Full-text resources of PSJD and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl
Preferences help
enabled [disable] Abstract
Number of results

Results found: 12

Number of results on page
first rewind previous Page / 1 next fast forward last

Search results

Search:
in the keywords:  scoliosis
help Sort By:

help Limit search:
first rewind previous Page / 1 next fast forward last
EN
In-water corrective exercises and corrective swimming are a very important element of prevention and correction of body posture defects. These occupancies are more frequently being used in modern treatment of these conditions. Advantageous influence of corrective exercises in water is predefined with specificity of water environment. The organization of corrective process is highly significant for successful final effects. The main aim of this review was to collect all organizational questions that may become useful for future instructors who want to carry the correction process effectively. The authors, based on literature review, personal knowledge and their experiences assembled most important organizational questions about swimming and in-water corrective exercises in case of multiply-curves scoliosis.
EN
Background: This paper sets out to present theoretical and methodological premises for the therapeutic mode of conduct which utilizes FED and PNF improvement methods complemented by introduction of correctional re-education basing on the biofeedback mechanism. Material/Methods: Authors develop and present an original mode of treatment of children with the SCS, which can be divided into the following stages and targets: 1. Elimination of biomechanical pathologies of the passive stabilizing. 2. Restoration of the structure and function of local muscles and balance among muscles from the first and second reference arrangement and structures around the spine, both on the concave and convex side. 3. Posture re-education, which consists in the combination of three-dimensional active and passive correction of the spine with proprioceptor stimulation techniques, accompanied by the use of replacement feedback. In order to implement the proposed treatment programme a device called “Skol-as” was built. “Skol-as” enables a simultaneous three-dimensional action on the passive and active stabilizing mechanisms and the functional structures of the Central Nervous System. Results: Exchanged information constitutes a replacement feedback which enables additional transfer of information on the position of the body to the CNS. Therefore, this constitutes a particular complement to the proper proprioception stimulated by the structure and functionality of the “Skol-as” device, which provides exteroceptive stimuli offering the image similar to the correct, spatial layout of the body. Conclusions: The suggested method - which accommodates the latest trends in SCS treatment - may and should be applied practically at each stage of scs development. This gives both the child and the parents or the therapist anopportunity to control the improvement process. Appropriate application of the suggested method and the “Skol-as” device offers children efficient self-control of their posture, which is much easier after the application of appropriate training suggested in the method. This therapy enables not only the strengthening and changing the functioning scope of relevant muscles but also affects the mental perception and feeling of muscle tensions which leads to proper self-image and appropriate control of bodily posture.
EN
Postural disturbances may cause the worsening of cardiopulmonary function in cystic fibrosis children and adolescents, as well as adversely affect their somatic and psychological development. The aim: Evaluation of postural defects in the population of cystic fibrosis children and adolescents. Material and methods: Physical orthopedic examination of 41 cystic fibrosis patients (20 girls, 21 boys), aged 2-17 years (mean 8.1). The patients were divided into age groups: I under 5 y.o – 8 patients., II 5-9 y.o.− 6 patients, III 9-13 y.o – 11 patients, IV 13 y.o. and older – 16 patients. Postural disorders were divided into two groups. The first group included defects with a possible influence on the respiratory function of a cystic fibrosis patient: scoliosis, spine defects and chest deformities. The second group included lower extremities defects without influence on the function of the respiratory system. Results: Postural as well as chest disorders were observed in 36 (87.8%) of the patients who were examined. Disorders with possible influence on respiratory system function, were observed in 13 (31.7%) of the 41 patients. Increased thoracic kyphosis (round back) was most frequent. In the group of patients aged 5 years and younger neither spinal nor chest abnormalities were observed. In the group of patients aged 5-9 years 1 (16.6%) case of congenital scoliosis and 1 (16.6%) case of plane back were found. In the group of children aged 9-13 years increased thoracic kyphosis was observed in 2 (18.1%) cases, plane back was observed in 2 (18.1%) children as well, while in 1 (9.0%) case increased lumbar lordosis was diagnosed. Barrell chest was observed in 2 (18.1%) cases. In the group of adolescents aged 13 years and more, 4 (25.0%) cases of scoliosis, 16 (100%) cases of increased thoracic kyphosis and 6 (37.5%) cases of barrel chest were observed. Because of the different methods of examination among posture studies of the healthy population, obtaining a control population is difficult. Conclusions: The number of postural defects in children with cystic fibrosis increases with age, and is becoming a significant health problem. It seems that there is a need of a deeper study on a greater population.
