Možnosti fyzioterapie u funkčních poruch ramenního pletence stolních tenistů

This thesis deals with the issue of functional disorders of the shoulder girdle for table tennis players. If there is excessive unilateral load at the playing upper extremity and it is not appropriately compensated, the formation of the muscle imbalances, especially in the area of the shoulder girdle can appear. This overload can occur not only with pain in the shoulder but also in other joints of the upper limb or cervical or thoracic spine. Ensuring adequate compensation can prevent an uneven load and thereby reduce the risk of malfunctions or early termination of a racing career. The aim of this thesis is to map the functional disorders of the shoulder girdle for table tennis players and based on kinesiology examination devise specific physiotherapy procedure and compensation program for table tennis players with functional disorders of the shoulder girdle. The theoretical part deals with the characteristics of table tennis and all related health problems. Further, I describe the anatomy and kinesiology of the shoulder girdle, functional disorders; in the end, I mention diagnostic and physiotherapy for functional disorders of the shoulder girdle. The practical part uses the method of qualitative research through case reports. The study group included two professional table tennis players of Southern Bohemia with functional disorders of the shoulder girdle. Data have been obtained by anamnesis using a structured interview, input and output kinesiological analysis completed by an examination of the shoulder girdle movement stereotypes on surface electromyography. As part of the therapy, I used the soft and mobilisation techniques to release reflex changes and functional joint blocks. I also used a selected therapeutic procedures affecting the present muscle imbalances, improving the stabilisation of the shoulder girdle, affecting movement stereotypes and activate the deep stabilising system. Selected therapeutic procedures have proved effectiveness. In both cases, the pain was reduced, shoulder line symmetrised, stress at the hypertonic muscles reduced and the stability of the shoulder girdle was improved. This work could be beneficial not only for table tennis coaches but also for the players themselves to prevent malfunctions or mitigate them. Furthermore, it can be used in clinical practice for physiotherapists and physiotherapy students.