ABSTRACT
BACKGROUND: The education of young musicians requires teaching them appropriate prophylaxis in order to avoid spinal overload and the development of postural defects. The aim of the study was to assess the quality of life of young musicians with cervical pain. MATERIAL AND METHODS: The study involved a group of 45 young musicians divided into three subgroups depending on the musical instrument they played, namely the violin, cello and piano. The total follow-up period was 18 weeks. The patients were tested at 6-week intervals using the NDI, SF-36 and a VAS scale to assess pain intensity. RESULTS: The degree of disability was moderate in all the groups. The level of general physical health was the lowest in the cello group. Pain intensity was also moderate in all the groups. CONCLUSIONS: 1. Short-term follow-up revealed no changes in the quality of life of young musicians playing various instruments. 2. Prophylaxis should be implemented particularly in cellists.
Subject(s)
Cervical Vertebrae/physiopathology , Disability Evaluation , Neck Pain/diagnosis , Neck Pain/therapy , Pain Measurement/methods , Quality of Life , Adolescent , Adult , Female , Follow-Up Studies , Humans , Male , Music , Poland , Surveys and Questionnaires , Young AdultABSTRACT
BACKGROUND: The use of manual therapy in the treatment of scoliosis has been controversial. Scientific reports do not clearly indicate its effectiveness or harmfulness. The aim of this study was to determine the effectiveness of passive and active derotation techniques of manual therapy according to Kaltenborn-Evjent on the reduction of the angle of trunk rotation in patients with idiopathic scoliosis. MATERIAL AND METHODS: The study enrolled 33 female patients from the Department of Rehabilitation who were diagnosed with adolescent idiopathic scoliosis. The patients were divided into two groups according to the curve location (SRS classification). Group A consisted of 17 women, aged 14.±2.4 years, with single-curve scoliosis in the thoracolumbar segment and group B was composed of 16 women, aged 15±2.24 years, with double-curve scoliosis in the thoracic and lumbar segments. In both groups, the angle of trunk rotation, the magnitude of thoracic kyphosis and lumbar lordosis were measured twice, before and after each session of derotation techniques. RESULTS: Both groups demonstrated a positive impact of active and passive derotation techniques on the angle of trunk inclination. The greatest difference was observed after a session of active derotation in the patients with lumbar scoliosis. The angle of trunk rotation decreased on average by 4.5°±1.14°. No correlations were found between the curve angle values and the degree of thoracic derotation after the application of these techniques. CONCLUSION: Derotational mobilization techniques may be a valuable complement to scoliosis treatment methods as they increase their effectiveness.
Subject(s)
Bone Screws , Lumbar Vertebrae/pathology , Musculoskeletal Manipulations/methods , Rotation , Scoliosis/therapy , Thoracic Vertebrae/surgery , Adolescent , Bone Nails , Female , Humans , Pilot Projects , Scoliosis/pathology , Scoliosis/surgery , Thoracic Vertebrae/pathology , Treatment OutcomeABSTRACT
A person's image, which is determined through physical appearance, considerably affects self-esteem developed from early childhood. Scoliosis causes multiple trunk deformations that can affect a person's perception of the body. The aim of the study was to analyze the impact of scoliosis dimension and the degree of trunk deformation on the level of self-esteem and sexual functioning in women with idiopathic scoliosis. Thirty-six women diagnosed with idiopathic scoliosis were recruited to a prospective, double-blind, randomized controlled trial. The subjects were divided into two groups depending on the value of the Cobb angle. The level of self-esteem was determined by means of the Rosenberg Self-Esteem Scale (SES), whereas the sexual functioning was assessed via the Female Sexual Function Index (FSFI). The trunk deformations were specified with the Posterior Trunk Symmetry Index (POTSI). A statistically significant correlation was proved between the amount of points received in the Rosenberg scale evaluation and the POTSI index in Group A (R = -0.56, p = 0.04). Subjects with smaller deformations within the coronal plane had a higher level of self-confidence. The trunk asymmetries in the coronal plane may have a negative effect on women with scoliosis and their self-appraisal.
