Kinesitherapeutic procedure in the treatment of scoliosis

Piotr Kwiatkowski, Magdalena Sobiech, Marek Fatyga, Andrzej Skwarcz

Piotr Kwiatkowski, Magdalena Sobiech, Marek Fatyga, Andrzej Skwarcz – Kinesitherapeutic procedure in the treatment of scoliosis. Fizjoterapia Polska 2001; 1(3); 298-302

Abstract

Varying kinesitherapeutic procedures are used In children with scoliosis, depending on whether the child is begin only by exercises, or by exercises and brace, or is begin prepared for surgery due to progressing deformation. In the case of children treated conservatively, primary emphasis is given to asymmetrical strengthening exercises for the dorsal muscles and peripheral joints, preceded by stretching exercises for antagonistic muscle groups. Simultaneously, exercises are performed to increase the range movement in the spine (kypholization of the thoracic spine, derotation of the thoraco-lumbar spine) and peripheral joints. In scoliosis exceeding 25-30° with documented progression, orthopedic braces are also used to prevent further progression of the curvature. In such cases it is a separate problem, when the child should exercise in the brace, and when without.Kinesitherapy in children being prepared for surgery differs significantly from that suitable for children in conservative treatment. Here the primary focus is on relaxing, elongating, and the spine. This is achieved by applying an autotraction bed for several hours, along with autocorrection of posture and passive chin-ups. By means of stretching, relaxing, and swimming poolexercises, along with the application of physical agents, the maximum relaxation of the spine’s active and passive apparatus is achieved, so that during surgery the maximum correction of curvature can be obtained while maintaining neurological safety.

Key words:
Scoliosis, kinesitherapeutic procedure, progressing deformation
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The social consequences of spinal pain in adult scoliosis patients treated surgically and conservatively

Hanna M. Tomczak

Hanna M. Tomczak – The social consequences of spinal pain in adult scoliosis patients treated surgically and conservatively. Fizjoterapia Polska 2001; 1(3); 280-282

Abstract

Curvature of the spine when diagnosed and treated in youth (surgically or conservatively) is subject to progression in adults and frequently causes pain symptoms. The present article evaluates the current clinical status of adult scoliosis patients who were treated surgically or conservatively in childhood. The parameters evaluated include the frequency of occurrence of intensified spinal pain and its impact on the professional and social situation of the persons tested.

Key words:
spinal pain, Scoliosis, social consequences
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The effectiveness of selected mobilization techniques in the treatment of the secondary effects of scoliosis

Edward Saulicz, Elżbieta Juszczak, Ger P. Plaatsman

Edward Saulicz, Elżbieta Juszczak, Ger P. Plaatsman – The effectiveness of selected mobilization techniques in the treatment of the secondary effects of scoliosis. Fizjoterapia Polska 2001; 1(3); 243-247

Abstract

Three groups of children and youth with clinical signs of first-degree scoliosis were studied. The range of active movements in the shoulder and hip joints and in the lumbar and thoracic segments of the evaluated twice – once before rehabilitation was commenced (baseline examination) and again after the predetermined rehabilitation period was completed (outcome examination). During the period that elapsed between the baseline and outcome examinations, all the girls and boys from both groups received a three-week cycle of rehabilitation, three 45-minute sessions per week. The entire procedure was supplemented by an individually realized program of home rehabilitation. In experimental group A, some active mobilization exercises (automobilization) were added to this rehabilitation program. In experimental group B, however, corrective procedures were supplemented by passive mobilization of particular spinal segments from Th1 to L5. The three-week rehabilitation cycle made as essential contribution to significant improvement in the mobility of the majority of the analyzed movements in all the observation groups. Better outcomes were observed in groups where passive or active spinal mobilization was performed.

Key words:
Scoliosis, active mobilization, passive mobilization
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The impact of musical performance on the occurence of selected disorders of body posture in children from a music school

Mirosław Janiszewski, Anna Kluszczyńska, Ireneusz Pieszyński

Mirosław Janiszewski, Anna Kluszczyńska, Ireneusz Pieszyński – The impact of musical performance on the occurence of selected disorders of body posture in children from a music school. Fizjoterapia Polska 2002; 2(1); 46-56

Abstract
Background. The aim of our study was to investigate the effects of long-term musical training on the genesis of defective posture. Material and methods. The study involved a group of 92 children who were tested twice, once in 1992 again in 1998, used a specially developed screening test. Results. A greater rate of occurrence of posture defects, including especially scoliosis, was found in children who were heavily involved in playing musical instruments. This type played was found to correlate with type and frequency of particular posture defects. Conclusion. Systematic long term of musical instruments may cause more frequent in posturogenesis and a higher rate of scoliosis.

