I_kongres_streszczenia.pdf

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obniŜenie BMD. Występowanie osteopenii w lokalizacji distal radius wyniosło 46.15% zaś w proximal radius osiągnęło 50.00%. BMD w dalszej części przedramienia było znacząco obniŜone u dziewcząt w wieku 6-7 lat w porównaniu do grupy kontrolnej 0.19 g/cm² vs 0.25 g/cm² (p
W rehabilitacji dzieci z osteoporozą zasadnicze znaczenie mają: • likwidacja bólu • przywrócenie prawidłowego napięcia mięśni posturalnych • przywrócenie prawidłowej biomechaniki postawy i chodu P35 RESPONSE DISTRIBUTION IN POSTURE STABILISING MUSCLES IN CHILDREN WITH IDIOPATHIC AND SYMPTOMATIC OSTEOPOROSIS - ATTEMPT OF EVALUATION Dobosiewicz K. 1 , Okrajni J. 2 , Jędrzejewska A. 1 , Dumała J. 1 , Czernicki K. 1 , Jędrzejek H. 1 , Szota M. 1 , Dyner-Jama I. 1 , Flak M. 1 1 Department of Rehabilitation, Medical University of Silesia 2 Department of Mechanics and Metalforming, Faculty of Material, Science, Metalling and Transport, Silesian University of Technology, Gliwice, Poland Introduction Juvenile osteoporosis causes significant diagnostic problems related to diverse and non-specific clinical evidence. Its first symptoms: pain localised in feet and lack of gait propulsion, often accompanied by excessive tendon reflexes, is often overlooked in early diagnostics and eventually leads to improper diagnosis, including neuromuscular diseases or inflammatory states of the CNS. Delayed diagnostics and immobilisation caused by pain aggravate further process of decalcification, especially of calcanean tuber, and deterioration of body posture and gait pattern. Aim of the study The study was aimed on analysis of a statokinetic chain of a lower limb and trunk during axial skeleton load in children suffering from juvenile and adolescent idiopathic osteoporosis. Current work is focused on biomechanical aspects of load changes in lower limbs and related alterations in body posture in view of rehabilitation. Material During 15 year period 15 children in various stages of osteoporosis were hospitalised in the Department of Rehabilitation, including 9 suffering from juvenile idiopathic osteoporosis and 6 with symptomatic osteoporosis (3 in the course of hyperthyroidism and 3 with hyperparathyroidism). Method Current study presents an attempt to create biomechanical model considering most important elements of musculoskeletal system responsible for posture stabilization. Musculoskeletal system was approximated with rigid elements connected by joints to simulate bones and their connections and elastic pulls to approximate muscles. Calculations were carried on utilising finite elements method. Model was charged with vertical force acting upon standing and walking. Adequate mathematical formulas, describing balance of forces in the trunk, pelvis and particular joints of lower limbs, were worked out for a chosen model under normal and altered by pain conditions of posture. Results Analysis of pathological stato-kinetic chain of posture in children with osteoporosis revealed presence of two fundamental factors influencing position of trunk: - improper load of feet: carrying body load mostly on heels to relieve instep and toes causes hyperextension in knee joints, redundant inclination of pelvis, lumbar hyperlordosis and thoracic hypokyphosis. These changes require further compensation by alteration of the centre of gravity. - shallowing of thoracic kyphosis and rising of anterior rib hump is related to parallel decreasing of height of anterior and posterior column of the spine. Such situations occur because of thinning of bone trabeculae without trabeculae quantity loss and biomechanical influence of the sternum, which forms rigid element of a chest framework. Described mechanisms play important role in the course of rehabilitation. Exercises evolved by Professor K. Dobosiewicz were successfully employed, to be effective in recovery of patients with idiopathic osteoporosis after 4-5 years, and symptomatic osteoporosis after 2 years. Conclusion Rehabilitation of children with idiopathic or symptomatic osteoporosis should be focused on: - suppression of pain - restoration of normal tension of postural muscles - restoration of normal posture and pattern of gait. P36 BÓLE KOSTNE I TRUDNOŚCI W PORUSZANIU SIĘ JAKO OBJAWY WIODĄCE W PRZEBIEGU ZABURZEŃ MINERALIZACJI KOŚĆCA U 2 CHŁOPCÓW Kołłątaj W., Szewczyk L. Klinika Endokrynologii i Neurologii Dziecięcej AM w Lublinie. Adres do korespondencji: Klinika Endokrynologii i Neurologii Dziecięcej Akademii Medycznej, ul. Chodźki 2, 20-093 Lublin 150
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STRESZCZENIA ABSTRACTS STRESZCZENIA
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L11 Roztoczyńska D., Dziatkowiak H
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13.00-14.30 Lunch Sesja plakatowa (
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Prevention of surgical joint replac
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SPIS PLAKATÓW (CONTENTS OF POSTERS
