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Romanian Society for Sports Medicine



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"Medicina Sportiva" No.14 - 2008 The 15-th Sports Medicine Balkan Congress
CHRONIC DISEASE AND PHYSICAL ACTIVITY


DIRECTIONS OF KINESITHERAPEUTICAL BEHAVIOUR FOR THE FUNCTIONAL RECOVERY AFTER SURGICAL TREATMENT OF TORACAL SCOLIOSIS

Tzvetanova Z., Stefanov L, Parushev A
USBALO “Prof. B. Boytchev” Sofia, Bulgaria


The basic tasks of the surgical treatment of scoliosis are achieving of corrected more balanced spinal column that secures stability on the basis of minimum mobile segments included in the instrumentation. The goal of the present report is to give kinesiological ground of the  kinesitherapeutical approach for overcoming muscle disbalance after surgical treatment of toracal scoliosis. 
It had been traced the postoperative recovery of 11 patients (7 girls and 4 boys) at the age of 12,6 years, operated in USBALO “Prof. B. Boytchev” for the period of two years. Vertebrodesis with metal ostheosintesis TSI was performed to all of the patients.
Analising the initial and final results of applying manual-muscle testing (MMT), testing for strength hardiness of the muscles and subjective assessment of the pain on 10 grade Maytland’s scale the authors kinesiologically explain their thesis of necessity of training muscle stabilazors and depressors of the scapules bilaterally. The authors arrived at the conclusion that the accent of the kinesitherapy should be placed on the balanced recovery of the hardiness and strength of the muscles. This gives the possibility of relining of the scapuls to their normal position and overcoming the consequences from surgical intervention and future immobilization.
In conclusion the authors put an accent on therapeutical possibilities of kinesitherapeutical methods as an addition to surgical treatment for solving one difficult medical problem.





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