Tag: kręgosłup

Effect of spinal mobility exercises on functional mobility using AI technology powered software on lumbothorax of young adults with sway back posture

S. Jesvin Bose, N Senthil Kumar, Jeslin G N, Pooja S, Sundareswaran R, Karthick K, Neha Lakshmanan

S. Jesvin Bose, N Senthil Kumar, Jeslin G N, Pooja S, Sundareswaran R, Karthick K et al. – Effect of spinal mobility exercises on functional mobility using AI technology powered software on lumbothorax of young adults with sway back posture –  Fizjoterapia Polska 2025; 25(3); 298-301

DOI: https://doi.org/10.56984/8ZG7D19FU69

Abstract
Introduction. Sway back posture is the most common deviation of sagittal alignment, characterized by multiple compensatory changes that may be caused by various factors and can affect activities of daily living. The aim of the study was to ascertain the efficacy of spinal mobility exercises in subjects with sway back posture.
Materials and methods. This quasi-experimental study involved 30 subjects aged 18 to 25 of both genders with at least 10 degrees of anterior pelvic tilt. Postural analysis was conducted pre- and post-training using APECS (AI Posture Evaluation and Correction System) after 8 weeks of spinal mobility exercises.
Results. Paired t-test analysis showed a statistically significant improvement in the ASIS angle (t = 9.23, p < 0.001, d = 1.83), a post-intervention reduction in the PSIS angle (t = 10.12, p < 0.001, d = 2.00), and pelvic tilt (t = 11.45, p < 0.001, d = 2.25). The results show statistically significant reductions in all postural analysis variables measured using AI software.
Conclusion. Spinal mobility exercises improve functional movement and are an effective treatment for sway back posture. This study presents positive preliminary results for spinal mobility exercises, but full validation is necessary in future research.
Keywords
technology, spine, posture, lumbosacral region, good health and well-being
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Temporomandibular joint (TMJ) function on selected postural variables with analysis of changes in equivalent reactions

Zuzanna Broczkowska, Arkadiusz Żurawski, Zbigniew Śliwiński

Zuzanna Broczkowska, Arkadiusz Żurawski, Zbigniew Śliwiński – Temporomandibular joint (TMJ) function on selected postural variables with analysis of changes in equivalent reactions –  Fizjoterapia Polska 2024; 24(5); 267-278

DOI: https://doi.org/10.56984/8ZG020CBV25

Abstract Introduction. The position and tensions in the temporomandibular joint directly affect the cervical spine by changing the position of the cervical lordosis through a direct connection between the TMJ joint and the C0-C1 segment. According to the theory of tensegrity occurring in the human body, a change in the position in one segment can affect the other areas of the body. Changes in the tension of the structures in the joint can therefore affect the parameters of the equilibrium reactions. In the current literature review, there is little research on the relationship between the temporomandibular joint and balance. Study aim. The aim of the study was to analyze the influence of the temporomandibular joint position on the parameters of cervical spine lordosis depth, body posture and balance reactions in a group of young adults. Methods and materials. A total of 43 people aged 18-26 were examined. The tests were conducted in a static form using the DIERS posture lab system in three settings: TMJ joint in a neutral position, TMJ with maximum jaw tension and opening in maximum possibilities. People with orthodontic appliances and people whose jaw opening range was limited (less than the width of their four fingers) were excluded from the study. Parameters used for analysis: Depth of cervical lordosis [mm], Amount of head protraction [mm], Trunk inclination, Depth and angle of lumbar lordosis, Pelvic inclination, pelvic rotation, and variables defining parameters of equivalent reactions and variables defining parameters of equivalent reactions: Left foot load [%], Right foot load [%], Forefoot load [%], Heel load [%], Maximum left foot pressure [N], Maximum right foot pressure [N], Left foot contact area [cm2], Right foot contact area [cm²], Lateral movement COP (max) [mm], Total lateral movement COP [mm], Total front/back movement COP [mm], COP area. Statistica program was used for statistical analysis. Tests for normality distribution (Shapiro-Wilk), Chi-square test were performed, and correlations were examined with Spearman’s test. Results. Studies conducted on a group of young adults may suggest the influence of the temporomandibular joint position on changes in equivalent changes. The results of descriptive statistics show significant changes in the average results, including around foot load or COP surface. The highest average results were observed in the case of opening the TMJ joint, where deviations in the area of equivalent reaction changes showed the highest average results. The results of both descriptive statistics and correlations did not show significant differences between the joint position and trunk variables. The differences between the was minimal. Conclusions. Changes in the position and tension of the temporomandibular joint affect the position of the cervical spine and balance parameters. For the position with open TMJ positioning, there is a correlation with the variables of the contact area of the right and left foot with the ground. There are no changes in body posture. It cannot be stated that the position of the temporomandibular joint significantly affects the variables of body posture.
Key words temporomandibular joint, spine, balance, DIERS
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Incidence of back pain in people practicing amateur horse riding