Key words:
posture defects, scoliosis, music, screening test

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The impact of selected correctional exercises on changes in the bioelectrical activity of muscles on both sides of the primary scoliosis

Krystyna Kwaśny, Janusz Nowotny, Edward Saulicz

Krystyna Kwaśny, Janusz Nowotny, Edward Saulicz – The impact of selected correctional exercises on changes in the bioelectrical activity of muscles on both sides of the primary scoliosis. Fizjoterapia Polska 2002; 2(3); 199-202

Abstract
Background. The bioelectrical activity of the spinal muscles was evaluated, as expressed by the frequency of the biopotentials, their average amplitude, and the number of returns on either side of the primary scoliosis. Material and methods. Our research involved 110 boys and girls aged 6 to 16, with a clinical diagnosis of scoliosis. The measurements were made in a relaxed position during an attempt at active correction and in the course of performing certain corrective exercises. Both symmetric and asymmetric exercises were chose for this analysis. Some exercises were conducted with additional information provided about the degree of fault correction through monitoring, light signals, and sound signals. A computer EMG set was used, composed of a 4-channel „Medicor MG-440” electromyograph equipped with a digital analogue, cooperating with a computer appropriately programmed for the automatic analysis of integrated electromyograms. Results. The results we obtained indicate certain corrective potential, expressed by the symmetrization of bioelectric muscle activity in the course of an attempt at active correction of scoliosis. The suitability of the majority of the analyzed corrective exercises was also indicated in the normalization of muscle tension on both sides of the curvature, and especially those which additionally use the mechanism of substitute feedback.

Key words:
Scoliosis, electromiography, biopotentials

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Normal function of the pelvis is a precondition for success in scoliosis therapy

Zbigniew Śliwiński, Dariusz Milko

Zbigniew Śliwiński, Dariusz Milko – Normal function of the pelvis is a precondition for success in scoliosis therapy. Fizjoterapia Polska 2002; 2(4); 327-337

Abstract
The symmetry is the characteristic of human body in evolution. It is way the asymmetry is departure in the correct development. Sollmann claims that 97% of the population suffer from the scoliosis and the first symptoms can be observed in the baby’s age. Coenen noticed that block of the atlanto-occipital joint can formed faulty posture in children. Lohse- Buscha described the blocking of axis in the rotation is accompanying the restriction his side bending. The authors claims the process of creation idiopathic scoliosis is possible to understand after the understanding biomechanical of the pelvis. They described the changes of the location of hip bones and sacral bone between themselves caused appeared of the seeming leg’s short which can bring about the spondylolisthesis and pathological muscles tonus. The other changes of the location of hip bones and sacral bone between themselves caused also slanting position of lumbar vertebra. The author claims the using manual’s techniques to treat and functional assessment of the pelvis which can be disturbing, is necessary,

Key words:
Scoliosis, block of the atlanto-occipital joint, aferentation, nutation, kontrnutation

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Principles for non-surgical procedures in the treatment of scoliosis

Piotr Majcher, Marek Fatyga, Andrzej Skwarcz

Piotr Majcher, Marek Fatyga, Andrzej Skwarcz – Principles for non-surgical procedures in the treatment of scoliosis. Fizjoterapia Polska 2002; 2(4); 306-310

Abstract
This article presents the authors’ own experience in the comprehensive non-surgical treatment of scoliosis. Various types of corrective and stabilizing orthopedic braces are presented. Orthopedic equipment should be tailored to the needs of the individual patient, depending on the etiology of the curvature, the type and dimensions of the distortion, and the age of the young patient. Indications and counterindications for treatment by orthopedic braces are given. Significant reduction in the deformation of posture can be obtained by using a correctional brace even in cases when proper application does no more than to slow the progression of curvature. The authors also discuss abnormalities in the orthotic treatment of spinal deformities encountered in daily practice with ambulatory patients. Kinesitherapy is indicated as an essential supplement to the brace, and not as a substitute for it.

Key words:
Scoliosis, non-surgical treatment of scoliosis, orthopedic braces

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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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