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Assessment of body posture in younger schoolchildren

100%
|
2010
|
vol. 18
|
issue 4
27-39
PL
Intensywny rozwój nauki i techniki, poza wieloma korzyściami dla człowieka, niesie także duże zagrożenia dla jego rozwoju i zdrowia. Technizacja i bardzo szybkie tempo życia, nadmiar obowiązków szkolnych i pozaszkolnych, ograniczenie aktywności fizycznej i złe nawyki żywieniowe wpływają na powstawanie niekorzystnych zmian w postawie ciała coraz młodszych Polaków. Duży udział w powstawaniu wad postawy ciała ma styl życia młodego pokolenia, który negatywnie odbija się na zdrowiu i sprawności fizycznej. Celem pracy było prześledzenie zmian w postawie ciała dzieci w wieku 6-7 lat. Badaniami objęto 348 dzieci w wieku 6-7 lat z losowo wybranych, publicznych przedszkoli i szkół podstawowych Wrocławia. Metoda badań obejmowała ocenę postawy ciała w płaszczyźnie metodą fotogrametryczną oraz pomiar masy i wysokości ciała. Oceny jakości postawy badanego dziecka w płaszczyźnie strzałkowej dokonano według kryteriów Wolańskiego w modyfikacji Zeyland-Malawki, natomiast postawę ciała w płaszczyźnie czołowej i poprzecznej oceniono na podstawie wartości wskaźników asymetrii liniowej i kątowej wg klasyfikacji Bibrowicza. Wśród badanych dzieci w wieku 6-7 lat stwierdzono znaczny odsetek występowania wad postawy ciała. Postawy nieprawidłowe w płaszczyźnie strzałkowej występowały liczniej w grupie dzieci młodszych, natomiast w płaszczyźnie czołowej w grupie dzieci 7-letnich. W grupie sześciolatków częściej postawy nieprawidłowe stwierdzono wśród chłopców, natomiast u siedmiolatków wśród dziewcząt. W badanych grupach kształt i wielkość krzywizn przednio-tylnych kręgosłupa oraz wielkość wskaźników asymetrii nie różniły się istotnie statystycznie między dziewczętami a chłopcami.
EN
Development of science and technology, apart from its obvious advantages, carries a significant threat to development and health. Technicalization and a rapid pace of living, excess of school work and other duties, limited physical activity and bad nutrition habits cause unfavourable changes in the body posture of younger Poles. The lifestyle of the young generations, which is unfavourable to their health and fitness, has resulted in increased rate of postural disorders in this population. This study aimed at investigating the changes in body posture of children at the age of 6-7. Examinations covered 348 children at the age of 6-7 from randomly chosen public kindergartens and elementary schools in Wrocław. The research method was based on the assessment of body posture by means of photogrammetric examination and the measurement of body mass and height. The assessment of quality of posture in saggital plane was performed according to Wolański's criteria modified by Zeyland-Malawka, whereas body posture in the frontal and transverse plane was assessed on the basis of the values of linear and angular asymmetry indexes according to the classification Bibrowicz. A considerable percentage of faulty postures were found in the examined children. Faulty postures in saggital plane were more frequent in the group of younger children, whereas faulty postures in frontal plane were more frequent in the group of seven-year-old children. In the group of six-year olds, faulty postures were more frequent in boys, whereas, in the group of seven-year olds - in girls. The differences in the shape and size of anterior and posterior spinal curvatures and the values of asymmetry indices were not statistically significant between the girls and boys.
EN
Introduction. The degenerative low back diseases are the most often causes of the restrain of the physical activity among young and middle-aged people. They are also the main cause of disability to work and absence at work. During the whole life about 80% of the entire society complains about low back pain. In pathogenesis of low back pain the important part is led by the changes that take place in the area of the intervertebral disc and joints surrounding that area as well as ligaments of spine. Choosing the right treatment is a very difficult task to do. That is because there are many different methods and many various techniques that are used in the treatment of the degenerative changes of low back. Aim. The aim of this research is to assess the influence of the lasertherapy and magnetotherapy in connection with kinesitherapy used by patients with the degenerative low back disease. Material and methods. The research was done on 30 people, aged between 41-62. The patients have taken ten procedures of the lasertherapy, magnetotherapy and kinesitherapy. The following examinations were conducted before and after the termination of the treatment: range of movement of the lumbar-sacral spine by Saunders’s digital inclinometer, Laseque test and level of pain by VAS. Results. Analysing the average value of the researched parameters determining the range of movement of the spine, higher values were observed in the second test. An increase in the range of the movement of the spine occurred in every area. The importance of the discussed variable turned out to be statistically highly decreased in the second test, which allows us to certify that after having undergone the treatment, the patients felt far less low back pain. In 43,4% of the patients the Laseque symptom before the therapy occured, 56,6% showed no signs of the symptom. After the treatment only 20% of the subjects suffered from the Laseque symptom, while 80% remained pain free. After having undergone the treatment, the number of patients in pain highly decreased statistically. Conclusions. Lasertherapy and magnetotherapy linked with kinesitherapy caused a substancial decrease of the level of pain. After the treatment an increase in the range of the movement of the spine was observed in all areas. The combined therapies, used on patients with the degenerative low back disease, consisting of lasertherapy, magnetotherapy and kinesitherapy highly decreased the occurence of the Laseque symptom.
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