SUMMARY The amount of disabled people of working age is icreasing in Lithuania. In the second place in the structure of primary disablement are connective tissue and muscle-skeleton diseases. In 2002 for the first time recognized as invalids were 2898 persons, in 2003 – 3448 persons. Part of inhabitants are becoming invalids because of the joint diseases. The most effective and modern treatment of hip arthrosis and some other hip joint diseases is total hip arthroplasty. In 2003 the State Patient’s Cash has received 4704 requests for total hip arthroplasty. This problem becoms more and more urgent (State Patient’s Cashies, 2004). Kinesitherapy in the gym and in the swimming pool are the main means used in the restoring of functional abilities of the patients after total hip arthroplasty. One can find the data about the efficiency of kinesitherapy for the patients after total hip replacement, but there is no separate data about efficiency of the kinesitherapy in the swimming pool. The aim of the research: to evaluate the efficiency of the kinesitherapy in the swimming pool for the patients after total hip replacement. The tasks: 1. To evaluate the change of functional abilities of the patients, who received the kinesitherapy in the gym. 2. To evaluate the change of functional abilities of the patients, who received the kinesitherapy in the gym and in the swimming pool. 3. To compare the change of functional abilities between the patients of both groups. 4. To establish the... [to full text]

Scheuermann's disease is a kyphotic deformity of the spine that develops in early adolescence. The aim of this study was to evaluate the changes in the parameters of spine (total mobility of dorsolumbal spine and lumbal part of spine), to find out the changes of strenght of the abdominal and scapula muscles, the mobility of the shoulders and the pain severity in this condition. 30 adolescents with an age of 11-16 years were taking part in this study. All of them got conservative treatment in Kaunas V.Tumėnienės rehabilitation center. Such methods as Schober‘s sign, finger-ground distance, tests for evaluating the strenght of abdominal and scapula muscles, shoulders mobility test, pain scale were used. After the treatment (kinesitherapy) the results of Schober‘s sign increased slightly, finger-ground distance improved significantly, the mobility of the shoulders and the strenght of the scapula muscles increased slightly, the strenght of the abdominal muscles improved significantly and back pain decreased considerably.

The aim of the present study was to evaluate the efficacy of kinesitherapy applied to children presented with Legg-Calve-Perthes disease during rehabilitation period. The study was performed at V. Tumenienes Children Rehabilitation Center in Kaunas. 22 children (boys) were examined. The efficacy of kinesitherapy was assessed using movement range and leg musculature extent groups’ measurements. The movement function was evaluated using modified Keitel index. The results showed that the movement range of the affected leg has improved in approximately one year during which kinesitherapy procedures were applied (p<0.0001). Statistically significant difference was observed. During treatment, slight changes regarding calf size were observed (p<0.05). The size of the thigh and the calf increased after kinesitherapy course (p<0.0001). Keitel index raised up to 67.9 ± 4.2% (p<0.0001) at the end of the treatment course. Thus, the movement therapy provided at V. Tumenienes Children Rehabilitation Center was effective.

Introduction. Rheumatoid arthritis is a disease that causes the dislocation of joints. Foot deformity and deformity of foot fingers is brought about by inflammatory processes in the joints and due to the changed pressure of body weight on the feet. The computerized method of foot-barography allows one to estimate in what way the pressure of body weight on the feet distributes itself during the process of walking and in the standing posture. This method also allows one to judge about foot deformity as well as the condition of foot joints, ligaments and muscles of the patient. The aim of the research was to study the efficiency of applying the computerized method of foot-barography in the treatment of foot joints damaged by rheumatoid arthritis. Subjects and Methods. The research was carried out at the Polyclinic of the Joint-Stock Company „Ortopedijos technika“ (Orthopedic Technology) in Kaunas. The subjects were 19 females and 3 males suffering from chronic rheumatoid arthritis. The patients were divided into 2 groups: 1) the experimental group, i.e. patients to whom kinesitherapy was applied, and 2) the control group, i.e. patients to whom kinesitherapy was not applied. The feet of the patients have been studied applying the computerized method of foot-barography. The distribution of the pressure of body weight on definite points (5, 7, 10, 13, 17, 18, 19, 20) of the foot as well as on the fingers and hell of the foot has been analysed. Conclusions. As a result of the... [to full text]

