Title: Screening of musculoskeletal system and level of physical activity in children of younger school age Objectives: The aim of the study is to asseess physical activity of school age in primary school in Dolní Břežany and try to find the most common risk factors for motor development of children in school age. Another aim of the study is to find statistical context between flat foot and age, gender, hypermobility, shortened hamstring muscles, lumbar hyperlordosis, level of core muscles and overweight and between winged scapula and age, gender, hypermobility, shortened m. trapezius and mm. pectorales and level of core muscles. Methods: The research was carried out by using non-standardized questionnaire to assess physical activity. Level of motor development was evaluated by group of physiotherapists. The research population was chosen purposefully by contractual research which consisted of 298 children who study on primary school in Dolní Břežany. For statistical analysis of all measured was used Microsoft Excel software. These data were evaluated by Chi - squared test and logistic regression. Results: It was found that the largest number of children does sports 2-4 hours a week. The most common risk factor of motor development of children is winged scapula and shortened hamstring muscles....

Objectives: The aim of this thesis is find out the effect of the intervention compensatory exercise on the function of scapula fixators in older school-age swimmers. Methods: This is a one-factor experiment in which the activity of the scapula fixators will be evaluated by Jandas push-up stereotype, Kolars tilt test and swimming breaststroke. The activity was evaluated by 4 evaluators for observing objectivity. After the first initial evaluation, 8 weeks of interventional compensatory exercise will be started, which will include 9 specific exercises for strengthening scapula fixators. At the end of the experiment, the above tests are again performed to evaluate the activity of the blade fixators. Results: The results showed a significant weakening of the scapula fixators in 97. 14% of the tested elderly-school swimmers at the start of the experiment. After 8 weeks of interventional compensatory exercise, focusing on scapula fixators, the weakening was only present in 11. 43% of swimmers. Key words: Swimming, scapula fixators, elderly school age, compensatory exercise

1 ABSTRACT Objectives: The aim of this thesis is find out the effect of the intervention compensatory exercise on the function of scapula fixators in older school-age swimmers. Methods: This is a one-factor experiment in which the activity of the scapula fixators will be evaluated by Jandas push-up stereotype, Kolars tilt test and swimming breaststroke. The activity was evaluated by 4 evaluators for observing objectivity. After the first initial evaluation, 8 weeks of interventional compensatory exercise will be started, which will include 9 specific exercises for strengthening scapula fixators. At the end of the experiment, the above tests are again performed to evaluate the activity of the blade fixators. Results: The results showed a significant weakening of the scapula fixators in 97.14% of the tested elderly-school swimmers at the start of the experiment. After 8 weeks of interventional compensatory exercise, focusing on scapula fixators, the weakening was only present in 11.43% of swimmers. Key words: Swimming, scapula fixators, elderly school age, compensatory exercise

Sex and age determination are vital when attempting to establish identity from skeletal remains. There are two methodological approaches to sex determination, namely morphological and metrical methods. In this study the shape of the scapula was studied in order to gain information on its development and sexual dimorphism. One drawback to studying the scapula is its fragility, making it difficult to obtain adequate osteometric measurements. The aim of this study was to use geometric morphometrics to study the ontogeny and sexual dimorphism of the scapula. The sample consisted of 45 adult males and 45 adult females, as well as 81 juvenile scapulae of known individuals. The scapulae were photographed and 21 homologous landmarks were plotted to use for geometric morphometric analysis with the ‘tps’ series of programs, as well as the IMP package. The consensus thin- plate splines, as well as the vector thin- plate splines for adult males and females, as well as each consecutive year of growth in juveniles were compared with each other. The CVA and TwoGroup analyses yielded significant differences between males and females. The lateral and medial borders of females are straighter and the supraspinous fossa of females was more convexly curved than those of males. More than 91% of the adult females and 95.6% of the adult males were correctly assigned. Goodall’s F- test yielded a p- value of 0.20014 which was not significant. Hotelling’s T2- test yielded a significant p- value of 0.00039. Geometric morphometrics were found to be a valuable tool in the study of changes in shape in the growing years and it was found that the lateral border of juvenile scapulae remained constant with advancing age, while the medial border remained constant during early childhood up to the age of six, varying during older childhood and early adolescence and once again becoming constant from age 15 upwards. The largest changes in the juvenile shape could be seen in the supraspinous fossa, with the superior border having a concave shape up to the age of 10, and then displaying a convex shape from 12 to 19 years of age. Differences between the sexes in juveniles were not significant, but a larger sample may yield different results. In conclusion it was found that significant differences between the shapes of adult male and female scapula exist. / Dissertation (MSc (Anatomy))--University of Pretoria, 2007. / Anatomy / unrestricted

