肌肉能量技术与肌筋膜释放在青少年女孩脊柱侧弯上的随机对照试验

Amira. H. Mohammed, Safy. E. Abo-Ali, Sahar M. Abdelmutilibe, Sara. A. Elsamahy, Nashwa. E. Elsherif, Malak. A. Elmahdy, Samah. M. Sheha

 

Amira. H. Mohammed, Safy. E. Abo-Ali, Sahar M. Abdelmutilibe, Sara. A. Elsamahy, Nashwa. E. Elsherif, Malak. A. Elmahdy, Samah. M. Sheha – Muscle energy techniques versus myofascial release on scoliosis in adolescent girls: A randomized controlled trial –  Fizjoterapia Polska 2024; 24(1); 54-59

DOI: https://doi.org/10.56984/8ZG2EF864D

摘要
背景。青少年特发性脊柱侧弯(AIS)是一种发生在10岁到骨骼成熟期儿童的复杂的3D结构性脊柱条件。本研究旨在检查肌肉能量技术和/或肌筋膜释放对大样本的青少年特发性脊柱侧弯的影响。同时,它旨在比较肌肉能量技术与肌筋膜释放在特发性脊柱侧弯上的效果。
方法。本试验纳入了50名患有非骨质结构性胸脊柱侧弯的女孩。他们被随机分为两个等大的组(每组25人)。三个月内,A组(肌肉能量技术组),接受针对脊柱侧弯的科学运动方法训练以及肌肉能量技术;B组(肌筋膜释放组),接受与A组相同的针对脊柱侧弯的科学运动方法训练以及肌筋膜释放。主要结果是站立位放射学评估冠状Cobb角。
结果。根据本研究的发现,在治疗前后,肌肉能量技术组Cobb角的平均值之间发现了高度显著的差异。在肌筋膜释放组治疗前后比较Cobb角的平均值时,显示出显著变化。
结论。经过三个月的治疗,两组都显著改善,肌肉能量技术组的表现大大优于肌筋膜释放组。因此,肌肉能量技术在减少青少年特发性脊柱侧弯的异常胸脊柱曲度方面比肌筋膜释放更有效。
试验注册。该研究已在Clinicaltrials.gov上注册,注册号为NCT05120089。
关键词
肌筋膜释放,肌肉能量技术,脊柱侧弯
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The direction of primary lateral spinal curvature and distribution of body mass on base of support in children with scoliosis I°

Andrzej Siwiec, Małgorzata Domagalska-Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Szopa


Andrzej Siwiec, Małgorzata Domagalska-Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Szopa – The direction of primary lateral spinal curvature and distribution of body mass on base of support in children with scoliosis I°. Fizjoterapia Polska 2022; 22(4); 112-121

DOI: https://doi.org/10.56984/8ZG1A6z2j

Abstract
Introduction. As a result of subjective functional assessment, disturbances in the symmetry of body weight distribution on the support plane are commonly observed in children and adolescents with idiopathic scoliosis. The objective of this study was to identify the relationship between the direction of the primary curvature and the body weight distribution on the ground in children with idiopathic scoliosis.
Method. Two groups (the study group and the control group) of children aged 7–11 were included in the study. The study group consisted of 96 children rehabilitated due to scoliosis in rehabilitation centres. The control group included children of the corresponding age, height and weight in comparison to the study group. The main element of the study involved measurements of the percentage body weight distribution on the support plane between the “convex” and “concave” side of the body while maintaining a standing position on both legs.
Results. Based on the value of the symmetry index and the direction of the primary curvature, the following subgroups were distinguished among the children with scoliosis: children with symmetrical body weight distribution on the support plane (21%); children with asymmetric body weight distribution on the support plane overloading the convex side (51%) and children overloading the concave side (28%).
Conclusion. The occurrence of symmetry disorders in the body weight distribution on the support plane in children with idiopathic scoliosis requires taking these features into account in the early stage of rehabilitation of these children.

