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The aim of this study was to approbate own kinesitherapeutic methodology in lumbosacral pain syndrome and to study its effectiveness. Material and Methods: The study includes 36 participants, mean age (X±SD) 51.67±4.93 years, selected according to the indications for the use of experimental methods. The methodology includes the following functional tests: anamnesis, somatoscopy, Shober Test, Ott Test, Lasseg Test, VAS (Visual Analog Scale). The examination of the pain was done through experimentally induced palpation pain (applying the same pressure, by the same person) in trigger point (TP) and evaluated with VAS. Values of pain were measured before therapy and tree months after kinesitherapy treatment which includes: soft-tissue mobilization, analytical exercises, post-isometric relaxation, hydrotherapy (tangentor). Results: 36 people (12 women and 24 men) with lumbosacral pain syndrome were included. The mean (± SD) of the pain threshold measured before and three months after the kinesitherapy program was 9.06 ± 0.79mm and 1.69 ± 0.82mm, respectively. Differences in mean pain thresholds in both measurement period were statistically significant (p <0.05). Conclusions: Data presented demonstrate the effectiveness and positive effects of the applied kinesitherapeutic methodology in patients with lumbosacral pain syndrome. The strong reduction in pain symptom and muscle spasm in the course of three months treatment improves the quality of life of patients with this pathology.

The aim of this study is to develop and approbation methods and algorithms for reducing body fat. Material/Methods: In the research, participants were aged 35-45 years with obesity. Anthropometric parameters were analyzed with an impedance analyzer for bodyweight parameters, a somatotype profile, by the methodology Heath-Carter. Measurements were made before and after 60 days of the apparatus physiotherapy including cryolipolysis and cavitation. Twice a week a cardio training was performed Results: The somatotype of the contingent is Mesomorphic - endomorphic endomorphism is highest (6.63), and mesomorphic (6.36) is higher than ectomorph (1.08). In the second study, the data showed a decrease in the endomorphic index (6,18), having almost equalized values with the mesomorph (6,15), while at the same time the greatest movement was observed in the ectomorphic index, which increased with nearly 30% to 1.38. The research contingent has positively influenced the procedures and its propensity for weight loss has increased. However, the somatotype profile remains a mesomorph-endomorph. From the data on the quality of the body composition, only the BMI (kg/m2), VFA (cm2) and MBF (kg) parameters have statistically significant decreases. The measured parameters before and after the applied procedures, with no statistically reliable changes P-value <0.05 level (Wilcoxon, t-test) observed only in the circumference of the hips. A statistically significant decrease of the results is found in the circumferences of both thighs at the measured heights P-value <0.0 001 level (Wilcoxon, t-test). Conclusion: The approbation methodology for reducing body fat has a positive effect on the contingents and leads to the modeling of the body.

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Purpose: To monitor and analyze physiotherapeutic potential before and after implantation of an intrathecal baclofen infusion pump for treating spasticity in a child with cerebral palsy. Material: We present a 6-year-old girl with a massive spastic dystonic motor disorder, after hypoxic brain damage, based on an aspiration event in 2017. The first 6 months after the accident, the child is in a coma, 8 months in a state of awake coma. He has been conscious since the beginning of 2019. The diagnosis is bilateral spastic-dyskinetic paralysis, structural epilepsy, suspected cerebral blindness, subluxation of the hip joints bilaterally. For the period from coma to now, the child has received the following treatment: gastrostomy, replacement with Button, application of ventriculo-peritenoic shunt, botulinum toxin therapy, implantation of intrathecal baclofen infusion pump for treating spasticity. From the third month after the accident until now, physiotherapy is performed 3-4 times a week, monitoring the condition and changes in the functional capabilities of the child. Results: Before the baclofen pump, physiotherapy is mostly preventive against contractures and ankylosis. The child's functional capabilities and learning in motor activities are severely limited by central spasticity. 6 months after the placement of the baclofen pump, muscle tone decreased, and the child's physiotherapeutic potential increased. Conclusions: The physiotherapeutic potential is significantly increased after implantation of an intrathecal baclofen infusion pump, as muscle tone is significantly reduced.