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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Shaping the asymmetry of trunk in younger children

Katarzyna Barczyk, Tadeusz Skolimowski, Arletta Hawrylak

Katarzyna Barczyk, Tadeusz Skolimowski, Arletta Hawrylak – Shaping the asymmetry of trunk in younger children. Fizjoterapia Polska 2004; 4(3); 203-208

Abstract

Background. Her symmetry is in frontal area the basic criterion of opinion of attitude body. Have the same name osseous points in this plane should to be arranged in relation to axis of spine symmetrically and to be on equal height, and teenagers’ line spinous of spine should make up right line. Above mentioned conditions happen fulfilled seldom, because at man symmetry never is full. This results mainly with asymmetric position of internal organs, the environmental influences whether the only process of lateralisation. Material and methods. It triple investigations were hugged was 298 – personal group the same children. The computer set to analysis of size of asymmetry was applied to of opinion of attitude body using the phenomenon of projection moire thopography. Results. Asymmetries in frontal area at studied boys and girls be shaped similarly and stepped out in both groups in considerable percentage. Absolute differences in position of have the same name osseous points concerned distances from teen-agers’ line the bottom executioners of shoulder-blades the line spinous, height of triangles of waist as well as position basin in frontal area, however the most seldom both children’s groups asymmetries concerned in frontal area the depression angle. It it was showed was moreover that the asymmetries undergo decrease between 7 and 8 year of life and renewed enlargement between 8 and 9 year of life. The statistical also between years analysis show on similarity be shaping to asymmetry of trunk at boys and girls. Conclusions. 1.Frequency of occurrence in grounds of trunk the asymmetry changed along with the age the studied children. She be shaped in dependence from side of body differently. 2.More often considerable asymmetry was affirmed was at 7 year old children’s and 9 years old children’s, more seldom at 8 years old children’s. They asymmetries these in this lid belonged to reasonable.

Key words:
body of posture, trunck asymmetry, photogramometric method, children
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Trunk asymmetry in people with L5-S1 lumbar discopathy

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Barbara Ratajczak

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Barbara Ratajczak – Trunk asymmetry in people with L5-S1 lumbar discopathy. Fizjoterapia Polska 2008; 8(1); 11-22

Abstract
Background. The aim of this study was to investigate and describe trunk symmetry patterns via an analysis of changes in the position of selected anthropometric points and tracing these changes in time relative to type of treatment. Material and methods. The study enrolled 150 people aged 40-50 diagnosed with a chronic spinal pain syndrome inthe course of L5-S1 discopathy. The patients were divided into two groups corresponding to different treatments used. Patients in each group were further divided with respect to the direction of the hemia of the nucleus pulpous. Examinations were carried out twice: before starting treatment and after 6 weeks. Results. The degree of asymmetry in the frontal plane was similar between the study groups. Asymmetry occurred in a considerable percentage of the patients in both groups. Conclusions. Greater improvement of the asymmetry was noted in the patients receiving combination treatment, which may indicate a need for combining physiotherapy with pharmacological treatment in the treatment of discopathy. A complete cure is difficult to obtain in lumbar discopathy patients following a 6-week treatment. Long-term thearpy is needed as well as broadly understood prophylaxis to prevent recurrence of symptoms.
Key words:
discopathy, Moire Topography, physical therapy, kinesitherapy, massage
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