Bakgrund: Subacromiell smärta är vanligt hos idrottare med repetitivt arbete ovan axelhöjd, vilket kan orsakas av obalans i muskulatur, förändrad position eller inskränkt rörlighet av scapula. Nedsatt funktion av scapula och dess stabilitet kan leda till minskad axelledsrörlighet och försvagad muskultur i området. Träning är förstahandsalternativet för minskad smärta, förbättrad funktion och ökad rörlighet vid subacromiell smärta. Behandling med scapulafokuserad träning har i dagsläget otillräcklig evidens. Mer studier behövs för att avgöra vilken nedsättning av scapula som den typ av träning påverkar och hur olika scapula fokuserade interventioner påverkar subacromiell smärta. Syfte: Syftet med studien var att undersöka effekten av kombinationsövningen ”shoulder dislocations” vad gäller scapulakontroll, aktiv utåtrotation i axelled och smärta hos crossfitutövare med subacromiell smärta. Metod: Single-subject metod med AB design användes till studien. Tre baslinjemätningar och fyra mätningar under interventionsfasen gjordes, där scapulakontrollen och aktiv utåtrotation i axeln mättes samt smärtskattning utfördes. Deltagarna var sin egen kontroll. Populationen var personer som tränade crossfit vid minst tre tillfällen per vecka med subacromiell smärta. Under interventionen utför deltagarna ”shoulder dislocation” tre gånger per vecka med doseringen tio repetitioner i tre set. Resultatet presenterades i grafer och analyserades visuellt. Resultat: Fyra deltagare inkluderades i studien varav en med bilaterala besvär. Samtliga deltagare förbättrade scapulakontrollen, fyra av fem deltagare förbättrade den aktiva utåtrotationen i axelled. Tre av fem deltagare upplevde minskad smärta under träning och vid mättillfället. Slutsats: ”Shoulder dislocation” tycks förbättra scapulakontrollen, aktiv utåtrotation i axelleden hos crossfitutövare med subacromiell smärta och tendens till minskad smärta. / Background: Subacromial pain is common among overhead athletes, which can lead to muscular imbalance, changed position or decreased mobility of scapula. Reduced function and stability of scapula could lead to decreased shoulder mobility and weakened musculature in the area. Exercise is first hand choice to reduce pain, improve function and increase range of motion at subacromial pain. Treatment with scapular focused exercise is today limited. More studies are needed to determine what kind of reduction of scapula this exercise influences and how different scapular focused interventions affect subacromial pain. Aim: The purpose of the study was to examine the effect of the combination exercise ”shoulder dislocations” in terms of scapula control, active external rotation in the glenohumeral joint and pain in crossfit athletes with subacromial pain. Method: Single-subject method with AB design was used in the study. Three baseline measurements and four measurements during the intervention phase was collected, where control of scapula, active external rotation and pain was measured. Participants were their own control. The population was individuals who trained crossfit at least three times a week and had subacromial pain. During the intervention the participants performed ”shoulder dislocations”. Performing three sets of ten repetitions three times a week. The results were presented in graphs and visually analyzed. Results: Four participants were included in the study whereof one had bilateral disorders. All participants increased control of scapula, four out of five increased active external rotation of the glenohumeral joint. Three out of five participants experienced pain reduction during exercise and at the time of measurement. Conclusion: ”Shoulder dislocations” seems to improve control of scapula and active external range of motion of the glenohumeral joint in crossfit athletes with subacromial pain.

