Changes in endurance of spinal muscles' strength and spine mobility using kinesitheraphy method for adolescents with Scheuermann's disease and postural kyphosis

Šauermano ligai ir kifozinei laikysenai būdinga kliniškai ir rentgenologiškai padidėjusi krūtininė kifozė, o Šauermano ligos atveju rentgenogramose matomi stuburo slankstelių pakitimai. Vaikai ar paaugliai, kuriems diagnozuojama kifozinė laikysena ar Šauermano liga, dažniausiai gydomi taikant kineziterapiją. Darbo tikslas – nustatyti Šauermano liga sergančių ir kifozinės laikysenos paauglių stuburo paslankumą, pilvo ir nugaros tiesiamųjų raumenų dinaminės ir izometrinės jėgos ištvermės rodiklius prieš kineziterapiją ir po jos. Tyrimas atliktas vaikų reabilitacijos centre. Tyrime dalyvavo 30 paauglių, 15 paauglių, sergančių Šauermano liga, ir 15 paauglių, kuriems nustatyta kifozinė laikysena. Visi tiriamieji 22 dienas, po 40 minučių kasdien, atliko jiems sudarytos individualios kineziterapijos programos pratimus. Vaikai, sergantys Šauermano liga, pratimus atliko reabilitacijos centre, prižiūrimi kineziterapeuto, o kifozinės laikysenos vaikai buvo išmokyti pratimus atlikti namuose. Pastarieji atliko pratimus, stiprinančius nugaros, pilvo, mentės pritraukiamuosius raumenis, taip pat krūtinės ir užpakalinės šlaunų dalies raumenų tempimo pratimus. Visi tiriamieji buvo tiriami 2 kartus: prieš kineziterapiją ir po jos. Tyrimo metodai: stuburo paslankumas (Šobero mėginys), pilvo ir nugaros tiesiamųjų raumenų dinaminės ir izometrinės jėgos ištvermė. Tyrimo rezultatai parodė, kad paslankumas didesnis tarp kifozinės laikysenos tiriamųjų, tačiau raumenų jėgos ištvermė, taikant kineziterapiją, patikimai labiau didėjo tarp sergančiųjų Šauermano liga. Išvada: grupinės, sistemingos ir ilgalaikės kineziterapijos pratybos teigiamai veikia Šauermano liga sergančius ir kifozinės laikysenos paauglius.An increase of thoracic kyphosis in children and adolescents is usually the result of postural kyphosis (postural round back) or Scheuermann‘s kyphosis (Scheuermann‘s disease, juvenile osteochondrosis, juvenile kyphosis). Although no structural deformity of the spine is observed in postural kyphosis, wedging of vertebral bodies and disc space narrowing are noted radiologically in patients with Scheuermann‘s kyphosis. The aim of this study was to evaluate the changes in the parametres of the spine, to find out the changes of dynamic and isometric abdominal muscle endurance, dynamic and isometric back extensor muscle endurance in adolescents with Scheuermann disease and those who have postural kyphosis. The study was done in children’s rehabilitation center. The study involved 30 adolescents, 15 adolescent patients with Scheuermann disease and 15 who have postural kyphosis. All subjects for 22 days, followed by 40 minutes each day are made up of individual physiotherapy program of exercises. Fifteen with Scheuermann’s disease went for physiotherapy in rehabilitation center. The other fifteen with postural kyphosis did the same exercise programm at home. They strengthened the muscles of back, abdomen, scapula in dynamic and isometric way and stretched back, breast and hamstring muscles. All subjects were tested two times: before and after physical therapy. Methods. Spine flexibility measurement (Schober’s sign), tests for evaluating the strength of dynamic and isometric abdominal and back extensor muscle endurance. Results. Patients with postural kyphosis have bigger mobility, but endurance of muscle strength increased more for the patients with Scheuermann‘s disease using physiotherapy. Conclusion. Specific, systematic and long-term physiotherapy positive effect patients with Scheuermann disease and postural kyphosis

Effect of mobilization with movement and kinesio taping on knee function and pain in gonarthrosis

Background. Gonarthrosis is one of the most common diseases of the mus - culoskeletal system. As the disease progresses, the patient’s social and physical activities change. Reliable and effective therapies that slow the progression of go - narthrosis have not yet been found. There is a lack of evidence that a short course of physiotherapy and exercise-based treatment is effective or of how mobilization with movement and kinesio taping affects knee function and pain. We believe that in patients with knee gonarthrosis, the positive effects of physiotherapy combined with mobilization with movement and kinesio taping on knee functions and pain will be better than in those subjects who received only traditional physiotherapy . The aim . To determine the effect of mobilization with movement and kinesio taping on knee function parameters and pain in gonarthrosis. Methods . The study included 22 people diagnosed with gonarthrosis. For the experimental group (n=11), physiotherapy exercise, mobilization with movement and kinesiotape were applied, whereas the control group (n=11) used only phy - siotherapy exercise procedures. Subjects were evaluated for pain intensity, active knee range of motion, dynamic knee joint stability and evaluation of thigh muscle strength. Results . In the experimental group, there was a significant decrease in pain af - ter 7 days and a significant difference with control group. Significant knee flexion results were recorded in the experimental group and significant knee extension results were recorded in the control group. In the experimental group, the dynamic knee joint stabilization significantly increased after 14 days. The strength of the thigh muscles was significantly increased in the experimental group after 14 days. Conclusions . The effect of mobilization with movement and kinesio taping of knee function, dynamic stability pain improving functional performance of dyna - mic stability was more significant than an exercise program lasting two weeks in subjects with knee gonarthrosis

