Proper posture is an indicator of good health, proper growth and development, which is why it is important to start learning about posture from the earliest age using various forms of physical activity. To establish the impact of physical activity on aspects of posture components of children of school age. The study included 120 subjects aged 10-16 years who were grouped into three groups, which was stratified equal number of boys and girls. The first group consisted of 40 children who are actively practice sports. The second group consisted of 40 children who are not actively practice sport a third group of 40 children with deformity of the spine. For research purposes, we used: test for assessing the degree of physical activity and test for the assessment of body posture. By applying multiple regression analysis, we found that there is an influence of different predictors on the dependent variables in all three categorically defined pattern. The strongest positive correlation was found in the first sample categorically defined between predictors warming up exercises in the training and position keeping the legs, and the amount of connections is β = 0.43. The strongest negative correlations were established also at first categorically defined pattern between predictors time spent at the computer and position keeping the legs, and the amount of connections is β = -0.35. It was found that there is a difference in the level of physical activity between the three categorically defined sample (F = 95.687, p = 0.01), and also the difference in posture between the three categorically defined sample (F = 10.93, p = 0.01). The results show the necessity of promotion of various forms of physical activity of children school age in order of their proper growth and development.
Introduction:The use of rehabilitation protocol which corresponds to surgical technique results in optimal postoperative outcome and functional recovery of patients to a pre-injury level of activity.The aim of this paper is to show the effects of the official rehabilitation protocol in our Institute on functional recovery of patients after anterior cruciate ligament (ACL) reconstruction.Patients and methods: In prospective study, we evaluated 70 males after ACL reconstruction using hamstring graft.Patients were divided into two groups according to the manner of conducting the postoperative rehabilitation.Group A consisted of 35 patients that followed postoperative rehabilitation according to the rehabilitation protocol.Group B also 35 patients, which did not undergo the rehabilitation protocol.We evaluated thigh muscle circumference and modified Tegner Lysholm Score, preoperatively and postoperatively after 1,3,6 and 12 months.In the statistical analysis, the Studentov T-test was used.Results: In the first postoperative month, the difference between groups in thigh muscle circumference is statistically significant (p<0,05).This difference between groups is statistically highly significant after 3, 6 , and 12 months postoperative (p<0,01).Results of the modified Tegner Lysholm Score is statistically highly significant in 1, 3 and 6 postoperative months in patients from the experimental group (p<0,01).Conclusion: The positive effects of the rehabilitation protocol results in significant increase of the thigh muscle circumference and faster functional recovery of patients after ACL reconstruction.
AAP Annual Meeting Abstracts: Abstracts of Scientific Papers and Posters Presented at the Annual Meeting of the Association of Academic Physiatrists: Daytona Beach, Florida March 2-4, 2006: INTERNATIONAL POSTER PRESENTATIONS
The physical activity of schoolchildren is an important factor of their regular development. The aim of this study was to examine the occurrence of the differences between boys and girls in the level of the physical activity. A total of 98 schoolchildren (48 boys and 50 girls) average age 11.4±0.58 were tested by means of a Physical activity score that included data about of the level of physical activity (9 variables) as well as back pain and estimates of general health. A binary logistic regression analysis of the data was carried out. The dependent variable was gender. The results of our investigation show that a significant predictor of the differences between boys and girls in the level of physical activity was playing games (time spent outside) (OR=0.398, p<0.05), when these variable were controlled by other independent variables. Our investigation showed that games are a significant predictor of differences in physical activity between boys and girls.
Etiology of degenerative joint diseases Etiology of degenerative joint diseases is still not clearly understood and there is no specific management for this group of diseases. Various pathological conditions cause damage of the articular cartilage and lead to clinically and radiographically recognized impairment. Biomechanical, metabolic, genetic factors inflammation and other risk factors contribute to development of osteoarthrosis. Pathophysiology of degenerative joint diseases Osteoarthrosis is characterized by progressive erosion of articular cartilage and bone overgrowth at the joint margins. Cartilage integrity requires balance between synthesis and degradation of matrix components. Chondrocytes react to various mechanical and chemical stresses in order to stabilize and restore the tissue. Failures in stabilizing and restoring the tissue lead to cartilage degeneration that may be irreversibile. For better understanding of conservative management of degenerative joint diseases it is important to know the impact of pathophysiology mechanisms on development of degenerative joint diseases. There is great variability in the rate of progression of erosive processes in articular cartilage in clinical radiographic signs and course of the disease. This is in relation with many factors, as well as with management and response to therapy. Treatment of degenerative joint diseases Treatment should vary depending on the severity of disease and patient's expectations and level of activity. Besides analgesic and anti-inflammatory drugs, conventional and not conventional treatment and techniques can be used for management of osteoarthrosis. Physical therapy and exercises are very important for maintaining muscle strength, joint stability and mobility, but should be closely monitored for optimal efficacy.