Background: Individuals with Subacromial Pain Syndrome (SPS) often present with a variety of contributing factors. It is possible that a subgroup exists within SPS that has primary impairments of scapular mobility and/or muscle strength. In an attempt to better identify scapular contributions in SPS, the Scapular Assistance Test (SAT) and Scapula Reposition Test (SRT) have been described. Additionally, thoracic spine thrust manipulation has been shown to be effective for shoulder pain. Problem Statement: It is currently unknown whether or not there are impairments in scapulothoracic muscle force generation or scapular mobility in individuals with SPS who have positive results on the SAT and SRT. It also remains unknown whether individuals with SPS respond differently in the immediate effects on scapular motion, scapulothoracic muscle force generation, pain, or function following different manipulation techniques. Methodology: Sixty subjects with shoulder pain were enrolled in the study. Baseline measures were obtained for scapular upward rotation and posterior tilt, scapulothoracic muscle force generation, pectoralis minor muscle length, pain, and function. Participants were randomized to receive a seated thrust manipulation, supine thrust manipulation, or sham manipulation. Measures were reassessed immediately after treatment and the Penn Shoulder Score (PSS) was reassessed at 48 hours. Results: The results indicated no significant differences in scapular upward rotation or posterior tilt, or muscle force generation based on the results of the SAT or SRT. There was a small but significant difference in pectoralis minor muscle length based on the result of the SAT. There were no significant between-group differences in scapular motion, muscle force generation, or pectoralis minor muscle length based on the treatment received. There were no significant differences in 48-hour improvement in pain, function, satisfaction, and total PSS scores. Small but significant within group changes existed on several measures. Discussion: The SAT and SRT may be ineffective in differentiating scapular movement associated impairments. Thoracic spine thrust manipulation resulted in no greater immediate improvements in scapular motion, strength, pectoralis minor muscle length, pain, or function compared to a sham treatment. The improvements in pain and function are likely not biomechanical in nature and are likely not derived from the manipulative thrust.

No description available.

Dissertation submitted in partial compliance with the requirements for the Masters Degree in Technology: Chiropractic at the Durban University of Technology, 2009. / It has been noted that in many recent research studies mechanical neck pain is a serious problem in the world today. There are epidemiological and statistical studies documenting the high incidence and prevalence of mechanical neck pain, which effects people’s daily living (Drew, 1995; Ferrari and Russell, 2003; Cote et al., 2000, Venketsamy, 2007 and Haldeman et al., 2008). Background: Treatments for chronic neck pain, which are non-surgical, appear to be the most beneficial for patients (Haldeman, 2008). In brief, the presentation of chronic mechanical neck pain is defined as localised, asymmetrical neck pain with restricted range of motion and dysfunctional musculature (Grieve, 1988). The muscular dysfunction known as the upper cross syndrome is defined as tightness of the upper trapezius, pectoralis major and levator scapulae and weakness of rhomboids, serratus anterior, middle and lower trapezius and deep neck flexors. These muscles are responsible for stabilizing the scapula and the patient may present with rounded, elevated shoulders and anterior head carriage when diagnosed with this syndrome (Liebenson, 1996). Clinical trials conducted by Cassidy et al., (1992 a, b) concluded that spinal manipulative therapy (SMT) was highly effective in treating mechanical dysfunctions within the cervical spine. However, due to multi systemic involvement of the muscular, neural and passive systems in mechanical neck pain, the treatment may need to target all three of the subsystems of spinal stability to be most effective (Panjabi, 1992 a, b; Lee et al., 1998; Lee 2004 and Richardson et al., 2002). No research has been conducted on the effects and benefits of treatment directed on the cervical spine and upper cross syndromes. This research will compare scapula stabilization training and SMT to SMT in isolation, as a treatment for chronic mechanical neck pain. Objectives: The purpose of this study was to determine the effect that scapula stabilization had on chronic mechanical neck pain. Pilates exercises were used to strengthen and stabilize the scapula muscles (this included stretching out the hypertonic musculature of the upper cross syndrome). The aim was to improve posture as well as to decrease the mechanical stress on the neck. SMT was also concomitantly used to correct any cervical restrictions that were present. These results were then compared to the results of a group that only received spinal manipulative therapy. The null hypothesis was that the intervention group would not respond differently to the treatment protocol in terms of the subjective and objectives measurements. iv Method: This clinical trial was conducted on a sample population of 30 patients with chronic mechanical neck pain. Each patient was assigned to one of two groups (n=15) according to convenience sampling. Both groups received SMT to the cervical spine, while group B (intervention group) also received pilates classes twice weekly for four weeks, which retrained the scapula stabilization muscles to function optimally. The patients each underwent six spinal manipulative treatments over four weeks and a seventh consultation in the fifth week for data collection. Both groups were evaluated in terms of subjective and objective clinical findings. Subjectively the assessment included 2 questionnaires (Numerical Pain Rating Scale and Canadian Memorial Chiropractic College [CMCC] neck disability index). Objective assessment included cervical motion palpation, Cervical Range Of Motion goniometer (CROM) measurements, scapula stabilization tests and a postural analysis with the use of digital photography. The statistics were completed under the guidance of a biostatistician, from the College of Health Science, University of KwaZulu – Natal, (Esterhuizen, 2008) who analyzed the captured data with the use of SPSS version 15. All outcome measures were quantitative. Repeated measures ANOVA testing was used to assess the presence of a different effect for each outcome measure over time between the two treatment groups. A statistically significant time by group effect would indicate a significant treatment effect. The minimum significance level was 0.05. The trends and direction of the effect were assessed via profile plots. Result: According to the statistical analysis, both groups showed improvements - subjectively and objectively - with regards to chronic mechanical neck pain, which is in keeping with the literature. In terms of the inter-group comparison the SMT group (Group A) showed a more constant improvement in range of motion, pain and disability indexes with the SMT only group while the SMT and pilates group (Group B) showed a greater effect in stabilizing the scapula and increasing the functionality of the surrounding musculature. Conclusions and Recommendations: The intervention treatment (Group B) did not have a greater effect on the short-term treatment of chronic mechanical neck pain than the reference group (Group A). It was also evident that the intervention group (Group B) often continued to improve when the SMT (Group A) only group often regressed at the follow up sessions. This improvement was either not significant enough or v the follow up session did not allow for enough time for a true reflection to be noted. It is recommended that more research be carried out to gain conclusive results indicating whether there is a more beneficial long term result to this treatment protocol.

