BFZD0431p Basics Diagnostics and Therapy of Locomotor System I - lecture

Faculty of Medicine
spring 2023
Extent and Intensity
2/0/0. 3 credit(s). Type of Completion: zk (examination).
Taught in person.
prof. MUDr. Petr Dobšák, CSc. (lecturer)
MUDr. Jan Vacek, Ph.D. (lecturer)
Guaranteed by
prof. MUDr. Petr Dobšák, CSc.
Department of Physiotherapy and Rehabilitation - Departments of Non-medical Branches - Faculty of Medicine
Contact Person: Mgr. Leona Dunklerová
Supplier department: Department of Physiotherapy and Rehabilitation - Departments of Non-medical Branches - Faculty of Medicine
Prerequisites (in Czech)
BFNE0321 Neurology and Neurophysiol. I && BFKI031 Kinesiology && BFRP0322c Propedeutics of Rehabilit. II && BFRP0322p Propedeutics of Rehabilit.II-L
Course Enrolment Limitations
The course is only offered to the students of the study fields the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
The main objective of the course is diagnosis and treatment of functional disorders. Fundamentals of diagnosis and treatment of functional disorders, described to Lewit and Rychlíková, lectures and practical exercises. Functional pathology deals with the problems of overworking locomotive system. It explains the concept of segmental motor innervation system, the control of motoneurons and muscle activity, their pathology as a result of pathological changes in functional segment.
Learning outcomes
The student knows theoretically:
- the basics of diagnostics and therapy of functional disorders of the movement system according to Lewita and Rychlíková
- functional pathology, nociception, myofascial pain syndrome, reffered pain
- basic differential diagnostic problems theoretical basics of functional examination of peripheral joints
  • 1. Introduction: Anamnesis with emphasis on functional impairment of locomotor system; basics of anthropometry, goniometry using SFTR method, postural and non-postural muscles, kinetic stereotypes, upper and lower cross syndrome, kinesiology analysis
  • 2. Functional pathology, explanation of the term segment, functional segment-alterations, barrier palpation techniques, cutis and subcutis palpation, cutis and subcutis relexation
  • 3. Nociception – term explanation, effect; Melzack-Wall: gate control theory; possibilities of nociception decreasing; fascias and muscles palpations; fasciale relexation; cutis and subcutis relexation
  • 4. Myofascial painfull syndrome: introduction and term explanation. Trigger point - active and latent; myogelosis, muscular hypertonus - reasons; muscle palpation, functional pathology seaking, post-isometric relaxation technique; TP treating techniques; therapy in head and neck area
  • 5. Myofascial pain syndrome: termination; reported pain – area of head, neck, trunk, therapy in trunk area, head and neck area
  • 6. Reported pain: upper limb area; soft tissues techniques in area of shoulder girdle and upper limb, area of head, neck and trunk
  • 7. Reported pain: pelvic and lower limb area; therapy in pelvic and low limb area; shoulder girdle and upper limb area
  • 8. Basic differential diagnostic problem; complex soft tissues techniques
  • 9.Theoretical basics of peripheral joints functional examination: introduction – joint play, importance, examination; functional joint block; mobilization of hand joints &
  • 10. Functional examination of peripheral joints – termination of wrist and elbow mobilization
  • 11. Basics of differential diagnostic consideration – elbow and shoulder; shoulder mobilization; wrist and elbow mobilization
  • 12. Basics of differential diagnostic consideration – hip joint; hip joint mobilization; elbow and shoulder mobilization
  • 13. Basic differential diagnostic problems – knee joint; seminar thesis assignment; knee joint, patella and fibular head mobilization; hip joint mobilization
  • 14. Basic differential diagnostic problems – talar joint; talar and foot mobilization; general mobilization techniques
  • WENDSCHE, P. a kol. Poranění páteře a míchy. Brno : Institut pro další vzdělávání pracovníků ve zdravotnictví v Brně, 1997. 83 s.
  • HOFTA, T. Autoterapeutický systém (mobilizační, relaxační a protahovací techniky). Třeboň : vydáno vlastním nákladem, 1996. 79 s.
  • KITTEL, A. Myofunkční terapie. Praha : Grada, 1999. 111 s. ISBN 80-7169-619-6
  • SMRČKA, V. - DYLEVSKÝ, I. Flexory ruky. Brno : Institut pro další vzdělávání pracovníků ve zdravotnictví v Brně, 1999. 162 s. ISBN 80-7013-280-9
  • MÁČEK, Miloš and Jiřina MÁČKOVÁ. Fyziologie tělesných cvičení. Brno: Masarykova univerzita v Brně, 2002. 112 s. ISBN 8021016043. info
  • Manuální medicína :průvodce diagnostikou a léčbou vertebrogenních poruch. Edited by Eva Rychlíková. 2. přeprac. vyd. Praha: MAXDORF-JESSENIUS, 1997. 426 s., ob. ISBN 80-85800-46-2. info
Teaching methods
Assessment methods
oral exam
Language of instruction
Further comments (probably available only in Czech)
The course is taught: every week.
Information on the extent and intensity of the course: 30.
Listed among pre-requisites of other courses
The course is also listed under the following terms Spring 2000, Spring 2001, Spring 2002, Spring 2003, Spring 2004, Spring 2005, Spring 2006, Spring 2007, Spring 2008, Spring 2009, Spring 2010, Spring 2011, Spring 2012, Spring 2013, Spring 2014, Spring 2015, Spring 2016, Spring 2017, Spring 2018, spring 2019, spring 2020, spring 2021, spring 2022.
  • Enrolment Statistics (spring 2023, recent)
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