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Czaprowski D.,Jozef Rusiecki University College | Kotwicki T.,Poznan University of Medical Sciences | Stolinski L.,Rehasport Clinic
Ortopedia Traumatologia Rehabilitacja | Year: 2012

Joint laxity is diagnosed when the mobility of small and large joints is increased in relation to standard mobility for any given age, gender and race, and after excluding systemic diseases. Many of authors noted the co occurrence of joint laxity with the following symptoms: back and joints pa in, as well as disturbance of body posture. Clinicians apply various methods to assess joint laxity. Beighton scale is the most frequent method used in clinical screening. It consists of assessing: extension of the fifth MPC joint to 90°, thumb abduction to front fore arm, hyperextension of el bow and knee joint above 10°, as well as capability to stand bend and place onés palms flat on the ground. Carter and Wilkinson method is similar to this scale. The difference concerns the assessment of passive hyperextension of all four II-V fingers, instead of the assessment of the fifth finger only. The second difference involves assessing the range of an kledorsi flexion, in stead of assessing the ability to touch the ground with onés palms. Marshall test is another method for assessing joint laxity. This test is based on the thumb motion range measured in the fore arm direction. Hakim and Grahame suggests that the diagnosis of joint laxity may be done with a 5-point questionnaire. It would al low a fastove review as its questions refer to symptoms observed both at pre sent and in the past. Taken into account the common occurrence of joint laxity as well as common use the flexibility exercises in the physiotherapeutic process, the joint laxity should be systematically assessed by both physicians and physiotherapists. © MEDSPORTPRESS, 2012.


Kedra A.,University of Physical Education in Warsaw | Czaprowski D.,Jozef Rusiecki University College
BioMed Research International | Year: 2013

Objective. The aim of this work was to define the prevalence of back pain in children and youth aged 10-19 from the southeast of Poland. Material and Methods. The cross-sectional study included 1089 students (547 girls and 542 boys) aged 10-19. The prevalence of back pain, its intensity, location, and situations in which it occurred were assessed with a questionnaire. Results. Among 1089 respondents, 830 (76.2%) admitted that they had experienced back pain at various frequencies within the year preceding the study. Back pain was located mainly in the lumbar segment (74.8%). Mild pains were dominant, which was declared by 44.7% of the respondents. Girls experienced back pain significantly more frequently than boys (52.2% versus 47.8%, P < 0.05). Conclusions. The research revealed that back pain is a common phenomenon. The prevalence of back pain in children and youth living in southeast Poland is similar to the frequency of occurrence of such complaints occurring in peers in other countries. It seems significant to monitor the remaining regions of Poland in order to define the scale of the problem and to look for the risk factors of back pain in children and youth to undertake efficient prophylactic actions. © 2013 Agnieszka Kȩdra and Dariusz Czaprowski.


Stolinski L.,Rehasport Clinic | Stolinski L.,Poznan University of Medical Sciences | Kotwicki T.,Poznan University of Medical Sciences | Czaprowski D.,Rehasport Clinic | And 5 more authors.
Studies in Health Technology and Informatics | Year: 2012

Spine deformations and faulty posture may be evaluated by assessing trunk surface deformation. POTSI index (Posterior Trunk Symmetry Index) was introduced in 2003 to assess asymmetry of the trunk seen from the back. However, deformations may also affect the anterior surface of the trunk and this can be noticed more easily by the patient owing to the visual accessibility of the anterior surface. This study a new parameter called ATSI (Anterior Trunk Symmetry Index) in order to assess the anterior trunk deformation. study was conducted on fifty primary school children, boys and girls aged 6-7 years. One photograph of each child in a spontaneous standing position was taken with a digital camera. The photographs were analysed to obtain a quantitative assessment of the new parameter, ATSI, by means of computer software developed in collaboration with an IT specialist. The intra-observer error found in the analysis was 1.23. The interobserver error was 3.08. The average ATSI value for 50 children was 25.3 ± 10.6. The threshold value norm defined as mean+2SD was 46.5. © 2012 The authors and IOS Press. All rights reserved.


