Agnieszka Książek-Czekaj, Grzegorz Śliwiński, Marek Wiecheć, Piotr Tabor, Marek Kiljański, Zbigniew Śliwiński
A. Książek-Czekaj, G. Śliwiński, M. Wiecheć, P. Tabor, M. Kiljański, Z. Śliwiński – Analysis of selected body posture parameters in female volleyball players. FP 2017; 17(3); 6-14
Introduction. Habitual posture of professional athletes is closely connected with the demands of sport training, and its characteristics depend on the type of sport involved. The purpose of this study was to assess the posture and foot loads of female volleyball players from the KSZO Ostrowiec team playing in the Orlen Liga (the Polish Women’s Volleyball League) in comparison to women in a similar age group who do not play sports professionally.
Materials and methods. The study was conducted between 2014 and 2015, at the start of the volleyball season, and used the DIERS Formetric 4D analysis system. The results of the female volleyball players were compared with healthy women in the same age group who do not play sports professionally.
Results. The results obtained in this study indicate that female volleyball players have lower values of the lumbar lordosis angle in comparison to the control group. The values of the trunk inclination angle (relative to the vertical plane) were also significantly different between the two groups, with the analyzed group having higher values. With regard to the other analyzed variables i.e. kyphosis and foot loads, the study found no statistically significant differences between the groups.
Conclusion. The assessment of the habitual posture of female volleyball players conducted in the present study suggests that the demands of sport training can have an influence on how the body posture of professional athletes develops.
volleyball, body posture, DIERS Formetric 4D
Sandra Trzcińska, Wojciech Kiebzak, Marek Wiecheć, Zbigniew Śliwiński
S. Trzcińska, W. Kiebzak, M. Wiecheć, Z. Śliwiński – Compensation Mechanism in Treatment of Idiopathic Scoliosis with the FED Method – Preliminary Results. FP 2017; 17(2); 6-14
Introduction. The idiopathic background of scoliosis makes it difficult to treat the disorder in a cause and effect way. This gives a starting point for creation of many physiotherapy treatment methods, among them the FED method. It is a new, but a very promising way of the conservative treatment for scoliosis.
Research Goal. The assessment of impact of the FED treatment for reducing the angle of the primary curve (KTR P) and the secondary curve (KTR W) rotation, and the overall rotation of the spine (SDR).
Materials and Methods. In the research participated girls 11 to 15 years old (M = 13.5 ±1.4), with the diagnosed double curve scoliosis of the second degree. In all the patients, there were carried out measurements of the angle of trunk rotation in the primary curve, secondary curve, cervical segment and the scoliosis coefficient was measured with a Zebris apparatus. There was also analyzed the sum of two rotations (SDR) parameter. The above examinations were performed before and after the three week treatment with the FED method.
Results. After the application of the FED treatment method, we have observed statistically significant decrease in the average value of the trunk rotation angle at the levels of primary curve, secondary curve and cervical segment. Similar observations were made in the case of the scoliosis coefficient in Zebris examination. All the examined parameters have shown a significant decrease in the average output values (p < 0.001).
Conclusions. Treatment of double curve scoliosis with the application of the FED method, for the period of 3 weeks, leads to reduction of the rotation angle of the trunk. This reduction applies to both, the primary and secondary curve, the overall rotation angle and the cervical segment. The FED therapy improves the total rotation of the whole spine.In the course of treatment, there occurs decrease in the angle of vertebrae rotation in the cervicothoracic segment.