Key words:
scoliosis, compensating postural patterns, distribution of body mass on the surface

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ssessment of the impact of the corrective-compensatory exercises and the elements of Vojta therapy on the angle of trunk rotation in children with idiopathic scoliosis – preliminary study

Michał Olba, Anna Mickiewicz


Michał Olba, Anna Mickiewicz – Assessment of the impact of the corrective-compensatory exercises and the elements of Vojta therapy on the angle of trunk rotation in children with idiopathic scoliosis – preliminary study. Fizjoterapia Polska 2022; 22(2); 102-110

Abstract
Introduction. Scoliosis is a term encompassing a group of heterogeneous diseases in which changes in the shape and position of the spine, chest and torso occur. The term idiopathic scoliosis refers to the patients with structural scoliosis with an undetermined cause. Scoliosis, which is defined as idiopathic, must fulfil the following criteria: to be characterized by a three-dimensional spinal deformity and a Cobb angle of 10 degrees or more.
The measurement of angle of trunk rotation (ATR) is one of the basic parameters used in the assessment of the effectiveness of treatment in patients with idiopathic scoliosis.
In the conservative treatment of idiopathic scoliosis, which is characterized by a Cobb angle of less than 25º, Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) recommends mainly scoliosis-specific exercises (SSE). Some authors show in their scientific reports that also by using the corrective and stabilizing exercises, not only SSE exercises, the asymmetry of the torso is diminished, the angular values of the curvature are reduced and the functioning of patients with idiopathic scoliosis improves.
The International Vojta Society indicates idiopathic scoliosis as one of the areas of application of this therapy. Nevertheless, there is a limited number of scientific reports on the applicability and effectiveness of Vojta therapy in the treatment of idiopathic scoliosis.
Aim of the study. The aim of this study was to evaluate the impact of applied corrective-compensatory and corrective-compensatory exercises in the combination with the elements of Vojta therapy on the value of ATR in the group of children aged 10-12 years, diagnosed with idiopathic scoliosis with a low Cobb angle value (10-19º).
Material and methods. A total number of 30 children aged 10-12 years, diagnosed with idiopathic scoliosis with a low Cobb angle (10-19º), who were patients of the rehabilitation clinic, participated in the study. Children were randomly assigned to two experimental groups. The first group (group K), consisting of 15 persons, took part in a 3-week rehabilitation programme and participated daily only in corrective-compensatory exercises. The second group (group KV), also consisting of 15 persons, joined daily the corrective-compensatory exercises for 3 weeks and additionally received Vojta therapy 3 times per week. In all children the ATR was measured before and after therapy.
Results. The results of the statistical analysis did not show any significant differences in the ATR values measured in group K (children who received only corrective-compensatory exercises) before and after the rehabilitation programme (p = 0.306). There were statistically significant differences observed in the ATR measured in the KV group (children who received corrective-compensatory exercises and the elements of Vojta therapy) before and after the rehabilitation programme (p = 0.005). There were no statistically significant differences observed between the two studied groups in the values of the ATR measured before (p = 0.069) or after the rehabilitation programme (p = 0.774).
Conclusions. 1. A significant reduction in the value of the ATR was observed in the group of children with idiopathic scoliosis with a low Cobb angle who received corrective-compensatory exercises in combination with the elements of Vojta therapy.
2. No significant changes in the value of the ATR were observed in the group of children with idiopathic scoliosis with a low Cobb angle who received only corrective-compensatory exercises.
Key words:
scoliosis, angle of trunk rotation, Vojta therapy
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Collaboration of specialists in the rehabilitation of spine pathology

Oleg Panchenko, Zbigniew Śliwiński, Anastasiia Kabantseva, Nataliia Tsapro

O. Panchenko, Z. Śliwiński, A. Kabantseva, N. Tsapro – Collaboration of specialists in the rehabilitation of spine pathology. Fizjoterapia Polska 2021; 21(4); 96-102

