No abstract

No abstract

The cases of spine, hips, knees, shank and feet problems are presented in the article. These patients before having contact with the author, had undergone a treatment in other medical centers. I could often stated that the previous therapy was not correct. The former therapy was based of wrong diagnosis connected very often with the weakness of muscles. After such diagnosis the recommended strengthening exercises never give good results. Only stretching exercises leading to the full and symmetrical movement of the joints and right loading during gait and standing is a proper method of treatment. Keywords Hips problems of childrenIn prophylaxis of hip dysplasia it is very important to carry the child in the proper manner on parent's arms with the maximal abduction and flexion of the hips. The child should be facing the carrying person. Children should never be carried improperly, this means "facing to the street or to the shops". Such a wrong nursing is recommended by Polish wrongly educated rehabilitations doctors and physiotherapists. Such way of carrying the child is entirely wrong, because the hips are without full abduction, the potential dysplasia is not treated, the hand of mother or father is pressing very dangerously the abdomen, the child does not see the face of it's mother. The speech and psychological development of the child is delayed. These children very frequently develop a dysplasia or even a dislocation of the hips [16][17][18][19][20]. Hips problems of adultsThe arthrosis can be in left hip as result of "not fully treated hip dysplasia" or in right hip as result of "Syndrome of Standing 'at ease' on the Right Leg". The prophylaxis of coxarthrosis should includerecovering of full movements of hips joint -especially abduction, internal rotation and extension. Individual rehabilitation is very important, every day, over many years following these points:Special position of standing -in abduction 20 or 30 degrees and in internal rotation, b.Sitting -in internal rotation, c. Walking -in small abduction,Sleeping -in flexion and abduction of the hip joint (to this subject publication in Jacobs Journal of Physiotherapy and Exercise, 2016 / Texas / USA). In program of physiotherapy in my country it is spoken only about "necessity to strengthen the muscles". Such therapy never gives the positive results. On end of such improper therapy it is only -surgery -hip prosthesis [21][22][23][24][25]. Knees problems among childrenThe valgus deformity of children mostly develops because of improper sitting manner many months or many years -with legs placed on side of the body and in maximal internal rotation of the hips. The valgus deformity of knees can develop also among children with Minimal Brain Dysfunctions (MBD-publication in Czech Republic in 2017). Pediatrician, orthopedic surgeons and rehabilitation doctors should inform parents about necessity of sitting in proper position -it means in "butterfly position" (term taken from the karate) -feet together, knees apart, hips in maximal abduction [26]...

Authors claim that the problem of deformities in children and pain in adult patients can be connected to shortening of soft tissues followed by contractures of joints. The "syndrome of contractures" (SofC) described by Prof. Hans Mau -as "Syndrome of seven contractures", explains influence of the foetal position during pregnancy to future asymmetrical contractures of multiple joints (an infantile scoliosis, torticollis, limitation of abduction of left hip, feet deformations). The "left sided syndrome of contractures" is more common, since 85% -95% of pregnancies are cephalic presentations, first position pregnancies.In years 2005 -2013 authors examined 818 new-borns and infants with SofC. The control group was 212 healthy children, without signs of the SofC.Analysis of the material confirmed the presence of syndrome of contracture signs described by Prof. Mau. Effective treatment of children with SofC is possible and it should be used as prophylaxis of future insufficiency of movement of knees, hips and spine in adult age.

ABSTRACT