Tag: Andrzej Skwarcz

The ego extending orthopedic brace in the treatment of juvenile thoracic kyphosis (Scheuermann’s Disease)

Marek Fatyga, Piotr Majcher, Andrzej Skwarcz

Marek Fatyga, Piotr Majcher, Andrzej Skwarcz – The ego extending orthopedic brace in the treatment of juvenile thoracic kyphosis (Scheuermann’s Disease). Fizjoterapia Polska 2001; 1(3); 306-310

Abstract

Juvenile thoracic kyphosis, known as „Scheuermann’s Disease”, is characterized by deepening of the thoracic kyphos and changes is the vertebral bodies, taking place during the period of intensive growth of the young organism. The purpose of our article is to present the “EGO” extending orthopedic brace, which corrects spinal deformities on the sagittal plane. In the EGO brace correction of thoracic kyphosis is obtained by a three-point support with stabilized pelvis: anteriorly on the stemum, posteriorly at the peak of the kyphos. In order to obtain proper correction of thoracic kyphosis, it is necessary to force the pelvis into a posterior tilt through high support of the abdominal integuments and rib arches and low support on the buttocks posteriorly, which affects the reduction and stabilization by clinical and radiological testing. Among the indications for the application of the EGO brace are various forms of non-permanent kyphotic deformities of the thoracic spine in the early phase of their development, thus prior to indications for the comprehensive conservative treatment program developed at the Lublin center for juvenile thoracic kyphosis: a multistage treatment using extending braces after preparation by physiotherapy. The EGO orthopedic brace is also successfully applied after the completion of staged correction in plaster casts, when the vertebral bodies have been reconstructed. The task of the brace at that point is to fix the correction that has been obtained.

Key words:
extending orthopedic brace, Scheuermann, thoracic kyphosis
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Kinesitherapy in the treatment of juvenile thoracic kyphosis (Scheuermann’s Disease)

Anna Krawczyńska, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz

Anna Krawczyńska, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz – Kinesitherapy in the treatment of juvenile thoracic kyphosis (Scheuermann’s Disease). Fizjoterapia Polska 2001; 1(3); 303-305

Abstract

The course of juvenile thoracic kyphosis, known as Scheuermann’s Diseases, brings about static and dynamic changes within the spine, the shoulder girdle, and the pelvic girdle, negatively affecting the patient’s posture. Changes in the spine due to growth deformities in the vertebral bodies lead to musculo-capsular spasms and adynamia in overextended muscles and ligaments.The basic aim of kinesitherapeutic procedures in the treatment of juvenile thoracic kyphosis is to restore normal muscular equilibrium by stretching the contracted muscles and strengthening the weakened ones. There are also exercises intended to improve the range of joint movement and to teach the patient to assume and maintain proper body posture. In cases of radiologically confirmed growth disorders affecting the vertebral bodies, treatment by extending corrective braces is required. In such cases kinesitherapy and physicotherapy are intended to prepare the patient to obtain good correction in the orthopedic brace and reduce the so-called “plaster losses”. The authors point out the value of kinesitherapy in the process of treating patients with juvenile thoracic kyphosis. A program of exercises intended to reconstruct a normal is also discussed.

Key words:
musculo-capsular spasms, adynamiarange of mobility, posture
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Kinesitherapeutic procedure in the treatment of scoliosis

Piotr Kwiatkowski, Magdalena Sobiech, Marek Fatyga, Andrzej Skwarcz

Piotr Kwiatkowski, Magdalena Sobiech, Marek Fatyga, Andrzej Skwarcz – Kinesitherapeutic procedure in the treatment of scoliosis. Fizjoterapia Polska 2001; 1(3); 298-302

Abstract

Varying kinesitherapeutic procedures are used In children with scoliosis, depending on whether the child is begin only by exercises, or by exercises and brace, or is begin prepared for surgery due to progressing deformation. In the case of children treated conservatively, primary emphasis is given to asymmetrical strengthening exercises for the dorsal muscles and peripheral joints, preceded by stretching exercises for antagonistic muscle groups. Simultaneously, exercises are performed to increase the range movement in the spine (kypholization of the thoracic spine, derotation of the thoraco-lumbar spine) and peripheral joints. In scoliosis exceeding 25-30° with documented progression, orthopedic braces are also used to prevent further progression of the curvature. In such cases it is a separate problem, when the child should exercise in the brace, and when without.Kinesitherapy in children being prepared for surgery differs significantly from that suitable for children in conservative treatment. Here the primary focus is on relaxing, elongating, and the spine. This is achieved by applying an autotraction bed for several hours, along with autocorrection of posture and passive chin-ups. By means of stretching, relaxing, and swimming poolexercises, along with the application of physical agents, the maximum relaxation of the spine’s active and passive apparatus is achieved, so that during surgery the maximum correction of curvature can be obtained while maintaining neurological safety.

