research of innovative system abilitiesfor postural analysis and
Transcription
research of innovative system abilitiesfor postural analysis and
30 Activities in Physical Education and Sport 2015, Vol. 5, No. 1, pp. 30-32 RESEARCH OF INNOVATIVE SYSTEM ABILITIES FOR POSTURAL ANALYSIS AND POSTURAL DISORDERS ASSESSMENT (Professional paprer) Daniela Popova, Stamenka Mitova and Mariya Gramatikova South-West university “Neofit Rilski”- Blagoevgrad Faculty „Public Health and Sports” Department of “Physicaltherapy” Blagoevgrad, Bulgaria Abstract The purpose of this report are the abilities of innovative system for postural analysis to be examined and analyzed, which will provide optimization of the functional researches and will gave opportunity for early changes diagnosis and deformations in musculoskeletal system in children with postural disorders. With research of abilities by innovative system and introduce it, we will help with early diagnosis, which have decisive significance for the prophylactic and the treatment of the postural disorders in the children( bad posture, spinal deformity). Also significant is the frequency of postural disorders in people with active creative age (pain syndrome, disc disease, inflammatory and degenerative joint disease and others), which leads to disablement and serious loss to the health system. Timely and qualitative functional research and treatment in these clinical conditions will have positive, scientific, economic and social effect. Keywords: diagnosis of spinal deformation, treatment of the postural disorders, children, prevention, improper posture, foot, LUX PODOSCOPE, LUX POSTURAL ANALYZER, PODOSTABIL INTRODUCTION Postural disorders are have been known from the doctors since the Old Ages. They continue to be one of the most complicated nosologies in orthopedics at the present day. The researches over the frequency and distribution of the spinal deformities show permament growth of the values, while the age limit of the affected children falls down in the same time. Complexity of the problem is determined not only from the widely distribution, striking the child’s organism, but subsequent disorders in all organs and systems functions. This define actuality and significance of the problem. Early detection, correct diagnosis, adequate treatment and rehabilitation, prophylactic, proper active physical regime, can prevent the unfavorable consequences by postural disorders and spinal deformation and ensure normal working of the growing up organism. The seriousness of the problem on bad posture at the children and adolescents due to the fact that opportunely correction of the static deformation is missing, which is prepossessing factor for structural changes development in the spine and diseases of internal organs, which also are reason for a reduced disability in middle age (Crais, 1999; Vasilyeva & Mikhailov, 2002; Abolishin & Tsitskishvili (Крейз, 1999; Васильева & Михайлов, 2002; Аболишин & Цицкишвили, 2006). Periodical control to the posture is invariably requirement for deviations detection. Many authors report that early begin of conservative treatment can prevent heavy deformation progress and surgery intervention to be avoid. (Haher, Merola, Zipnick & Gorup, 1995); (Halm, Castro, Jerosch & Winkelmann, 1995). For diagnosis placement and rehabilitation treatment define is performed skreening research including: case history, analyze, palpation, centimeters of the thighs and plantogram overview to the feet, shortened muscles was tested, flexibility of the spine was studied and special tests was applied. Many authors assign significant difference in the assessment of the bad posture and spinal deformation in the children for the lack of unitary research methodology and clear standard for diagnosis. As result of this, frequency of the pathological deviations at adolescents varies from 1.8% to 87%. All of this blurs considerably the standard border and pathology and clearly distinguish the diagnosis in children at risk wasn’t made. Purpose of the report are the abilities of innovative system for postural analysis to be examined and analyzed, which will provide optimization of the functional researches and will gave opportunity for early changes RESEARCH OF INNOVATIVE SYSTEM ... diagnosis and deformations in musculoskeletal system in children with postural disorders. In our country potentialities of hardware systems for postural analysis and posture assessment aren’t studied and publications for the problem are missing. In the international practice this system is used in hospitals, rehabilitation clinics, recovery centers in Italy, Switzerland, Slovenia, Czech Republic, Kuwait and other countries. This system was included in Guidelines of the council on Chiropractic Practice (CCP),was recommended from International Scientific Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) and from Scoliosis Research Society(SRS). The hardware system provides possibility for precision and objectivity by the diagnostics and tracing the results from the applied treatment in many pathologies. The introduction of the system for postural analysis in the physiotherapy practice will let the creation of database for researches and define standards