The majority of adults > 55 years of age show radiographic evidence of osteoarthritis; however, determining definitive prevalence and incidence rates hip osteoarthritis poses methodological problems. Several factors play a role in osteoarthritis risk, including age, gender, genetics, behavioral influences, and ethnicity (D'Ambrosia, 2005). The aim of the study was to evaluate the effect of physiotherapy in patients after total hip replacement, and to study the population’s characteristics. The study included a group of 60 patients from KMUK after total hip replacement. The effect of physiotherapy was performed using Barthel’s index, Keithel’s index and Pain Visual Analog Scale (PVAS). We evaluate these indexes at three times – before operation, first day after operation and at 5 – 7 day after operation. Exploration shows that more patients were women 68,3 proc., and men - 31,7 proc.. The average age of them was 66,42 ± 1,25 years, age of women was 68,85 ± 1,37 years and age of men - 61,16 ± 2,3 years. The mean of Keithel‘s index before operation was 29 ± 0,56 points, at first day after operation this index decreased 11,5 ± 0,5 points and after 5 – 7 days increased 22,58 ± 0,44 points (p<0,05). The mean of Barthel’s index before operation was 80,58 ± 0,65 points, at first day after operation this index decreased 34,25 ± 0,71 points and after 5 – 7 days increased 71,25 ± 1,22 points (p<0,05). Level of the pain was: before operation 7,48 ± 0,2 points, at first day after... [to full text]

Nowadays, way of living of girls and women can be described by little physical activities. Most of them do not go in for sports or take exercises and therefore their abdominal muscles are weak and get overstrained during pregnancy which can be the reason of irregular position of the foetus, hyperlordosis, might cause pains in the abdominal area or bottom limbs. Inadequate physical activities can cause adherent placenta, arterial hypotension, primary and secondary obstetrical asthenia, asphyxia of the foetus in the uterus, hypotonic bleeding, etc. Water has a very positive effect during pregnancy and water procedures are very much recommended in kinesitherapy. The research enables to better understand the need for physical activities and their use for a pregnant woman, the impact of doing safe and effective exercises during pregnancy and after childbirth, to think of help a kinesitherapist can provide in medical institutions and finally give recommendations for satisfying the needs of pregnant women. The aim of this research is to define the influence of kinesitherapic exercises on a pregnant women and her baby overland, in water and mixed conditions. Also toto set and evaluate the impact of kinesitherapy in different conditions on anthropometric indexes and arterial blood pressure of pregnant women in the second and third pregnancy term and give assessment of pregnant women’s physical activities in different conditions on their babies health. The research data shows that... [to full text]

The goal of this work was to research the effectiveness of physiotherapy means, which stimulates psychomotor development of the premature babies growing in the families and the children shelter house. The research involved the 27th premature babies growing in the families and the 19th premature babies growing in the children shelter house. The questionnaire inquiry was used for the analysis purposes of the premature babies. Munich functional development diagnostic test was used for determination of the effectiveness of physiotherapy, which stimulates psychomotor development. The research was carried out at the age of babies of three and six months. The program of plied physiotherapy means was prepared according to the age of infant-baby. The program was divided in two stages. Each stage was performed at different period of the life of the baby. The first stage was time from the 3rd to the 12th week and the second stage was from 13th to the 24th week. The questionnaire inquiry showed that many of premature babies had both parents, although the parents of babies of children shelter house were divorced. The problems in families are discussed often, whereas parents did not visit babies of children shelter house or the visits were very seldom (64%). The mostly mentioned reasons for complicated pregnancies in families were imminent miscarriage (abortion), medicaments, smoking, alcohol and strong perturbation. The reasons for complicated pregnancies in children shelter houses were... [to full text]

The normal motor development, according to the chronological age of the child, especially during the first years of their life, is one of the most important indicators, informing about the health of the child, which depends on their life conditions, routine, economic conditions of the family, nurture, psychological factors and active movement. Movement is one of the most important factors for development of the child motion and motor formation in pre-school age. The lack of investigation exploring the improvement of development of children motions and formation of posture and its relation with physiotherapy shows that these questions are still important. As well as there is no studies of evaluation of the posture f the pre-school children in Tauragė area. We designed a study and directed our investigation to the following research hypothesis: incorrect posture of the pre-school age children is related to disorders or delay of psychomotor development; early systematic physiotherapy session has a positive effect on correction of the incorrect posture. The following object of research was chosen: the posture of the pre-school age children. The aim of this research was to evaluate the influence of applied different physiotherapy methods and to find out the factors, influencing the formation of incorrect posture of children. The goals of the study: 1) to assess the posture of pre-school age children in the town of Tauragė; 2) to find out the meaning of peculiarities in the child’s... [to full text]