There are about 250 new spinal cord injury cases in Lithuania each year. Usually, young people of a „working age” are getting injured. Men are getting spinal cord injuries four times often than women. Researches were made in Wellness center of Vilkpėde in year 2004 and year 2005, in Vilnius (rehabilitation takes 35 days). In this supportive rehabilitation participated 24 patients who have experienced cord injuries in a past 2 years. There were 32 – 45 years old, both sex patients (79,2 % males, 20,8 % females). Participants were divided into two groups. There were 12 patients with spinal cord injuries participating in each group (paraplegics). In the first (control) group researched patients were treated only with kinesitherapy, and the second group was experimental where patients were treated using K.Nyshi method. There were made 40 procedures for the patients in each group. Purpose of this research is – the influence of K. Nyshi method for the patients with spinal cord injures. Goal of this work is – to compare the efficiency of K. Nyshi method and kinesitherapy; to evaluate patient’s functional independence; shoulder joint flexibility. During this research the following evaluation tests were used – functional independence, spinal muscle strength, waist muscular strength balance, shoulder joint flexibility, waist flexibility. Chances of bedsores were evaluated by scale of Norton. After spinal cord injuries, in period after traumas or when disease was irascible and heavy... [to full text]

Tyrimo objektas: vaikų, sergančių cerebriniu paralyžiumi, Dauno sindromu ir autizmu, rankų judesių funkcijos rodikliai ir jų kaitos ypatumai. Tyrimo problema: vaikų, sergančių cerebriniu paralyžiumi, Dauno sindromu ir autizmu, priežiūra labai įtakoja šeimos gyvenimą, skatina prisitaikyti prie vaiko poreikių. Dirbant su šiais vaikais ne visuomet galima pritaikyti įprastinius metodus jų motorikos funkcijai atkurti ar stiprinti. Vaikams, turintiems fizinę ir psichinę negalią, judėjimas yra neišsenkanti saviraiškos, savirealizacijos ir supančio pasaulio pažinimo priemonė. Dėl bendrosios ir smulkiosios motorikos nepakankamumo gali sutrikti judesių koordinacija. Neįgalusis vaikas negali arba ribotai gali atlikti judesius, keičiant padėtį erdvėje. Daugelio autorių nuomone, kineziterapijos užsiėmimai yra veiksminga priemonė lengvinanti fizinę negalią, padedanti integruoti šiuos vaikus į visuomenę. Šiam magistriniam darbui parinkta tokia kineziterapijos programa, kuri būtų efektyvi ir veiksminga šių vaikų rankų judesiams pagerinti. Nes tik įvairių motorikos ugdymo metodų taikymas didina vaikų gebėjimą atlikti taisyklingą judesį ir aktyvina vaiko dalyvavimą savitarnos, bendravimo bei pažinimo veikloje. Todėl kuo ilgiau nekreipiamas pakankamas dėmesys į šias problemas, tuo sunkesnių pasekmių galime tikėtis. Tyrimo tikslas: nustatyti kineziterapijos poveikį vaikų, sergančių cerebriniu paralyžiumi, Dauno sindromu ir autizmu, rankų judesiams. Tyrimo uždaviniai: 1. Nustatyti vaikų... [toliau žr. visą tekstą] / The object of research: indicators of hand movement functions and the specific features of their change among the children suffering from cerebral paralysis, Down's sindrome and autism. The problem of research: The care of the children with cerebral paralysis, Down's sindrome and autism has a great influence upon family life and makes it adapt to the needs of the child. While working with these children it is not always possible to employ conventional methods for the recreation of their motoric function and find the ways of how to strengthen it. Movement is an inexhaustible means of self realization, self expression and the way of learning about the surrounding world for the children with physical and psychic disability. Due to the lack of general and small motoric movements, a child‘s coordination can be impaired. A disabled child cannot or is limited to make movements changing his position in space. According to the opinion of many authors, kinesitherapy exercises are an effective way of making physical disability more bearable and help to integrale the children into the life of the society. Only the use of different methods of movement increases a child‘s ability to make correct movements and makes him more active in taking care of himself, in communication and in the course of gaining knowledge. For this reason, if the problems are neglected, more serious outcomes can be expected. This Master‘s degree thesis deals with such a program of kinesitherapy which could... [to full text]