PL
Wady postawy mogą prowadzić do pogorszenia funkcji układu oddechowego oraz krążenia u dzieci i młodzieży z mukowiscydozą, a także zaburzać przebieg rozwoju somatycznego jak i psychicznego. Cel: Ocena wad postawy w populacji dzieci i młodzieży z mukowiscydozą. Materiał i metody: Badanie przedmiotowe ortopedyczne 41 pacjentów z mukowiscydozą (20 dziewcząt, 21 chłopców) w wieku 2-17 lat (średnio 8,1). Pacjentów podzielono na następujące grupy wiekowe: I poniżej 5. r.ż. – 8 pacjentów, II 5-9 r.ż. − 6 pacjentów, III 9-13 r.ż. – 11 pacjentów, IV 13 r.ż. i starsi – 16 pacjentów. Natomiast wady postawy podzielono na dwie grupy. Do pierwszej grupy zaliczono wady mające możliwy wpływ na funkcję układu oddechowego u pacjenta z mukowiscydozą: skoliozy, wady kręgosłupa i klatki piersiowej. Do drugiej grupy zaliczono wady kończyn dolnych, nie mające wpływu na funkcję układu oddechowego. Ze względu na fakt, że badania wad postawy u dzieci zdrowych prowadzone były przy użyciu różnych metod, trudno jest wyodrębnić grupę kontrolną. Wyniki: Nieprawidłowości postawy i klatki piersiowej stwierdzono u 36 (87,8%) pacjentów, którzy zostali poddani badaniu. Wady, mogące mieć wpływ na funkcję układu oddechowego wystąpiły u 13 (31,7%) z 41 pacjentów. Zwiększona kifoza piersiowa (plecy okrągłe) występowała najczęściej. W grupie poniżej 5. r.ż. nie stwierdzono odchyleń od normy w zakresie kręgosłupa ani klatki piersiowej. W grupie 5-9 lat stwierdzono 1 (16,6%) przypadek skoliozy wrodzonej oraz 1 (16,6%) przypadek pleców płaskich. W grupie dzieci w wieku 9-13 lat zwiększona kifoza piersiowa została stwierdzona u 2 (18,1%) dzieci, plecy płaskie również u 2 (18,1%), w 1 (9,0%) przypadku rozpoznano zwiększoną lordozę lędźwiową, klatka piersiowa beczkowata wystąpiła w 2 (18,1%) przypadkach. W grupie powyżej 13. r.ż. stwierdzono 4 (25%) przypadki skoliozy, 16 (100%) przypadków zwiększonej kifozy piersiowej oraz 6 (37,5%) przypadków klatki beczkowatej. Wnioski: Liczba wad postawy u dzieci i młodzieży z mukowiscydozą wzrasta wraz z wiekiem, stanowi więc znaczący problem zdrowotny. Wydaje się, iż konieczne jest przeprowadzenie pogłębionych badań na większym materiale.
|
2010
|
vol. 18
|
issue 1
26-31
PL
Celem pracy jest ocena możliwości zastosowania fotogrametrycznej metody wykorzystującej zjawisko mory do wstępnej oceny postawy ciała. Zbadano 58 dziewcząt w wieku 12-14 lat, u których na podstawie zdjęcia RTG stwierdzono skoliozę I○ lub II○. Dodatkowo wykonano badanie postawy ciała z zastosowaniem metody wykorzystującej zjawisko mory. W celu porównania wyników uzyskanych tą metodą z wartościami kąta Cobba zastosowano korelację Spearmana. Przeprowadzona analiza wskazuje, że obraz zarejestrowany urządzeniem z wykorzystaniem zjawiska mory jest zbliżony do wyników uzyskanych w badaniu RTG. Wartości korelacji Spearmana świadczą o wysokich lub średnich związkach między wynikami uzyskanymi w obu metodach. Metoda fotogrametryczna jest skuteczną metodą oceny kształtu kręgosłupa w płaszczyźnie czołowej i może być stosowana do badań przesiewowych prowadzonych w celu wstępnego wykrycia wad postawy.
