Tag: pedobarography

The effect of HVLA manipulation on static and dynamic postural parameters – a case study of a patient with a blocked atlanto-occipital transition

Przemysław Malich, Aleksandra Bitenc-Jasieńko, Agata Pasternak, Adrian Westfal, Helena Gronwald, Karina Kijak, Krzysztof Gronwald, Krzysztof Konior, Danuta Lietz-Kijak

Przemysław Malich, Aleksandra Bitenc-Jasieńko, Agata Pasternak, Adrian Westfal, Helena Gronwald, Karina Kijak, Krzysztof Gronwald, Krzysztof Konior, Danuta Lietz-Kijak – The effect of HVLA manipulation on static and dynamic postural parameters – a case study of a patient with a blocked atlanto-occipital transition –  Fizjoterapia Polska 2024; 24(1); 215-225

DOI: https://doi.org/10.56984/8ZG2EF8t5I

Abstract
Objective. The study aimed to assess the effects of high velocity low amplitude (HVLA) manipulations on force distribution, pressures, and balance in individuals with atlanto-occipital blockage, focusing on post-treatment improvements.
Research methods. Diagnostic tests (cervical spine compression, Spurling, de Kleyn) and pedobarography (using an EPS/R2 mat and BIOMECH STUDIO software) assessed functionality and postural parameters pre and post HVLA therapy.
Results. Initial diagnosis showed significant disturbances in force distribution, balance, and gait. Post-HVLA therapy improvements included:
1. Balanced forefoot load during standing, with a decrease in heel load percentage.
2. Improved global body pressure distribution, with a notable decrease in left-side body pressure.
3. Enhanced anteroposterior and lateral body oscillation ranges, with a reduced ratio of extreme deflection distances to deflection surface and a decreased average speed of displacements.
4. Normalization of the right foot abduction angle, with no significant change in the left foot’s visitation angle.
5. Slight improvements in foot vault index (AI) and average foot pressure during gait, with minimal changes in maximum foot pressure during gait.
Conclusions. HVLA manipulation significantly improves static balance parameters but shows minimal improvement in gait parameters. This indicates a complex relationship between atlanto-occipital blockage and postural disorders, suggesting the need for further research to explore the association between postural defects and atlanto-occipital transition blockage, as well as the impact of these blockages on postural changes.
Keywords
atlanto-occipital blockage, HVLA manipulation, postural disorders, balance improvement, pedobarography
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Availability and application of pedobarography within services offered by the guaranteed healthcare benefits fund and private sector — possibilities and limitations; part 1

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Katarzyna Kordus, Monika Brzózka, Andrzej Garstka, Marek Kiljański, Danuta Lietz-Kijak

A. Bitenc-Jasiejko, K. Konior, K. Kordus, M. Brzózka, A. Garstka, M. Kiljański, D. Lietz-Kijak – Availability and application of pedobarography within services offered by the guaranteed healthcare benefits fund and private sector — possibilities and limitations; part 1. Fizjoterapia Polska 2020; 20(2); 160-176

Abstract
Changes resulting from incorrect plantar foot pressure distribution can lead to degenerative changes of hard and soft tissues. Especially clear connection can be noticed between excessive pressure on feet and occurrence of ulcers and chronic wounds, especially those secondary to diabetes and motor and sensory neuropathy. Pedobarography is widely used to assess the value as well as time and space parameters of pressure when standing and walking. This means that this procedure can prove useful in many fields, including orthopaedics, rehabilitation, orthopaedic appliances as well as in traumatology and treating bad posture.
Pedobarography is a diagnostic procedure that is not highly specialist (besides physicians, it can be performed by non-physician practitioners) that is why it can be used by specialists of many fields. In most countries where prophylactics of feet disorders, especially the diabetic foot syndrome, is highly developed, pedobarography is one of the basic diagnostic procedures of the guaranteed healthcare services. In Poland, it is included in the list of guaranteed healthcare benefits of the National Health Found since 2011. However, there are grounds to think that pedobarography is not commonly used, mainly due to insufficient knowledge of medical staff on this method. Considering the fact that this diagnostic procedure plays an important role in preventing disorders resulting from incorrect pressure migration, it is crucial to analyse directions of its application and factors influencing its development. The aim of this paper was to assess availability of pedobarography and to analyse factors facilitating and limiting its development.

Key words:
pedobarography, orthopaedics, rehabilitation, traumatology, bad posture, ulcerations, Charcot’s neuro-osteoarthropathy, custom-made orthopaedic insoles

 

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