The mobility of the lumbar spine in persons with low back pain

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Dorota Wójtowicz

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Dorota Wójtowicz – The mobility of the lumbar spine in persons with low back pain. Fizjoterapia Polska 2004; 4(2); 100-106

Abstract

Background. The purpose of our study was to examine changes in the mobility of the lumbar spine in persons with L5-S1 diskopathy and the changes in mobility associated with different modalities of treatment. Material and methods. We studied 150 persons 40-50 years of age, 64 men and 86 women. Due to variations in management the material was divided into two groups: Group I, treated only pharmacologically, and Group II, treated with both pharmacological methods and physiotherapy. The patients were examined twice, once before treatment and again after 6 weeks of treatment. The research methods included clinical interviews and measurement of thoraco-lumbar and lumbar mobility on all planes. Non-steroid anti-inflammatory drugs were used in Group I. In Group II, comprehensive physiotherapy was also applied, including physicotherapy, kinesitherapy, and massage. Results. Our analysis of the material showed that the limitations in spinal mobility were similar in both groups at baseline. After a 6-week course of treatment, significant improvement in the mobility of the thoraco-lumbar and lumbar spine was noted only in Group II (pharmacotherapy and physiotherapy), involving all the tested ranges of movement. Conclusions. An evaluation of treatment outcome in persons with L5-S1 diskopathy indicates that persons treated both with pharmacotherapy and physiotherapy show greater improvement. The fact that significant improvement was seen only in this group may result from the fact that the drugs used prepared the way for better results in subsequent physiotherapy. These results indicate that pharmacological treatment in these patients should be supplemented with physiotherapy.

Key words:
discopathy, non-steroidal anti-inflammatory drugs, physicotherapy, kinesitherapy, massage
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Evaluation of body position dissymmetry in infants – comparison of clinical findings and podoscopic evaluation with PodoBaby infant evaluation unit.

Magdalena Pyzio, Dorota Wójtowicz, Anna Skrzek

Magdalena Pyzio, Dorota Wójtowicz, Anna Skrzek – Evaluation of body position dissymmetry in infants – comparison of clinical findings and podoscopic evaluation with PodoBaby infant evaluation unit. Fizjoterapia Polska 2010; 10(2); 156-164

Abstract
Background. Early diagnosis and therapy of infants with central coordination disorder (CCD) ensure maximum therapeutic benefits of nervous system plasticity. Therefore, one of the main aims of modern paediatric physiotherapy is to create a system for objective and early diagnosis in order to enable early institution of appropriate evidence-based therapy. The aim of this study was to evaluate body position dissymmetry in infants on the basis of clinical findings and podoscopic assessment in healthy infants and infants presenting with CCD, thus constituting the first step towards objective evaluation of psychomotor development. The Podo Baby device for the assessment of infants registers the surface of contact with the infant’s body on the right and left sides in the prone and supine positions, thus allowing an assessment of the infant’s body position dissymmetry. Material and methods. The study involved two groups of infants: five healthy infants and five infants with a diagnosis of central coordination disorder. The diagnosis was made on the basis of Vojta’s clinical assessment and a podoscopic evaluation with the Podo Baby device.Results. This experiment showed a good fit between the results of the clinical and podoscopic evaluations. There was a difference in dissymmetry between the healthy and neurologically impaired infants. All healthy infants showed differences between body weight distribution percentages on the right and left sides of less than 18%, while the infants with CCD revealed differences of up to 66%. Conclusion. The Podo Baby device may make clinical diagnosis more objective.
Key words:
Podo Baby, dissymmetry of infants, paediatric diagnosis, central coordination disorder
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Evaluation of sitting position in infants

Dorota Wójtowicz, Maria Kubińska, Dariusz Miodoński,
Anna Skrzek

D. Wójtowicz, M. Kubińska, D. Miodoński, A. Skrzek – Evaluation of sitting position in infants. FP 2015; 15(2); 40-51

Abstract

Introduction. Functional diagnostics of infants poses a great challenge to pediatricians, pediatric neurologists and physiotherapists. The study assessed the sitting position using the PodoBaby podoscopic station dedicated to the diagnostics of infants.
Objective.  The goal of the study was to assess the spontaneous motor activity of healthy infants in sitting position by analyzing the contact areas in podoscopic images.
Material and Methods. The study was conducted in a group of infants attending the “TONI” swimming school for infants and small children in Wrocław. A total of 25 sitting infants aged 8-16 months were included in the study.
Examination were carried out in sitting position using a large-dimensional PodoBaby podoscopic station dedicated to the diagnostics of infants.
Results and Conclusions.  Sitting described the size of the of the contact areas is correct as healthy as infants and in infants with very light CCD. Infants healthy sitting position is stable. Sitting infants with very light CCD is a little less stable than in infants healthy. Certain differences in the quality of infant healthy seated position relative to infants with very light CCD can provide the support of prevention activities in the field of body posture.

Key words:
baby sitting position, central coordination disturbance (CCD), podoscope

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