EN
The aim of this study was to assess applicability of the Moiré method for initial evaluation of body posture in children and youths. The study was carried out in a group of girls aged 12-14 years, altogether fifty-eight subjects with first- and second-degree scoliosis. Additionally, the projection Moiré method for posture examination was applied. In order to compare the results obtained with the projection Moiré with the Cobb angle values, Spearman correlation was used. The comparative analysis of the two methods evaluating scoliosis revealed that the pictures recorded with the device using the Moiré phenomenon is similar to that received in the X-ray examination. Spearman correlation values show high and mean correlations between the size of deviations of the spinal line from the vertical line obtained in the author's own examinations and the scoliosis degree as seen in the X-rays. The projection Moiré method is effective in evaluating spinal shape in the frontal plane and that method can be employed in screening studies for preliminary detection of faulty posture.
EN
More and more often specialized literature mentions the contemporarily relevant notion of the application of swimming as one of the therapeutic methods in modern medicine. The thesis reviews specialized literature and analyzes documents in order to demonstrate the significance of aquatic therapy and corrective swimming exercises as a corrective and therapeutic function in the treatment of postural deficits and scoliosis. As this article has a character of a review, its purpose is to attempt a concise synthesis of the knowledge concerning the impact of swimming as a sport on the development of the physiological spinal curvature, as well as to emphasize the significance of aquatic therapy and corrective swimming exercises in counterbalancing gravity and supporting the body weight and to demonstrate their health benefits.
EN
Purpose. Assessment of the muscles force of knee flexors and extensors in children with a scoliosis of the first degree and knock-knees and comparison with healthy children. Basic procedures. Forty-nine boys and girls aged 10-12 years participated in this research project. The subjects were divided into three research groups. Group I included children with first degree scoliosis; Group II children with knock-knees; and Group III healthy children. An analysis of force-velocity parameters of knee flexors and extensors in isokinetic conditions (with the loads of 1.05 rad/s (60°/s), 3.14 rad/s (180°/s) and 4.19 rad/s (240°/s)) was carried out. Each subject had to perform flexion and extension movements of the knee five times, developing peak torque in the shortest time possible in each movement. Main findings. The research showed that healthy children obtained significantly higher values of peak torque, total work and mean power as compared with the other children. However, no significant differences between values obtained by scoliotic children and children with knock-knees were found. Conclusions. Corrective exercise programs for children with scoliosis and children with knock-knees should be accompanied by general fitness exercises directed at improvement of force and endurance of lower limb muscles.
EN
Introduction Improper hip joint development may lead to numerous unfavourable changes in the musculoskeletal system. The aim of this research was to determine how often adolescents with idiopathic scoliosis and their healthy counterparts experienced anomalies of the hip in their infancy period and to examine the correlation between the occurrence of hip anomalies and idiopathic scoliosis. Material and methods The research was conducted in medical centres as well as in schools. The parents of adolescents with idiopathic scoliosis and parents of healthy adolescents completed a questionnaire on the basis of their child’s development history included in the medical records book and other medical documentation. Results 533 questionnaires were taken into consideration, included 145 questionnaires completed by parents of adolescents with scoliosis (121 girls – 13.8 years, SD 1.9; 24 boys – 12.9 years, SD 2.5) and 388 questionnaires from the group of adolescents without scoliosis (194 girls – 13.5 years, SD 2.0; 194 boys – 13.4 years, SD 2.1). No significant differences were noted in the incidence of hip anomalies between the groups of girls and boys with and without scoliosis, no correlations between anomalies of the hip and scoliosis were found (girls χ2=0.840; Cramer V=0.052; p=0.36; boys χ2=1.205; Cramer V=0.074; p=0.27). Conclusions Hip anomalies such as hip dysplasia, movement asymmetry or range of motion limitations diagnosed in the infancy period did not correlate with idiopathic scoliosis. Further research aimed at a separate analysis of the influence of hip dysplasia on the occurrence of idiopathic scoliosis should be carried out.
