Body posture in children practicing handball

Katarzyna Michalak, Natalia Dobrowolska, Sławomir Motylewski, Elżbieta Poziomska-Piątkowska

Katarzyna Michalak, Natalia Dobrowolska, Sławomir Motylewski, Elżbieta Poziomska-Piątkowska – Body posture in children practicing handball. Fizjoterapia Polska 2018; 18(3); 30-35

Abstract
Purpose. The purpose of the study was to establish the influence of practicing handball on body posture of children and to determine any possible asymmetry connected with regular training of this discipline.
Material and methods. The study was conducted among 40 12-year-old children (15 girls and 25 boys) training handball in Students Sport Club Anilana, Sobolowa 1 street, Lodz for at least 3 years. Children undergone body posture assessment according to Kasperczyk’s Point Method.
Results. In the studied group no significant deviations from correct posture were found in terms of head, shoulders, shoulders, chest, abdomen, lumbar lordosis, spine alignment and knees. Only one of the studied children presented significant change in the alignment of thoracic kyphosis and three – in the alignment of foot.
Conclusions. Training handball for at least 3 years enabled to maintain and fix correct body posture among 12-year-olds and did not cause any significant postural asymmetry.

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Key words:
body posture, sports training, adolescents

Analysis of injuries of musculo-ligamentous-skeletal system occurring among handball players and physiotherapy treatment

Sławomir Motylewski, Walenty Trandasir, Katarzyna Michalak, Elżbieta Poziomska-Piątkowska

S. Motylewski, W. Trandasir, K. Michalak, E. Poziomska-Piątkowska – Analysis of injuries of musculo-ligamentous-skeletal system occurring among handball players and physiotherapy treatment. Fizjoterapia Polska 2018; 18(2); 24-30

Abstract

Introduction. Injuries in team games are an inseparable part of today’s sport. For every athlete it is connected with a decrease in exercise capacity, need for medical help and economic consequences. Professional rehabilitation of athletes, after a traumatic event, requires work with a physiotherapist with high skills and extensive experience and the use of modern physical therapy equipment. The lack of one of those factors can lead to further loss of health by the player, prolonged rehabilitation and thus delayed return to the game
Aim. The aim of the study was to assess the type and frequency of injuries occurring among professional female handball players and the type and methods of treatment used after the injury.
Material and methods. The studied group consisted of 19 women aged 18-31 years, playing handball for at least 5 years. All of the subjects played in the first team of Korona Handball Club in Kielce. In the study a diagnostic survey method was used.
Results. The study showed that 100% of players suffered from at least one injury connected to their professional sports activity. Most often the injury occurred while landing – 33.9%, fouls – 21.4% and throws – 19.6%. 12.5% (7) of the occurred traumas required surgery and the remaining 87.5% ended in conservative treatment. In spite of the fully recovery from the injury, a large proportion of the players – 68.4% were feeling discomfort after the resumption of training and during the matches.
Conclusions. The most common injuries of professional handball female players are sprains and dislocations of the lower limbs. Most athletes undergone conservative physiotherapy treatment including kinesiotherapy and wide range of physical therapy modalities.

Key words:
handball, sports injuries, physiotherapy

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The use of Rehabilitative Ultrasound Imaging (RUSI) and sonofeedback in the assessment of the activity of transversus abdominis muscle

Katarzyna Michalak, Beata Czechowska, Tomasz Wolny, Sławomir Motylewski, Elżbieta Poziomska-Piątkowska

K. Michalak, B. Czechowska, T. Wolny, S. Motylewski, E. Poziomska-Piątkowska – The use of Rehabilitative Ultrasound Imaging (RUSI) and sonofeedback in the assessment of the activity of transversus abdominis muscle. FP 2017; 17(4); 50-61

Abstract

Purpose. The purpose of the study was to evaluate thickness and symmetry of Transversus Abdominis muscle (TrA) during rest and activation with the use of Rehabilitative Ultrasound Imaging (RUSI) and the assessment of sonofeedback effectivness in learning and control of TrA activity.
Material and methods. The study was conducted on 28 healthy subjects (17 women and i 11 men) aged 19-22 years (mean 21±1,08 years). The subjects undergone RUSI assessment considering thickness of TrA in rest and during contraction. Basing on results the Activation Ration and Percent of Muscle Change were calculated.
Results. Mean thickness of TrA in rest was 3,19 mm among women and 4,37 mm among men. During controlled activity thickness of TrA increased by 69% on right side and by 64% on left side and respectively by 70% and 64% among men. The results showed a significant difference in TrA thickness between right and left side at rest and during contraction among men. During sonofeedback recorded thickness of TrA was significantly higher comparing to results without control of sonofeedback. TrA activity was lower in the group with low back pain and it was 64%, while in pain-free group the activity was 72%.
Conclusions.
1. RUSI is an effective method to evaluate the morphology and activity of the Transversus Abdominis muscle at rest and during controlled activation;
2. The decrease in thickness and activity impairment of TrA is related to the occurrence of low back pain;
3. The use of sonofeedback enables significant improvement in activation and equalization of TrA asymmetry.

Key words:
Rehabilitative Ultrasound Imaging, RUSI, functional diagnostic, transversus abdominis, muscle activity

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Assessment of physical activity effectiveness in pain alleviating of the lumbar spine pain during pregnancy

Sławomir Motylewski, Dominika Terka, Elżbieta Poziomska-Piątkowska

S. Motylewski, D. Terka, E. Poziomska-Piątkowska – Assessment of physical activity effectiveness in pain alleviating of the lumbar spine pain during pregnancy. FP 2017; 17(4); 34-40

Abstract

Spine pain is common affliction during pregnancy. It is caused by body mass increase, which creates additional burden for structures of lumbar-sacral spine section and pelvis. Centre of gravity and body position are changed, which causes balance disorder of motor system. Asymmetry in mobility of sacroiliac joints appears, as well as irritation of sacroiliac ligaments.
The treatment of this problem includes pharmacological methods, physiotherapy and most important, variety of physical exercises.
The main goal of this study was assessment of different therapies effectiveness on lumbar spine pain during pregnancy.
Material and methods. The study group consisted of 41 women, who gave birth at least once. To gather information a survey method was used.
Results. Physical activity was pointed as one of the most efficient method of preventing spinal pain – 47,4. Hydrotherapy was chosen by 21% respondents, while massage and kinesiotaping only 15,8% both. According to 15,2% of questioned pain was gone as a result of systematical exercises.
Conclusions. Systematical physical activity before pregnancy was declared by the vast majority of respondents, while during pregnancy by half of questioned.
According to respondents, physical activity before and during pregnancy does not affect lumbar spine pain.

Key words:
physical activity, spin pain, pregnancy, physiotherapy

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