Tag: scoliosis

Standard of Radiological Scoliosis Assessment in Zgorzelec Rehabilitation Centre

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński – Standard of Radiological Scoliosis Assessment in Zgorzelec Rehabilitation Centre. Fizjoterapia Polska 2008; 8(3); 344-350

Abstract
Present-day physiotherapeutic practice requires the therapist to be able to assess radiographs. University syllabuses in physiotherapy take this into account and students acquire this knowledge. However, there are a number of physiotherapy practitioners working at health care facilities who do not participate in post-graduate training but work with scoliotic children. Our aim is therefore to present a standard of functional and radiographic assessment of patients with scoliosis adopted in the Rehabilitation Centre in Zgorzelec. The radiograph is the fundamental tool of medical diagnostic imaging. A radiograph used for scoliosis assessment should show the entire spine, including the iliac ala and the femoral joints. It should be taken in the AP and lateral views, with the patient in a standing position. Radiographs complying with these requirements make it possible to determine scoliosis characteristics (type, Risser sign, Cobb angle, vertebral rotation angle, kypho-lordotic index, etc.), according to which appropriate physiotherapeutic management is chosen. Radiological work-up is essential for the assessment of scoliosis and for therapeutic management planning. It also allows an objective evaluation of the progress of rehabilitation. Moreover, radiographs can also be used to monitor the time course of scoliosis. Treating scoliosis without an obtaining x-ray images is like driving a car at night with the headlights switched off!
Słowa kluczowe
scoliosis, x-ray image
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The Brace 2008

Jacques Cheneau

Jacques Cheneau – The Brace 2008. Fizjoterapia Polska 2008; 8(3); 335-343

Abstract
Since 1987, the scoliotic patient is no more locked up in a kind of cage on parts of which pressure pads are fixed. There are now only pressure parts on humps, up to 15, and up to 30 junction strips crossing over expansion areas. All those 45 pressure and expansion zones have become a number. There are two main kinds of scoliosis patients: those with three curves and iliac crests bulging on the left side, and those with four curves and iliac crests bulging on the right side. The pressure part has to press only on one apex vertebra, not over or under it. The problem of hollow back is efficiently solved. Adjustments are made by removing the maladjusted part, placing it in an appropriate location on the patient and fixing it again.Gymnastics has to be combined with elective breathing: breathing out with humps and breathing in with concave parts. Failures are shown and are often committed. They compromise results. Angle results are similar to those of the best World Series, and all iatrogenic effects are avoided. The strong idea of the concept is the presence of deep and great concave sided expansion spaces.
Key words:
scoliosis, brace, pressure parts, expansion spaces
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King-Moe Scoliosis Classification, case study: Zgorzelec Rehabilitation Centre

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński – King-Moe Scoliosis Classification, case study: Zgorzelec Rehabilitation Centre. Fizjoterapia Polska 2008; 8(3); 272-278

Abstract
Background. A large number of scoliosis classification systems are in use. The most popular and widely used classification, proposed by H. King and J. Moe in 1893, distinguishes 5 types of idiopathic scoliosis. Application of the classification facilitates assessment of the condition performed by multiple examiners and provides for homogeneity and comparability of the results. Material and methods. The investigation was conducted in the Child and Adult Rehabilitation Centre of the Independent Public Health Care Facility in Zgorzelec. The study involved 48 children: 37 girls aged 7-18 (mean age 12.3) and 11 boys aged 10-17 (mean age 12.7) with a mean age of the entire group of 12.4. The distribution of particular scoliosis types according to the King-Moe classification was assessed, and the results were compared with King’s and Sastre’s findings. Results. The most common was type I scoliosis – 41% (Sastre – 28%, King – 12.9 %), followed by type II -13% (Sastre -25%, King – 32.6 %). Less common are: type III – 21% (Sastre -16%, King – 32.8 %), type IV – 17% (Sastre – 29%, King – 9.2 %), type V- 8% (Sastre -2%, King – 11.6 %). Conclusions. The distribution of particular scoliosis types presented in the papers under comparison differs significantly. Classification facilitates the analysis and comparison of data presented by different centres. The use of the King-Moe system and x-ray image analysis allows a precise and standardised diagnosis of scoliosis.
Key words:
scoliosis, King-Moe classification
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Some late sequelae of scoliosis diagnosed at school age