Maisto papildų su antioksidantais poveikis moterų veido odai

The skin is the most external human organ, which has direct contact with the environment, therefore, exposed to external stress factors. In order to stop the resulting damage skin cells are constantly involved in tissue regeneration processes, which require a large amount of energy and well-controlled cell metabolism. With increase image, the production of energy and mitochondrial activity decreases, so the cell and tissue function is disrupted and visible structural changes appear that are better known as the signs of skin aging. Nutrition and dietary supplements with antioxidants can protect the skin from aging, it reduces oxidative stress and is influenced by specific biological mechanisms that increase skin protection and regeneration. Objective: To assess skin coloring, luminosity, brightness and transparency, assess skin imperfections, determine the subjective skin freshness before and after supplementation. The study included 9 (37 - 51 years) women, which after evaluation of phenotype, their skin type was determined as II-IV, they were not allergic and did not have any increased sensitivity to anyone of the dietary supplement ingredients. Skin “radiance” was used to evaluate C.L.B.T.™ methodology to assess the different facial characteristics: the coloring, luminosity, brightness and transparency. This evaluation was based on a visual analysis of the following seven descriptors, clearly defined by consensus: a red-pink, olive, beige, and light-pink skin coloring (C), as well as the luminosity (L), brightness (B), and transparency (T) of each subject’s facial skin. The scoring of perceived skin descriptor was made with the help of structured and analogical scales. The results were registered before and after 8 weeks. Conclusion. Food supplements significantly reduced the women’s facial skin redness and increased brightness and luminosity. Food supplements significantly reduced the dark circles under the eyes, colour and relief, skin redness, skin spots and global skin imperfection score.Oda yra žmogaus organas, kuris turi tiesioginį kontaktą su aplinka, todėl yra veikiamas išorinių streso veiksnių. Norėdamos sustabdyti gaunamą žalą, odos ląstelės nuolat dalyvauja audinių regeneraciniuose procesuose, kuriems reikia didelio energijos kiekio ir gerai reguliuojamo ląstelių metabolizmo. Senstant energijos gamyba bei mitochondrijų aktyvumas mažėja. Dėl to ląstelių ir audinių funkcijos sutrinka ir atsiranda matomų struktūrinių pakitimų, labiau žinomų kaip odos senėjimo požymiai. Mityba ir maisto papildai su antioksidantais apsaugo odą nuo senėjimo, sumažina oksidacinį stresą ir turi įtakos konkretiems biologiniams procesams, didinantiems odos apsaugą ir regeneraciją. Tikslas – nustatyti maisto papildų su antioksidantais poveikį išoriniams moterų veido odos rodikliams. Tyrime dalyvavo 9 (37–51 m.) II–IV odos fenotipo moterys. Tiriamosios nebuvo alergiškos ir neturėjo jokio jautrumo bent vienai iš maisto papildo sudedamųjų dalių. Odos švytėjimui ir (arba) spindesiui įvertinti naudota C.L.B.T.™ metodika leidžia įvertinti skirtingus veido odos požymius: spalvą, ryškumą, šviesumą ir veido skaidrumą. Taip pat buvo vertinami odos pakitimai: spalva, reljefas, tamsūs ratilai, paraudimas, dėmės. Rezultatai registruoti prieš ir po 8 savaičių. Išvados. Maisto papildai ypač sumažino moterų veido odos raudonumą ir ryškumą bei padidino skaistumą, ypač sumažino ratilų po akimis spalvą ir reljefą, veido odos raudonį, odos dėmes ir bendrus veido odos pakitimo rodiklius

Short and long-term effects of mobilization with movement and eccentric overload to hand pain and function in the treatment of lateral epicondylitis

Aim. To determine and compare short and long-term effects of mobilization with movement and eccentric overload to hand pain and function in the treatment of lateral epicondylitis. Problem of research & hypothesis. The eccentric overload exercises are one of the best methods in tendinopathy treatment. Mobilization with movement is largely used as an effective treatment method for lateral epicondylitis. Only the short-term effects of these methods in lateral epicondylitis are often evaluated, but no studies were found to use these methods in combination and to evaluate their long-term effects. Methods. The study included individuals (n=30) aged 30–54 years who had been diagnosed with lateral epicondylitis. Subjects were tested by assessing their perceived pain using the visual analogue scale (VAS); handgrip strength was assessed by a dynamometer. The QuickDASH questionnaire was used to assess hand function and perceived disability. Subjects were randomly divided into three groups: mobilization with movement group (n=10), eccentric overload group (n=10), and combined group (combined mobilization with movement and eccentric overload exercises) (n=10). All subjects got 10 physiotherapy procedures, short-term effect evaluated after 10 procedures of physiotherapy, long-term effect evaluated after 2, 6 and 12 weeks post treatment course. Results. Study results revealed that all treatment methods had a significant (p<0.05) effect on pain reduction, increase in handgrip strength as well as improvement in hand function and disability. In follow-up assessments at 2, 6 and 12 weeks after the treatment, the most altered indicators of pain intensity, pain-free handgrip strength and hand function were seen in the mobilization with movement group. Conclusions. An application of mobilization with movement in the treatment of lateral epicondylitis had the greatest positive effect on pain intensity, maximum handgrip strength and hand function and disability compared to mobilization with movement combined with eccentric overload and eccentric overload exercises alone. Keywords: lateral epicondylitis, mobilization with movement, eccentric overload, pain intensity, hand pain-free grip strength