Ewa Puszczałowska-Lizis, Dominik Szymański, Piotr Pietrzak, Marcin Wilczyński


Ewa Puszczałowska-Lizis, Dominik Szymański, Piotr Pietrzak, Marcin Wilczyński – Incidence of back pain in people practicing amateur horse riding. Fizjoterapia Polska 2022; 22(4); 6-15

DOI: https://doi.org/10.56984/8ZG1A68mY

Abstract
Introduction. While riding a horse, proper seat requires the trunk positioning so that the rider’s centre of gravity overlaps with the horse’s centre of gravity. Seat errors can lead to repeated and cumulative spinal overloads. The aim of the study was to analyse the incidence of back pain in people who practice amateur horse riding.
Material and methods. The study involved 88 people aged 40-45 years, associated in equestrian centers. The research tool was the author’s questionnaire, Neck Disability Index (NDI) and Oswestry Distability Index (ODI). The collected research results were analysed with the use of Chi-square test and Mann-Whitney U test.
Results. Statistically significant relationships were found between the incidence of pain location and gender (p = 0.001), and also between between the gender and the opinion on the need to use physiotherapy in case of back problems (p = 0.049).
Conclusions. Women report pain in the lumbar and thoracic spine more frequently, while men report pain in the cervical section and entire spine. Women in a greater percentage than men believe that people who practice horse riding as an amateur should attend physiotherapy in case of pain.

Key words:
horse riding, spine, pain, physiotherapy

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The influence of length, angle, height and depth of lumbar lordosis on selected features of the spine and pelvis

Mirosław Mrozkowiak


Mirosław Mrozkowiak – The influence of length, angle, height and depth of lumbar lordosis on selected features of the spine and pelvis. Fizjoterapia Polska 2022; 22(2); 32-41

Abstract
The objective of the research was to show the significant influence of the angle, depth, height and length of lumbar lordosis on selected features of the spine and pelvis.
Material and methods: The research was carried out in a_group of 2,361 children aged 7 to 15, in 6 consecutive six-month editions. It made it possible to register 16,608 observations of 31 features describing body posture using the photogrammetric method.
Results: For multiple regression analysis with the selection of a_subset of the optimal set of variables, the following influencing features were selected: angle, depth, height and length of lumbar lordosis.
Conclusions.
1. The features of lumbar lordosis do not influence the angle of torsion and inclination of the pelvis, and the influence on the features of the thoracic spine is varied.
2. The features of lumbar lordosis influence the height, depth and angle of thoracic kyphosis.
3. The length of lumbar lordosis does not influence the length of thoracic kyphosis, and the angle of lumbar lordosis does not influence the length of lumbar lordosis.
Key words:
lumbar lordosis, spine, pelvis
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Humic acids and their role in the anti-inflammatory effect of peloid

Agnieszka Sobolewska-Samorek, Marlena Warowna, Agata Czępińska, Monika Szewczyk

Agnieszka Sobolewska-Samorek, Marlena Warowna, Agata Czępińska, Monika Szewczyk – Humic acids and their role in the anti-inflammatory effect of peloid. Fizjoterapia Polska 2021; 21(3); 150-155

Abstract
Objective of the work.
The aim of the study was to determine the content of humic acids in the tested peloid.
Material and methods.
The raw material was submitted for physical and chemical tests. The chemical composition of organic substances contained in the tested peloid was analyzed, including the content of humic acids.
Tests results.
The raw material contained 72% of organic substances in dry matter, of which 40% were humic acids. The content of humic acids in the mud from the new B deposit was higher than in the control mud/peloid. K2 mud/peloid was characterized by lower values. The least amount of humic acids was isolated from the control K1 mud/peloid.
Conclusions.
Control peloids, both K1 and K2, showed a much lower content of humic acids and differences were statistically significant compared to the peloid B.
Key words:
Peat, peloid, humic acids, organic ingredients of peloid
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Prevention and rehabilitation in osteoporosis

