Deviations of the centre of feet pressure in girls with scoliosis and scoliotic posturę

Wilczyński Jacek, Paprocki Michał, Wilczyńska Katarzyna, Wilczyński Igor. Deviations of the centre of feet pressure in girls with scoliosis and scoliotic posturę. Journal of Education, Health and Sport. 2017;7(3):400-413. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.344960 http://ojs.ukw.edu.pl/index.php/johs/article/view/4290 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 12.02.2017. Revised 23.02.2017. Accepted: 28.02.2017. Deviations of the centre of feet pressure in girls with scoliosis and scoliotic posture Wychylenia środka nacisku stóp u dziewcząt ze skoliozą i postawą skoliotyczną Jacek Wilczyński1, Michał Paprocki2, Katarzyna Wilczyńska3, Igor Wilczyński4 Instytut Fizjoterapii, Wydział Lekarski i Nauk o Zdrowiu, Uniwersytet Jana Kochanowskiego w Kielcach Doktorant, Instytut Fizjoterapii, Wydział Lekarski i Nauk o Zdrowiu, Uniwersytet Jana Kochanowskiego w Kielcach Ośrodek Rehabilitacji Dziennej Dla Dorosłych, PZOZ Starachowice Zakład Rehabilitacji Leczniczej, PZOZ w Starachowicach SUMMARY Introduction. The aim of the research was to analyze selected deviations of the centre of feet pressure (COP) in girls with scoliosis and scoliotic posture. Material and methods. 28 girls aged 7-18 years old were involved in the study. Spine research was made by Exhibeon digital radiography. Based on the size of the angle of spinal curvature there were identified scoliotic posture: 1-9° and scoliosis: ≥10°. The deviations of the centre of feet pressure were examined by static-dynamic Tecnobody’s ST 310 Plus Stability System platform. Results. Forward-Backward Standard Deviation Y was from 6,57 with opened eyes (OE) to 7,32 with closed eyes (CE). The difference in Romberg’s Test was 0,75. Medium-Lateral Standard Deviation X was from 3,89 with opened eyes (OE) to 5,54 with closed eyes (CE). The difference in Romberg’s Test was 1,65. Average Forward-Backward Speed Y was from 11,96 with opened eyes (OE) to 17,29 with closed eyes (CE). The difference in Romberg’s Test was 5,33. Average Medium-Lateral Speed X was from 9,96 with opened eyes (OE) to 13,89 with closed eyes (CE). The difference in Romberg’s Test was 3,93. Conclusion. In a study with closed eyes (CE) it has been observed a significant increase of the centre of feet pressure deviations for: Medium-Lateral Standard Deviation X (p=0,022162), Average Forward-Backward Speed Y (p=0,000071) and Average Medium-Lateral Speed X (p=0,000916). Correlation analysis of the centre of feet pressure deviations with age demonstrated an important connections only in case of Medium-Lateral Standard Deviation X (r= -0,38, p=0,043). Key words: Forward-Backward Standard Deviation Y, Medium-Lateral Standard Deviation X, scoliotic postures, idiopathic scoliosis STRESZCZENIE Wstęp. W etiologii skolioz coraz częściej zwraca się uwagę na dyskretne, trudne do zdiagnozowania zmiany neurologiczne. Celem badań była analiza wybranych wychyleń środka nacisku stóp (COP) u dziewcząt ze skoliozą i postawą skoliotyczną. Materiał i metody. Badaniami objęto 28 dziewcząt w wieku 7-18 lat. W badaniach kręgosłupa wykorzystano radiogramy cyfrowe Exhibeon. Na podstawie wielkości kąta skrzywienia kręgosłupa wyodrębniono postawę skoliotyczną: 1-9° i skoliozy: ≥10°. Wychylenia środka nacisku stóp badano statyczno-dynamiczną platformą ST 310 Plus Stability System firmy Tecnobody. Wyniki. Forward-Backward Standard Deviation Y wy­nosiła od 6,57 z oczami otwartymi (OE) do 7,32 z oczami zamkniętymi (CE). Medium-Lateral Standard Deviation X wynosiła od 3,89 z oczami otwartymi (OE) do 5,54 z oczami zamkniętymi (CE). Average Forward-Backward Speed Y wynosiła od 11,96 z oczami otwartymi (OE) do 17,29 z oczami zamkniętymi (CE). Average Medium-Lateral Speed X wynosiła od 9,96 z oczami otwartymi (OE) do 13,89 z oczami zamkniętymi (CE). Wniosek. W badaniu z oczami zamkniętymi (CE) zaobserwowano istotny wzrost wychyleń środka nacisku stóp dla: Medium-Lateral Standard Deviation X (p=0,022162), Average Forward-Backward Speed Y (p=0,000071) i Average Medium-Lateral Speed X (p=0,000916). Analiza korelacji wychyleń środka nacisku stóp z wiekiem wykazała istotne związki w jedynie w przypadku Medium-Lateral Standard Deviation X (r= -0,38, p=0,043). Zależność ta była odwrotnie proporcjonalna. Słowa kluczowe: średnie odchylenie Y, średnie odchylenie X, postawa skoliotyczna, skolioza idiopatyczn

