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Vareka I.,Katedra Fyzioterapie | Varekova R.,Katedra Prirodnich Ved v Kinantropologii
Rehabilitace a Fyzikalni Lekarstvi | Year: 2012

New studies on the knee joint function during load revealed differences in kinematics as compared with classical description of motion in the open chain. The difference appears to be due to the effects of breaking and elastic strengths. At the knee flexion after impact of the heel the femur condyles are shifted frontally along the tibia plateau. The medial condyle is shifted more so that flexion in the knee joint is associated with internal rotation of the shank or external rotation of the femur.

Svoboda Z.,Katedra Prirodnich Ved v Kinantropologii | Janura M.,Katedra Prirodnich Ved v Kinantropologii | Dvorakova T.,Katedra Prirodnich Ved v Kinantropologii | Zivny B.,NeuroCentrum Clinic
Rehabilitacia | Year: 2011

Possibilities of using hippotherapy in clinical practise 2 Background: Hippotherapy is often used physiotherapeutic method mainly for the rehabilitation of neurologically disabled children. The aim of this paper was to introduce a comprehensive, topical divided review of publications about hippotherapy. First part of the work is focused on the theoretical background, the course of hippotherapy and the findings of authors based on practical experience. The following part comprises scientific studies aimed at evaluating the effects of hippotherapy through the findings of pre- and post-therapeutic intervention. Material: Scientific articles from databases ISI Web of Knowledge, SCOPUS and Pubmed published from 1988 to September 2010 have been included in the review. Methods: For following processing only scientific articles and reviews were included. Articles concerning psychiatry, psychology and pedagogical-social area were excluded. Results: The course of hippotherapy can be modificated for example by suitable horse choice or change of horse's walking speed. Conclusion: The effects of hippotherapy have been described from various points of view in many journals. It is necessary for physicians in hippotherapy to be aware of all advantages and limitations.

Svoboda Z.,Katedra Prirodnich Ved v Kinantropologii | Heckel A.,Lazne Darkov | Gallo J.,Ortopedicka Klinika | Kristinikova J.,University of Ostrava | Janura M.,Katedra Prirodnich Ved v Kinantropologii
Rehabilitacia | Year: 2014

Basis: Hippotherapy is one of the complementary rehabilitation methods used in patient with chronic degenerative spine disorders. However, the assessment of its effect in this group ofpatients is lacking in literature.Aim of this work is to assess the effect of rehabilitation intervention on dynamic parameters in gait performance in patients with chronic degenerative spine disorders and to determine the participation of hippotherapy on these changes.Group: The experimental group consisted of 13 people (9 women, 4 men, aged 42,57 ± 13,12 years old), the control group consisted of 10 people (4 women, 6 men, aged 48,40 ± 12,74 years old).Methods: All people underwent within three-week spa therapy rehabilitation procedures in the same extent, the experimental group underwent also 3 times a week the 15-20 minute courses of hippotherapy. Split of pressure during foot contact was analysed via Footscan system (RSScan International, Olen, Belgium). Results: Statistically significant differences between groups and also between the limbs with and without pain propagation were recorded already during the entrance measurement. More changes were recorded during the effect of spa therapy in the group of patients regardless underwent therapy in the non-impaired limb. The biggest number of changes is related to shortening of time to reach the maximal pressure in some individual areas that indicate increase of gait dynamics.Conclusion: Despite the detected tendencies we have to state that the influence of hippotherapy was not significantly projected into the changes of leg load split using pad.

Maresova M.,University of Ostrava | Botek M.,Katedra Prirodnich Ved v Kinantropologii | Pleva L.,University of Ostrava | Janura M.,University of Ostrava
Rehabilitacia | Year: 2016

Objective: The aim of the study was to assess the effect of therapeutical horse riding on heart rate (HR) and subjective emotions (desire, tension) in novice riders. Participants: Twelve women (age 43 ± 11.6 years, weight 66.9 ± 11.6 kg, body height 163 ± 4 cm), without physical and mental disability, who did not have any horse riding experiences. Methods: The HR response to horse riding was measured by RS800CX system and then evaluated in Polar ProTrainer 5 software. The questionnaire using a modified Likert scale was used for the evaluation of personal feelings. The riding sessions were based on rules of hippotherapy (horse walking in step, riding without a seat). All participants underwent riding sessions with a duration of 20 minutes per day for 5 consecutive days. Results: The HR was significantly higher in the beginning of each riding session (p < 0.001) compared to its remaining part. The difference in subjective feelings was significant in the criteria of desire between the 1st and 5t session (p < 0.01), when the values were significantly higher before the last session. The tension before the 1st session was significantly higher (p < 0.01) than before the other four session.