Anna Kowalczyk, Olga Nowotny-Czupryna, Iwona Gęgotek

Anna Kowalczyk, Olga Nowotny-Czupryna, Iwona Gęgotek – Some late sequelae of scoliosis diagnosed at school age. Fizjoterapia Polska 2008; 8(4); 418-424

Abstract
Background. Body posture changes throughout life and is influenced by a number of external and internal factors. Scoliosis may develop at any point in a child’s development. It is not only a cosmetic defect, but also one disturbing the normal function of many systems and organs in the body. Marked abnormal curvatures may progress in adult life, mainly because of repeated non-ergonomic body positions. After age 20, spinal pain, limitation of movement, and even distinct abnormalities in the functioning of internal organs may develop. The aim of this study was to determine current angles of scoliotic curvatures in adults as compared to school age records. Some late sequelae of the scoliosis were also identified. Material and methods. The study group consisted of 20 people (aged 18-30 years) who had attended corrective gymnastic classes to correct their scoliosis while at school. Present body posture, in free and corrected standing, was evaluated photogrammetrically. Results were compared with corresponding data obtained at school age. On this basis, changes that had appeared over several years were determined.Results. Half of the subjects were found to have increased curvature angles by about 5°. Following completion of their corrective gymnastics courses, few of the subjects regularly took part in various forms of exercise. More than 90% of the group reported spinal pain, especially in the lumbar spine. Conclusions. Scoliosis diagnosed at school age progresses only slightly after the body growth period but may be associated with spinal pain in adult life.
Key words:
scoliosis, adults, late sequelae, non-ergonomic body positions
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A concept of asymmetric exercises for the correction of scoliosis by Ryszard Harężlak

Ryszard Harężlak, Paweł Kowalski, Jan Ślężyński

Ryszard Harężlak, Paweł Kowalski, Jan Ślężyński – A concept of asymmetric exercises for the correction of scoliosis by Ryszard Harężlak. Fizjoterapia Polska 2008; 8(4); 401-409

Abstract
Background. Rational correction of scoliosis should be characterised by a detailed analysis of every patient and individualized selection of initial, corrected, hypercorrected and isolated positions, involving all three planes. The concept of asymmetric exercises with asymmetric elongation as a significant added element in the treatment of scoliosis meets all these conditions. Popularisation of long-term experiences in the correction of scoliosis with asymmetric exercises supplemented with asymmetric elongation was the aim of this study.Material and methods. A new and unique set of asymmetric elongation exercises combined with the concept of asymmetric exercises allows for successful correction of advanced scoliosis. The basis for analysis and conclusions is long-term follow-up of children (7-18 years of age) participating in corrective exercise classes in the School Centre for Corrective and Compensatory Gymnastics in Bielsko-Biala.Results. The successful correction and stabilization of 30°-60° (Cobb) scolioses that has been achieved during the last two years indicate that the system of asymmetric exercises supplemented by asymmetric elongation is effective, examples including Marta, 13, with correction from 40° to 25° over one year; and Laura, 14, from 50° and 60° to 45° and 50°, respectively, over six months.Conclusions. Clinical and radiological evidence confirms the effectiveness of asymmetric exercises supplemented by asymmetric elongation in the correction of scoliosis. This tried-and-tested system should therefore be popularised through educational curricula for teachers and physiotherapists.
Key words:
scoliosis, asymmetric exercises, asymmetric elongation
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Variation in bioelectric activity of trunk extensors during loading with symmetric gravity torques in children with idiopathic scoliosis