Pre-battle exhortations in the Roman army in the light of the Caesarian Commentarii

Descriptions of pre-battle exhortations are frequent literary topos in ancient historiography. They can also be found in the works of Gaius Julius Caesar – Commentarii de bello Gallico and Commentarii de bello civili. The subject of the analysis in the following article is the issue of pre-battle speeches in the Roman army in the light of the aforementioned works. The author of the paper draws attention to such aspects of this issue as: frequency of occurrence of pre-battle speeches delivered by the Roman generals; the circumstances in which they occur; an audience (whether there were only officers or Caesar writes about speeches given to selected units or even to the entire army); the elements that Caesar and other Roman generals emphasized in their speeches; their approach to their own soldiers; the rhetorical devices they used; the effects of these speeches as well as reliability of Caesar’s account. The article also attempts to answer the question whether the pre-battle speeches were a permanent part of pre-battle ceremonial in the Roman army in the late republic period. Particular attention was paid to Caesar’s harangue in Vesontio before the battle with Ariovistus, the leader of the Germanic Suebi (BG I, 40–41), as well as to the comparison of Caesar’s speeches with the orations of the Pompeians, delivered before the decisive clash of the civil war at Pharsalus (BC III, 85–87; 90). Moreover, the author considers the importance of the way of describing pre-battle speeches for the process of self-presentation that motivated the author of Commentarii.Opisy przedbitewnych ekshortacji są częstym toposem literackim w historiografii antycznej. Można je również odnaleźć w treści dzieł Gajusza Juliusza Cezara – Commentarii de bello Gallico oraz Commentarii de bello civili. Przedmiotem analizy w poniższym artykule jest zagadnienie mów przedbitewnych w armii rzymskiej w świetle wspomnianych dzieł. W swojej pracy autor zwraca uwagę na takie aspekty tegoż zagadnienia, jak: częstotliwość występowania opisów mów przedbitewnych wygłaszanych przez rzymskich wodzów; okoliczności, w których występują; grono słuchaczy (czy byli to tylko oficerowie, czy też Cezar pisze o przemowach do oddziałów wybranych lub wszystkich); elementy, na jakie Cezar i inni rzymscy wodzowie kładli nacisk w swoich przemowach; ich podejście do własnych żołnierzy; zabiegi retoryczne, jakimi się posługiwali; efekty tychże przemów; a także rzetelność przekazu Cezara. W artykule dokonana zostaje również próba udzielenia odpowiedzi na pytanie, czy mowy przedbitewne stanowiły stały element ceremoniału przedbitewnego armii rzymskiej w okresie późnej republiki. Szczególna uwaga została zwrócona na przemowę Cezara w Wezoncjo przed starciem z Ariowistem, wodzem germańskich Swebów (BG I, 40–41), a także na porównanie mów Cezara z oracjami pompejańczyków, wygłoszonymi przed decydującym starciem wojny domowej pod Farsalos (BC III, 85–87; 90). Ponadto w artykule rozważono znaczenie sposobu opisywania mów przedbitewnych dla zabiegu autoprezentacji, który przyświecał autorowi Commentarii

