Tag: Izabela Wilmańska

Rehabilitation treatment of 11-years-old boy with Pierre Robin Syndrome – a case study

Izabela Wilmańska, Jan W. Raczkowski

I. Wilmańska, J. W. Raczkowski – Rehabilitation treatment of 11-years-old boy with Pierre Robin Syndrome – a case study. FP 2017; 17(1); 6-13

Abstract

Goal. The aim of the study was to describe a patient with Pierre Robin Syndrome (PRS), with delayed psychomotor development and evaluation of the patient after the physiotherapy procedure.
Materials and Methods. The authors describe an 11-year-old patient suffering for Pierre Robin syndrome with muscle weakness and severe perinatal loads. The patient postural strength was evaluated by testing the antigravity muscles. The gait effectiveness was measured by using a 10 m walk test and physical performance using Ruffie’s test.
Results. Intensive rehabilitation, well-chosen exercises and accurately set of kinesitherapeutic objectives have well affected the condition of a patient with developmental deficits, which is a Pierre Robin syndrome.
Conclusions. In supporting children with rare disorders such as Pierre Robin syndrome it is necessary to take the earliest possible rehabilitation. Patient care should be long-term and should be interdisciplinary.

Key words:
Pierre Robin syndrome, psychomotor retardation, muscular weakness

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The occurrence of the failure body posture of children at primary school

Izabela Wilmańska, Anna Paradecka, Jan W. Raczkowski

I. Wilmańska, A. Paradecka, J. W. Raczkowski. The occurrence of the failure body posture of children at primary school. FP 2015;15(4);64-73

Abstract

Goal. Comprehensive evaluation of the body posture in the early school-age children and determining the prevalence of the postural disorders in the population. Estimation of impact of the BMI on the occurrence of the disorders in relation to a child’s gender, and answering the question whether the frequency of the disorders increases with age.
Materials and Methods. The study included 285 school children from the grades 1-3, from a primary school located in Lodz. The study population consisted of 135 girls and 150 boys, aged 6-9 years. As the research method, the visual examination has been used.  The body posture has been assessed in sagittal and frontal planes. And the dynamic gait assessment has been performed. With the observation-based postural assessment method, the spine curvature and the ribcage curvature have been evaluated. An important part of the research has been the observation of the back in the bent forward position, using the Bertrand’s test.
Results. Within the study population of children from the grades 1-3, we have found large percentage of children with the posture disorders, 30.53% in girls and 37.54% in boys. It has been shown, that the most common posture disorder in the early school-age children is the asymmetrical alignment of the shoulder blades. This has been true for, respectively, 37.77% of the girls and 31.33% of the boys. Most at risk for the abnormalities being developed, has been the group of the 7-years-olds. No statistically significant dependency has been found between the impact of the BMI on the posture disorders, in relation to a child’s gender. It has been established that, in the study population, the BMI has had an impact on the valgus knees deformity.
Conclusions. The research has shown true importance of the children posture disorders issue. The prevalence rate of these disorders should prompt to organize screening programs in schools. This will definitely help to quickly establish any deviations from the normal status and will motivate parents and guardians to seek an orthopedic advice or join a rehabilitation program.

Key words:
posture disorders, early school age, BMI, screening tests, valgus knees

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