The effectiveness of selected mobilization techniques in the treatment of the secondary effects of scoliosis

Edward Saulicz, Elżbieta Juszczak, Ger P. Plaatsman

Edward Saulicz, Elżbieta Juszczak, Ger P. Plaatsman – The effectiveness of selected mobilization techniques in the treatment of the secondary effects of scoliosis. Fizjoterapia Polska 2001; 1(3); 243-247

Abstract

Three groups of children and youth with clinical signs of first-degree scoliosis were studied. The range of active movements in the shoulder and hip joints and in the lumbar and thoracic segments of the evaluated twice – once before rehabilitation was commenced (baseline examination) and again after the predetermined rehabilitation period was completed (outcome examination). During the period that elapsed between the baseline and outcome examinations, all the girls and boys from both groups received a three-week cycle of rehabilitation, three 45-minute sessions per week. The entire procedure was supplemented by an individually realized program of home rehabilitation. In experimental group A, some active mobilization exercises (automobilization) were added to this rehabilitation program. In experimental group B, however, corrective procedures were supplemented by passive mobilization of particular spinal segments from Th1 to L5. The three-week rehabilitation cycle made as essential contribution to significant improvement in the mobility of the majority of the analyzed movements in all the observation groups. Better outcomes were observed in groups where passive or active spinal mobilization was performed.

Key words:
Scoliosis, active mobilization, passive mobilization
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Lateral spinal curvature and the stabilographic parameters MLPX and MLPY measured among children aged 12 to 15 years

Jacek Wilczyński

Jacek Wilczyński – Lateral spinal curvature and the stabilographic parameters MLPX and MLPY measured among children aged 12 to 15 years. Fizjoterapia Polska 2008; 8(1); 65-71

Abstract
Background. The aim of the study was to analyse the relationship between lateral spinal curvatures and MLPX and MLPY among children aged 12 to 15 years. Material and methods. The sample consisted of 503 children chosen from among attending Promary School No. 13 and Junior Secondary School No. 4 in Starachowice. The spatial photogrammetric method, based on Moire’s topography, was used. Balance was examined on a stabilographic platform. The MLPX and the MLPY were used to describe balance findings. Results. Analysis of variance showed a significant effect of the testing options. In the test with eyest closed, MLPX increased in all three defect groups in the frontal plane. Closing eyes increases MLPX, which reflects an increased pressure of the left leg. Increased instability in this plane is usually effectively compensated for by the hip joint strategy. Conclusions. Although the analysis of variance did not show any essential effects, the value of MLPY with eyes closed was hightest in curvatures >10o. This group also showed the biggest difference in Romberg’s test.
Key words:
lateral spinal curvature, balance, stabilographic platform, Romberg’s test, COP, MLPX, MLPY
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Pelvic orientation in scoliotic and healthy girls

Krzysztof Graff, Aleksander Bronowski, Marta Napiórkowska, Lech Okurowski, Janusz Domaniecki

Krzysztof Graff, Aleksander Bronowski, Marta Napiórkowska, Lech Okurowski, Janusz Domaniecki – Pelvic orientation in scoliotic and healthy girls. Fizjoterapia Polska 2008; 8(4); 371-377

Abstract
Background. The pelvis is one of the main elements of the postural complex and is regarded as the most important one by many authors. The aim was to identify pelvis orientation types in healthy and scoliotic girls.Material and methods. 200 patients aged 9 to 16 years with clinically confirmed scoliosis participated in the study. All patients were treated conservatively at the Department of Pediatric Rehabilitation, CMHI. The control group comprised 192 healthy girls of similar age. All measurements were non-invasive, based on palpation analysis of selected pelvic bony structures. Results. The most frequent types of pelvis orientation in healthy girls were: symmetrical and asymmetrical orientation, followed by pelvic torsion, oblique orientation and mixed orientation. In scoliotic girls the following types were the most frequent: pelvic torsion, oblique pelvis, and mixed orientation. Asymmetrical and symmetrical types were the least frequent. The differences between the groups were statistically significant. Conclusions. Asymmetric pelvis orientation is rather common among girls aged 9 to 16 years. Compensatory mechanisms appearing in healthy girls may prevent the development of postural defects in the presence of pelvic asymmetry.
Key words:
pelvic orientation, girls, scoliotic
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