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Introduction: Scoliosis, commonly known as lateral bending of the spine, in fact, is a distortion of space, whose causes are not precisely known. Careful diagnosis is essential to the proper diagnosis of scoliosis and appropriate rehabilitation proceedings. The aim of the study was to present the effects of conservative treatment of patients with scoliosis, based on the three pillars of therapy, including early diagnosis. Study case: Patients W.P., 12 years old male from 2008 was under medical supervision and regularly performed exercises, without a correction effect. In February 2009 patient after a previous diagnosis of x-ray was admitted to the conservative treatment. Exercises were based on individually prepared program of corrective exercises, which initially consisted of three exercises for thoracic spine and then after the addition of diagnostics, also series. The patient was also obliged to wear a Cheneau correction corset several hours a day. Results: Introduced exercises for thoracic spine caused a decrease in the angle of curvature of 25 degrees (February 2009) that in the end (October 2010) achieve a reduction in the angle of curvature to 14 degrees. In the lumbar spine, therapy was started after three months of treatment (no prior diagnosis of the lumbar spine) and scoliosis correction was achieved by 11 degrees from 23 degrees (May 2009.) to 12 degrees (October 2010). Conclusion: In the present case of study applied exercises and kind of treatment caused a decrease in spinal deformity. Incomplete initial diagnosis extended treatment time and ordered patient additional X-ray projections.
EN
Introduction: Gonarthrosis is the most common disease of peripheral joints. Among population of developing countries, it concerns about 70% of people over 65 year of age. Because its chronic, progressive and irreversible nature it is one of the most common cause of work incapacity. It is also a common cause of disability in people in six decade of life. Objective: The aim of this study was to evaluate the effect of cryogymnastic on quality of life and functional efficiency of patients with knee osteoarthritis. Material and methods: The study consisted of group of 50 people diagnosed with osteoarthritis of the knee (gonarthrosis). Patients were tested twice. First examination was conducted before the start of therapy, a second examination was conducted after 10 treatments cryotherapy. To evaluate the results of cryogymnastic we used goniometric measurement, WOMAC questionnaire and functional test Up & Go. Results: We found that applied local cryotherapy and exercise in studied group had been effective in increasing joint range of motion, improving quality of life and patients’ functional efficiency. Conclusions: 1. Our treatment for patients with knee arthritis after local cryotherapy and exercises improved significantly joint range of motion, quality of life and functional efficiency. 2. Local cryotherapy is a safe procedure and well tolerated by patients with knee osteoarthritis.
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