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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