Anna Mika, Piotr Mika

Anna Mika, Piotr Mika – Prevention and rehabilitation in osteoporosis. Fizjoterapia Polska 2004; 4(1); 79-85

Abstract

Osteoporosis is a systemic bone disorder, which primarily effects postmenopausal women. The prevention of osteoporosis involves two components: building up high peak bone mass and reducing the rate of bone loss during menopause and aging. Rehabilitation must include pain relief, maintenance of proper posture, rebuilding normal muscle force, and maintaining normal motion range, improvement in bone mineral density, and increasing activity in daily living, in order to stimulate the skeletal system. The aim of the present study is to present, on the basis of literature and our own experience, the importance of physiotherapy in osteoporosis prophylaxis and treatment.

Key words:

rehabilitation, spine, osteoporosis

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Body equilibrium assessment in patients with degenerative changes after whole-body cryostimulation connected with physiotherapy

Marek Kiljański, Zbigniew Śliwiński, Wojciech Kufel, Wojciech Kiebzak, Marek Woszczak

Marek Kiljański, Zbigniew Śliwiński, Wojciech Kufel, Wojciech Kiebzak, Marek Woszczak – Body equilibrium assessment in patients with degenerative changes after whole-body cryostimulation connected with physiotherapy. Fizjoterapia Polska 2007; 7(3); 286-298

Abstract
Background. The authors present the results obtained in a group of 126 participants. The aim of the study was to determine whether a four-week program of physiotherapy including whole-body cryostimulation, applied in patients with degenerative changes in the spine, influences their body equilibrium and pain sensation. Material and methods. The examined group comprised 66 patients with degenerative changes in the lumbar spine, while the control group consisted of 60 participants. Apart from an individually designed rehabilitation program, each patient participated in 20 sessions of whole-body cryostimulation. The measurement of lumbosacral spine mobility and the assessment of pain sensation using the Visual Analogue Scale (VAS) were performed before the first and after the last session. Moreover, after the first, tenth and twentieth session of general cryostimulation, measurements on a stabilometric platform were conducted. The healthy participants, who were qualified as the control group, underwent tests on the stabilometric platform after one session in the cryogenic chamber. The aim of these tests was to compare the differences in the stabilogram curve in healthy individuals and patients with degenerative changes in the lumbar spine. The effect of cryostimulation procedures on pain sensation and mobility of the lumbosacral spine was assessed. Additionally, the effect of cryogenic temperatures on body equilibrium was studied. Results. The comparison of the results, obtained before the procedure and after completing the therapy indicates that general cryostimulation in a physiotherapeutic program for patients with degenerative changes in the lumbar spine contributes to relaxation of excessively tense muscles. Conclusions. The use of whole body cryostimulation in patients with degenerative changes in the lumbosacral spine, combined with a properly designed and managed physiotherapeutic program, decreases pain sensation in a statistically significant way. The application of cryogenic temperatures, combined with physiotherapeutic program, favourably affect patient body equilibrium.
Słowa kluczowe
physiotherapy, spine, cryostimulation, coordination, stabilometric platform
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Spinal column shape in pupils with mild, moderate and severe, idiopathic intellectual disability

Adrian Kużdżał, Andrzej Szczygieł, Robert Walaszek

Adrian Kużdżał, Andrzej Szczygieł, Robert Walaszek – Spinal column shape in pupils with mild, moderate and severe, idiopathic intellectual disability. Fizjoterapia Polska 2010; 10(1); 37-48

