scholarly journals The Effect of an Innovative Biofeedback SKOL-AS® Treatment on the Body Posture and Trunk Rotation in Children with Idiopathic Scoliosis—Preliminary Study

Medicina ◽  
2019 ◽  
Vol 55 (6) ◽  
pp. 254 ◽  
Author(s):  
Anna M. Kamelska-Sadowska ◽  
Halina Protasiewicz-Fałdowska ◽  
Lidia Zakrzewska ◽  
Katarzyna Zaborowska-Sapeta ◽  
Jacek J. Nowakowski ◽  
...  

Background and Objectives: The deformity in idiopathic scoliosis (IS) is three dimensional and effective correction involves all three planes. Recently, the biofeedback method has been implemented in the treatment of scoliosis. The aim of this study was to evaluate the effectiveness of an innovative biofeedback SKOL-AS® postural training among children with scoliosis. Materials and Methods: The target population for this study was 28 patients (25 girls and 3 boys) aged between 5 and 16 years old diagnosed and treated with progressing low-grade scoliosis. The postural diagnosis consisted of anthropometric measurements, posterior–anterior X-ray imaging, SpinalMeter® postural assessment and the angle of trunk rotation (ATR) assessment. The SKOL-AS® treatment comprised of 24 sessions conducted in lying and sitting positions, two times a week. Results: It has been shown that the postural training resulted in the decrease in the ATR value (pre- vs. post-exercise in younger: 5.55 vs. 3.0 and older patients: 5.2 vs. 3.0). The increase in height of the subjects seemed to confirm a positive effect of SKOL-AS® elongation treatment. In the posterior view, a statistically significant decrease in shoulder asymmetry in the sitting position in younger children has been observed. In the anterior view, the changes in the head position (based on mouth and eye symmetry) have been observed. The statistically significant increase in acromion–heel, acromion–iliac crest and posterior superior iliac spine (PSIS)–heel length values has been shown in younger children on the left side of the body. After treatment, older subjects had higher acromion–iliac crest and PSIS–heel values on the left side of the body. On the right side only PSIS–heel length was higher. In a sitting position, only a small increase in acromion–iliac crest length value has been observed. Conclusions: The SKOL-AS® biofeedback method could teach good postural habits and teach patients the auto-correction of the spine.

2021 ◽  
pp. 11-30
Author(s):  
Anna M. Kamelska-Sadowska ◽  
Halina Protasiewicz-Faldowska ◽  
Lidia Zakrzewska ◽  
Katarzyna Zaborowska-Sapeta ◽  
Jacek J. Nowakowski ◽  
...  

2019 ◽  
Vol 16 (2) ◽  
pp. 749
Author(s):  
Bojan Jorgić ◽  
Petra Mančić ◽  
Saša Milenković ◽  
Nikola Jevtić ◽  
Mladen Živković

Scoliosis is a multifactorial three-dimensional (3D) spinal deformation which always includes elementary deformations on three planes: a lateral curvature on the frontal plane, loss of natural physiological curvature on the sagittal plane and, in most cases, increase of lordosis in the lumbosacral joint (hyperlordosis), and a (very typical) vertebral axial rotation on the horizontal plane. One of the best methods in scoliosis correction is the Schroth method. In view of the above, the objective of this study is to identify the effects of the Schroth method on correcting functional-motor status in children with adolescent idiopathic scoliosis (IS). The participant sample comprised 20 children, of an average age of 14.5, who took part in the 10-day Schroth Camp. The following measure instruments were used for the assessment of the effect of the Schroth method: the Sorensen test, the Sit-and-reach test, and height assessment. Statistically significant improvements were identified across the results of all three tests, for the Sorensen test: 45.6±19.29 s, the Sit-and-reach test: 4.05±2.25 cm, and height 1.4±0.66 cm. It can be concluded that the conducted Schroth method exercise program exerted a positive effect on improving motor functionality, as well as enhancing flexibility and isometric endurance of the lumbar extensors of the spine. Additionally, there was an increase in height, which indicates a positive effect in terms of the functionality and symmetry of the left and right sides of the body, and in terms of improved posture on the frontal and sagittal planes.