idiopathic scoliosis, physiotherapy, FED method, compensation mechanism
Marek Wiecheć, Agnieszka Chudzik, Zofia Śliwińska, Danuta Lietz-Kijak, Edward Kijak, Zbigniew Śliwiński
M. Wiecheć, A. Chudzik, Z. Śliwińska, D. Lietz-Kijak, E. Kijak, Z. Śliwiński: Assessment of the Therapy Effectiveness in Patients with the Lumbar Degenerative Disc Disease Treated with the McKenzie Method. Fizjoterapia Polska 2015;15;(3);24-34
Introduction. The lower back pain syndromes can be defined as a series of ailments associated mainly with the lumbosacral section of a spine. The intervertebral discs disorders and degenerative processes are being considered the major cause of these syndromes. A lower back pain may also be caused by the anatomical structures of a spine. The treatment of a lumbosacral pain is always a complex procedure. It includes kinezytherapy, physiotherapy and aims to reduce the pain, strengthen the muscular corset, restore the range of movement, muscle strength, and to re-educate patients in the areas of the correct posture patterns and the physical activities. Materials and Methods. In the research participated 38 patients with the diagnosed lumbar degenerative disc disease. The patients had been divided into 2 groups – control group and study group. All the participants, before they took part in the research, had been subjected to various forms of treatment and had been taking pain and anti-inflammatory medications. The study group had undergone treatment according to the McKenzie method, while the control group had applied the Maigne syndrome exercises. Both groups were treated with the physiotherapeutic procedures. After completing the exercises, each group filled out a questionnaire regarding the treatment. Objective: To determine the impact of treatment according to the McKenzie method on changes in the functional status of patients with the lumbar degenerative disc disease. Conclusions. The research has shown, that the application of the McKenzie method yielded positive results in terms of the increased range of movement within the lumbosacral spine section, in all patients. McKenzie method exercises do have an impact on the peripheral joints of the spine. The physiotherapy treatment according to the McKenzie method, applied in the study group, resulted in a reduction of pain in the l-s spine section, in 100% of patients. The Maigne method application in patients with the diagnosed lumbar degenerative disc disease, only in a mild way alters the patients’ sensation of the lower back pain.
lumbar intervertebral discs, McKenzie method therapy, therapy by Maigne
Ewa Górna, Zbigniew Śliwiński, Marek Wiecheć, Jan W. Raczkowski
E. Górna, Z. Śliwiński, M. Wiecheć, J. W. Raczkowski – Ease to Control vs Control of Ease- – How to Tackle the Functioning of Hand in the Process of Physiotherapy. FP 2016;16(2);32-41
A human hand is a highly specialized organ, with a wide range of functions. The aim of this report is to present physiotherapy treatment of the patient after surgery, which has resulted from an extensive injury to his hand, forearm and arm. During rehabilitation process, the ICF guidelines and the patient’s concerns, as well as his expected functional goals, have been observed. Intermediate therapy and irradiation phenomena, standard of the PNF concept, have allowed to minimize the risk of irritation of the grafted soft tissue and skin, and of damage to the internal connections within the coadunate areas of the hand and thumb. The report contains illustrations showing the stimuli applied, it also discusses other therapeutic actions, which had been employed.
stages of motor control, feedback system, PNF concept, goals of therapy after hand injury
Agnieszka Książek-Czekaj, Marek Wiecheć, Grzegorz Śliwiński, Zbigniew Śliwiński
A. Książek-Czekaj, M. Wiecheć, G. Śliwiński, Z. Śliwiński – Monitoring the results of scoliosis improvement using the DIERS system. FP 2016;16(3);124-134
The aim of the study was to present a modern method of imaging the posture of the human body, namely, the DIERS Formetric 4D system. This method is used, among others, for non-invasive evaluation of the effects of treatment of patients diagnosed with scoliosis. Using the DIERS Formetric 4D device, the test of body posture can be done almost any time without the use of a temporary regime between studies. This allows assessment of both the effects of the treatment carried out in the short term, as well as the assumptions of the plan for further treatment.
According to the authors, the use of the DIERS Formetric 4D method to control the effects of scoliosis treatment is extremely important because of the possibility of frequent performance this test, its short duration and repeatability of the achieved results. They are available very quickly and there is a possibility to compare them with the results of previous tests, thereby greatly facilitating the work of physiotherapists.
scoliosis, the Formetric 4D system, DIERS, SOSORT