Abstract
Background. To date, no studies are available concerning the relationship between the shape of the spinal column and the level of mental retardation. The aim of the present study was to evaluate the spinal column shape in children and adolescents with mild, moderate, and severe intellectual disability.Material and methods. 413 boys and girls aged eleven to thirteen were examined, including 204 persons with various levels of intellectual disability and 209 of their mentally healthy peers, who formed the control group. The Metrecom System, a computerised instrument for three-dimensional diagnostic studies of the musculoskeletal system, was used to examine the shape of the spinal column. 3-D anthropostereometric parameters obtained using the Metrecom System were used to de – scribe in detail and classify individual types of spinal column shape.Results. The intellectually disabled children and youth, in comparison to the healthy population, had much worse postures and an increased incidence of spinal column deformities. The degree of intellectual disability was correlated with the frequency and severity of spinal column deformities.Conclusions. Our results point to an urgent need to verify the current health care practice and improve health care policies, including appropriate methods of medical rehabilitation and corrective therapy of spinal column deformities that would account for the degree of intellectual disability.
Key words:
body posture, spinal column, intellectual disability, Metrecom System
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Evaluation of therapeutic effectiveness of diathermy in patients with degenerative disease of the lumbar spine

Agnieszka Przedborska, Jan W. Raczkowski, Małgorzata Misztal

Agnieszka Przedborska, Jan W. Raczkowski, Małgorzata Misztal – Evaluation of therapeutic effectiveness of diathermy in patients with degenerative disease of the lumbar spine. Fizjoterapia Polska 2021; 21(2); 70-76

Abstract
Introduction. Diathermy is one of the stimuli used in treatment of degenerative spine disease. Endogenous heat alleviates the symptoms of the disease. Diathermy treatments differ due to wave size and electromagnetic vibration frequency. Objective. Evaluation of the effectiveness of diathermy generated by short waves and radio waves in the treatment of patients with degenerative disease of the lumbar spine. Material and methods. The research was carried out on a group of 68 people with degenerative disease of the lumbar spine, divided into two groups. The study group consisted of 36 people who underwent therapy with radio waves using the Thermo TK device. The comparison group consisted of 32 people who underwent shortwave diathermy treatments. Therapeutic effectiveness was evaluated on the basis of pain assessment according to the VAS scale and the Laitinen pain scale as well as the range of motion measured with the Schober test and the Thomayer test. Results. In both groups, a statistically significant (p <0.0001) pain reduction after therapy according to the Laitinen pain scale was observed (Me (IQR) before and after therapy , respectively: in the study group: 6.5 (5-9) scores vs. 4 (3-5.5) scores and in the comparison group: 6 (5-8) scores vs. 4 (3-5) scores) and according to the VAS scale – in the study group: 6 (5-7.5) scores vs. 4 (3-4) scores and in the comparison group: 6 (5-7.5) scores vs. 3 (3-5) scores. The Thomayer test and the Schober test results also improved significantly in each group. Conclusions. Regardless of the wavelength generating endogenous heat, both treatments reduce pain and improve the range of motion of the lumbar spine in patients with degenerative spine disease.
Key words:
spine, degenerative disease, diathermy, radio waves
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The new Dynamic Spine Correction (DSC) device: indications and contraindications

Wojciech Kaczmarek, Paweł Łęgosz, Renata Szczepaniak, Anna Lipińska, Krzysztof Mucha

W. Kaczmarek, P. Łęgosz, R. Szczepaniak, A. Lipińska, K. Mucha – The new Dynamic Spine Correction (DSC) device: indications and contraindications. Fizjoterapia Polska 2018; 18(4); 62-72

Abstract
The Dynamic Spine Correction (DSC) device (patent PL 229766; patent US 9,949,884 B2) was designed and constructed for the use in the spine physiotherapy. The device was produced by Bio.morph Ltd. as a result of the European Union Operational Program Innovative Economy for the 2007-2013 years.
The DSC proposes new methodology for the almost independent rehabilitation. Our method with the supervision of a physiotherapist can follow-up the osteo‑kinematics of the patient’s spine as the dynamically physiological joint play that being restored in blocked spine joints.
Thanks to the new diagnostic system there is also the possibility to: a) visualize the condition of the spinal column; b) register the parameters of patient’s therapy, as well as c) the results. Thanks to that, it is possible to evaluate the patient’s current condition and the progress of the therapy objectively.
Our innovative diagnostic and therapeutic methodology – namely Dynamic Correction and Mobilization of Spine and Postural Neuromuscular Re‑education – allows for an effective treatment of the spine disorders of different etiologies. Moreover it minimizes the potential risks for the patient’s, that results nowadays from therapeutic technologies used, as well as harmful materials and medicines with low specificity (e.g. painkillers).

Key words:
Back pain, DSC, dynamic spinal correction, physiotherapy, postural neuromuscular re‑education, spine

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