2017 ◽  
Vol 21 (4) ◽  
pp. 276-292
Author(s):  
Lu Lu ◽  
Kit-Lun Yick ◽  
Sun Pui Ng ◽  
Joanne Yip ◽  
Chi Yung Tse

Purpose The purpose of this paper is to quantitatively assess the three-dimensional (3D) geometry and symmetry of the torso for spinal deformity and the use of orthotic bracewear by using non-invasive 3D body scanning technology. Design/methodology/approach In pursuing greater accuracy of body anthropometric measurements to improve the fit and design of apparel, 3D body scanning technology and image analysis provide many more advantages over the traditional manual methods that use contact measurements. To measure the changes in the torso geometry and profile symmetry of patients with adolescent idiopathic scoliosis, five individuals are recruited to undergo body scanning both with and without wearing a rigid brace during a period of six months. The cross-sectional areas and profiles of the reconstructed 3D torso models are examined to evaluate the level of body symmetry. Findings Significant changes in the cross-sectional profile are found amongst four of the patients over the different visits for measurements (p < 0.05), which are consistent with the X-rays results. The 3D body scanning system can reliably evaluate changes in the body geometry of patients with scoliosis. Nevertheless, improvements in the symmetry of the torso are found to be somewhat inconsistent among the patients and across different visits. Originality/value This pilot study demonstrates a practical and safe means to measure and analyse the torso geometry and symmetry so as to allow for more frequent evaluations, which would result in effective and optimal treatment of spinal deformation.


2016 ◽  
Vol 53 (1) ◽  
pp. 9-22 ◽  
Author(s):  
Zhao Zhang ◽  
Shiming Li ◽  
Bingjun Wan ◽  
Peter Visentin ◽  
Qinxian Jiang ◽  
...  

AbstractNo existing studies of badminton technique have used full-body biomechanical modeling based on three-dimensional (3D) motion capture to quantify the kinematics of the sport. The purposes of the current study were to: 1) quantitatively describe kinematic characteristics of the forehand smash using a 15-segment, full-body biomechanical model, 2) examine and compare kinematic differences between novice and skilled players with a focus on trunk rotation (the X-factor), and 3) through this comparison, identify principal parameters that contributed to the quality of the skill. Together, these findings have the potential to assist coaches and players in the teaching and learning of the forehand smash. Twenty-four participants were divided into two groups (novice, n = 10 and skilled, n = 14). A 10-camera VICON MX40 motion capture system (200 frames/s) was used to quantify full-body kinematics, racket movement and the flight of the shuttlecock. Results confirmed that skilled players utilized more trunk rotation than novices. In two ways, trunk rotation (the X-factor) was shown to be vital for maximizing the release speed of the shuttlecock – an important measure of the quality of the forehand smash. First, more trunk rotation invoked greater lengthening in the pectoralis major (PM) during the preparation phase of the stroke which helped generate an explosive muscle contraction. Second, larger range of motion (ROM) induced by trunk rotation facilitated a whip-like (proximal to distal) control sequence among the body segments responsible for increasing racket speed. These results suggest that training intended to increase the efficacy of this skill needs to focus on how the X-factor is incorporated into the kinematic chain of the arm and the racket.


Author(s):  
Katarzyna Adamczewska ◽  
Marzena Wiernicka ◽  
Ewa Malchrowicz-Mośko ◽  
Joanna Małecka ◽  
Jacek Lewandowski

(1) Background: Idiopathic scoliosis is a deformity of the growing spine. It affects 2–3% of adolescents; yet its cause is still unknown. At the early stage of idiopathic scoliosis (IS), the signs are not very noticeable. That is why the primarily school-based screening for scoliosis is so important. (2) Methods: This was a cross-sectional analysis of 6850 respondents. Participants were elementary school students in the metropolitan area of Poland. The suspicion of IS was based on detection of three-dimensional deformity of the spine using scoliometer. (3) Results: Respondents were divided into two groups: Angle of trunk rotation (ATR) = 0–3º and ATR > 3º. Presented research using a referral criterion of 5º ATR showed that in the group of participants who had ATR > 3º the largest percentage of 5 degree values was recorded at the second and third measurement level of the spine (30.5%, 31.1%, respectively). Analyzing the differences between the two groups of girls (ATR = 0–3º, ATR > 3º), statistically significant differences were recorded between 9 and 11 years of age (p = 0.0388). Girls with ATR > 3º at all measuring levels are significantly slimmer than girls with ATR 0–3º; (4) Conclusions: Age; sex, and risk of developing angle of trunk rotation are very closely associated. The main thoracic (level 2) and thoraco-lumbar (level 3) level of measuring of the spine appears to be the most differentiating in the diagnosis of scoliosis. Girls with a lower degree of trunk deformity (4–6º trunk rotation), which can present mild scoliosis and those with a higher degree (7º trunk rotation) have lower body mass than girls within the norm.


