Kinesitherapy in the treatment of juvenile thoracic kyphosis (Scheuermann’s Disease)

Anna Krawczyńska, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz

Anna Krawczyńska, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz – Kinesitherapy in the treatment of juvenile thoracic kyphosis (Scheuermann’s Disease). Fizjoterapia Polska 2001; 1(3); 303-305

Abstract

The course of juvenile thoracic kyphosis, known as Scheuermann’s Diseases, brings about static and dynamic changes within the spine, the shoulder girdle, and the pelvic girdle, negatively affecting the patient’s posture. Changes in the spine due to growth deformities in the vertebral bodies lead to musculo-capsular spasms and adynamia in overextended muscles and ligaments.The basic aim of kinesitherapeutic procedures in the treatment of juvenile thoracic kyphosis is to restore normal muscular equilibrium by stretching the contracted muscles and strengthening the weakened ones. There are also exercises intended to improve the range of joint movement and to teach the patient to assume and maintain proper body posture. In cases of radiologically confirmed growth disorders affecting the vertebral bodies, treatment by extending corrective braces is required. In such cases kinesitherapy and physicotherapy are intended to prepare the patient to obtain good correction in the orthopedic brace and reduce the so-called “plaster losses”. The authors point out the value of kinesitherapy in the process of treating patients with juvenile thoracic kyphosis. A program of exercises intended to reconstruct a normal is also discussed.

Key words:
musculo-capsular spasms, adynamiarange of mobility, posture
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The efficiency or the Hanke Method in the correction of scoliosis in the light of selected radiological parameters

Tomasz Wolny, Edward Saulicz, Dagmara Molicka

Tomasz Wolny, Edward Saulicz, Dagmara Molicka – The efficiency or the Hanke Method in the correction of scoliosis in the light of selected radiological parameters. Fizjoterapia Polska 2002; 2(1); 35-39

Abstract
Background. The Hanke Method, also known as „E-Technik” (Entiwicklungskinesjologischer Technik), is among the less wellknown methods used to treat neuromuscular disorders. Since the elements of methods with a strictly neurophysiological mechanism of action are rarely used in corrective procedures, and the possible efficiency of these elements is typically stated in purely descriptive form, the aim of this article is to trace the impact of the Hanke method on the changes in selected parameters of the radiological evaluation of malformation. Material and methods. The research involved a group of 17 children and youth aged 7-15 (x = 10,1 +/- 2,7) with clinical and radiological symptoms of scoliosis. With only one exception these were first-degree malformations. Before and after a 10-month period of rehabilitation enhanced by certain elements of the Hanke method, X-ray photographs were subjected to evaluation. The Cobb angles, the costovertebral angles, and the Harrington indexes were calculated. All the data collected in this way were statistically analyzed. Results. The reduction of the angular value of primary curvature, associated with the simultaneous leveling out of differences in the costovertebral angles on the concave and convex sides, was obtained in 11 cases (64,7% of the subjects). Only in one case was distinct progress of malformation noted (5o). Conclusions. The results obtained point to the considerable therapeutic value of the Hanke method. The possibility of direct control over reflex reactions, leading in effect to normalization (symmetrization) of muscle tension constitutes the hallmark effects obtained by the application of methods for stimulating by reflex the neurophysiological mechanisms for controlling body posture require further thorough research.

Key words:
E-Technik, neuromuscular disorders, muscle tone, Posture

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Epidemiology of lateral curvature of the spine in children and adolescents

Michał Dziewulski, Waldemar Szymanik

Michał Dziewulski, Waldemar Szymanik – Epidemiology of lateral curvature of the spine in children and adolescents. Fizjoterapia Polska 2003; 3(2); 106-112

Abstract
Background. The primary purpose of this article is to draw attention to the problem of lateral scoliosis in children and adolescents, a serious issue in orthopedics. This subject should be of interest not only to orthopedists, but also to pediatricians, rehabilitation specialists, physiotherapists, family physicians, and even specialists in internal medicine. The authors’ goal is to focus on the basic facts concerning this disorder, its classification, and the epidemiology. Material and methods. In our clinical work over the last 30 years we have observed patients treated at the Rehabilitation Center in Konstancin, Poland. The rate of occurrence of scoliosis has been calculated, and the data broken down by sex, age, and residence (urban or rural). The goal was to point out any possible predisposition by gender, to discover whether the residence had any impact on the likelihood of diagnosis due to better facilities, and to specify the age at which there occurs the greatest risk of occurrence. Results. Despite a systematic increase in the number of patients admitted to our Center, there has not been a proportional increase in the number of patients with scoliosis, and in fact the number has diminished. A distinct tendency for scoliosis to appear in girls was noticed. Scoliosis is more often diagnosed in urban children and adolescents. Conclusions. More precise examination and diagnosis of children is required in respect to the possible occurrence of lateral scoliosis, especially in rural environments. Other aspects, such as gender-related trends and the most common type of scoliosis, do not differ from the data reported in the literature.

