Tag: J. Nowotny

Some possibilities for using the Lehnert-Schroth concept during corrective exercises in stationary system

J. Nowotny, K. Czupryna, O. Nowotny-Czupryna

J. Nowotny, K. Czupryna, O. Nowotny-Czupryna – Some possibilities for using the Lehnert-Schroth concept during corrective exercises in stationary system. Fizjoterapia Polska 2003; 3(4); 412-419

Abstract

Corrective exercises constitute a basic element in the conservative treatment of lateral curvature of the spine. In recent years corrective breathing exercises based on the concepts of C. Lehnert-Schroth have proven to be especially valuable. It is a well-known fact that individual exercises are most effective, especially in advanced scoliosis: however, for epidemiological and organizational reasons it is not possible to extend such individual attention to all those who need it. As a result, group exercises are the dominant from of corrective procedure. It is important, however, for these types of exercises to be adapted to the individual needs of every participant. The only form that can meet this requirement is the so-called “stationary system”. The present authors have been advocating the use of this form for corrective exercises for many years. Given the value of corrective-breathing exercises and the need for these kinds of exercises to be conducted in a group system, the authors have presented here their own conception for rehabilitation, keeping both these elements in mind, including our own modifications of various exercises modeled on the Lehnert-Schroth method. These types of exercises have been woven into the entire system, supported by biofeedback, creating in turn circumstances conducive to shaping the habit of proper posture.

Key words:
Scoliosis, group exercises, stationary system
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Ergonomic aspects of the daily work of a physiotherapist

O. Nowotny-Czupryna, A. Brzęk, J. Nowotny

O. Nowotny-Czupryna, A. Brzęk, J. Nowotny – Ergonomic aspects of the daily work of a physiotherapist. Fizjoterapia Polska 2003; 3(4); 387-395

Abstract

Physiotherapists themselves often fall victim to the hazards of their work. The professional activities of a physiotherapist involve the performance of various kinds of exercises and procedures in different positions, as well as moving patients and equipment (of various shapes, sizes and weights). Frequent repetition of these activities leads to the creation and maintenance of particular negative movement habits, while the persistence of these habits and further repetition of professional activities in an improper manner generally leads to the appearance of spinal overload disease. These abnormalities can result from failure to adapt the work station to individual needs and/or performing work-related activities (static and dynamic) in non-ergonomic positions. In accordance with the principles of the “back school”, a significant role in the prevention and mitigation of spinal overload disease is assigned to prevention – primary, secondary, and tertiary – which should be promoted among physiotherapists and persons practicing other health-related professions (e.g. physicians and nurses). In this article the authors identify situations that are bad for the spine and the errors most commonly committed by physiotherapists while performing various professional activities. They also pint out some possible ways to reduce overloading to a minimum and avoid the risk of incurring spinal pain syndromes in the future.

Key words:
Physiotherapist, overloaded spine disease, back school, ergonomics
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Changes in sensory threshould under the influence of magnetic fields of varying frequency

J. Nowotny, A. Rudzińska, K. Bąk

J. Nowotny, A. Rudzińska, K. Bąk – Changes in sensory threshould under the influence of magnetic fields of varying frequency. Fizjoterapia Polska 2004; 4(1); 13-18

Abstract

Background. The treatment methods used in physiotherapy employ different physical factors. Often, however, the effects are similar, regardless of the type of stimulus. The most information is available on the analgesic effect of physical treatment, especially endogenous warmth generated under the influence of electromagnetic energy. There are various mechanisms underlying this, but it primarily involves reduction of sensation coming from outside into the system. The most attention has been devoted to the analgesic effects of warmth. The purpose of our research was to measure the extent to which electromagnetic energy influences changes in sensory threshold, and to what degree this is directly connected with warmth. To this end we measured the sensory threshold. Material and methods. An electrical impulse was used as a sensory stimulus, with rising amplitude until the sensory threshold was reached, and an i/t curve was drawn. After initial examination, one of three treatments was used: magnetic field, microwave therapy, and shortwave therapy. Additionally, skin temperature was taken before and after treatment using a pyrometer. Immediately after each treatment and again 15 and 30 minutes later, the sensory threshold was again measured, and the results compared to initial data. Results and Conclusions. Under the influence of a single application, immediately after treatment, we observed increased sensitivity to the electrical stimulus in most cases, persisting to the end of the measurement period. The direct measurements of skin temperature indicate that the results are not necessarily connected to the influence of warmth. This would suggest that endogenous warmth does not necessarily give analgesic effects.

Key words:
microwave therapy, shortwave therapy, skin temperature
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