EN
Introduction:According to SOSORT, conservative treatment of idiopathic scoliosis (IS) includes physiotherapy and bracing. The main goal of treatment is to prevent of progression of the curvature as well as improvement the appearance. The aim of the study is to present the results of conservative treatment of girls aged 12 years with progressive idiopathic scoliosis. A case study: The first diagnostic was performed in March 2010 due to asymmetry of scapulas observed by the mother. The girl was referred to an orthopedist for a more detailed diagnostics. The radiographic assessment found: the right-sided curvature in the thoracic (Th6-Th11, 30°) and left-sided in the thoraco-lumbar (Th11-L4, 30°). The Risser sign was determined (0). It was recommended Cheneau brace (23 hours per day) as well as intensive physiotherapy. In the conversation with parents and girl, it was established that they failed to comply the recommendation. The control radiographic exam (September, 2010) revealed the progression of the right thoracic curve (Th6-Th11, 36°). It was recommended more systematic wearing the brace and exercises. The X-ray performed in June 2011 showed decrease of the Cobb angle (Th6-Th11, 18° right and Th11-L4, 14° left). Risser sign value was (1). The menarche occurred in November 2011. The patient continued the treatment with the brace and physiotherapy. In September 2013 performed the control X-ray exam (Th5- Th11, 15°, Th11-L4, 11°). The Risser sign was determined (4).The physician decided by the end of treatment with Chenenau brace and recommended the continuation of physiotherapy to improve the appearance. Summary and conclusion: The conservative treatment (Cheneau brace and physiotherapy) can lead to decrease the Cobb angle in children with IS.
EN
Introduction: Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) is an international organization which determines standards for scoliosis treatment and research. Physiotherapy is a necessary part of treatment standards. SOSORT indicates which conditions must be fulfilled by physiotherapy methods in order to be used for scoliosis treatment. One of the concepts used worldwide in the process of scoliosis conservative treatment is Proprioceptive Neuromuscular Facilitation (PNF). International PNF Association (IPNFA) establishes the PNF teaching standards, application and related research. Aim: The goal of this work is to demonstrate conformity PNF method to SOSORT guidelines for conservative treatment of people with scoliosis. Material and methods: SOSORT recommendations set in 2005-2012 were used to analyze knowledge and information, according to the newest IPNFA agreements. Results: Conformity PNF method to SOSORT guidelines can be observed in: personal treatment planning; focus on treatment goals (stopping the progression of curvature, breathing function improvement, reduction in pain, aesthetic issues), possibility of special effects on the spine deformity (autocorrection of the spine and pelvis in three planes, stabilization of the posture, activities of the daily living and general health education). The positive influence of the selected PNF patterns on postural parameters of individuals with scoliosis was observed in the initial studies. Conclusions: Described in details structure of PNF method can be used in the planning of research. It is necessary to conduct research to demonstrate the effectiveness of PNF method in the treatment of people with scoliosis.
|
2010
|
vol. 18
|
issue 4
21-26
PL
Zagadnienia dotyczące bocznych skrzywień kręgosłupa u młodocianych stanowią ciągle ważną kwestię, gdyż nieleczone przynieść mogą poważne skutki zdrowotne w przyszłości. Celem pracy była ocena wpływu asymetrycznych ćwiczeń oddechowych wg Dobosiewicz (modyfikacja metody Lehnert-Schroth) na zdolność wentylacyjną płuc dziewcząt z bocznym skrzywieniem kręgosłupa. Badaniami objęto grupę 30 dziewcząt w wieku 9-18 lat z rozpoznanym bocznym idiopatycznym skrzywieniem kręgosłupa. Oceniono rozwój kręgosłupa na podstawie testu Rissera i oznaczono stopnie jego kostnienia. Pacjentki poddano wstępnemu badaniu oceny postawy, a następnie wykonano badanie czynnościowe układu oddechowego i oznaczono wybrane parametry. Po upływie 4-5 tygodni badania powtórzono. W okresie między badaniami pacjentki objęto leczeniem specjalistyczną metodą asymetrycznych ćwiczeń oddechowych. Zaobserwowano istotny statystycznie wzrost każdego z mierzonych parametrów czynnościowych układu oddechowego pod wpływem zastosowanej metody rehabilitacji. Prowadzenie gimnastyki leczniczej w postaci ćwiczeń asymetrycznych oddechowych wg Dobosiewicz ma wysoce istotny wpływ na poprawę wszystkich mierzonych parametrów czynnościowych układu oddechowego już w krótkim okresie po jej intensywnym zastosowaniu.
