The mobility of the lumbar spine in persons with low back pain

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Dorota Wójtowicz

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Dorota Wójtowicz – The mobility of the lumbar spine in persons with low back pain. Fizjoterapia Polska 2004; 4(2); 100-106

Abstract

Background. The purpose of our study was to examine changes in the mobility of the lumbar spine in persons with L5-S1 diskopathy and the changes in mobility associated with different modalities of treatment. Material and methods. We studied 150 persons 40-50 years of age, 64 men and 86 women. Due to variations in management the material was divided into two groups: Group I, treated only pharmacologically, and Group II, treated with both pharmacological methods and physiotherapy. The patients were examined twice, once before treatment and again after 6 weeks of treatment. The research methods included clinical interviews and measurement of thoraco-lumbar and lumbar mobility on all planes. Non-steroid anti-inflammatory drugs were used in Group I. In Group II, comprehensive physiotherapy was also applied, including physicotherapy, kinesitherapy, and massage. Results. Our analysis of the material showed that the limitations in spinal mobility were similar in both groups at baseline. After a 6-week course of treatment, significant improvement in the mobility of the thoraco-lumbar and lumbar spine was noted only in Group II (pharmacotherapy and physiotherapy), involving all the tested ranges of movement. Conclusions. An evaluation of treatment outcome in persons with L5-S1 diskopathy indicates that persons treated both with pharmacotherapy and physiotherapy show greater improvement. The fact that significant improvement was seen only in this group may result from the fact that the drugs used prepared the way for better results in subsequent physiotherapy. These results indicate that pharmacological treatment in these patients should be supplemented with physiotherapy.

Key words:
discopathy, non-steroidal anti-inflammatory drugs, physicotherapy, kinesitherapy, massage
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Shaping the asymmetry of trunk in younger children

Katarzyna Barczyk, Tadeusz Skolimowski, Arletta Hawrylak

Katarzyna Barczyk, Tadeusz Skolimowski, Arletta Hawrylak – Shaping the asymmetry of trunk in younger children. Fizjoterapia Polska 2004; 4(3); 203-208

Abstract

Background. Her symmetry is in frontal area the basic criterion of opinion of attitude body. Have the same name osseous points in this plane should to be arranged in relation to axis of spine symmetrically and to be on equal height, and teenagers’ line spinous of spine should make up right line. Above mentioned conditions happen fulfilled seldom, because at man symmetry never is full. This results mainly with asymmetric position of internal organs, the environmental influences whether the only process of lateralisation. Material and methods. It triple investigations were hugged was 298 – personal group the same children. The computer set to analysis of size of asymmetry was applied to of opinion of attitude body using the phenomenon of projection moire thopography. Results. Asymmetries in frontal area at studied boys and girls be shaped similarly and stepped out in both groups in considerable percentage. Absolute differences in position of have the same name osseous points concerned distances from teen-agers’ line the bottom executioners of shoulder-blades the line spinous, height of triangles of waist as well as position basin in frontal area, however the most seldom both children’s groups asymmetries concerned in frontal area the depression angle. It it was showed was moreover that the asymmetries undergo decrease between 7 and 8 year of life and renewed enlargement between 8 and 9 year of life. The statistical also between years analysis show on similarity be shaping to asymmetry of trunk at boys and girls. Conclusions. 1.Frequency of occurrence in grounds of trunk the asymmetry changed along with the age the studied children. She be shaped in dependence from side of body differently. 2.More often considerable asymmetry was affirmed was at 7 year old children’s and 9 years old children’s, more seldom at 8 years old children’s. They asymmetries these in this lid belonged to reasonable.

Key words:
body of posture, trunck asymmetry, photogramometric method, children
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Trunk asymmetry in people with L5-S1 lumbar discopathy

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Barbara Ratajczak

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Barbara Ratajczak – Trunk asymmetry in people with L5-S1 lumbar discopathy. Fizjoterapia Polska 2008; 8(1); 11-22

Abstract
Background. The aim of this study was to investigate and describe trunk symmetry patterns via an analysis of changes in the position of selected anthropometric points and tracing these changes in time relative to type of treatment. Material and methods. The study enrolled 150 people aged 40-50 diagnosed with a chronic spinal pain syndrome inthe course of L5-S1 discopathy. The patients were divided into two groups corresponding to different treatments used. Patients in each group were further divided with respect to the direction of the hemia of the nucleus pulpous. Examinations were carried out twice: before starting treatment and after 6 weeks. Results. The degree of asymmetry in the frontal plane was similar between the study groups. Asymmetry occurred in a considerable percentage of the patients in both groups. Conclusions. Greater improvement of the asymmetry was noted in the patients receiving combination treatment, which may indicate a need for combining physiotherapy with pharmacological treatment in the treatment of discopathy. A complete cure is difficult to obtain in lumbar discopathy patients following a 6-week treatment. Long-term thearpy is needed as well as broadly understood prophylaxis to prevent recurrence of symptoms.
Key words:
discopathy, Moire Topography, physical therapy, kinesitherapy, massage
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Transcutaneous electrical nerve stimulation in low back pain treatment