Dissertation submitted in partial compliance with the requirements for the Masters Degree in Technology: Chiropractic at the Durban University of Technology, 2009. / It has been noted that in many recent research studies mechanical neck pain is a serious problem in the world today. There are epidemiological and statistical studies documenting the high incidence and prevalence of mechanical neck pain, which effects people’s daily living (Drew, 1995; Ferrari and Russell, 2003; Cote et al., 2000, Venketsamy, 2007 and Haldeman et al., 2008). Background: Treatments for chronic neck pain, which are non-surgical, appear to be the most beneficial for patients (Haldeman, 2008). In brief, the presentation of chronic mechanical neck pain is defined as localised, asymmetrical neck pain with restricted range of motion and dysfunctional musculature (Grieve, 1988). The muscular dysfunction known as the upper cross syndrome is defined as tightness of the upper trapezius, pectoralis major and levator scapulae and weakness of rhomboids, serratus anterior, middle and lower trapezius and deep neck flexors. These muscles are responsible for stabilizing the scapula and the patient may present with rounded, elevated shoulders and anterior head carriage when diagnosed with this syndrome (Liebenson, 1996). Clinical trials conducted by Cassidy et al., (1992 a, b) concluded that spinal manipulative therapy (SMT) was highly effective in treating mechanical dysfunctions within the cervical spine. However, due to multi systemic involvement of the muscular, neural and passive systems in mechanical neck pain, the treatment may need to target all three of the subsystems of spinal stability to be most effective (Panjabi, 1992 a, b; Lee et al., 1998; Lee 2004 and Richardson et al., 2002). No research has been conducted on the effects and benefits of treatment directed on the cervical spine and upper cross syndromes. This research will compare scapula stabilization training and SMT to SMT in isolation, as a treatment for chronic mechanical neck pain. Objectives: The purpose of this study was to determine the effect that scapula stabilization had on chronic mechanical neck pain. Pilates exercises were used to strengthen and stabilize the scapula muscles (this included stretching out the hypertonic musculature of the upper cross syndrome). The aim was to improve posture as well as to decrease the mechanical stress on the neck. SMT was also concomitantly used to correct any cervical restrictions that were present. These results were then compared to the results of a group that only received spinal manipulative therapy. The null hypothesis was that the intervention group would not respond differently to the treatment protocol in terms of the subjective and objectives measurements. iv Method: This clinical trial was conducted on a sample population of 30 patients with chronic mechanical neck pain. Each patient was assigned to one of two groups (n=15) according to convenience sampling. Both groups received SMT to the cervical spine, while group B (intervention group) also received pilates classes twice weekly for four weeks, which retrained the scapula stabilization muscles to function optimally. The patients each underwent six spinal manipulative treatments over four weeks and a seventh consultation in the fifth week for data collection. Both groups were evaluated in terms of subjective and objective clinical findings. Subjectively the assessment included 2 questionnaires (Numerical Pain Rating Scale and Canadian Memorial Chiropractic College [CMCC] neck disability index). Objective assessment included cervical motion palpation, Cervical Range Of Motion goniometer (CROM) measurements, scapula stabilization tests and a postural analysis with the use of digital photography. The statistics were completed under the guidance of a biostatistician, from the College of Health Science, University of KwaZulu – Natal, (Esterhuizen, 2008) who analyzed the captured data with the use of SPSS version 15. All outcome measures were quantitative. Repeated measures ANOVA testing was used to assess the presence of a different effect for each outcome measure over time between the two treatment groups. A statistically significant time by group effect would indicate a significant treatment effect. The minimum significance level was 0.05. The trends and direction of the effect were assessed via profile plots. Result: According to the statistical analysis, both groups showed improvements - subjectively and objectively - with regards to chronic mechanical neck pain, which is in keeping with the literature. In terms of the inter-group comparison the SMT group (Group A) showed a more constant improvement in range of motion, pain and disability indexes with the SMT only group while the SMT and pilates group (Group B) showed a greater effect in stabilizing the scapula and increasing the functionality of the surrounding musculature. Conclusions and Recommendations: The intervention treatment (Group B) did not have a greater effect on the short-term treatment of chronic mechanical neck pain than the reference group (Group A). It was also evident that the intervention group (Group B) often continued to improve when the SMT (Group A) only group often regressed at the follow up sessions. This improvement was either not significant enough or v the follow up session did not allow for enough time for a true reflection to be noted. It is recommended that more research be carried out to gain conclusive results indicating whether there is a more beneficial long term result to this treatment protocol.