EN
Issues concerning scoliosis in youths are still an important problem since if they are untreated they may have serious health-related consequences in the future. The aim of the study was to evaluate the effects of asymmetric breathing exercises according to Dobosiewicz (modified Lehnert-Schroth method) on ventilation capability of lungs in girls with scoliosis. The research group consisted of 30 girls aged 9 to 18 with diagnosed scoliosis. The spine's development was assessed by means of the Risser test and the degrees of its ossification were marked. Body posture was evaluated at the beginning, a functional examination of the respiratory system was carried out and chosen parameters were marked. After 4-5 weeks the tests were repeated again. Between the tests the patients participated in the treatment employing the specialist method of asymmetric breathing exercises. The authors observed a statistically significant increase of the examined functional parameters of the respiratory system under the influence of the applied method. Therapeutic, asymmetric breathing exercises according to the method of Dobosiewicz significantly improve the examined functional parameters of the respiratory system even over a short period of time.
EN
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
Spinal Muscular Atrophy (SMA) is a genetically determined progressive disease characterized by the premature death of motor cells of the spinal cord, which currently affects approximately 1,200 people in Poland. The study presents an analysis of responses in the research questionnaire sent to over 30 national centers treating SMA, both in adult and children patients. The collected data on 247 adult patients and 286 children treated in Poland was processed with advanced statistical tools. The aim was to draw significant conclusions about the current therapeutic situation of SMA patients in the country. The age distribution was determined. The changes in average and median body weight were established depending on the type of SMA and the number of SMN2 gene copies. The relationship between scoliosis occurrence and risk factors for its occurrence in patients with SMA was analyzed. In this context, data on the current methods of treating patients, particularly with the use of nusinersen, was presented and the main reason for discontinuing the medication was indicated. Finally, the work outlines a basic picture of the patient’s and caregiver’s experience with SMA in the post-treatment era, including changes in quality of life, year by year, due to new therapies and better care.
PL
Rdzeniowy zanik mięśni (Spinal Muscular Atrophy, SMA) jest genetycznie uwarunkowanym postępującym schorzeniem charakteryzującym się przedwczesnym obumieraniem komórek ruchowych rdzenia kręgowego, którym szacunkowo w Polsce dotkniętych jest obecnie ok. 1200 osób. W pracy zaprezentowana jest analiza odpowiedzi na zaproponowaną przez autorów ankietę badawczą, która została rozesłana do ponad 30 krajowych ośrodków leczących SMA, zarówno u pacjentów dorosłych jak i dotkniętych nią dzieci. Zgromadzone dane o blisko 247 leczonych w Polsce pacjentów dorosłych oraz 286 dzieci, pozwoliły przy użyciu zaawansowanych narzędzi statystycznych, na wyciągnięcie istotnych wniosków dotyczących obecnej sytuacji terapeutycznej SMA w skali kraju. Ustalono rozkład wiekowy pacjentów z SMA i na jej podstawie wyznaczono zmiany wartości średniej masy ciała i jej mediany w zależności od typu SMA i liczby kopii genu SMN2. Przeanalizowano zależność występowania skoliozy oraz czynników ryzyka jej wystąpienia u pacjentów z SMA. W tym kontekście przedstawiono również dane dotyczące obecnych metod leczenia pacjentów, w szczególności z wykorzystaniem nusinersenu i wskazano główną przyczynę zaprzestania terapii tym preparatem. Dane przedstawione w pracy mogą być przydatne w optymalizacji oraz ocenie skuteczności leczenia. Jednocześnie praca nakreśla podstawowy obraz doświadczenia pacjenta i opiekuna z SMA w erze po leczeniu, w tym zmiany jakości życia z roku na rok w wyniku stosowania nowych terapii i lepszej opieki.stanu zagrożenia życia. Celem pracy jest podsumowanie informacji na temat dotychczas opublikowanych objawów neurologicznych COVID-19 w populacji pediatrycznej, ocena możliwych patomechanizmów ich powstawania oraz porównanie z objawami występującymi u dorosłych.
first rewind previous Page / 1 next fast forward last
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.