Tag: pedobarography

高速低幅（HVLA）操作对静态和动态姿势参数的影响 – 颅枕过渡受阻患者的病例研究

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

摘要
目的。本研究旨在评估高速低幅（HVLA）操作对患有颅枕阻塞个体的力分布、压力和平衡的影响，重点关注治疗后的改善。
研究方法。通过诊断测试（颈椎压迫、斯普林、德克莱因测试）和足底压力测量（使用EPS/R2垫和BIOMECH STUDIO软件）评估HVLA治疗前后的功能性和姿势参数。
结果。初步诊断显示力分布、平衡和步态有显著干扰。HVLA治疗后的改善包括：
  1. 站立时前足负荷平衡，后跟负荷百分比降低。
  2. 全身压力分布改善，左侧身体压力显著减少。
  3. 前后和侧向身体摆动范围增强，极端偏转距离与偏转表面的比率减少，位移平均速度降低。
  4. 右脚外展角度正常化，左脚访视角度无显著变化。
  5. 足弓指数（AI）和步态平均足压轻微改善，步态最大足压变化微小。
    结论。HVLA操作显著改善静态平衡参数，但在步态参数上的改善有限。这表明颅枕阻塞与姿势障碍之间存在复杂的关系，暗示需要进一步研究探索姿势缺陷与颅枕过渡阻塞之间的联系，以及这些阻塞对姿势变化的影响。
关键词
颅枕阻塞，HVLA操作，姿势障碍，平衡改善，足底压力测量
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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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