3+4+Supplementum/2012 - Společnost pro pojivové tkáně

discussion and Conclusions
1. There is important to protect the fetus
and newborn against neuro-muscular
dysfunctions (from MBD)
2. Important is also relevant nursing of
infants, babies and young children to
minimize the possible occurrence of
MBD and hip dyspasia.
3. Important is early treatment – stretching
exercises for hips (nursering), knees
(exercises) and feet (exercises) and use
an appropriate physiological footwear.
4. The use of souls are aditional (up to
10% treatment effect). Important characteristics
of a shoe while others such as
the type of foot, which made shoes, the
shape of litter, corpulence, materials and
method of implementation of the soles
5. In children, this group should be aware
of the need to monitor the knees axis
(valgus, hyperextension) and hip situation
(Perthes‘ disease risk [!])
References by the authors
aBSTRakT
flexiOnS TeST Of TOeS –
in diaGnOSTiC Of fOOT
inSuffiCienCY and
defORMaTiOnS, aS well aS
infORMaTiOn aBOuT PROGReSS
Of THeRaPY
Jacek Karski, Tomasz Karski, Zbigniew Kędzierski,
Klaudia Karska
introduction
Deformities of forefoot occur mostly
in women. There are: pes planus transvers-
354 14 th Prague-Sydney-Lublin
es, hallux valgus, flexions deformations
of toes and pain. In all such cases pathological
“flexions test of toes” are observed
(described in Polish Journal in 1971 and in
German Journal in 1985). Restricted flexion
of toes is the cause of pain, problems
in walking and the Köhler II disease. The
types of shoes used in the years preceding
doctor’s examination are decisive for all
feet deformities and walking problems.
Material and description of
flexions test of toes
Material presented comes from the
years 1970-2011 (N) 569 patients. It refers
mostly to women aged from 20 to 80. The
following problems were observed: halluces
valgi, pedes plani, or pedes plano –
valgi, valgus of tarsus (hide foot), flexions
contracture of toes. In all these cases we
observe pathological flexions test of toes.
Practical information for the
flexions test of toes
Patient is lying on the back, or sitting
on the chair. Foot is maximally extended
dorsally. In such position the passive and
active range of flexion of hallux and all toes
can be proved.
Flexion from 60–90 degree – is normal
for children, flexion – 50–30 – in normal
for adults, flexion 20 – 0 degree – is pathological,
flexion 0 – (-) 10 or (-) 20 degrees
is a big pathology.
Method for physiotherapy
or surgery
The suitable method of treatment is
recommended in all kinds of foot deformity
and foot insufficiency. All patients we