Body posture in the sagittal plane and scoliotic variables in girls aged 7-18

ABSTRACTIntroduction. The aim of the study was to analyze the correlation between the variable posture in the sagittal plane and the scoliotic variables. Material and methods. The study involved 28 girls aged 7-18 years with scoliotic posture and scoliosis. Body posture as well as the spine were examined using Moiré’s spatial photogrammetry and the Exhibeon digital radiography method. Based on the size of the spinal curvature, the following were distinguished: scoliotic postures: 1-9° and scoliosis: ≥10°. Results. There were 21 (75%) with scoliotic posture and 7 (25%) with scoliosis. The size of the thoracic kyphosis and lumbar lordosis was normal. Conclusions. Between the body postural variables in the sagittal plane and the scoliotic variables, both positive (direct proportional) and negative (inversely proportional) correlations occurred. In the selection of scoliosis treatment method, the size of the postural variables in the sagittal plane should be taken into account, and each patient’s case should be individually considered

Successful autotransplantation of cryopreserved ovarian tissue with recovery of the ovarian function

Cel pracy: Celem pracy był autologiczny przeszczep tkanki jajnikowej poddanej kriokonserwacji u pacjentki z przedwczesnym wygaśnięciem czynności jajników po agresywnej terapii onkologicznej. Materiał i metody: W 18 tygodniu ciąży u 28 letniej ciężarnej (C2P1) rozpoznano inwazyjną postać gruczołowego raka szyjki macicy. W 31 tygodniu przeprowadzono elektywne cięcie cesarskie, podczas, którego urodził się noworodek płci męskiej (1780g Apgar 8/10). Następnie wykonano radykalne wycięcie macicy techniką „nervesparing” z przydatkami, węzłami chłonnymi biodrowymi i około aortalnymi dolnymi. Jajniki poddano kriokonserwacji techniką powolnego zamrażania. Pacjentka przeszła cykl radiochemioterapii z następczą brachyterapią. Przedwczesne wygaśnięcie czynności jajników potwierdzono pomiarem hormonów płciowych: estradiol – 2 pg/ml, FSH – 96,52 IU/ml, LH – 37,55 IU/ml, AMH – 0,03 ng/ml. Trzynaście miesięcy po zabiegu chirurgicznym w powłokach brzusznych laparoskopowo wytworzono zachyłek otrzewnowy, w którym umieszczono rozmrożoną tkankę jajnikową Wyniki: Dziewięć tygodni po transplantacji uzyskano remisje objawów wypadowych, wzrost stężenia estradiolu (53 pg/ml), spadek FSH (64,89 IU/ml) i LH (33,39 IU/ml). Dwadzieścia cztery tygodnie po zabiegu zaobserwowano wysokie stężenia estradiolu (269 pg/ml), fizjologiczne stężenia FSH (5,92 IU/ml), LH (4,09 IU/ml) oraz wzrost stężenia AMH (0,37 ng/ml). Podczas badania ultrasonograficznego w przeszczepionej tkance jajnika uwidoczniono pęcherzyk dominujący. Wnioski: Przeszczep tkanki jajnikowej spowodował powrót czynność hormonalnej jajnika. Transplantacja tkanki jajnikowej może posłużyć, jako alternatywne leczenie przedwczesnej menopauzy spowodowanej agresywnym leczeniem onkologicznym.  Objectives: The aim of the study was autotransplantation of cryopreserved ovarian tissue to a patient suffering from premature ovarian failure caused by aggressive oncological therapy. Material and methods: A 28-year-old woman, GII PI, was diagnosed with invasive adenocarcinoma of the cervix at 18 weeks of gestation. At 31 weeks of gestation, a cesarean section was performed, resulting in the delivery of a healthy male newborn, followed by simultaneous, radical hysterectomy with bilateral salpingo-oophorectomy and lymphadenectomy. Half of each ovary was cryopreserved. The patient was scheduled for radiochemotherapy, supplemented with brachytherapy. After the intervention, the patient experienced menopausal symptoms. The basal hormonal levels were: estradiol – 2 pg/ml, FSH – 96.52 IU/ml, LH – 37.55 IU/ml, AMH – 0.03 ng/ml. Thirteen months after surgery, the peritoneal pocket was formed on the anterior abdominal wall during laparoscopy and heterotrophic autotransplantation of the frozen-thawed ovarian tissue was performed, replacing 59% of the tissue. Results: Nine weeks after transplantation, symptom resolution, an increase in estradiol (53 pg/ml), and a decrease in FSH (64.89 IU/ml) and LH (33.39 IU/ml) levels were noted. Twenty-four weeks after transplantation, high estradiol levels (269 pg/ml), normal level of FSH (5.92 IU/ml) and LH (4.09 IU/ml), and an increase in AMH (0.37 ng/ml) were observed. Follicular development in the transplanted ovarian tissue was confirmed. Conclusions: Cryopreservation and transplantation of ovarian tissue allowed to restore the ovarian function. It could offer an alternative physiological solution to treating premature ovarian failure caused by oncological therapy.

