Physiotherapy in the treatment of idiopathic scoliosis - Current recommendations based on the recommendations of SOSORT 2011 (Society on Scoliosis Orthopaedic and Rehabilitation Treatment) [Fizjoterapia w leczeniu młodzieńczej skoliozy idiopatycznej - Aktualne rekomendacje oparte o zalecenia SOSORT 2011 (Society on Scoliosis Orthopaedic and Rehabilitation Treatment)]
Czaprowski D.,Wydzial Fizjoterapii |
Kotwicki T.,University Medyczny |
Durmala J.,laski University Medyczny |
Stolinski L.,University Medyczny
Postepy Rehabilitacji | Year: 2014
SOSORT is an international scientific society interested in spinal deformities, including idiopathic scoliosis (IS). One of the main tasks of the society is to provide diagnostic and therapeutic recommendations for all professionals involved in the conservative treatment of patients with IS. As a part of treatment of scoliosis we distinguished conservative and surgical treatment. The main purpose of the conservative treatment is to stop the progression of the curvature. The aim of the therapy is to improve the quality of life, improve the aesthetics and physical capacity as well. An important element of the conservative treatment is the physiotherapy, which can be used as independent part of treatment and as a support of brace and the surgical treatment. SOSORT recommends the use of physiotherapy in the form of Physiotherapeutic Specific Exercises (PSE) and the Special Inpatient Rehabilitation (SIR). PSE used in patients with SI must have confirmed efficacy according to the requirements of the Evidence Based Medicine. Moreover, the therapy should be selected individually and include: (1) three dimensional auto-correction of deformation, (2) training in activities of daily living, (3) stabilizing the corrected posture, and (4) education of the patient and her/his parents. SIR based on 3-4-week hospital or sanatorium stay is recommended especially at the beginning of the treatment process. Physiotherapists undertaking the work with children with IS should: (1) be qualified in the use of PSE, (2) have adequate experience in techniques used in pediatric orthopedics, (3) have the ability to analyze the variability of body posture during development, (4) have the ability to exercise choice depending on the stages of formation of motor skills, and (5) work in the therapeutic team led by physician supervising the treatment.
Leszczewska J.,Wydzial Fizjoterapii |
Czaprowski D.,Wydzial Fizjoterapii |
Pawlowska P.,Wydzial Fizjoterapii |
Oponowicz A.,Wydzial Fizjoterapii |
Oponowicz A.,University of Warmia and Mazury
Human Movement | Year: 2012
Purpose. This research aimed to assess the repeatability of results obtained when analysing gait by means of a system designed for objective gait analysis in a single laboratory setting by a single examiner within-session and between-sessions. Methods. For the purpose of this research, the BTS Smart-D movement analysis system, produced by Capture Motion System of Italy, was used. Four healthy adults were examined. The subjects took part in three gait analysis testing sessions, with each session separated by a two-day break. During each session, two sets of measurements were taken for each subject. Statistical analysis was performed with StatSoft's Statistica 7.1 software. Results. Within each session, all examined temporal and spatial parameters were found to be repeatable. Only in hip and knee joint rotation was repeatability not confirmed within session. Between the sessions, repeatability was confirmed in pelvic rotation, abduction/adduction of the knee joint and for all foot kinematic parameters. Conclusions. Conducting gait analysis by one researcher does not guarantee obtaining repeatable results for all measured kinematic parameters, either within one session or between sessions; caution ought to be exercised when interpreting results. Among the studied parameters, hip and knee joint rotation provided the most difficulty in obtaining repeatable results. For this reason, diagnostic and therapeutic decisions based on such data require the utmost consideration.
Lesiak A.,Wydzial Fizjoterapii |
Saputa R.,Wydzial Fizjoterapii |
Szpunar P.,University of Rzeszow
Rehabilitacja Medyczna | Year: 2011
Paellofemoral pain syndrome is one of the most widespread muscular-skeletal disorders. The pain results from an overloading of the paellofemoral joint. Amongst the causes of overloading are changes in the articular cartilage, in the bone, alterations around and outside the joint as well as systematic changes. The ease with which the knee joint may be subjected to overloading is a result of its construction, mobility, and lack of stability. The knee joint as the biggest joint of the human organism is comprised of two joints: the tibiofemoral and the paellofemoral. Both of these joints are not mutually matched by their curvature. Their compactness depends chiefly on the ligament system. The muscle system equally stabilises the knee joint, while guaranteeing to a lesser degree the safety of the joint surfaces. On the other hand, muscles operating in conditions of equilibrium and dynamics, can, sometimes, overload the joint surface, even given conditions of totally healthy joint workings, this leading to earlier degenerative-disfiguring changes. The essence of this detrimental effect of muscle action on thepaellofemoral joint is interactive disturbance in the development of the force and speed of contraction for the individual heads of the quadriceps (particularly the medial and lateral), as equally disruption in the size proportions of shin extensor and flexor participation within the knee joint, ofadductors and abductors as well as of the thigh external and internal rotators in the hip joint. Paellofemoral pain syndrome is also subject to significant strain in daily conditions e.g. walking up stairs, wearing high heels,a lot of physical activity particularly when running. In individuals with apainful paellofemoral joint uncritically are employed exercises strengthening the quadriceps thigh muscle, additionally jeopardising the joint in question to being over burdened and consequent damage. On the basis of an analysis of the magnitude of burden of the surface of the paellofemoral and tibiofemoral joint as well as the mechanical conditions for the muscles acting on these joints, taking into consideration the magnitude of the brachium forces employed in the functioning of the joint angle, as well as the hypomochlion role that is the knee cap, the degree of threat for the knee joint was evaluated. The means of conducting oneself within daily activities are presented, the use of orthopaedic insoles, the choice of appropriate footwear. Examples of suitable exercises for the strengthening of individual muscles in conditions ensuring the safeguarding of the paellofemoral joint are given with the activating in this aim of elements of external compensation, within the open or closed system of the biokinematic chain of the lower limb. © ELIPSA-JAIM s.c.