Darbe analizuojama teorinė holistinė sveikatos samprata bei psichofizinio ugdymo reikšmė švietimo ir sveikatos apsaugos sistemos kontekste. Darbe taip pat analizuojamas psichofizinio ugdymo specialistų- kineziterapeutų ir judesio korekcijos specialistų profesinių kompetencijų praktinis realizavimas atsižvelgiant į tai, kad pastarieji specializuojasi atitinkamai reabilitacijos ir edukologijos srityse. Iškelta hipotezė, kad kineziterapeutų profesinės kompetencijos (funkciniai, bendravimo ir bendradarbiavimo, kineziterapeutų praktinės veiklos plėtros gebėjimai) yra kur kas plačiau realizuojamos praktikoje nei judesio korekcijos specialistų. Anketinės apklausos metodu buvo atliktas tyrimas, kurio tikslas- palyginti kineziterapeutų ir judesio korekcijos specialistų profesinių kompetencijų praktinį realizavimą. Apklausoje dalyvavo 200 respondentų (kineziterapeutų ir judesio korekcijos specialistų) iš Vilniaus, Kauno, Klaipėdos, Šiaulių, Panevėžio ir mažesnių miestų. Empirinėje dalyje buvo siekiama palyginti kineziterapeutų ir judesio korekcijos specialistų funkcinių gebėjimų, bendravimo ir bendradarbiavimo gebėjimų bei praktinės veiklos plėtros gebėjimų realizavimą paktikoje. Svarbiausios empirinio tyrimo išvados: 1. Daugumos funkcinių kompetencijų realizavimas praktikoje yra kur kas labiau išplėtotas kineziterapeutų nei judesio korekcijos specialistų. 2. Atlikus apklausą paaiškėjo, kad judesio korekcijos specialistų bendravimo ir bendadarbiavimo... [toliau žr. visą tekstą] / The paper deals with the theoretical analysis of health as a holistic conception and significance of psychophysiological personality‘s education in context of education system and health protection system. The paper deals with the theoretical analysis of professional competencies realization in practice of psychophysiological education specialists – specialists in kinesitherapy and specialists in movement correction considering that these specialists are specializing in rehabilitation and educological fields. Hypothesis: professional competencies (functional abilities, communication and collaboration abilities and development of practical activity abilities) are realized in practice much more by specialists in kinesitherapy than by specialists in movement correction. With questionnaire quiz method was made a research which aim was to compare realization of professional competencies in practical work of specialists in kinesitherapy and specialists in movement correction. 200 respondents (specialists in kinesitherapy and in movement correction) from Vilnius, Kaunas, Klaipėda, Šiauliai, Panevėžys and other cities have participated in this research. There was purpose to compare functional abilities, communication and collaboration abilities and development of practical activity abilities realization in practice of specialists in kinesitherapy and specialists in movement correction in empirical part. The most important empirical conclusions that... [to full text]