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P27 Scheplyagina L.A., Moisseyeva T
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P55 Przybyłowicz K., Cichon R., W
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L00 NEW CHALLENGES IN THE TREATMENT
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Keywords: osteoarthrosis, estrogens
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ANALIZA ASOCJACJI GENÓW METABOLIZM
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(średni wzrost o.285 % ponad warto
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4 University of Manchester - on beh
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with growth abnormalities often sho
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1,06 ± -1,00 i 0,26 ± 1,75 vs. -0
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GĘSTOŚĆ MINERALNA KOŚCI WOKÓŁ
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L13 THE DXA EVALUATION OF BONE MINE
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Wyniki Wykazaliśmy, Ŝe moŜna okr
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przewidywania złamania bkk udowej
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Ocena efektywności wynika z defini
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L20 CALCIUM AND VITAMIN D AS AN ESS
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Keywords: falls, prospective study,
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1 Krakow Medical Centre, ul. Kopern
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Under physiological conditions bone
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Service of Bone Diseases, WHO Colla
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obniŜyły resorpcję kości przez
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Raloxifene treatment, when compared
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Realizowane są działania skrining
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L33 JAKOŚĆ śYCIA U CHORYCH PO Z
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przezskórnej. Badanie powyŜsze w
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Dalsze badania nad tamoksyfenem uja
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Karzewnik E., 1 Sewerynek E. 2 1 Po
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adań na szczurach rozwoju nowotwor
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zapalenia przełyku. Wydaje się je
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susceptibility to fracture, respect
Page 70 and 71: sytuacja odwrotna, jaki mają wpły
Page 72 and 73: mogą być wolne i związane. Wolne
Page 74 and 75: The frequency of osteoporosis among
Page 76 and 77: Introduction There seems to be a we
Page 78 and 79: P01 POLIMORFIZMY PVUII I XBAI GENU
Page 80 and 81: 2 Klinika Nefrologii, Endokrynologi
Page 82 and 83: concentrations of Ca (atomic - abso
Page 84 and 85: The established procedure for asses
Page 86 and 87: Bolanowski M.1, Skrzek A.2 1 Depart
Page 88 and 89: Na podstawie obserwacji chorych prz
Page 90 and 91: (The English version of the abstrac
Page 92 and 93: Napierała K.1, Miazgowski T.2, Hos
Page 94 and 95: STOPIEŃ PRZESTRZEGANIA ZALECEŃ PR
Page 96 and 97: Wnioski Stosowanie 25-OHD3 i CaCO3
Page 98 and 99: 1. Wywiad z pacjentem był przeprow
Page 100 and 101: Ciesielczyk B.1, Nowik M.2 1 Surgic
Page 102 and 103: Wyszogrodzka - Kucharska A., 1 Rabe
Page 104 and 105: Introduction Coeliac disease leads
Page 106 and 107: NajniŜszy średni wskaźnik Z-scor
Page 108 and 109: mg/day was calculated and compared
Page 110 and 111: Z uwagi na dane epidemiologiczne ws
Page 112 and 113: Wstęp Wartości masy kostnej u dzi
Page 114 and 115: U wszystkich chorych przed leczenie
Page 116 and 117: Decrease of Z-score of at least one
Page 118 and 119: P32 OSTEOPOROZA I NIEPOWIKŁANE ZŁ
Page 122 and 123: Słowa kluczowe: osteoporoza, Z -sc
Page 124 and 125: Keywords: hip osteoarthritis; trans
Page 126 and 127: 1/ Ocena efektu analgetycznego tera
Page 128 and 129: Wyniki wskazały na wybitnie znamie
Page 130 and 131: observed. In other subscales no dif
Page 132 and 133: and possibility of differentiation
Page 134 and 135: treated with chondroitin sulfate an
Page 136 and 137: Zakład Biofizyki, Collegium Medicu
Page 138 and 139: DAILY OSCILLATIONS OF INSULIN-LIKE
Page 140 and 141: DIFFUSE IDIOPATHIC SKELETAL HYPEROS
Page 142 and 143: Osoby otyłe są predysponowane do
Page 144 and 145: Keywords: peri-menopausal women, nu
Page 146 and 147: udowej śrubami AO, natomiast rami
Page 148 and 149: podkrętarzowego przekroju kości u
Page 150 and 151: stymulacja procesów gojenia kości
Page 152 and 153: - in 2 cases. Lesion locations: thi
Page 154 and 155: Diagnozowanie CTS na podstawie tylk
Page 156 and 157: 3. Wytrzymałość na ściskanie ws
Page 158 and 159: BADANIA CEMENTÓW WAPNIOWOFOSFORANO
Page 160 and 161: Otrzymany gips implantacyjny, w zal
Page 162 and 163: Nowy złoŜony biogeniczny materia
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Page 166 and 167: Poczynając od 90 dnia obserwacji p
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