Wiesław Chwała, Marianna Białek, Maciej Płaszewski

Wiesław Chwała, Marianna Białek, Maciej Płaszewski – Variation in bioelectric activity of trunk extensors during loading with symmetric gravity torques in children with idiopathic scoliosis. Fizjoterapia Polska 2008; 8(4); 393-400

Abstract
Background. Conflicting evidence is available on trunk erectors’ bioelectrical activity patterns during loading with symmetrical gravity torques in subjects with idiopathic scoliosis. This represents a significant hindrance to utilizing such information in scoliosis therapy. To identify the pattern of bioelectrical activity of trunk extensors during static contractions against symmetrical loading with body mass in subjects with idiopathic single- and double-curve scolioses of different Cobb angles. Material and methods. Biopotential activity was measured in 192 subjects aged 10-16 years with Cobb angles of 12-62°, of whom 59 had double-curve and 133 had single-curve thoracic scoliosis. Results. Biopotentials from dominant and non-dominant sides differed significantly in both tasks in patients with single-curve scoliosis (p<0.001). Muscle contraction patterns in double-curve scoliosis at the level of the primary curvature differed significantly in both tasks (p<0.001). Differences in contraction patterns at the level of the secondary curve were not significant (p<0.05). Conclusions. Significant differences were found in activity patterns of the muscles investigated between patients with singleand double-curve scolioses. The pattern of asymmetry is not directly connected with either severity or location of the curve (p<0.05, non-significant).
Key words:
electromyography, scoliosis, trunk extensors
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The effect of derotation exercises on correction of spinal alignment

Anna Brzęk, Olga Nowotny-Czupryna, Janusz Nowotny

Anna Brzęk, Olga Nowotny-Czupryna, Janusz Nowotny – The effect of derotation exercises on correction of spinal alignment. Fizjoterapia Polska 2008; 8(4); 384-392

Abstract
Background. Scoliosis is a three-plane defect. The correction of scoliosis should therefore be a global process involving all three planes, which, however, is not always the case with postural reeducation. More emphasis, especially in corrective exercises in schools, is placed on the correction of lateral curvatures in the frontal plane, elongation exercises, and exercises to strengthen the postural muscles, while the rotary component is usually ignored. The aim of this paper was to analyse derotation exercises and answer the question whether and how the correction of spinal alignment during derotation exercises results in immediate changes in body posture. Material and methods. 73 persons in two age groups (schoolchildren and adults) were examined. All participants had been diagnosed with scoliosis of the thoracic spine. Posture was assessed photogrammetrically in various free positions, following active spinal correction and during a derotation exercise using the bancho device.Results. There were considerable differences regarding active spinal correction between the children and adults. There was also a statistically significant correlation between age and the ability to actively correct spinal alignment during a derotation exercise. Conclusions. 1. The possibilities of active scoliosis correction are increased if the rotational component is also involved. 2. Derotation exercises are a significant element of corrective gymnastics, particularly in school-age patients.
Key words:
scoliosis, arrangement of body, derotation exercises
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Somatic differentiation in rural girls and boys with low-level scoliosis

Krystyna Górniak, Helena Popławska, Adam Wilczewski

Krystyna Górniak, Helena Popławska, Adam Wilczewski – Somatic differentiation in rural girls and boys with low-level scoliosis. Fizjoterapia Polska 2008; 8(4); 361-370

Abstract
Background. The aim of the study was to describe the body build of rural girls and boys with low-level scoliosis. Material and methods. The study involved 2070 pupils aged 7-19 years from selected rural schools of southern Podlasie. Body statics disorders were diagnosed in 312 girls (29.9%) and 334 boys (32.6%), and were most common at early puberty. Body posture was assessed in an orthopaedic examination. Somatic measurements included basic parameters such as body weight and height, elbow and knee width, arm and shank circumference as well as thickness of six adipocutaneous flaps. The findings as well as calculated indices served to define cardinal somatic traits in the children. Results. Most scoliotic children had medium or low BMI (41.8% and 32.5%, respectively). Pupils with high BMI were also numerous (25.7%). Children with scoliosis and high values of BMI were characterised by the highest values of the somatic parameters, with the exception of ectomorphy. Conclusions. Early stages of disorders of body statics in the coronal plane occur both in children and adolescents of slender body build (medium and low BMI) as well as in those with high BMI.
Key words:
scoliosis, body build, children and adolescents
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Efficacy of Kinesiology Taping in the rehabilitation of children with low–angle scoliosis