Detection of intracavitary lesions in 820 infertile women: comparison of outpatient hysteroscopy with histopathological examination

Objectives: The aim of the study was to compare the results of a diagnostic hysteroscopy with a histopathology examination (referential test) in a group of infertile women. Materials and methods: Eight hundred and twenty infertile patients were included in the study. The subjects with intracavitary lesions underwent operative hysteroscopy to enable the removal of polyps and intracavitary myomas. Endometrial biopsy was performed in all patients with no pathologies in hysteroscopy. The removed tissue underwent histopathological examination. Results: The mean age was 32.9 ±4.1. A total of 648 (79%) patients were diagnosed with primary and 172 (21%) with secondary infertility; 542 (66.1%) hysteroscopies were performed with no anesthesia and 278 (33.9%) hysteroscopies were performed in short total intravenous anesthesia. Sensitivity and specificity, accuracy, error, positive predictive value (PPV) and negative predictive value (NPV) of hysteroscopy in detecting endometrial lesions were 99.6%, 96.6%, 97.4%, 2.6%, 92.2% (PPV) and 99.8% (NPV), respectively. The agreement between hysteroscopy and pathology report was very high (kappa K=0.94). In case of normal uterine cavity, 562 of the 563 endometrial samples showed evidence of normal endometrium. In all 32 cases of resected submucosal myomas histopathology confirmed the hysteroscopic findings (sensitivity100%, specificity 100%, accuracy 100%, error 0%, kappa K=1.0). Both, hysteroscopy and histopathology confirmed the presence of endometrial polyps in 199 cases. The diagnosis of a polyp was not confirmed in histopathological findings (false-positive results) in 20 hysteroscopies. No endometrial polyps were missed during hysteroscopy. Sensitivity, specificity, accuracy, error, positive and negative predictive values in detecting endometrial polyps were 100%, 96.8%, 97.6%, 2.4%, 90.9% (PPV) and 100% (NPV), respectively. The Kappa coefficient agreement between hysteroscopy and histopathology for endometrial polyps was 0.91. Conclusions: Hysteroscopy is a method of high sensitivity and specificity in detecting pathologies, but in case of a pathology it cannot replace histological examination. Our result show that a routine endometrial biopsy performer in infertile patients with no pathology in hysteroscopy should not be recommended

Assessment of the progress of the therapy by the FED in patients with scoliosis idiopathic