The research was performed at sport and health maintenance club ,,Romantic Gym“, obstetric-gynaecological department of public institution Panevezio Hospital and public institution Panevezio Primary Health Care Centre. The research was carried out in 2003 – 2004. 35 women aged 28 ± 4,2 participated in the research. Pregnant women were divided into two groups. Group 1 (n-20) was formed of women who exercised during all period of pregnancy and group 2 (n-15) of women who quit exercising in the first period of pregnancy. Exercises were done 3 – 4 times a week, duration 30 – 40 minutes. The respondents of group 1 according to their physical readiness (appendices 2 and 3) were classified as moderate or strong group of preparedness for pregnancy. They kept the rules of healthy nutrition, took vitamins, minerals and exercised. The respondents of group 2 did not keep the rules of healthy nutrition, take vitamins, minerals and exercise. The weight of newborns and pregnant women was assessed. The results revealed that women who did not exercise put on weight and it increased considerably in II – III periods of pregnancy. The newborns of mothers who kept the rules of healthy nutrition had bigger weight. It was noted that exercising and taking vitamins and minerals do not influence the weight of infants. It is advisable for pregnant women not only exercise, take vitamins and minerals, but to keel habits of healthy and correct diet.

Kaklo ir viršutinės galūnės skausmai yra plačiai paplitę tarp biuro darbuotojų. Tai šiuolaikinių biurų darbuotojų problema: kasmet daugėja ��monių, kurie didelę darbo dienos dalį praleidžia prie kompiuterio, daugėja ir tų, kurie skundžiasi kaklo bei viršutinės galūnės ir galvos skausmais. Darbo tikslas. Nustatyti kineziterapijos poveikį, mažinant galvos, kaklo ir viršutinės galūnės skausmus biuro darbuotojams. Taikyti metodai. Pirminės darbuotojų apklausos metu buvo apklausti 68 darbuotojai, didžiąją dienos dalį dirbantys kompiuteriu. Buvo atrinkti 25 darbuotojai (moterys), kurie sutiko dalyvauti antrajame tyrimo etape. Beveik visi jautė galvos, kaklo, pečių lanko skausmus. Tiriamosioms (n=25) buvo taikomi KT pratimai, laikomasi ilgų bei trumpų poilsio pertraukėlių, paaiškintos pagrindinės taisyklingos sėdėsenos taisyklės. Po 12 savaičių buvo vykdomas antrasis tyrimo etapas. Jo metu buvo pakartotinai apklausiami darbuotojai ir atliekami judesių amplitudės matavimai, vertinama raumenų jėgos dinamika bei pusiausvyra. Anketa buvo paruošta remiantis modifikuota Aberdeen skausmo skale, Borg CR10 skale, Vernono kaklo negalios indekso skale. Rezultatai. Tyrimo rezultatai parodė, jog iš (n=25) apklaustų darbuotojų prieš kineziterapiją skausmą jautė 92% tiriamųjų. Dažniausiai pasitaikantys buvo galvos, kaklo ir viršutinės žasto dalies skausmai. Po 12 savaičių KT taikymo, sėdėsenos korekcijos bei optimalaus darbo ir poilsio rėžimo laikymosi, pastebimas žymus galvos, kaklo ir rankos... [toliau žr. visą tekstą] / Neck and upper limb pain is frequently reported by computer workers. It is becoming a common problem as more people are using computers and so more and more people are complaining of pain in the neck and upper limbs, and headaches. Aims: To identify the efficacy of physiotherapy in order to relieve headache, chronic neck and shoulder pain. This research programme was concerned with people that spend the largest part of their working day using computers. Methods: The present study was designed to quantify the typical level of pain, and then to test the efficacy of physiotherapy intervention. Sixty eight workers answered the questionnaire. Only twenty five computer workers were asked to partcipate in the study, all of whom had reported headaches and had frequent or long standing neck and upper limb symptoms. Participants were asked to fill out a modified questionnaire detailing their pain before the intervention and after. The range of various neck and arm movements of the participants were then measured using goniometry and the results recorded. The group was then taught various exercises and required to take regular breaks for 12 weeks. Results: The pain was found to have been effectively relieved. Physical exercise intervention resulted in a statistically significant (p<0,05) decrease in the intensity of headaches and neck pain (from 92% to 48%). The increase in the the range of mobility and static balanse signicantly improved (p<0,05). Conclusion: Although physiotherapy is... [to full text]