Background. Children commonly attend exercise programs to correct abnormal sagittal curvatures of the spine. The presence of generalized joint hypermobility (JH) is often disregarded during exercise planning. The aim of the study was to assess the influence of JH on the sagittal curvatures of the spine. Material and methods. The JH group included 38 girls and 37 boys aged 10-13 years with known JH (Beighton test cut-off ≥5 points for girls, and ≥4 for boys). A control group included 197 girls and 150 boys. The children were matched for age, height, weight and BMI. The sacral slope (SS), lumbar lordosis (LL), tho racic kyphosis (TK), distal thoracic kyphosis (DK), and proximal thoracic kyphosis (PK) were assessed with a Saunders inclinometer. The results in children with and without JH were compared. Results. There were no significant (p>0.05) differences between girls with and without JH with respect to SS (22.5°±9.9 vs 23.0°±8.0), LL (31.0°±14.0 vs 33.0°±10.0), TK (39.0°±10.4 vs 39.6°±10.0), DK (8.7°±6.9 vs 7.9°±7.8) or PK (31.3°±7.1 vs 32.3°±7.3). The differences among boys were similarly non-significant (p>0.05) (19.0°±7.9 vs 19.7°±6.6; 30.6°±9.0 vs 31.9°±8.4; 42.7°±8.0 vs 40.6°±8.7; 9.7°±7.9 vs 8.2°±7.8; 33.7°±5,0 vs 32.8°±7.0, for SS, LL, TK, DK and PK, respectively). Conclusions. 1. The sagittal profile of the spine did not differ between children with and without JH, which may lead to suboptimal exercise plans. 2. The routine examination of the musculoskeletal system should be extended to include an assessment of JH. © MEDSPORTPRESS, 2013.


Czaprowski D.,Jozef Rusiecki University College | Leszczewska J.,Jozef Rusiecki University College | Kolwicz A.,Jozef Rusiecki University College | Pawlowska P.,Jozef Rusiecki University College | And 3 more authors.
PLoS ONE | Year: 2013

The aim of the study was to evaluate changes in hamstring flexibility in 120 asymptomatic children who participated in a 6-week program consisting of one physiotherapy session per week and daily home exercises. The recruitment criteria included age (10-13 years), no pain, injury or musculoskeletal disorder throughout the previous year, physical activity limited to school sport. Subjects were randomly assigned to one of the three groups: (1) post-isometric relaxation - PIR (n = 40), (2) static stretch combined with stabilizing exercises - SS (n = 40) and (3) stabilizing exercises - SE (n = 40). Hamstring flexibility was assessed with straight leg raise (SLR), popliteal angle (PA) and finger-to-floor (FTF) tests. The examinations were conducted by blinded observers twice, prior to the program and a week after the last session with the physiotherapist. Twenty-six children who did not participate in all six exercise sessions with physiotherapists were excluded from the analysis. The results obtained by 94 children were analyzed (PIR, n = 32; SS, n = 31; SE, n = 31). In the PIR and SS groups, a significant (P<0.01) increase in SLR, PA, FTF results was observed. In the SE group, a significant (P<0.001) increase was observed in the SLR but not in the PA and FTF (P>0.05). SLR result in the PIR and SS groups was significantly (P<0.001) higher than in the SE group. As far as PA results are concerned, a significant difference was observed only between the SS and SE groups (P = 0.014). There were no significant (P = 0.15) differences regarding FTF results between the three groups. Post-isometric muscle relaxation and static stretch with stabilizing exercises led to a similar increase in hamstring flexibility and trunk forward bend in healthy 10-13-year-old children. The exercises limited to straightening gluteus maximus improved the SLR result, but did not change the PA and FTF results. © 2013 Czaprowski et al.

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