Author(s):  
Sandra Trzcińska ◽  
Kamil Koszela ◽  
Michał Kuszewski

(1) Background: The unknown etiology of idiopathic scoliosis and its three-dimensional nature make the cause-and-effect therapeutic management difficult. A tendency to progression of scoliosis and the failure of many methods of conservative treatment have prompted the search for new methods that would stop and correct deformations. One of them is the FED method, used in the conservative treatment of idiopathic scolioses, in which all scoliotic curves are corrected. The aim of this study was a comparative analysis of the effectiveness of idiopathic scoliosis treatment with the FED and FITS methods. (2) Methods: The study included 60 randomly selected girls, aged 11 to 15 years, treated with the FED and FITS methods. They were diagnosed with idiopathic scoliosis grade II according to Cobb and double-curve scoliosis type I and II according to King–Moe classification. The results of the therapy were assessed with the use of the Bunnell scoliometer. The examinations were performed before the start of the therapy—on the first day of the child’s stay—and 3 weeks after the therapy. The angle of trunk rotation and the sum of two rotations were assessed using a scoliometer. (3) Results: The performed statistical analysis demonstrated significant changes in the examined parameters in both therapeutic groups. (4) Conclusions: 1. The obtained results indicate that the FED therapy may prove to be an effective method of treating idiopathic scoliosis; however, it requires further research in a larger group of patients; 2. both methods significantly improved trunk rotation in primary and secondary scoliosis, but after using summing parameters (SDR parameter), the FED method appeared to be statistically more effective.


Author(s):  
O. Faroon ◽  
F. Al-Bagdadi ◽  
T. G. Snider ◽  
C. Titkemeyer

The lymphatic system is very important in the immunological activities of the body. Clinicians confirm the diagnosis of infectious diseases by palpating the involved cutaneous lymph node for changes in size, heat, and consistency. Clinical pathologists diagnose systemic diseases through biopsies of superficial lymph nodes. In many parts of the world the goat is considered as an important source of milk and meat products.The lymphatic system has been studied extensively. These studies lack precise information on the natural morphology of the lymph nodes and their vascular and cellular constituent. This is due to using improper technique for such studies. A few studies used the SEM, conducted by cutting the lymph node with a blade. The morphological data collected by this method are artificial and do not reflect the normal three dimensional surface of the examined area of the lymph node. SEM has been used to study the lymph vessels and lymph nodes of different animals. No information on the cutaneous lymph nodes of the goat has ever been collected using the scanning electron microscope.


2020 ◽  
Author(s):  
Guanghui Xu ◽  
Yuhao Wang ◽  
Hushan Zhang ◽  
Xueke She ◽  
Jianjun Yang

Neuroendocrine neoplasias (NENs) are a heterogeneous group of rare tumors scattered throughout the body. Surgery, locoregional or ablative therapies as well as maintenance treatments are applied in well-differentiated, low-grade NENs, whereas cytotoxic chemotherapy is usually applied in high-grade neuroendocrine carcinomas. However, treatment options for patients with advanced or metastatic NENs are limited. Immunotherapy has provided new treatment approaches for many cancer types, including neuroendocrine tumors, but predictive biomarkers of immune checkpoint inhibitors (ICIs) in the treatment of NENs have not been fully reported. By reviewing the literature and international congress abstracts, we summarize the current knowledge of ICIs, potential predicative biomarkers in the treatment of NENs, implications and efficacy of ICIs as well as biomarkers for NENs of gastroenteropancreatic system, lung NENs and Merkel cell carcinoma in clinical practice.


Sign in / Sign up

Export Citation Format

Share Document