The dynamic balance tests contribute to the AIS screening process. The pathologic form of AIS and lateralization highly affect dynamic balance. The study confirmed the neurophysicians' claims of the neuroplasticity of the central nervous system. In addition, the research illustrated the compensational functioning of mobility, especially when there is a lack of normal mobility forms, and there are weak postural control mechanisms and proprioception. There was no proof of the value of the Cobb angle as a clinical method and a measurement of the functional capabilities of the participants in the screening process.
SAŽETAK:Medicinsko pravo, koje je u zemljama zapadne Evrope doživelo procvat i puno priznanje, kod nas je još uvek u povoju. Kako je došlo do razvoja medicine i sve veće primene različitih metoda lečenja u našem društvu, primetno je povećan i broj parnica iz ove oblasti. Predmet postupaka je naknada štete zbog tzv. lekarske greške po osnovu vanugovorne odgovornosti. Domaća praksa je iznedrila određena rešenja koja su unekoliko različita od opštih postavki obligacionog odštetnog prava. Uporedo sa ovom praksom, potrebno je ukazati i na praksu Evropskog suda za ljudska prava u ovoj oblasti. Ključne reči: medicinsko pravo, lekarska greška, građanska odgovornost, naknada štete, dužna pažnja, pravila struke UVOD Gledajući uporednu sudsku praksu možemo zaključiti da su parnice iz oblasti medicinskog prava relativno česte. Zbog toga se u većini razvijenih evropskih pravnih sistema (najupečtljiviji primer je svakako Nemačka) me-
The SYDACK system of diagnosis and control in kinesitherapy has been developed. It consists of Avatar exercises -a virtual instructor, two sensors for monitoring a subject's shoulder and hip movement and computer software which combines the information from sensors placed on the subject's body with the computer. There are two ways to access the data: (1) graphically, as feedback information about the deviation of movement between the subject and the Avatar dispatched to the subject in real time and (2) via numerical data about subject's postural status and kinesitherapy process, expressed in angles, stored in a database for future processing and analysis.
Goal of the work is to verify if there exists a significant difference in the quality of movement measured via virtual reality (VR) technology between two groups of patients diagnosed with adolescent idiopathic scoliosis (AIS). Grouping is made according to geographic regions; Group 1 is from Zagreb, Group 2 from Vukovar. Another goal of the work is to verify whether there is a significant improvement from initial to final measurements over a one year period in the results of all patients from both groups.Hypothesis: there is no significant difference in the quality of movement between two groups of patients, as obtained through VR tests. The second hypothesis is that there is no significant difference in the results of specific VR tests for AIS between initial and final measurements of all the examinee; respectively, the conventional therapy program in both groups doesn't produce significant results in the direction of improvement.The sample: each group is comprised of 5 patients with AIS diagnosis, between the ages of 12-18, of both genders. The patients have a double scoliotic curve with Cobb value between 37 and 46 degrees, and are being treated with classical physiotherapeutic methods for AIS, at clinics in Zagreb and Vukovar.Methodology: VR tests for assessment of the quality of movement are a part of the System for Diagnosis and Control in Kinesiology (SYDACK) constructed at the Faculty of Kinesiology, University of Zagreb, as described in the dissertation: VR in physiotherapy of patients with AIS (Filipović, 2011). SYDACK is an original Croatian product, containing 4 VR tests for evaluating the quality of movement: diagonal sliding to the right, diagonal sliding to the left, sliding and hip elevation.Results are analyzed via a t-test for small independent samples and a t-test for small dependent samples. In 93.75% cases there is no significant difference between results of the two groups, as obtained by all 4 VR tests. The analysis shows there is no geographical dependence in the quality of motion with AIS, which confirms the initial hypothesis. In 81.25% cases there is no significant difference in the results of specific VR tests between initial and final measurements. In 18.75% cases there is a significant difference in the direction of improvement.
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