Barbara Ratajczak, Ewa Boerner, Arletta Hawrylak, Aneta Demidaś

Barbara Ratajczak, Ewa Boerner, Arletta Hawrylak, Aneta Demidaś – Transcutaneous electrical nerve stimulation in low back pain treatment. Fizjoterapia Polska 2008; 8(2); 179-188

Abstract
Background. The aim of this study was to assess the effectiveness of TENS and its impact on pain intensity, mobility range and functional capacity of the spine in subjects with a diagnosed lumbar discopathy. Material and methods. The study group consisted of 40 patients with a diagnosed lumbar discopathy. This group was subjected to TENS therapy. The intensity of pain, functional status and mobility range of the lumbar spine in the sagittal, frontal and transverse planes were assessed in all patients before and after the therapy.Results. The results indicate that functional capacity correlates significantly with pain level. The sensation of pain is the main determinant of patients’ physical and mental well-being. It is reflected both in differences in pain level owing to TENS (the patients’ physical and mental state was getting better along with decreasing pain level) and in the values of this parameter before and after the TENS therapy. The observed differences were statistically significant, allowing the conclusion that functional capacity correlates significantly with pain intensity.Conclusion. Pain intensity decreased considerably under the influence of TENS, which also had a marked effect on increasing lumbar flexion range in the sagittal plane. The patient’s functional capacity improved significantly with TENS and, consequently, so did their general physical and mental well-being.
Key words:
discopathy, transcutaneus electrical nerve stimulation, pain, functional fitness test
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Evaluation of the effect of station-based corrective exercises on changes in parameters of musculoskeletal system function in chiidren with Grade 1° scoliosis

Katarzyna Barczyk, Magdalena Łata, Arletta Hawrylak, Dominika Zawadzka, Dorota Wojna

Katarzyna Barczyk, Magdalena Łata, Arletta Hawrylak, Dominika Zawadzka, Dorota Wojna – Evaluation of the effect of station-based corrective exercises on changes in parameters of musculoskeletal system function in chiidren with Grade 1° scoliosis. Fizjoterapia Polska 2010; 10(1); 49-59

Abstract
Background. The aim ofofthe study was to evaluate the influence of station-based corrective exercises in the gym setting in children with idiopathic scoliosis. Materiał and methods. The study group comprised 67 children aged 10-12 years with single-arch left-sided idiopathic thoracolumbar Grade 1° scoliosis. Children were evaluated three time: before beginning corrective exercises (Examination I), and after 3 months (Examination II) and 6 months (Examination III) ofexercises. Station-based exercises using the SYNKOPA system and Thera-Band taping. Spinał mobility in the sagittal, frontal and horizontal piane, and shoulder and pelvic girdle mobility was evaluated in all children.Results. The comparison ofconsecutive examinations revealed statistically significant differences. Significant differences between Examinations I and II were revealed with respect to spinał mobility in all planes and mobility of the shoulder girdle and the pelvic girdle in some planes. Significant differences between Examinations I and III were revealed with regard to all parameters studied.Conclusions. Station-based corrective exercises increased mobility of the spine and of the shoulder and pelvic girdles in all planes.
Key words:
scoliosis, station-based systems, spinal mobility, pelvic girdle, shoulder girdle
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Impact of treatment on selected functional parameters in patients after hip joint replacement surgery – preliminary report

Arletta Hawrylak, Dorota Weigel, Katarzyna Barczyk, Bożena Ostrowska, Barbara Ratajczak

Arletta Hawrylak, Dorota Weigel, Katarzyna Barczyk, Bożena Ostrowska, Barbara Ratajczak – Impact of treatment on selected functional parameters in patients after hip joint replacement surgery – preliminary report. Fizjoterapia Polska 2010; 10(3); 222-233

Abstract
Background. The aim of the study was to assess the impact of physiotherapy on selected functional parameters and the process of maintaining body balance in patients after hip joint replacement surgery. Material and methods. The study involved 30 patients, aged 60-75 years, following cementless hip replacement surgery. All subjects underwent a goniometric examination of hip joint range of motion and were assessed with regard to the process of maintaining body balance in a standing position on a stabilographic platform. The treatment regimen comprised kinesiotherapy and physical therapy procedures. Results. The comprehensive programme of physiotherapy improved the range of motion of the hip joints and the process of maintaining body balance in a standing position in the study group. Conclusions. By improving the functional status of joints and the process of maintaining balance, the treatment method used in this study enabled the patients after hip replacement surgery to improve their quality of life.
Key words:
hip replacement surgery, stabilographic platform, goniometry, kinesiotherapy, physical therapy
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