Summarizing the result of x-rays and Diers Formetric III 4 D, it can be concluded that the girl received improved on as a result of the treatment method of F.E.D.. The angle of the original curvature was 56 ° in the thoracic region and 50 ° in the lumbar region measured by Cobb. After corrections were obtained curvature of the spine, which respectively in the thoracic region 46 °, and 45 ° lumbar. In addition, the method of opto-Diers Formetric III 4 D allows a constant control and evaluation of the progress of the therapy method F.E.D. is completely devoid of harmful x-rays.By comparing the results of the angles in the curve and the degree of rotation in all of the studies, it can be concluded that the results represent a significant correction of spine patients. In addition, was a link between the tests and X-RAY Diers Formetric 4 D. Angles in the curve in both studies were situated within the limits of the measurement errors which proves their correlation.So far, however, no studies have been conducted on a large research group in order to prove the direct correlation between the two diagnostic methods. This system can be presented to the various clinical issues an objective and quantitative analysis of body posture and scoliosis. This is currently the most modern non-invasive evaluation system

Palliative surgery in cases of unresectable pancreatic head cancer

Wstęp. W niniejszej pracy omówiono postępowanie paliatywne u chorych z nieresekcyjnym rakiem głowy trzustki. Celem pracy było porównanie różnych rodzajów operacji, wykonywanych przy braku możliwości leczenia radykalnego. Materiał i metody. Analizie poddano 108 chorych z rakiem głowy trzustki, których operowano w Klinice Chirurgii Ogólnej i Transplantacyjnej w latach 1995-2004. U 94 chorych śródoperacyjnie stwierdzono nieresekcyjność zmiany bez naciekania dwunastnicy. Chorych tych podzielono na 2 grupy: w pierwszej (60 chorych) wykonano zespolenie odbarczające drogi żółciowe, a w drugiej (34 chorych) - zespolenie odbarczające drogi żółciowe i dodatkowo zabieg drenujący żołądek. W obu grupach operowanych chorych porównano średni czas pobytu w szpitalu, częstość występowania powikłań chirurgicznych i śmiertelność. Wyniki. Obydwie grupy chorych były porównywalne pod względem wieku i płci. Chorzy po operacji zespolenia żółciowego przebywali w szpitalu średnio 19,2 ± 7,9 dnia, a po zabiegu uzupełnionym o profilaktyczne zespolenie żołądkowo-jelitowe - 18,1 ± 9,1 dnia. Porównując częstość powikłań pooperacyjnych i śmiertelność w grupach, nie stwierdzono pomiędzy nimi różnic istotnych statystycznie. Wnioski. Tradycyjnie stosowany w zabiegach paliatywnych przy zaawansowanym raku trzustki drenaż dróg żółciowych można rozszerzyć o zespolenie żołądkowo-jelitowe bez ryzyka zwiększenia częstości powikłań pooperacyjnych.Background. The authors discuss surgical palliative procedures in patients with unresectable pancreatic head cancer. Aim of the study is to compare diffrent surgical procedures in respect of postoperative complication and mortality rate in cases, when the radical treatment was not possible. Material and methods. We analysed 108 patients who underwent surgery for the pancreatic head cancer in Department of General and Transplant Surgery of the Medical University in Łódź between years 1995 and 2004. Of those in 94 cases unresectable lesion without duodenal involvement was detected during surgery. The patients were divided into two groups - in the first group of 60 - biliary by-pass procedure has been done and in the second group of 34 - similiar procedure with gastroenterostomy. We compared the frequency of postoperative complications and mortality rate in mentioned above groups. Results. Patients, who underwent combined biliary and gastric by-pass remained in hospital for 18.1 ± 9.1 and following biliary by-pass alone - 19.2 ± 7.9 days. There were no statistically significant differences between these groups while the complication frequency and mortality rate were found similar. Conclusions. In advanced pancreatic cancer, traditionally executed biliary drainage can be extended by a gastro-jejunostomy without the increased risk of post-operative complications or mortality