Gaba A.,Katedra Prirodnich Ved v Kinantropologii | Pridalova M.,Katedra Prirodnich Ved v Kinantropologii | Zajac-Gawlak I.,Katedra Teorii i Metodyki Wychowania Fizycznego
Casopis Lekaru Ceskych | Year: 2014

Background. Currently, body mass index (BMI) is frequently used for evaluation of obesity prevalence. This weight to height index does not reflect variability and changes in body composition components, and therefore, the BMI prevalence data may significantly differ from those based on the body fat percentage (%BFM). For the above reason, the primary aim of the study was to determine the prevalence of overweight and obesity according to %BFM and relate these data to BMI categories in women aged 55-84 years. Methods and results. 446 females with an average age of 65.8 ± 6.4 years participated in this study. Body composition was measured using InBody 720. Our results have shown high prevalence of overweight and obesity in the study sample. Number of obese subjects increased with increasing age. We found the highest prevalence of obesity in females over 80 years. Evaluation of obesity according to BMI seems to be accurate in women with BMI > 30 kg/m2. We found only 1% of nonobese subjects (evaluated according to %BFM) in this BMI category. In contrast, there was found a large number of subjects with obesity (evaluated according to %BFM) among women in 18.5 to 24.9 kg/m2 and 25.0 to 29.9 kg/m2 BMI categories. Conclusions. The results have shown that obesity may be diagnosed in women with lower BMI (i.e., < 30 kg/m2). For this reason we recommend to evaluate the prevalence of obesity primarily from BFM% in this age group.

Krejci J.,Katedra prirodnich ved v kinantropologii | Gallo J.,Ortopedicka klinika | Salinger J.,Katedra prirodnich ved v kinantropologii | Stepanik P.,Katedra prirodnich ved v kinantropologii
Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca | Year: 2012

PURPOSE OF THE STUDY Repeated measurements of the spine are absolutely necessary in children and adolescents affected by spinal deformities especially during their growing-up periods. To avoid risks of tissue damage from x-ray exposure, several methods for non-invasive measurement of the spinal curvature have been developed. One of them is the DTP-3 position system allowing for a three-dimensional measurement of anatomical landmarks (spinous processes) and the calculation of curvature angles in both the frontal and sagittal planes. We were interested to know whether the DTP-3 was precise enough to determine the true spinal curvature. MATERIAL AND METHODS To determine the precision of the DTP-3 system, we constructed amodel of the spine. The model was then repeatedly investigated by both the noninvasive and x-ray methods. The distortion of x-ray images caused by the central projection mechanism was considered and included in the calculation. In addition, a group of patients with scoliosis up to 40° was evaluated by both the DTP-3 system and x-ray (the latter according to Cobb's method). RESULTS Differences in spatial coordinates between DTP-3 and x-ray examinations reached 20.9 mm in the frontal plane and 67.3 mm in the sagittal plane without distortion correction of x-ray images. The differences decreased below 1.5 mm after image distortion correction in each plane. Distortion correction had not the same effect for angle parameters as for coordinates. Differences between the DTP-3 angle parameters and Cobb's x-ray angles were below 4.7°, both without correction and after correction. The difference between DTP-3 angle parameters and Cobb's x-ray angles was-1.8°? 3.0° (mean? standard deviation) when measurement was performed on the patients with scoliosis. DISCUSSION The goal of any clinical examination is to obtain data applicable to decision-making analysis. In the case of scoliosis it is necessary to report results in terms of Cobb's angle, which is the problem for all surface-dependent methods, especially in patients with double curves. A solution may be to define the maximal difference between noninvasive and x-ray methods that could be acceptable for good clinical practice. CONCLUSIONS In this study we report good concordance between noninvasive and x-ray examinations of a modeled spinal deformity in terms of both angle and linear measurements. The same results were obtained for angle measurements in a group of patients with scoliosis up to 40°. Based on this study and our previous data we believe that the DTP-3 system can be introduced into clinical practice. © Česká společnost pro ortopedii a traumatologii 2006.

Krejci E.,Katedra prirodnich ved v kinantropologii | Janura M.,Katedra prirodnich ved v kinantropologii | Svoboda Z.,Katedra prirodnich ved v kinantropologii
Pediatrie pro Praxi | Year: 2014

Cerebral Palsy (CP) is developed by damage to immature brain in early age. It affects mainly motor functions, but is connected also to sensory and sensitive disorders, as well as intellectual deficit and other complications. Hippotherapy (HT) is a horse-using treatment. It belongs to proprioceptive-neuromuscular-facilitative methods. Research concerning the effects of hippotherapy on development of motor and psychic functions of CP affected patients has been conducted recently. Using the optoelectronic system Vicon MX, analysis of the gait was carried out before commencement of HT sessions and after its ending, while attention and memory have been measured by psycho diagnostic tests. One case report out of twenty was chosen for illustrative purposes.