Aneta Bac, Łukasz Stagraczyński, Elżbieta Ciszek, Maciej Górkiewicz, Andrzej Szczygieł

Aneta Bac, Łukasz Stagraczyński, Elżbieta Ciszek, Maciej Górkiewicz, Andrzej Szczygieł – Efficacy of Kinesiology Taping in the rehabilitation of children with low–angle scoliosis. Fizjoterapia Polska 2009; 9(3); 202-210

Abstract
Background. There are a number of methods of conservative management of idiopathic scoliosis, including Kinesiology Taping, which utilises elastic tapes to reduce pain or correct joint alignment. The goal of this study was to determine the effect of Kinesio Taping on selected parameters in children with low-angle scoliosis. Material and methods. The subjects were two groups of 22 children each, all diagnosed with low angle scoliosis on the basis of a physical examination and radiographic evidence. The patients from the control group were subjected to a special therapeutic programme. Sessions were held three times a week for 45 minutes for a total of three weeks. During the other 2 days the children exercised at home twice a day. In the experimental group Kinesiology Taping was additionally applied. Spinal mobility, the rounding of the back, the intensity of pain, the degree of muscular tension and the level of activity and regularity of doing the exercises were evaluated in both groups. Results. In the experimental group, Kinesiology Taping had the most marked effect on back rounding, muscular tension and increasing the children’s average level of activity. Pain intensity was reduced initially but later returned to baseline levels (short-lasting effect). According to the parents and the therapist, the children fitted with Kinesio-Tex tapes (experimental group) were better motivated to do the exercises regularly. Conclusions. The results of this preliminary study seem to support the hypothesis that Kinesiology Taping can be a good adjunct to traditional therapy in children with low-angle scoliosis.
Key words:
scoliosis, Kinesiology Taping, rehabilitation
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Evaluation of the effect of station-based corrective exercises on changes in parameters of musculoskeletal system function in chiidren with Grade 1° scoliosis

Katarzyna Barczyk, Magdalena Łata, Arletta Hawrylak, Dominika Zawadzka, Dorota Wojna

Katarzyna Barczyk, Magdalena Łata, Arletta Hawrylak, Dominika Zawadzka, Dorota Wojna – Evaluation of the effect of station-based corrective exercises on changes in parameters of musculoskeletal system function in chiidren with Grade 1° scoliosis. Fizjoterapia Polska 2010; 10(1); 49-59

Abstract
Background. The aim ofofthe study was to evaluate the influence of station-based corrective exercises in the gym setting in children with idiopathic scoliosis. Materiał and methods. The study group comprised 67 children aged 10-12 years with single-arch left-sided idiopathic thoracolumbar Grade 1° scoliosis. Children were evaluated three time: before beginning corrective exercises (Examination I), and after 3 months (Examination II) and 6 months (Examination III) ofexercises. Station-based exercises using the SYNKOPA system and Thera-Band taping. Spinał mobility in the sagittal, frontal and horizontal piane, and shoulder and pelvic girdle mobility was evaluated in all children.Results. The comparison ofconsecutive examinations revealed statistically significant differences. Significant differences between Examinations I and II were revealed with respect to spinał mobility in all planes and mobility of the shoulder girdle and the pelvic girdle in some planes. Significant differences between Examinations I and III were revealed with regard to all parameters studied.Conclusions. Station-based corrective exercises increased mobility of the spine and of the shoulder and pelvic girdles in all planes.
Key words:
scoliosis, station-based systems, spinal mobility, pelvic girdle, shoulder girdle
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