Introduction: Tasks of rehabilitation after arthroplasty are to provide painless joint movements, to improve the range of motion, to establish a scheme of walking, to achieve independence in activities of daily living.The aim of the study is to determine the effects of continued rehabilitation on the range of the knee motion and reducing the swelling after total knee replacement.Methods: The study was conducted from 2011 to 2013 and included 140 patients of both sexes, aged 45 to 85 with implanted endoprosthesis based on primary osteoarthritis.They were divided into two groups, experimental, which after early rehabilitation continued ongoing rehabilitation for a period of three weeks, while the control group after completion of early rehabilitation began rehabilitation two months from the surgery for a period of three weeks.The range of motion in the knee joint and the extent of the knee joint in the medium of patella were measured in both groups during the admission and discharge from rehabilitation.In the experimental group, control measurements were carried out three months after surgery.Results: In both groups, there was a significant reduction of the swelling at the discharge in relation to the admission while in the experimental group there was no change on the control of the joint swelling after three months in relation to the release from rehabilitation.In the experimental group, the range of motion of flexion and extension was improved at the discharge in relation to the admission as well as the flexion during the control while the range of motion of extension wasn't significantly changing during the control examination.In the control group, the extension and flexion were significantly improved at the discharge compared to the admission.Comparing both groups, the results showed that there was a significant improvement in flexion movements in the experimental group during rehabilitation in comparison to the control group, while the range of motion of the extension was not significantly different in these two groups.Comparing the range of motion of the experimental group on the control examination and the control group at discharge, it is demonstrated significant improvement in flexion and extension in the experimental group.Conclusion: Results of monitoring the reduction of the swelling and the return of the range of motion confirm the advantage of continuous rehabilitation.
Introduction: Non-enzymatic protein glycosylation in diabetic patients leads to stiffening of collagen-containing tissues affecting joint mobility. Motor dysfunction in diabetic patients can be detected as muscle weakness or atrophy.Objective: To determine the presence of muscles weakness and limited joint mobility at ankle (AJ), subtalar (SJ) and first metatarsophalangeal joint (I MTP) in diabetic patients and to determine impact of diabetes duration on those changes.Patients and Methods: A cross-sectional study was conducted among 100 diabetic patients in “Primary Health Care Centre Banjaluka” in 2014. Function of ten foot and ankle muscles has been evaluated by manual muscle testing. Muscle strength was scored by semiquantitative grading system used in the Michigan Diabetic Neuropathy Score. Range of motion (ROM) at the AJ, SJ and I MTP was measured with goniometer.Results: The average patients age was 61.91±10.74 and diabetes duration 12.25±8.60 years. The average strength of foot and ankle muscles expressed by muscle score was 11.56±5.08. The average ROM at AJ (47.85°) was significantly decreased compared to the reference value that is 65° (t =-15.378, P=000). The average ROM at SJ (35.10°) was significantly decreased compared to the reference value that is 50° (t =-15.378, P=000). The average ROM at the I MTP (72.70°) was significantly decreased compared to the reference value that is 120° (t =-15.378, P = ,000).Conclusion: Patients with diabetes have decreased foot and ankle muscle strength, and the average values of the range of motion at AJ, SJ and I MTP, but the duration of the diabetes does not correlate significantly with those changes.
Physical activity and sport can influence the extent of the presence of the postural disturbances in children. The aim of this study was to investigate the occurrence of differences in the postural disturbances in female adolescents in relation to team handball training.This investigation involved 150 female adolescents with the average age of 13.4 ± 1.5 years divided into two groups (50 adolescents trained handball and 100 did non train it).The study determined a statistically significant difference in the total number of postural disturbances between the two groups of adolescents (p < 0.001). The presence of the flat foot was statistically significantly higher in untrained adolescents (p < 0.001), but the presence of the scoliosis, kyphosis, lordosis, and pes varus was not found (p > 0.05).Handball adolescents players have less postural disturbances than untrained adolescents. Flat foot is significantly less frequent in female adolescents handball players than in untrained ones. Findings obtained in this investigation can help us in planning continuous prevention, observation and care for untrained and trained team handball female adolescents with postural disturbances.
To determine of catalytic activities of adenosine deaminase (ADA) and values of C-reactive protein (CRP) concentration in serums of patients with rheumatoid arthritis (RA), who were and were not treated with Methotrexate (MTX), and identifying the possibilities of using these biochemical parameters in diagnosing and monitoring of treatment effects in RA.The study involved 120 subjects (60 healthy ones, who are in accordance with examined groups concerning age and sex, 30 suffering from RA who were not treated with MTX and 30 suffering from RA who were treated by MTX). Catalytic activities of ADA in serum were determined by spectrophotometric method using adenosine as a substrate. CRP concentrations in serum were determined immunoturbidimetrically.A statistically significant correlation between values of ADA catalytic activities and values of CRP concentrations (r = 0.55, p < 0.01) in serums of subjects with RA without MTX treatment. At subjects with RA treated by MTX, correlation between values of ADA catalytic activities and values of CRP concentrations in serums was not statistically significant (r = 0.33, p > 0.01).Study results have shown that ADA catalytic activity in serum can be a useful biochemical marker of inflammatory process in RA.