Peripheral nerves electrostimulators. Technical Specifications

Admission The first successful attempt to use stimulants neuro modulation properties date back to the first half of the twentieth century. Due to the high technological limitations, the use of peripheral nerve electrostimulators the early eighties XX century was relatively small and involved few patients treated primarily due to neuropathic pain and patients psychosurgical. The development of modern batteries in the eighties of the twentieth century, standardization and implementation process to achieve consensus on the guidelines for operations in the field of functional neurosurgery, they contributed to intensified "Renaissance" functional neurosurgery. Material and methods Articles in the EBSCO database were analyzed using the keywords: peripheral nerves, stimulation, electrostimulation, neurosurgery. Furthermore, neural searched betting sites in terms of the technical aspects of this equipment. Available literature was subjectively selected. Then searched the latest version of each article. Results Offered different tools offered technical specifications. Technological developments have allowed the convenience to use devices, min. by increasing control by the user or representative of the operation of the pacemaker. Conclusions The development of technology and neuroscience neurostymulatorów resulted in the development of many available on the market. However, more research is needed to determine the exact parameters of stimulation, which would get the largest size stimulation effect while minimizing adverse effects

Rehabilitation management in Parkinson's disease - review of the variety of forms

Introduction: Parkinson's disease is one of the most common central nervous system diseases. Despite many studies and the use of many different forms of drug treatment, it is still not possible to completely regress the disease. Drug treatment can effectively reduce the severity of stiffness, slow motion or tremor, but does not affect non-dopaminergic symptoms such as postural and gait stability disorders which can result in numerous falls. Materials and methods: Analysis of selected and available literature and scientific articles available in the Google Scholar and Pubmed search engine database. Keywords were used for this purpose: Parkinson's disease, Rehabilitation, and Therapy Results: The most common symptoms of a neurodegenerative disease, which is Parkinson's disease, include slow motion, increased muscle tone, resting tremor, and balance disorders. The etiopathogenesis of Parkinson's disease is still not fully understood, and for this reason a simple algorithm was still created for the diagnosis of the disease and possible further treatment. Kinesitherapy, which is individually tailored to the patient's needs, is the basic form of rehabilitation in Parkinson's disease. For this purpose, muscle stretching exercises, autogenic training, exercises improving efficiency, respiratory therapy or progressive muscle relaxation by the Jacobson method are used. In the case of physical therapy, which is complementary to rehabilitation, hydrotherapy, magnetotherapy and iontophoresis are used. In addition to the above-mentioned forms of rehabilitation, deep therapeutic stimulation of the brain, subcutaneous administration of apomorphine, basic forms of occupational therapy and speech therapy exercises are also used for therapeutic purposes. Conclusions: Despite the large amount of research and published results, there is still a great need for further work on the problems of people with Parkinson's disease

The impact of influenza on elderly patients

Background: Influenza is a disease affecting the human respiratory system. A common problem is to confuse colds with influenza, which results in problems with vaccination and complications related to influenza. Particular attention should be paid to the treatment of influenza, as it is a serious health risk if not treated in the elderly. Research conducted by scientists from Taiwan shows that currently the best way to protect against influenza is preventive vaccination. In addition to vaccination, antiviral drugs (Oseltamivir, Zanamivir, Amantadine, Rimantadine), antipyretics (aspirin, paracetamol) are used. Attention is paid to natural methods (ginseng extract, root lichen extract) and supplements (vitamin C, zinc). Material and Methods: This article is based on a review of the current state of knowledge on influenza in the elderly. The most up-to-date literature with EBSCO, Google Scholar and PubMed has been reviewed. Key words such as influenza, influenza complications, vaccinations, influenza treatment. Results: In the context of the above topics, particular attention is paid to the elderly, in whom a low level of immunity predisposes to getting sick. An increase in the incidence of disease causes an increase in the mortality of older people. Complications following the occurrence of influenza are closely related to the type of virus, where the influenza A virus classified as the heaviest in the course. It has been proven that the bird influenza virus is also a threat to humans. The classic symptoms of influenza are cough, fever, while complications associated with untreated influenza are primarily myocarditis or pneumonia. Conclusion: Due to the decline in immunity, older people are particularly at risk of influenza virus. Scientists have demonstrated the high effectiveness of protective vaccination, but one should remember to repeat them every year. Vaccinations in the elderly have reduced effectiveness, which is why antiviral therapies, natural methods and supplements are used. In the rational treatment of influenza, it is noted that natural methods and supplements are an addition to classic antiviral therapy