Changes of values of selected spirometric parameters in course of complex rehabilitation treatment in patients with scolioses of I° and II°

Rafał Gnat, Edward Saulicz, Marek Zięba, Paweł Ryngier

Rafał Gnat, Edward Saulicz, Marek Zięba, Paweł Ryngier – Changes of values of selected spirometric parameters in course of complex rehabilitation treatment in patients with scolioses of I° and II°. Fizjoterapia Polska 2003; 3(1); 21-29

Abstract
Both the values of the spirometric parameters in people with low-degree scoliosis and their changes in course of the rehabilitation treatment aiming to correct the body posture are subjects rarely mentioned in literature. Just sparse articles give evidence for the presence of respiratory disturbances even in early stages of the development of scoliosis. The hypothesis claiming that normalisation of the values of selected spirometric parameters, decreased earlier, during attempts of correction of the body posture could be obtained was brought forward for needs of the presented report. 60 children with scolioses of Ist and IInd degree and without any coexisting health problems participated. The evaluation of the values of selected spirometric parameters was performed twice: at the beginning of the treatment (initial test) and after its termination (final test). The time of therapeutic influence averaged 28,77 days (SD = 9,47) and daily load with corrective exercises about 3 hours with supplementary procedures. During the period of time between initial and final tests most of the assessed spirometric parameters showed significant improvement increasing their values and bringing them closer to standards (FVC EX, FVC IN, FEV1, PEF, PIF, VC, IC). The ERV parameter didn’t show any important alterations. The volumes TV and MV as well as Tiffeneau coefficient maintained their previous rise tendencies.According to the stated hypothesis the corrective rehabilitation treatment improved values of selected spirometric parameters, which were decreased in course of low-degree scoliosis. Basing on the results some practical clues concerning corrective treatment of this postural fault may also be formulated.

Key words:
Scoliosis, rehabilitation treatment, Spirometry, spirometric parameters

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A comparison of conceptions concerning rehabilitation following facial nerve injuries in children

Wojciech Kiebzak, Czesław Szmigiel, Zbigniew Śliwiński, Marek Zięba

Wojciech Kiebzak, Czesław Szmigiel, Zbigniew Śliwiński, Marek Zięba – A comparison of conceptions concerning rehabilitation following facial nerve injuries in children. Fizjoterapia Polska 2006; 6(1); 22-26

Abstract

Background. The authors studied the dynamics of the improvement of facial muscle motor function in children with peripheral facial nerve paresis. The objective of the present investigations is the comparison of the therapeutic effect achieved in children with peripheral facial nerve paresis using neurophysiological stimulation with the effects obtained with laser biostimulation and electrostimulation. Material and methods. 51 children with peripheral damage of the facial nerve symptoms were examined. To assess the function of the above muscles, a „0” to „3” score scale developed by Pietruski was used. The children were divided into three groups: Group 1 (N=17) received laser biostimulation (4-6 J/cm2, 3-4 procedures per week, 20 procedures per series, a CTL-1106 MX 830 nm, 400 mW laser manufactured by Laser Instruments); Group 2 children (N=17) were subjected to a therapy that combined elements of three neurophysiological methods: the reflex therapy developed by Vojta, method PNF and elements of the Castillo-Morales method; Group 3 patients (N=17) were subjected to impulse electrostimulation (an Pulsotronic ST-5D electrostimulator manufactured, with impulse duration of 80 – 180 ms, frequency of 1 – 4 Hz and amplitude of 20 – 60 mA). All the children were subjected to passive, passive-active and active motor exercises of the facial muscles and delicate massage. Results. In the first examination at the beginning of therapy, mimical muscle function was poor and the score low: in Group 1 – 4.2, Group 2 – 4.8 and in Group 3 – 6.2. In consequence of various types of stimulatory treatment, the mean time of muscle function restoration in the investigated patients was as follows: Group 1 – 33.4 days, Group 2 – 22,9 days and Group 3 – 41.7 days. Conclusion. Reflex forms of therapy using the methods of PNF, Castillo-Morales and Vojta constitute an effective and commonly available rehabilitative treatment modality in peripheral damage to the facial nerve. Effectiveness of electrostimulation turn out to be very low that is why using this method in peripheral facial nerve paralysis treatment isn’t crucial.

Key words:
paresis nervi facialis, methods of physiotherapy, facial muscle
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