Abstract
To study the influence of the negative psychological state of children and adolescents living on the territory of hostilities, on the formation and course of spinal pathology. The sample consisted of 1467 people aged 5–18-year-old, whose parents had no complaints of the child’s spinal pathology, i.e. “relatively healthy children in respect of spinal pathology.” The growth of pathology of the spine during periods of intensive growth of the child was confirmed: in the 5–7-year-old age group for 3.49% of children, in the 8-10-year-old age group for 13.78%, in the 10-14-year-old age group for 17.89%, in the 15–17-year-old age group for 25.15% respectively. An increase in the prevalence of scoliosis in the Donetsk oblast (excluding the temporarily occupied territories) at the level of 28.26 cases per 1,000 schoolchildren, which is more than in other regions of Ukraine. The similarity of the pathogenesis of scoliosis, stress, and hypercalciuria was determined, which explains the data obtained by us on the prevalence of scoliosis in the ATO area, actually 95.89 cases per 1000 children, and 251.53 cases per 1000 adolescents aged 15-18-year-old. The manifestations of autonomic disturbances (rs = 0.34, p ≤ 0.01), sleep disturbances (rs = 0.43, p ≤ 0.01), anxiety (rs = 0.43, p ≤ 0.01) is increased among children with significant fear of war. There is a need to consider scoliosis as a stressor, and therefore children with scoliosis should get psychological rehabilitation and expert advice.
Key words:
scoliosis, stress, hypercalciuria, children, adolescents, rehabilitation
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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 social consequences of spinal pain in adult scoliosis patients treated surgically and conservatively

Hanna M. Tomczak

Hanna M. Tomczak – The social consequences of spinal pain in adult scoliosis patients treated surgically and conservatively. Fizjoterapia Polska 2001; 1(3); 280-282

Abstract

Curvature of the spine when diagnosed and treated in youth (surgically or conservatively) is subject to progression in adults and frequently causes pain symptoms. The present article evaluates the current clinical status of adult scoliosis patients who were treated surgically or conservatively in childhood. The parameters evaluated include the frequency of occurrence of intensified spinal pain and its impact on the professional and social situation of the persons tested.

Key words:
spinal pain, Scoliosis, social consequences
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The impact of musical performance on the occurence of selected disorders of body posture in children from a music school

Mirosław Janiszewski, Anna Kluszczyńska, Ireneusz Pieszyński

Mirosław Janiszewski, Anna Kluszczyńska, Ireneusz Pieszyński – The impact of musical performance on the occurence of selected disorders of body posture in children from a music school. Fizjoterapia Polska 2002; 2(1); 46-56

Abstract
Background. The aim of our study was to investigate the effects of long-term musical training on the genesis of defective posture. Material and methods. The study involved a group of 92 children who were tested twice, once in 1992 again in 1998, used a specially developed screening test. Results. A greater rate of occurrence of posture defects, including especially scoliosis, was found in children who were heavily involved in playing musical instruments. This type played was found to correlate with type and frequency of particular posture defects. Conclusion. Systematic long term of musical instruments may cause more frequent in posturogenesis and a higher rate of scoliosis.

Key words:
posture defects, scoliosis, music, screening test

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Changes of values of selected spirometric parameters in course of complex rehabilitation treatment in patients with scolioses of I° and II°

Rafał Gnat, Edward Saulicz, Marek Zięba, Paweł Ryngier

Rafał Gnat, Edward Saulicz, Marek Zięba, Paweł Ryngier – Changes of values of selected spirometric parameters in course of complex rehabilitation treatment in patients with scolioses of I° and II°. Fizjoterapia Polska 2003; 3(1); 21-29

Abstract
Both the values of the spirometric parameters in people with low-degree scoliosis and their changes in course of the rehabilitation treatment aiming to correct the body posture are subjects rarely mentioned in literature. Just sparse articles give evidence for the presence of respiratory disturbances even in early stages of the development of scoliosis. The hypothesis claiming that normalisation of the values of selected spirometric parameters, decreased earlier, during attempts of correction of the body posture could be obtained was brought forward for needs of the presented report. 60 children with scolioses of Ist and IInd degree and without any coexisting health problems participated. The evaluation of the values of selected spirometric parameters was performed twice: at the beginning of the treatment (initial test) and after its termination (final test). The time of therapeutic influence averaged 28,77 days (SD = 9,47) and daily load with corrective exercises about 3 hours with supplementary procedures. During the period of time between initial and final tests most of the assessed spirometric parameters showed significant improvement increasing their values and bringing them closer to standards (FVC EX, FVC IN, FEV1, PEF, PIF, VC, IC). The ERV parameter didn’t show any important alterations. The volumes TV and MV as well as Tiffeneau coefficient maintained their previous rise tendencies.According to the stated hypothesis the corrective rehabilitation treatment improved values of selected spirometric parameters, which were decreased in course of low-degree scoliosis. Basing on the results some practical clues concerning corrective treatment of this postural fault may also be formulated.

Key words:
Scoliosis, rehabilitation treatment, Spirometry, spirometric parameters

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