Therapy Modalities * statistics & numerical data   MeSH
• Treatment Outcome MeSH
• Back Muscles physiology   MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Adolescent MeSH
• Young Adult MeSH
• Publication type
• Evaluation Study MeSH

V tomto článku jsou prezentovány výsledky pilotního projektu, který formou dotazníkového šetření mapuje postavení a význam fyzioterapie v léčbě roztroušené mozkomíšní sklerózy v evropských zemích. Výsledky pilotního projektu se staly podkladem pro mezinárodní multicentrickou studii, jejímž cílem je zjistit, které terapeutické postupy jsou využívány v Evropě a formulovat klíčové principy používané ve fyzioterapii u nemocných s roztroušenou sklerózou.

There are presented the results of the questionnaire survey, which judged the “content” of physical therapy of patients with multiple sclerosis in Europe. Results of this pilot study became the source for international multi-centric study. Purpose of this study is to find out the therapeutic approaches which are used in Europe and to set up key principles in physical therapy in Multiple Sclerosis.

• MeSH
• Financing, Organized MeSH
• Physical Therapists MeSH
• Physicians MeSH
• Humans MeSH
• Pilot Projects MeSH
• Surveys and Questionnaires MeSH
• Rehabilitation methods   organization & administration   MeSH
• Multiple Sclerosis * rehabilitation   MeSH
• Physical Therapy Modalities * organization & administration   statistics & numerical data   utilization   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Evaluation Study MeSH
• Geographicals
• Europe MeSH

Se zkratkou HILT (Hight Intensity Laser Therapy) se dosud většina fyzioterapeutů v České republice nesetkala. Jedná se o metodu, využívající ve fototerapii lasery o výkonu vyšším než 1 W. Protože přístroje umožňující tuto formu léčby jsou v nabídce i v naší republice, je nutné znát odpověď na otázku, jaký je jejich přínos. Cílem studie bylo posoudit, zda použití terapeutického laseru o výkonu 5 W je při léčbě poruch pohybového aparátu v porovnání s lasery o podstatně nižším výkonu výhodnější. Byl hodnocen jak efekt léčby, tak i počet nutných aplikací.

The abbreviation HILT (High Intensity Laser Therapy) is a form of therapy that the majority of physiotherapists in the Czech Republic still haven't encountered. It is a method that uses lasers with power greater than 1 W in phototherapy. Since devices allowing this form of treatment are available in our country, it is necessary to acknowledge and advertise their benefit. The goal of this study was to assess whether the use of therapeutic laser with an output of 5 W in treatment of musculoskeletal disorders compared is more efficient when compared to lasers with a substantially lower performance advantage. The results were evaluated through the effects obtained among a number of applications.

• MeSH
• Laser Therapy * methods   instrumentation   statistics & numerical data   MeSH
• Humans MeSH
• Musculoskeletal Diseases * therapy   MeSH
• Statistics as Topic MeSH
• Physical Therapy Modalities * statistics & numerical data   MeSH
• Treatment Outcome MeSH
• Check Tag
• Humans MeSH
• Male MeSH
• Female MeSH

• MeSH
• Stroke complications   MeSH
• Chronic Disease rehabilitation   MeSH
• Activities of Daily Living MeSH
• Upper Extremity * physiopathology   pathology   MeSH
• Arthrometry, Articular methods   MeSH
• Middle Aged MeSH
• Humans MeSH
• Evidence-Based Medicine MeSH
• Motor Skills Disorders * etiology   rehabilitation   therapy   MeSH
• Stroke Rehabilitation MeSH
• Rehabilitation methods   MeSH
• Aged MeSH
• Muscle Spasticity * etiology   rehabilitation   therapy   MeSH
• Physical Therapy Modalities statistics & numerical data   MeSH
• Treatment Outcome MeSH
• Check Tag
• Middle Aged MeSH
• Humans MeSH
• Aged MeSH