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

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advised to perform numerous flexion exercises<br />

daily. The following operative treatments<br />

are performed: for the valgus deformity<br />

of foot – the Grice - Green operation or<br />

Grice – Greena – Sotirow operation, for the<br />

talo – naviculare arthrodesis – the Sotirow,<br />

and the Steindler method or other in the<br />

cases of the correction of axis of halluces,<br />

resection of metatarsal bones heads, transposition<br />

of tendons. Kinezytheray is useful<br />

for all non – operative cases and in all operative<br />

cases as the post – operative treatment.<br />

Results and conclusions<br />

1. Flexions test of toes is a simple method<br />

to recognize the functional situation<br />

of the foot. This examination should<br />

be used by all orthopedic surgeons as<br />

well in people designing shoes for the<br />

shoe industry. This examination is very<br />

important in the screenings of feet in<br />

children in every kindergarten.<br />

2. Kinezytherapy of foot is the best method<br />

for every patient. Additionally, the<br />

wooden shoes for adults and youth are<br />

advised as <strong>pro</strong>phylactic measures.<br />

Literature by authors<br />

aBSTRakT<br />

PReSenT lifeSTYle, CHanGeS<br />

Of MOTOR aBiliTieS and BOdY<br />

COMPOSiTiOn duRinG GROwTH<br />

J. Pařízková<br />

Obesity Management Centre, Institute of<br />

Endoccrinology, Prague, 1, Národní 8., 11694<br />

Czech Republic<br />

jparizkova@endo.cz<br />

jana.parizkova@iex.cz<br />

ambul_centrum@volny.cz<br />

key words: secular changes – motor<br />

abilities – adiposity – children<br />

Recent changes of lifestyle including<br />

inadequate nutrition, and reduced physical<br />

activity and work load have had a significant<br />

impact on somatic development – especially<br />

body adiposity along with functional<br />

capacity and also motor abilities of the<br />

growing organism. Relationship between<br />

energy intake and output due to reduced<br />

physical activity has contributed to the<br />

increase of depot fat, and reduced also the<br />

development of skill, endurance, muscle<br />

strength and others. These changes have<br />

contributed to an increasing prevalence of<br />

overweight and obesity, which concerned<br />

also children and adolescents. Comparison<br />

of the level of adiposity, aerobic power,<br />

muscle strength and skill revealed significant<br />

negative changes since the middle<br />

of the last century up to the recent<br />

years. International comparisons included<br />

school children and adolescents; measurements<br />

repeated during past decades<br />

demonstrated also similar changes in Czech<br />

children of preschool age. Skinfold thickness<br />

(triceps, subscapular, suprailiac) and<br />

motor tests (broad jump, ball throw, 20 m<br />

run) were evaluated. Significant increase<br />

of adiposity and worsening of the results<br />

of motor tests – especially broad jump and<br />

ball throw were revealed in the prevailing<br />

majority of subjects; performance in 20 m<br />

run did not change. Gender differences, i.e.<br />

greater adiposity and reduced motor performance<br />

was found already in preschool<br />

girls. Lifestyle obviously has already been<br />

negatively influencing children in preschool<br />

age; however, spontaneous active<br />

children and/or those who participated<br />

in special physical education classes have<br />

always shown a higher level of motor devel-<br />

355

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