Stroke is an acute impairment of circulation of blood in the brain and it impairs function of all brain or its separate parts. Furthermore, after stroke shows up paralysis of one body side and especially impairs arm function. That’s why the aim of this study was to evaluate the effect of early physiotherapy for arm function of patients after stroke. The goals of the research was: to evaluate motions of shoulder girdle, hand and complicated motions of arm before physiotherapy; to evaluate motions of shoulder girdle, hand and complicated motions of arm after physiotherapy; to estimate whether additional physiotherapy improved retraining of arm function. The research was performed in neurological department of Siauliai hospital. Sixty patients after cerebrovascular stroke took part in this study. They where grouped in two groups: thirty patients for control group and thirty patients for investigative group. For control group’s patients was applied a traditional physical therapy for retraining arm function. For investigative group besides the traditional physical therapy were applied additional physical therapy procedures accordingly to Carr and Shepherd (1990) for retraining arm function. Study used these research methods: evaluation of motions of shoulder girdle, evaluation of motions of hand, evaluation of complicated motions of arm and mathematical statistics. Arm function was evaluated by motion assessment scale. Several conclusions were made in summary of results of... [to full text]

Background: Some authors suggest that correction of ambulation using orthosis is required for children with cerebral palsy. Nowadays major attention is paid to orthopedic shoes. However, joint deformities, which are a result of spastic paralysis, are not corrected by orthopedic shoes because child’s foot deformity is not adjusted to the foot but vice versa. Aim: The aim of the study was to find out if ankle-foot orthoses (AFO) and physiotherapy intervention improves ambulation in 6-10 year old children with cerebral palsy (CP). Methods: In the study, 6-10 year old children (n=10) with CP (2 girls and 8 boys) were selected from kindergarten-school. Control group (n=20) was used to compare gait parameters. Gait parameters, 10 meter walking speed and passive range of motion (ROM) was measured for comparison. Conclusions: Findings of the study suggest that, both ankle-foot orthoses and orthoses combined with physiotherapy improve ambulation in children with cerebral palsy.

Tyrimo objektas: tiriamųjų funkcinė būklė. Tyrimo tikslas: įvertinti skirtingų kineziterapijos programų poveikį pacientų, kuriems endoprotezuotas klubo sąnarys, funkcinei būklei. Hipotezė: kineziterapija salėje bei kineziterapija vandenyje turės didesnį poveikį pacientų, kuriems endoprotezuotas klubo sąnarys, funkcinei būklei, nei tik kineziterapija salėje. Uždaviniai: 1. Įvertinti pacientų, kuriems taikyta kineziterapija salėje, funkcinės būklės kaitą. 2. Įvertinti pacientų, kuriems taikyta kineziterapija salėje ir kineziterapija vandenyje, funkcinės būklės kaitą. 3. Palyginti skirtingų kineziterapijos metodų efektyvumą. Tyrimo metodika: Tyrimas atliktas VŠĮ ,,Tulpė“ ir AB Birštono sanatorija ,,Versmė“. Trisdešimt tiriamųjų – asmenų, kuriems buvo atliktas klubo sąnario endoprotezavimas, – suskirstyti atsitiktine tvarka į dvi grupes po 15 ligonių. Vienai grupei buvo taikoma kineziterapija salėje, o kitai grupei – kineziterapija salėje ir vandenyje. Taikant šias priemones buvo pildomas tyrimo protokolas reabilitacijos eigoje: 1. Skausmui vertinti naudota VAS skalė (analoginė skausmo skalė); 2. Klubo sąnario judesių amplitudei vertinti naudotas goniometras; 3. Šlaunies apimčiai išmatuoti naudota centimetrinė juostelė; 4 . Funkciniam mobilumui ir griuvimo rizikai nustatyti naudotas ,,Stoti ir eiti“ testas; 5. Klubo sąnario funkcijai nustatyti naudota Harris Hip skalė. Visi matavimai atlikti I-ą dieną atvykus ir po 18 reabilitacijos dienų. Įvertinus abiejų grupių tiriamųjų... [toliau žr. visą tekstą] / The object of the Thesis: functional state for persons with endoprosthetic hip joint. The aim of the Thesis: to assess the effect of different physiotherapy methods on the functional state for persons with endoprosthetic hip joint. Hypothesis: Physiotherapy combined with aquatic therapy had a greater impact on persons functional status than only physiotherapy in the gym. The tasks of the Thesis: 1. To assess the effect of physiotherapy on the functional state for persons with endoprosthetic hip joint. 2. To asses the effect of physiotherapy combined with aquatic therapy on the functional state for persons with endoprosthetic hip joint. 3. To compare the effectiveness of different physiotherapy methods. The methods of the Thesis: The study was performed in ,,Tulpė“ sanatorium and sanatorium ,,Versmė“ in Birštonas. Thirty research subjects - persons with endoprosthetic hip joint – were randomly divided into two groups with 15 patients in each. One group received physiotherapy, the other – physiotherapy compared with aquatic therapy. While applying these modalities, a research protocol was completed during the rehabilitation: 1. VAS scale to assess pain; 2. Goniometer was used to assess the range of hip joint motions; 3. Measuring tape was used to assess thigh volume; 4. ,,Stand up and go“ test was used to assess functional mobility and risks of falls; 5. Harris Hip scale was used to assess joint function. All measurements were performed 1 day after arrival and 18 day after... [to full text]

