Kinesitherapy in compression fractures of the spine in the eveloping years: an authorial modification of exercises

Halina Protasiewicz, Ireneusz Kowalski, Jan Talar, Adam Buciński

Halina Protasiewicz, Ireneusz Kowalski, Jan Talar, Adam Buciński – Kinesitherapy in compression fractures of the spine in the eveloping years: an authorial modification of exercises. Fizjoterapia Polska 2001; 1(3); 286-291

Abstract

The authors have developed a two-stage kinesitherapeutic model for the conservative rehabilitation of compression fractures of the spine in children and youth. The first phase, called the “hospitalization phase”, lasts 4-6 weeks, while the second, the “ambulatory phase”, lasts from the 2nd to the 12th month after injury.The orientation in medical rehabilitation presented by the authors of this article combines elements typical for conservative treatment reinforced by Kempf exercises with elements of periodic application of prostheses, in the form of light orthopedic corsets. The best results are achieved by creating an autogenic muscle girdle, which simultaneously protects the spine against flexion movements by forcing extension of the spine, and by using correctional and hypercorrectional positions in the orthoses used, especially in multiple fractures. The primary purpose of kinesitherapy is to strengthen the muscle girdle and to shape the strength and endurance of the postural muscles, using positions that relieve pressure on the spine. The isometric exercises in the pressure-relieving position lead to a systematic increase in the strength of the postural muscle. Other important elements of kinesitherapy include learning to feel one’s own body, proper protection of the spine, and shaping the correct body posture. Full recovery was attained in 70% of cases after one year of modified therapy. In the control group – traditional therapy – positive results were obtained in 56%.

Key words:
compression fractures of the spine, kinesitherapy, conservative treatment, developing years
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