Klimesova I.,Katedra Prirodnich Ved V Kinantropologii | Elfmark M.,Katedra Prirodnich Ved V Kinantropologii
Prakticky Lekar | Year: 2015

A questionnaire evaluating the intensity of food craving allows assessing the alimentary behaviour. Extreme eating patterns are typical of people with eating disorders; therefore the availability of suitable tools for measuring the intensity of food cravings could be an important factor for the diagnosis and determining of the appropriate treatment procedure for eating disorders. The aim of the study was to verify the specific and generic reliability of the Czech version of General-Food Craving Questionnaire-Trait (G-FCQ-T) which was translated into Czech by M. Svêtlák and M. Černík. A three-week interval of test and retest reliability was chosen, the same time as the authors of original questionnaire applied. The research sample consisted of 391 university students (157 men and 234 women) aged 18-21 years. The data analysis showed a very good internal consistency of the questionnaire, Cronbach's alpha was 0.93 for total score; and a good stability over time, the test-retest reliability was 0.82 after 3 weeks. Therefore, the Czech version of the questionnaire G-FCQ-T has a very good specific and generic reliability. The questionnaire is useful both for the research and the clinical practice in the Czech environment.

Gaba A.,Katedra Prirodnich Ved V Kinantropologii | Kapus O.,Katedra Prirodnich Ved V Kinantropologii
Osteologicky Bulletin | Year: 2012

Aim: To analyze bone mineral density (BMD) in selected regions of the skeleton and evaluate the strength of its relationship to body composition in postmenopausal women. Methods: Ninety-seven women, aged 50-77 years, participated in this study. BMD and body composition were assessed by dual-energy x-ray absorptiometry (DXA). In addition to whole-body parameters, BMD of the lumbar spine, proximal femur and rib area was measured. Body composition was represented by body fat mass (BFM) and lean body mass (LBM) in the upper and lower limbs and trunk. Results: Significant association was observed between whole-body BMD and BFM (r = 0.41; p < 0.05) and LBM (r = 0.39; p < 0.05). BFM (r = 0.24; p < 0.05) of the trunk was a stronger predictor of lumbar BMD than LBM (r = 0.18; p > 0.05). Although the results of the statistical analysis showed a significant relationship between total and regional BMD of the proximal femur and LBM (r = 0.28-0.34; p < 0.05) of the lower limb, except for the Ward triangle (r = 0.16; p > 0.05), the correlation coefficient only ranged from 0.10 to 0.19 units for BFM (p > 0.05). However, the strongest associations were found between body composition and rib BMD, significantly correlating with BFM and LBM. Moreover, it was also shown that osteopenic women showed significantly lower LBM than women with normal BMD. The only exception was represented by LBM of the trunk which did not show significant differences. The differences in BFM were also statistically insignificant, except for BFM in the upper limbs. Conclusions: The results of this study showed the positive influence of body composition on bone health. Nevertheless, it is necessary to evaluate this association not only at the whole-body level, but also in selected body areas.

Bizovska L.,Katedra prirodnich ved v kinantropologii | Svoboda Z.,Katedra prirodnich ved v kinantropologii | Janura M.,Katedra prirodnich ved v kinantropologii
Lekar a Technika | Year: 2015

Foot loading assessment is a topical measurement used by podiatrists. During the measurement, force and pressure plates are mostly used. The aim of this study was to examine reliability of parameters computed from the force and pressure plates during the stance phase of a gait cycle. Ten healthy young men (23.6 ± 2.9 years) participated in this study. Participants walked barefoot with their preferred walking speed 8 times, 4 times on a walkway with two installed force plates. Other half of the trials was measured on the walkway with installed pressure plate. The reliability was computed for force, pressure, temporal and impulse characteristics of a stance phase of a gait cycle. The results showed that parameters from the force plates had medium to high reliability, with the exception of the temporal characteristics of anterior-posterior component of the ground reaction force. The results for pressure parameters showed that medium to high reliability was found under the areas where the pressure is normally higher (for example second metatarsus, lateral and medial heel) and low reliability was found under less pressed areas (fifth metatarsus, midfoot). © 2015, Czech Medical Association J.E. Purkyne. All rights reserved.

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