Stuburo osteochondrozė sukelia skausminius pojūčius, kurių mažinimui taikomos įvairios reabilitacinės procedūros, tarp kurių ir kineziterapija bei masažas. Skausminių pojūčių mažėjimo dinamika yra iki šiol aktuali ir neišbaigta tema. Nėra pakankamai daug straipsnių, atliktų tyrimų, darbų Lietuvoje ir užsienyje šia tema, nors klausimai apie osteochondrozę bei kineziterapijos ir masažo taikymą ją gydant yra svarbūs ir šiandien. Darbo tikslas - ištirti skausminių pojūčių mažėjimo dinamiką, taikant kineziterapijos ir masažo procedūras, sergantiems stuburo osteochondroze. Uždaviniai: 1. Apžvelgti aktualias osteochondrozės ir jos komplikacijų klinikines problemas, remiantis moksline literatūra; 2. Išsiaiškinti, ką skelbia užsienio ir Lietuvos moksliniai tyrinėtojai apie masažo ir kineziterapijos efektyvumą, mažinant skausminius pojūčius sergantiems stuburo osteochondroze. 3. Nustatyti ir įvertinti skausminių pojūčių mažėjimo dinamiką, taikant kineziterapiją ir masa��ą, sergantiems stuburo osteochondroze. Tyrimo metodika. Darbe aprašoma skausminių pojūčių mažėjimo dinamika, taikant kineziterapijos ir masažo procedūras, sergantiems stuburo osteochondroze. Remiantis medicinine dokumentacija išnagrinėta 100 sergančiųjų atvejų. Vertinti skausminiai pojūčiai balais pagal VAS prieš gydymą masažu ir kineziterapija bei po jo. Analizuota skausmo mažėjimo dinamika. Atlikus tyrimą, gauti rezultatai palyginami ir pateikiamos išvados. Rezultatai. Atlikus tyrimą paaiškėjo, kad taikant... [toliau žr. visą tekstą] / Spinal osteochondrosis causes the pain. Kinesitherapy and massage decrease the pain. The dynamics of the pain decreasing is actual and no ended subject. There is no sufficiently much written reviews, done studies, works in Lithuania and foreign countries about this problem. Kinesitherapy and massage are very important in the treatment of spinal osteochondrosis. Aim of study: Aim of study was to investigate the dynamics of the pain decreasing in spinal osteochondrosis applying kinesitherapy and massage procedures. Objectives: 1. To review actual clinical problems of spinal osteochondrosis. 2. To analyse, what studies are done and what is written about efficiency of kinesitherapy and massage in spinal osteochondrosis in Lithuania and foreign countries. 3. To definite and to evaluate the dynamic of the pain decreasing in spinal osteochondrosis, applying kinesitherapy and massage. Methods. The dynamics of the pain decreasing in spinal osteochondrosis, applying kinesitherapy and massage is described. 100 cases are analysed from medical documents. The pain was evaluated by VAS before and after kinesitherapy and massage. The dynamies of the pain decreasing was analysed. Results. The pain pain decreasing in spinal osteochondrosis, applying kinesitherapy and massage procedures, the patients felt fetter. The results of the study correspond to scientific literature data. Conclusions. Practical recommendations. Kinesitherapy and massage are important procedures of spinal osteochondrosis... [to full text]