Possibilities for the application of hydrotherapy for patients with selected locomotor dysfunctions

O. Nowotny-Czupryna, A. Rudzińska, K. Czupryna, J. Lambeck

O. Nowotny-Czupryna, A. Rudzińska, K. Czupryna, J. Lambeck – Possibilities for the application of hydrotherapy for patients with selected locomotor dysfunctions. Fizjoterapia Polska 2001; 1(1); 67-73

Abstract
The unique properties of water, such as buoyancy, hydrostatic pressure, resistance, viscosity, waves, and temperature, make it a very suitable environment for the treatment of patients with various dysfunctions of the locomotor apparatus. In water it is relatively easy to obtain reduced weight load, relaxation, and pain relief, or even to achieve increased muscle strength and range of motion, and also to improve stability, balance, and coordination. Immersion in water is used to reduce edema and in the process of gait retraining; a significant advantage is protection against the consequences of falls. To achieve all these goals particular methods are used, such as the Halliwick method, the Bad Ragaz Ring method, the Watsu methods, or a combination. Hydrotherapy is a good complement for a broader rehabilitation program in different kinds of locomotor dysfunctions. The authors present selected examples of the possibilities of treatment in water for rheumatological, orthopedic, and pediatric patients.

Key words:
locomotion dysfunctions, Hydrotherapy, Bad Ragaz Ring method, Hallowick method, Watsu method

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Some possibilities for using the Lehnert-Schroth concept during corrective exercises in stationary system

J. Nowotny, K. Czupryna, O. Nowotny-Czupryna

J. Nowotny, K. Czupryna, O. Nowotny-Czupryna – Some possibilities for using the Lehnert-Schroth concept during corrective exercises in stationary system. Fizjoterapia Polska 2003; 3(4); 412-419

Abstract

Corrective exercises constitute a basic element in the conservative treatment of lateral curvature of the spine. In recent years corrective breathing exercises based on the concepts of C. Lehnert-Schroth have proven to be especially valuable. It is a well-known fact that individual exercises are most effective, especially in advanced scoliosis: however, for epidemiological and organizational reasons it is not possible to extend such individual attention to all those who need it. As a result, group exercises are the dominant from of corrective procedure. It is important, however, for these types of exercises to be adapted to the individual needs of every participant. The only form that can meet this requirement is the so-called “stationary system”. The present authors have been advocating the use of this form for corrective exercises for many years. Given the value of corrective-breathing exercises and the need for these kinds of exercises to be conducted in a group system, the authors have presented here their own conception for rehabilitation, keeping both these elements in mind, including our own modifications of various exercises modeled on the Lehnert-Schroth method. These types of exercises have been woven into the entire system, supported by biofeedback, creating in turn circumstances conducive to shaping the habit of proper posture.

Key words:
Scoliosis, group exercises, stationary system
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Ergonomic aspects of the daily work of a physiotherapist

O. Nowotny-Czupryna, A. Brzęk, J. Nowotny

O. Nowotny-Czupryna, A. Brzęk, J. Nowotny – Ergonomic aspects of the daily work of a physiotherapist. Fizjoterapia Polska 2003; 3(4); 387-395

Abstract

Physiotherapists themselves often fall victim to the hazards of their work. The professional activities of a physiotherapist involve the performance of various kinds of exercises and procedures in different positions, as well as moving patients and equipment (of various shapes, sizes and weights). Frequent repetition of these activities leads to the creation and maintenance of particular negative movement habits, while the persistence of these habits and further repetition of professional activities in an improper manner generally leads to the appearance of spinal overload disease. These abnormalities can result from failure to adapt the work station to individual needs and/or performing work-related activities (static and dynamic) in non-ergonomic positions. In accordance with the principles of the “back school”, a significant role in the prevention and mitigation of spinal overload disease is assigned to prevention – primary, secondary, and tertiary – which should be promoted among physiotherapists and persons practicing other health-related professions (e.g. physicians and nurses). In this article the authors identify situations that are bad for the spine and the errors most commonly committed by physiotherapists while performing various professional activities. They also pint out some possible ways to reduce overloading to a minimum and avoid the risk of incurring spinal pain syndromes in the future.

Key words:
Physiotherapist, overloaded spine disease, back school, ergonomics
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