The heart of this dissertation is the SCAPULA Information Retrieval System, used to create, maintain, and retrieve coded archaeological data for the Upper Wabash Drainage at the Archaeology Laboratory of Ball State University.Several existing archaeological data banks were surveyed and classified at first, and different file organizations, computer software and hardware were reviewed next using as a major criterion the needs of archaeologists at Ball State in order to determine the characteristics of the SCAPULA System.The encoding instructions and retrieval keywords are illustrated and listed, while the functions of the SCAPULA are introduced. With its straightforward query instructions and examples, the SCAPULA Information Retrieval System, a relational data bank, is very easy to use.The present study sought to examine the impact of victim-observer similarity, victim physical attractiveness, outcome severity and sex of respondent on responsibility attributions made toward a rape victim. Perceived attitudinal similarity, victim physical attractiveness, and outcome severity were experimentally varied. In addition this study sought to further examine sex differences, which prior research has indicated may influence how a rape victim is perceived.A modified version of Alexander's (1980) scale was used to measure the degree of responsibility attributed to the victim, to the assailant, to society and to chance in each condition. A research design was developed using two levels of each of the four factors.The experiment was conducted during regular class periods. The population consisted of 198 male and female undergraduate students. Prior to the actual experiment, Ss were randomly assigned to review an attitude questionnaire (supposedly completed by the victim), which was either similar or dissimilar to one completed previously by themselves. The attitude survey used in this study was the Important Issues Questionnaire (Novak & Lerner, 1968). The study was conducted such that Ss perceived the victim to be either like or unlike themselves in basic attitudes. Ss were then asked to view a videotape in which a sexual assault victim was interviewed. The victim was actually an actress who read a prepared script. Outcome severity was varied by the use of written vignettes and by the victim's (actress's) narration of either having suffered an attempted rape or a rape with physical injuries. Physical attractiveness was varied by the use of cosmetics and dress. Ss were tested in groups. Each group saw only one of the four videotapes. Ss were debriefed following the experiment.The study was designed to answer the following research questions:1. Would Ss make significantly different responsibility attributions toward a victim they perceived as similar to themselves than toward a victim they perceived as dissimilar to themselves?2. Would Ss make significantly different responsibility attributions toward a victim who suffered a non-severe outcome than toward a victim who suffered a severe outcome?3. Would male Ss make significantly different attributions of responsibility toward a physically attractive victim than toward a physically unattractive victim?4. Would the respondent's sex significantly affect the degree of responsibility attributed to the victim?A 2x2x2x2 multivariate analysis of variance was used to test the four research hypothesis. Significance was considered at an alpha level of .05.FindingsThe results of this study indicated that no significant difference existed for similarity, outcome severity, sex of respondent or physical attractiveness. There was however, a tendency for Ss to attribute more responsibility to the victim who had suffered a severe outcome, and also for the assailant in that condition to be assigned a harsher penalty.ConclusionPrior research in the area of rape victim culpability has offered conflicting results. The present study sought to provide clarity to the findings of previous research. Further research is needed in this area to gain a clearer understanding of factors which influence how victims of sexual assault are perceived.