Study Design: A randomized, parallel-group clinical trial, 2 weeks treatment period with follow-up reassessment after therapy. Objectives: To compare the relative efficacy of multimodal rehabilitation and Mulligan’s concept of manual therapy for patients with chronic neck pain and cervicogenic headache. Background: Cervicogenic headache and neck pain are the main syndromes caused by upper cervical musculosceletal disorders (C0-C3). According to clinical researches for about 20% of the patients with chronic unilateral headache, the cause is of the cervical origin. Relatively little is known about the efficacy of Mulligan’s concept of manual therapy for patients with chronic pain syndrome caused by upper cervical spine disorders. Methods: Patients (n=104) with chronic pain syndrome caused by upper cervical spine disorders, were randomized into two groups: multimodal therapy (massage, electrotherapy, ultrasound) and Mulligan’s concept of manual therapy group. Outcomes: pain intensity (VAS), neck disability index (NDI), range of motion (ROM). Results: Both groups (multimodal therapy and Mulligan’s concept) showed significantly reduced pain and disability, but the effect between groups wasn’t significantly superior with either therapy alone. Mulligan’s concept of manual therapy showed greater gains in range of motion; extension (p=0.01), left rotation (p=0.01) and right rotation (p=0.03) than the multimodal therapy. Conclusion: Mulligan’s techniques are an effective method in the management of upper cervical spine disorders.

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Introduction: Rock climbing has become not only one of the sports but also a popular form of recreation. The subject of climbing injuries is often discussed, however, the characteristic posture of the climbers and the associated risk of straining and overloading the back is still almost unexplored.Objective: To assess body posture of rock climbers and the factors contributing to changing the shape of curvature of the spine in the sagittal plane.Methods: The study was conducted on 58 person group of men. The subjects were divided into: group I -men trained to rock climbing, group II -men who have not been trained to rock climbing. In a clinical trial the curvature of the spine in the sagittal plane has been rated via the use of Rippstein Plurimetr, Dega test and the Thomas test.Results: It has been shown that men who are training rock climbing for extended periods of time have more chest kyphosis of the spine compared with men who are not. The study confirmed that the effect of the size of the thoracic kyphosis of climbers has: climbing level, training duration and the intensity of your workout. The results of the Dega test have shown the presence of the pectoral muscle contracture in 85% of climbers.Conclusions: Regular practice of climbing affects the formation of anterior-posterior curvature of the spine, and thus the attitude of the body, leading to the emergence of a typical body shape of climbers, namely, the "climber's back".

The material consists of the results of anthropometric measurements of 16 somatic traits of 155 children and youth (83 boys and 72 girls) at the age of 7-18 years. The analysis of 2-score values showed that the low body height, narrow hips, laterally flattened chest and low body mass, in spite of slight differences make boys and girls with cerebral palsy more similar to one another with respect to body proportions than to their healthy peers.