EFFICACY OF THE USE OF THE MCKENZIE AND VOJTA METHODS TO TREAT DISCOPATHY-ASSOCIATED SYNDROMES IN THE PEDIATRIC POPULATION.
ARKADIUSZ ZURAWSKI1,2, WOJCIECH KIEBZAK1,2, ANNA ZMYSLNA1,2, JUSTYNA POGORZELSKA1,2,
IRENEUSZ KOTELA1, TOMASZ J. KOWALSKI3, ZBIGNIEW LIWI?SKI1,4, and GRZEGORZ SLIWI?SKI5
1 Jan Kochanowski University, Kielce, Poland
Faculty of Medicine and Health Sciences, Institute of Physiotherapy
2 Provincial Integrated Hospital in Kielce, Kielce, Poland
Swietokrzyskie Center for Pediatrics
3 Wye Valley Foundation Trust, Hereford, United Kingdom
Department of Orthopedic Surgery, Hereford County Hospital
4 Rehabilitation Center, Zgorzelec, Poland
5 Technical University in Dresden, Dresden, Germany
Institute of Biomedical Engineering, Faculty of Electrical and Computer Engineering
Objectives: This paper evaluates the effcacy of using the McKenzie and Vojta methods for patients with low back pain and the use of the DIERS Formetric 4D system as an objective diagnostic tool.
Material and Methods: The study enrolled 28 patients aged 15-17 years old. The patients were hospitalized at the Department of Orthopedics and Traumatology of the Swietokrzyskie Center for Pediatrics in Kielce with a diagnosis of back pain associated with a discopathy. The patients were rehabilitated according to the McKenzie and Vojta methods. Assessment by means of the DIERS Formetric system had taken place before the frst therapy session and on the day that pain was eliminated to evaluate trunk inclination, angle of thoracic kyphosis, angle of lumbar lordosis, lateral deviation, trunk torsion, surface rotation and pelvic obliquity. Pain intensity and change in pain intensity over time were assessed by means of a numerical rating scale.
Results: Pain intensity was reduced to 0 over 3-12 days. The study participants demonstrated reduction in anterior trunk inclination of the mean value at 1.83°. The angle of thoracic kyphosis was also reduced by 7.95°. The angle of lordosis increased by 7.6°. The lateral spinal curvature was reduced by 8.92 mm. There was a reduction of 4.64° in trunk torsion. Surface rotation was reduced by 1.61° and pelvic obliquity was reduced by 3.78°.
Conclusions: In discopathic patients, postural parameters comprising trunk inclination, angle of thoracic kyphosis, angle of lumbar lordosis, lateral deviation, trunk torsion, vertebral rotation and pelvic obliquity fail to reach Hartzmann’s physiological reference ranges. A therapeutic intervention based on the Vojta and McKenzie methods may normalize the posture to physiological reference ranges and is effective in the treatment of patients with back pain. The DIERS system is an objective tool for tracing the effects of therapy in patients with back pain. Int J Occup Med Environ Health. 2019;32(1):33?41
Key words: DIERS, Vojta, McKenzie, lordosis, kyphosis, back pain.