Key words:
body posture, scoliosis, gender, early diagnosis

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Mobility and shaping of curvature of the spine in children with defective body posture

Andrzej Szczygieł, Anna Ślusarczyk

Andrzej Szczygieł, Anna Ślusarczyk – Mobility and shaping of curvature of the spine in children with defective body posture. Fizjoterapia Polska 2003; 3(3); 261-271

Abstract

Background. This article presents the problem of evaluating the anatomical structure (amount of curvature) and functional capacity of the spine in children with posture defects. This is a vitally important problem for the implementation of treatment. The article also presents selected stretching exercises using tapes, balls, and Thera Band accessories, on the basis of the results obtained. Material and methods. Our research involved a total of 194 children, of whom 91 formed the control group (no posture defects). Children whose examination results diverged from normal posture were assigned to the defective posture group. These children were tested at the Cracow School Sports Center, in the Department of Rehabilitation Gymnastics, where they participated in correctional exercises. The control group was tested at two selected Cracow primary and junior high schools. The subjects’ ages ranged from 10 to 13 years, with a mean of 11.3 years. The tests included the range of movement in the thoraco-lumbar spine in frontal projection left and front, as well as the depth of kyphosis in standing and prone position.Results. The results we obtained showed statistically significant differences in the tested spine parameters and the depth of thoracic kyphosis.Conclusions. The proposed exercises appear to be of considerable use for increasing the effectiveness of rehabilitation for children with posture defects.

Key words:
spinal curvature, spinal range of motion, stretching, therapeutic exercises, body posture
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Analysis of selected features of body build and posture in a group of post-menopausal women diagnosed with osteoporosis

A. Szczygieł, G. Materna, E. Ciszek

A. Szczygieł, G. Materna, E. Ciszek – Analysis of selected features of body build and posture in a group of post-menopausal women diagnosed with osteoporosis. Fizjoterapia Polska 2003; 3(4); 337-346

Abstract

Background. The purpose of this article was to analyze the degree of osteoporosis-related changes in body build and posture and the characteristics of anterior-posterior curvature of the spine in the thoracic and lumbar segments. Material and methods. We studied 71 women aged 50-80 diagnosed with osteoporosis by densitometric testing. The research was conducted in the Locomotor Diagnostic Laboratory at the Cracow Academy of Physical Education, using a non-invasive computerized device – the Metrecom System – to obtain results of posturometric testing on three planes of reference. Results. Deviations and asymmetry were found (of varying extent in relation to physiological norms) in the body boild and posture of these osteoporotic women. Detailed analysis of the results showed that they fell within the normal range from 44% to 97%, with the exception of head position. From 66% to 78% of the results for a given parameter placed in the first category (mean +/- SD). No dependency was found between the age of the subject and the size or intensity of a given parameter, with the exception of the correlation coefficient for forward or rear head position in the sagittal plane, which came close to 0.3. Conclusions. The results we obtained confirm the suitability of this measurement technique in the diagnostics of osteoporosis.

Key words:
three-plane diagnostic, scurvature of the spine, body build, body posture
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Disturbances of pelvic control in sitting and while assuming a sitting position as a manifestation of postural hypotonia in pre-school children

Małgorzata Matyja, Edward Saulicz, Mirosław Kokosz, Marta Syryjczyk

Małgorzata Matyja, Edward Saulicz, Mirosław Kokosz, Marta Syryjczyk – Disturbances of pelvic control in sitting and while assuming a sitting position as a manifestation of postural hypotonia in pre-school children. Fizjoterapia Polska 2004; 4(1); 31-39

Abstract

Background. The purpose of our research was to evaluate the connection between the pelvis in sitting position and posture in standing position, as well as the manner of changing from supine position to sitting position. Material and methods. We examined 37 six-year-old boys and girls. Posture was assessed according to Hoppe’s modified scale of posture measurement. The manner of maintaining upright sitting position and changing from supine position to sitting position was also examined. The angle of pelvic back tilt in sitting position was examined by means a Rippstein plurimeter. Statistical analysis was based on the Spearman test, the Manova-Anova test, and the Tukey test, taking p < 0.05 as the critical level. Results. There is a clear connection between the way a young child maintains sitting position and both pelvic back tilt and the quality of posture (in both cases r = 0.67, p < 0.001). We also found a smaller but equally important connection between the way of changing from supine to upright sitting position (r = 0,44 p < 0,01) and the other parameters. Conclusions. The evaluation of pelvic control in sitting position and in the course of sitting up is a good technique for the diagnosis of postural tone in young children.

