Ortopedická protetika Praha sro - Společnost pro pojivové tkáně

Conclusion
1. The old “strengthening exercises”
are wrong. They only make scoliosis
bigger. Such a deformity is iatrogenic
deformity (Malawski, Karski,
Kotwicki, Dobosiewicz, Szulc, Rąpała
from Poland, Tomaschewski, Popp
from Germany, Kadas, Fasekas from
Hungary).
2. The new symmetric flexion exercises
and asymmetric flexion-rotation exercises,
made up of two phases, are correct
and constitute good prophylactics
and they are effective in the beginning
of scoliosis.
3. Long term observations of the old and
new rehabilitation exercises confirm
the biomechanical etiology of the so-
-called idiopathic scoliosis and prove
that the new exercises give effective
results of conservative treatment and
prophylactics.
4. The new screening enables discovery
of scoliosis “in stadium incipiens”.
5. Among 130 children studied according
to rules of new screening we found
scoliosis incipiens or fixed scoliosis in
41 children (31,5 %). At all children we
confirmed scoliosis on X-rays. Parents
of 40 children did not know about
danger of scoliosis at their child.
6. In schools after the screening examination
the PE teachers changed exercises
according to the rules of “neo-prophylaxis”.
7. We should introduce the rules of neo-
-prophylaxis and of new screening in
our orthopaedic management of the
so-called idiopathic scoliosis. These
are: new clinical tests for discovery
of scoliosis and new preventive exercises.
We should remember that there
244
can be “scoliosis without any curves”
but only with stiffness of spine as
result of rotation deformity (confirmation
of our research by prof. Kenneth
Cheung/Hong Kong 2004).
8. Our material shows that approx. 13% of
children would require operative approach
and the remaining children require
only neo-prophylaxis and can be cured
with new exercises effectively.
Literature by author
(www.karski.lublin.pl, www.ortopedia.karsk)
A REVIEW OF CONGENITAL AND
SYSTEMIC SPINE DEFORMITIES
Mařík I. 1 , Maříková A. 1 , Černý P. 2
1 Ambulant Centre for Defects of Locomotor
Apparatus, Olšanská 7, 130 00 Prague 3,
Czech Republic,
E-mail: ambul_centrum@volny.cz
2 Ortotika s.r.o., V Úvalu 84, 150 18 Praha 5,
areál FN Motol, Czech Republic,
E-mail: pavel@ortotika.cz
Congenital spine deformities (CSD)
from etiopathogenetical point of view are
caused by environmental factors (e.g. infection,
irradiation, chemical toxins, etc) We
distinguish spine defects from failure of formation
that originate in embryonal period,
failure of segmentation of vertebral bodies,
arches or ribs that arise in foetal period or
there are miscellaneous/mixed defects of
spine and/or unclassifiable ones associated
with neural tissue defects (e.g. myelomeningocele,
meningocele, dysraphismus,
diastematomyelia, lipoma, cyst, etc).
The above mentioned congenital spine
deformities cause variable vertebral symptomatology.
On X-rays (CT, MRI), there are
proved multiple hemivertebrae, butterfly
LOCOMOTOR SYSTEM vol. 14, 2007, No. 3+4