Atliekant bakalauro darbą, buvo susipažįstama su išsėtine skleroze, išsiaiškinama kokie yra pagrindiniai ligos požymiai ir ligos gydymo metodai medikamentiniu ir nemedikamentiniu būdais. Analizuojamas kineziterapijos vandenyje poveikis bendrajai motorikai ir gyvenimo kokybei asmenims, kurie serga išsėtine skleroze. Tyrime dalyvavo penki Šiaulių išsėtinės sklerozės draugijos nariai. Kurių sergamumas siekė nuo metų iki 25 ir ligos progresavimas yra skirtingi. Tiriamųjų amžius skirtingas nuo 40 iki 68. Jų darbingumas nuo 20 – 40 procentų. Tyrime buvo panaudota gyvenimo kokybės vertinimo testas, statinės pusiausvyros vertinimo testas, aktyvumo vertinimo testas ir laikysenos vertinimo testas. Linijinis eksperimentas vykdomas nuo 2010 spalio iki 2011 kovo mėnesiais. Visą linijinį eksperimentą galima suskirstyti į tris etapus. Svarbiausios empirinės dalies išvados: Sergantiesiems išsėtine skleroze kineziterapija vandenyje nežymiai pagerino gyvenimo kokybės įsivertinimą fiziniais ir psichiniais aspektais, tiek visos grupės, tiek kiekvieno individualiai. Eksperimento pabaigoje bendras visos grupės statinės pusiausvyros rezultatas pablogėjo. Pagal individualius rodiklius trims iš tiriamųjų - rezultatai pagerėjo, dviem – pablogėjo (gali būti dėl ligos progresavimo tyrimo eigoje). Kineziterapija vandenyje išsėtine skleroze sergančiųjų asmenų laikysenai įtakos neturėjo, nes rezultatai tyrimo pabaigoje liko nepakitę. Sergantiesiems išsėtine skleroze kineziterapija vandenyje... [toliau žr. visą tekstą] / In the course of bachelor’s work, I familiarized with the multiple sclerosis, disclosed its main symptoms and treatment methods with medicines and without medicines. Analysed effect of kinesitherapy in water on general motility and life quality for the persons with multiple sclerosis. Five Šiauliai Multiple Sclerosis Society members participated in the research. Their illness history reaches one to 25 years, progress differs. Age of the respondents is 40 to 68. Their workability is 20 to 40 per cent. Life quality assessment test, static balance test, activity test and posture test were used in the research. Linear experiment was carried out from October 2010 till March 2011. The linear experiment can be allocated into three stages. The most important conclusions of the empirical part: kinesitherapy in water slightly improved the life quality self-assessment of those with multiple sclerosis on physical and psychical aspects both individually and of the group in total. In the end of the experiment joint static balance result of the entire group worsened. According to individual indices, results improved in three subjects, became worse in two subjects (possibly due to their illness progress in the course of research). Kinesitherapy in water did not have any effect on posture of those with multiple sclerosis, because results in the end of the research remained unchanged. Kinesitherapy in water slightly improved movement activity of the entire group. Like with the static... [to full text]

THEME: Kinesitherapy means effectiveness determination for ill with juvenile spinal column osteochondropathy. THE WORK CARRIED OUT: Ausra Aleksandroviene. THE WORK SUPERVISOR: ass. prof. Dr. P.Zachovajevas THE AIM OF THE WORK: to determine the most effective kinesitherapy means out of those which were applied PC Silainiai polyclinic kinesiotherapy consulting-room visiting patients ill with juvenile spinal column osteochondropathy. TASKS: 1. To determine kinesitherapy means impact on children's general balance. 2. To determine kinesitherapy means impact on children's flexibility. 3. To determine kinesitherapy means impact on the abdomen, back, waist muscles endurance power. 4. To determine kinesitherapy means impact on aerobic working capacity . SUMMARY: Many people have back pains. The reasons of these pains are different, they are caused by various diseases. One of the most met diagnosis of late - juvenile spinal column osteochondropathy which has several names - they are juvenile ciphosis or Schojerman - Mau disease. This disease has a property to become chronic, to cause various complications, lasts more than one year. Due to early diagnostics the first symptoms of the disease are found out though many have no complaints. The inveteracy of the disease has impact on human self-feeling, cause muscles and nerves pain, decrease working capacity. The spinal column injuries and diseases determination complexity is related to this that up till now practically there is no healthy... [to full text]