Key words:
Scoliosis, kinesitherapeutic procedure, progressing deformation
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The psychological situation of the disabled patient after injury to the spine and spinal cord

Mariola Żuk, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz

Mariola Żuk, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz – The psychological situation of the disabled patient after injury to the spine and spinal cord. Fizjoterapia Polska 2002; 2(1); 65-67

Abstract
Background. Motor disability places the person affected in a difficult psychological situation for many reasons. Some of these reasons are directly associated with the circumstances of hospital treatment and rehabilitation. Others involve life after dismissal from the hospital and return to social life. In the present study the authors share their experience in clinical work with patients disabled by injury to the spine and the spinal cord.Material and method. Based on a study of 602 patients treated for spinal injuries in the period 1986-2000, the authors discuss their psychological situation. Of these patients, 357 had suffered damage to the central nervous system, while 245 had not.Results. In order to achieve a good outcome in rehabilitation, the patient needs the help of the treatment team and the immediate environment. The return to life outside the hospital is easier when particular conditions are fulfilled in the person’s environment. Thus during the course of in-patient rehabilitation steps are taken to create for the patient a sort of “social niche”, into which s/he will enter after discharge from the hospital.Conclusion. It is of vital importance to include the patient in the activities of a self-help group, in which the immediate family is also engaged.

Key words:
Self-Help Groups, social belonging, family support

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Kinesitherapy following spinal injuries with or without damage to the central nervous system

Piotr Kwiatkowski, Marek Fatyga, Magdalena Sobiech, Andrzej Skwarcz

Piotr Kwiatkowski, Marek Fatyga, Magdalena Sobiech, Andrzej Skwarcz – Kinesitherapy following spinal injuries with or without damage to the central nervous system. Fizjoterapia Polska 2002; 2(3); 257-260

Abstract
Based on many years of experience in the rehabilitation of patients with spinal injuries in Lublin, the authors present a model of kinesitherapeutic procedure from the moment of injury to the completion of treatment. The first section of the work discusses kinesitherapy in the treatment of spinal injury patients without neurological injuries. Kinesitherapeutic procedures are clearly presented depending on the choice of non-surgical treatment: functional therapy without internal fixation, functional therapy after the application of internal fixation, and functional therapy after the application of direct cranial traction. It is emphasized that in the case of patients requiring surgery with internal stabilization it is essential to prepare the patient with respiratory exercises and isometric contractions to strengthen the muscles of the back and abdomen. The second part of the article deals with kinesitherapy for spinal injury patiets with CNS damage. The authors point out the differences between various exercises depending on the neurological level and the symptoms occurring, as well as the period of time elapsing after injury. These periods are divided into: (1) from injury to verticalization, (2) from verticalization to discharge, (3) ambulatory period (return to family and society). At each stage of procedure the cooperation of the rehabilitation team is very important, as well as the use of orthopedic equipment in limb dysfunctions of varying degree.

Key words:
kinesitherapy, Spinal Injuries, Central Nervous System

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Principles for non-surgical procedures in the treatment of scoliosis

Piotr Majcher, Marek Fatyga, Andrzej Skwarcz

Piotr Majcher, Marek Fatyga, Andrzej Skwarcz – Principles for non-surgical procedures in the treatment of scoliosis. Fizjoterapia Polska 2002; 2(4); 306-310

Abstract
This article presents the authors’ own experience in the comprehensive non-surgical treatment of scoliosis. Various types of corrective and stabilizing orthopedic braces are presented. Orthopedic equipment should be tailored to the needs of the individual patient, depending on the etiology of the curvature, the type and dimensions of the distortion, and the age of the young patient. Indications and counterindications for treatment by orthopedic braces are given. Significant reduction in the deformation of posture can be obtained by using a correctional brace even in cases when proper application does no more than to slow the progression of curvature. The authors also discuss abnormalities in the orthotic treatment of spinal deformities encountered in daily practice with ambulatory patients. Kinesitherapy is indicated as an essential supplement to the brace, and not as a substitute for it.

Key words:
Scoliosis, non-surgical treatment of scoliosis, orthopedic braces

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