for posture normalizing (which don’t exist). Posture analysis system, made up of a number of units and a software that makes it possible to acquire images for body part measurements, as well as information concerning weight distribution, barycentre and stability of the patient being examined. The basic units are: “Podostabil”, “Podata™” Stabilometric Footboard and “Lux Postural Analyzer”. In addition, a bilaminate Desk Top with a plexiglas column for positioning the camera and a jointing kit for connecting the units are supplied. Parameters of professional posture analysis system –set with software and hardware. Elements of the system: A. Software. Specialized software for treatment, archiving and analysis of patient information allowing: Shooting, treatment, measurements and calculations, comparison and analysis of photography images for spine segments and the foot, in contact with abutment surface to define the deformation’s type with the help of 2 cameras and 31 markers. Database with record and medical history of the patient DVD with instructions A. Hardware 1. LUX PODOSCOPE It is illuminated on each side by strong lights, which provides a visual image of the plantar surface of the foot and a representation of pressure distribution. Dimensions 46 x 55 x 33 H cm Capacity 135 kg 2. LUX POSTURAL ANALYZER: It is a device typically used for analysing posture in the frontal, posterior and lateral planes. The device consists of a bilaminate footboard, two aluminium side bars, measuring indicators and sliders with strings for postural reference and an adjustable mirror on top. Dimensions 80 x 72 x 225 H cm Capacity 135 kg 3. PODOSTABIL 2 Bilaminate base,aluminium side bars and wooden handrail. Dimensions 71 x 128 x 126 H cm Capacity 135 kg CONCLUSION Implementation of the system will provide new competencies to research the correlation between the routine and hardware methods for posture assessment. Scientific research will be enriched trough objective tracing on the results from the conducted physiotherapy treatment. Potential for prophylaxis and treatment of postural disorders and spine deformations, pain syndromes, injuries, musculoskeletal dysfunctions will be extended, which is important for the physiotherapy practice. Improving the quality of the functional research and treatment in these clinical conditions will have undisputed positive scientific, economic and social effect. REFERENCES Аболишин, А..Г., & Цицкишвили, Н.И. (2006). Двигательная реабилитация детей с нарушением осанки. [Motor rehabilitation of children with impaired posture. In Russian.] Журнал российской ассоциации по спортивной медицине и реабилитации больных и инвалидов, 20(3), 10-14. Васильева, Л.Ф., & Михайлов, A.M. (2002). Мануальная диагностика и терапия дисфункции внутренних орга- 32 D. Popova et al. нов [Manual diagnosis and therapy of dysfunction of the internal organs. In Russian.] Новокузнецк: Полиграфкомбинат. Владимиров, Б., Джеров, Д., & Иванов, В. (2000). Ортопедия, травматология и ортотика [Orthopedics, traumatology and Orthotics. In Bulgarian.] Стара Загора: Знание. Haher, T.R., Merola, A., Zipnick, R.I., & Gorup J. (1995). Metaanalysis of surgical outcome in adolescent idiopathic scoliosis. Spine, 20(14), 1575-1584. Halm, H., Castro, W.H., Jerosch, J., & Winkelmann, W. (1995). Sagittal plane correction in “King-classified” idiopathic scoliosis patient’s treatted with Cotrel-Dubousset instrumentation. Acta Orthopaedica Belgica, 61(4), 294-301. Крейз, Р. (1999). К здоровью через естественную осанку: Александер-метод. [To Health through natural posture Alexander method. In Russian.] Москва: Гранд. Фаирпресс. Milenković, S., Bubanj, S., Živković, M., Živković, D., Bubanj, R., Ćirić-Mladenović, I., & Stojiljković, S. (2013). A comparative analysis of postural status in two elite athletes: a preliminary study. Research in kinesiology, 41(1), 44 – 45. Correspondence: Daniela Popova South-west University „Neofit Rilski“-Blagoevgrad Faculty „Public Health and Sports” Department of „Physical therapy“ Str. „Ivan Mihailov“ 66, 27000 Blagoevgrad, Bulgaria E-mail: dany.popva @ abv.bg Mitova, S., Popova, D., & Gramatikova, M. (2014). Postural disorders and spinal deformities to children of primary school age. System for screening examination. Prevention and treatment. Activities in physical education and sport, 4 (2), 172-177. Николова, Е., & Лекина, Д. (2003). Комплексна методика за лечение на деца с гръбначни изкривявания в училищна възраст [Complex methodology for the treatment of children with spinal deformities in school age. In Bulgarian.] Сборник: Научна конференция с международно участие „Физическо възпитание и спорт в образователната система“ (стр. 236-243). Благоевград: Югозападен университет „Неофит Рилски“, Министрество на образованието и науката. Попов, Н. (2006). Кинезитерапия в спортната практика. Обща методика [Therapy in the sports practice. General procedure. In Bulgarian.] София: НСА-ПРЕС. Рязкова, М., & Кирова, И. (2002). Физикална терапия, Обща и специална част [Physical Therapy, General and special part. In Bulgarian.] София: МИ Арсо. Соколов, Б., & Старейшинска, Г.М. (1991). Изправителна гимнастика. [Upstanding gymnastics. In Bilgarian.] София: Медицина и физкултура.