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The Plurimetric Assessment Of Spinal Curvature Changes In The Sagittal Plane In Children And Youths, Measured During 10 Years’ Observation

100%

Kluszczyński M., Czernicki J., Kubacki J.

Advances in Rehabilitation

2013

vol. 27

issue 2

1-8

Introduction: The study is 10 years’ observation of anterior-posterior spinal curvatures in the same group of children and youths.The first objective is to show rules and regularities in changes of posture in boys and girls in the period of their lives under the observation. The other objective is to put forward a suggested procedure for posture assessment based on the presented measurement method of the angle of lumbar lordosis and thoracic kyphosis using a simple protractor, where the obtained angle values were to be used as qualification of faulty posture. Material and methods: A group of 100 children and youths aged 4-16 years, including 58 girls and 42 boys, examined initially in 1997 and then re-examined after 10 years, that is in 2007 (at the age of 14-26), made up the test material. Results: In Examination II, the incidence of a round back in girls in all age groups decreased while in boys it increased. The changes were statistically significant. Conclusions: Over the 10 years’ period in the children and youths that constituted the test material different changes in postures were found in the male group and in the female group. In girls after the puberty period, transitions in posture towards decreasing thoracic kyphosis and increasing lumbar lordosis were found, while in boys, posture changes in the opposite direction, i.e. increasing thoracic kyphosis and decreasing lumbar lordosis, were observed. Child’s body posture assessment carried out with the use of simple measurement instruments following the examination method suggested in this paper i.e. measuring thoracic kyphosis and lumbar lordosis angle values appears to be a reliable method of body posture qualification in screening tests and monitoring results of faulty posture treatment

Orthopedic upper limb appliances in post-stroke patients used in prevention of shoulder pain syndrome

100%

Gieremek K., Cieśla W., Kubacki J., Rojczyk-Chmarek J.

Medical Rehabilitation

2008

vol. 12(1)

25-31

Shoulder pain constitutes one of the more serious problems that occur after cerebral stroke. Such ailments concern evan 65% of patients. The so-called Painful Shoulder Syndrome of Hemiplegic (p.s.s.h) is often a result of negligence and delayed initiation of physiotherapy. Application of appropriate orthopaedic supply is an important element of the therapy. Possibilities of orthopedic appliances of paretic upper limb in post-stroke patients are commonly limited to forearm and arm orthesis or sling. Such equipment is, however, not sufficient, especially for patient’s shoulder joint. Post-stroke processes within the shoulder area occur in 81% of patients resulting in physical therapy difficulties and causing pain and limb dysfunction. The article presents aetiopathogenesis of hemiplegic shoulder; special attention is directed to the most common therapy and nursing mistakes. The article describes market analysis with regard to availability of modern orthopedic equipment for both prevention and treatment of the syndrome of hemiplegic shoulder. Advantages and disadvantages of the following devices were discussed: traditional sling, Itman’s sling, abduction pillow and Aperent Activ apparatus. The new, original type of orthopaedic supply: Hemi-Flex apparatus was described in a wider range. Significant advantages of this type of supply were stressed out, while a conclusion was also drawn that this supply should be an element of standard treatment of patients with paresis or plegia following cerebral stroke.

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1 Advances in Rehabilitation

1 Medical Rehabilitation

1 2013

1 2008

2 Kubacki J.

1 Cieśla W.

1 Czernicki J.

1 Gieremek K.

1 Kluszczyński M.

1 Rojczyk-Chmarek J.

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The Plurimetric Assessment Of Spinal Curvature Changes In The Sagittal Plane In Children And Youths, Measured During 10 Years’ Observation

Orthopedic upper limb appliances in post-stroke patients used in prevention of shoulder pain syndrome