The impact of lower limb compensation on the quality of posture in children and youth with scoliosis

Mariola Saulicz, Edward Saulicz, Janusz Nowotny, Bogdan Bacik

Mariola Saulicz, Edward Saulicz, Janusz Nowotny, Bogdan Bacik – The impact of lower limb compensation on the quality of posture in children and youth with scoliosis. Fizjoterapia Polska 2001; 1(4); 376-380

Abstract
Background. The use of orthopedic inserts to either correct true or pseudo-anisomelia or to help correct disordered body statics is a method of controlled external compensation often used in the corrective therapy of scoliosis. It has been proven that the use of orthopedic inserts to correct pseudo-anisomelia may lead to serious decompensation of the defect. These observation pertain to advanced structural distortion. The aim of this article, then, is to present a three-surface analysis of the influence of orthopedic inserts, lengthening one of the limbs, on the quality of the posture of children and youth with scoliosis. This analysis involved less advanced irregularities, which means that they had a larger component of functional changes and considerably greater corrective potential. Material and methods. The research was performed on a group of 82 children and young people ranging in age from 6 to 19 years (x = 12.0 +/- 3.1) who had the clinical symptoms of first-or second-grade scoliosis (x Cobb’s deviation = 22.8 +/- 9.5). The analysis pertained only to those children who had been advised to use leveling orthopedic inserts. The evaluation of posture was carried out twice – with and without an insert – using a computer set for testing body posture. Results. As essential connection was found between the height of the insert and the reduction of some of the first-, second-, and third-class characteristics of scoliosis. The improvement of body posture quality affected especially the frontal plane, and was accompanied by essential changes in the sagittal plane. In the transverse plane no univocally positive changes of body posture were recorded.

Key words:
anisomelia, leveling orthopedic inserts, controlled external compensationa

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Isokinetic measurements – areas of application in physiotherapy

Monika Grygorowicz, Janusz Kubacki, Bogdan Bacik, Krzysztof Gieremek, Anna Polak

Monika Grygorowicz, Janusz Kubacki, Bogdan Bacik, Krzysztof Gieremek, Anna Polak – Isokinetic measurements – areas of application in physiotherapy. Fizjoterapia Polska 2006; 6(3); 238-244

Abstract
The aim of the paper is to present the concept of isokinetic exercises, which was introduced by Hislop and Perrine in 1967 for the first time. No article was found in Polish literature that in consolidated way would discuss mentioned subject. Hence, in support to numerous foreign scientific reports, authors have decided to present the isokinetic exercise to Polish physiotherapists and medical doctors. Thisle et al define isokinetic exercise as dynamic muscle contraction with controlled and holded speed of movement (iso-steady kinetic-movement) performed with specific devices used to that kind of exercises. isokinetic tests are a very precise diagnostic tool that enable an estimation of degree of soft tissues damage. General use of isokinetic strength measurement in clinical practice is based on its obvious validity and reliability in qualification of state and neuromuscular function. Followers of isokinetic tests confirm that it gives possibilities of precise assessment of muscle properties as well as objectification of results. Results enable very precise diagnostic of tested muscles in different biomechanical conditions of performing movement. Tests allow functional muscle assessment through comparison of contralateral, ipsilateral work, with confrontation with corresponding data or with results in control groups. Moreover, graphical presentation of dependence between recorded parameters in every point of tested range of movement is possible. It favors isokinetics in using it to diagnostic in postinjured states of movement system. The areas of application and rules of performance isokinetic testing were described in this article. The main biomechanical parameters which are used in analysis of muscle dynamic properties were discussed additionally.

Key words:
isokinetic exercises, peak torque, biomechanical indicators, dynamic conditions

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The effect of stabilization exercises and rotational mobilizations on postural reactions

Oliwia Mokrus, Mirosław Kokosz, Edward Saulicz, Bogdan Bacik, Mariola Saulicz, Łukasz Drożdż

Oliwia Mokrus, Mirosław Kokosz, Edward Saulicz, Bogdan Bacik, Mariola Saulicz, Łukasz Drożdż – The effect of stabilization exercises and rotational mobilizations on postural reactions. Fizjoterapia Polska 2007; 7(2), 95-106

Abstract

Background. The maintenance of stability and the performance of any motor task is possible thanks to the control function of the nervous system, which collaborates closely with both active and passive components of the locomotor apparatus. The aim of this study was to find out whether stabilizing exercises executed in closed kinetic chains (influencing active elements) and rotational mobilizations (engaging passive structures) could improve body balance. Material and methods. Twenty young, healthy, physically active women were randomly divided into two equal groups. The first group (I) performed stabilizing exercises and the second (II) was subjected to rotational mobilizations. Every woman was examined twice (before and after the exercise procedure). Stability in double-feet quiet stance with and without visual control was examined using a dynamometric platform. The resulting data were analysed statistically. Results. More evident changes could be seen in the frontal plane. These were more noticeable in the active stabilization exercise group (especially with reference to stiffness, where the differences were statistically significant). Conclusions. Some changes of the viscoelastic system were seen in response to both passive and active exercise procedures. More distinct changes were seen following active exercises in a closed kinetic chain (Group I), suggesting that this kind of exercise has a greater effect on postural reactions.

Key words:

stabilization, rotational mobilizations, equilibrium, visco-elastic system

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