Key words:
the body posture, defects of posture, postural hipotone, the pelvis control
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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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Hearing dysfunctions and body posture’s asymmetry

Małgorzata Grabara

Małgorzata Grabara – Hearing dysfunctions and body posture’s asymmetry. Fizjoterapia Polska 2006; 6(2); 121-125

Abstract

Background. Hearing dysfunction can have a negative effect on body posture. The physical and motor development in deaf and partially hearing children can also be different then their contemporaries. This can influence on process of posture’s genesis. The aim of the study was to estimate and compare body posture’s asymmetries in deaf and partially hearing with a normal group of children between the ages of 8- to 13- years. Material and methods. The experimental group consisted of 63 girls and 90 boys with hearing dysfunction. The control group included 162 girls and 140 boys from primary schools of Silesia. Body posture examinations were based on Moire’s technique and then were given points for asymmetries of body posture. The estimation of body posture contained trunk’s inclination in frontal and sagittal plane, position of the vertebrae spine, shoulders, scapulas, pelvis and waist arrangement. Results. The children with hearing dysfunctions had more asymmetries in the frontal and transversal planes and more imperfect position of the vertebrae spine than the control group. Defects of the thorax were more frequent in that deaf and partially hearing children. Total points for body posture also showed that deaf and partially hearing children had worse body posture in frontal plane. Conclusions. This study finds that the loss of hearing or considerable decrease of hearing can be essential for body posture.

Key words:
deaf children, body posture, asymmetry
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Neurodevelopmental analysis of postural correction exercises

Małgorzata Matyja, Ewa Zmudzka-Wilczek, Barbara Karasz

Małgorzata Matyja, Ewa Zmudzka-Wilczek, Barbara Karasz – Neurodevelopmental analysis of postural correction exercises. Fizjoterapia Polska 2006; 6(3); 251-259

Abstract
Posture correction exercises in posture defects of the body are conducted on the basis of Wiles conception. In this approach the reason for the posture disturbance is abnormal pelvis position and Wiles distinguishes four different types of incorrect posture. The exercises (depending on the type of faulty posture) consist of intensification or relaxation of the appropriate group of muscles and include different types of exercises: breathing, elongation, shoulder girdle, abdominal muscles and back muscles exercises. According to neurodevelopmental approach the posture development in the result of gradual integration of the muscles tone and the postural reflex mechanism. The development of the posture is not connected with the intensification of the particular muscle group but rather with the integration of their functions in righting and equilibrium reactions. In case of postural hipotone the appropriate development of the posture is disturbed and as a consequence children compensate the lack of optimal postural muscle tone by placing particular parts of the body in such a position that makes their functioning easier. In neurodevelopmental approach the abnormal posture is the result of the compensation of postural hipotone. For example the pelvis position can be one of many elements of the compensation, but not the reason for the posture disturbance. The aim of the publication is to present correction exercises, including posture correction exercises (like normalizing postural tone exercises, righting and equilibrium reaction exercises).

Key words:
the body posture, defects of posture, abnormal postural reflex mechanism

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Postural control in scoliotic children with different functional efficiency of feet. Preliminary report

Marzena Wiernicka, Dominik Kaczmarek, Ewa Kamińska, Iwona Ciechanowicz-Kowalczyk, Grażyna Cywińska-Wasilewska, Magdalena Łańczak-Trzaskowska, Dorota Warzecha

Marzena Wiernicka, Dominik Kaczmarek, Ewa Kamińska, Iwona Ciechanowicz-Kowalczyk, Grażyna Cywińska-Wasilewska, Magdalena Łańczak-Trzaskowska, Dorota Warzecha – Postural control in scoliotic children with different functional efficiency of feet. Preliminary report. Fizjoterapia Polska 2008; 8(3); 299-309

Abstract
Background. Scoliosis is defined as a multi-dimensional deformity of the spine frequently associated with a compensatory spinal curvature and changes in pelvic and lower limb alignment. Changes in the spatial arrangement of the foot joints may affect coordination of movement patterns, muscle balance and static and dynamic proprioceptive control. The aim of this study was to assess dynamic and static postural control in children with scoliosis and different longitudinal foot arch patterns. Material and methods. The study involved 69 children aged 5 to 18 years with scoliosis confirmed by an orthopaedist. The patients were treated at orthopaedic outpatients clinics and had not undergone previous operative treatment. Longitudinal foot arch parameters were assessed with a Podoskop (Posmed, Poland) device and the Wejsflog index.. Static and dynamic postural control was assessed with a CQStab2P Stabilometric Platform (two-platform version, CQ Elektronik System, Poland) and the Delos Postural System (Delos s.r.l., Italy). Results. In the children with reduced functional efficiency of the feet, the sway path and the sway area were higher during stabilometric measurements with eyes closed. Mean postural priority among persons with inefficient feet did not exceed 60%. Conclusions. Preliminary results indicate the presence of disturbances of balance and proprioception among children with scoliosis and reduced or poor functional efficiency of the feet.
Key words:
posture, foot, scoliosis, postural balance
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