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MANUALE PRATICO DI TERAPIA MIOFUNZIONALE

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Un aiuto alla posturologia, alla odontoiatria e ad altre specialità. Influenza della terapia della deglutizione sui problemi posturali. Presentazione a cura del Prof. Federico Tenti.r measuring the Cobb and gibbus angles. The inclinometer is made of an almost-rectangular element in Plexiglas with a goniometric scale to whose centre a small rod (free to rotate) with a bubble is positioned. The free extremity of the rod has the reading index for the goniometric scale. The longest side of the rectangle has a recess in order to make its application on the patient easier (in the event that the vertebrae are protruding). The inclinometer is a manual instrument normally used in two clinical situations: 1) when measuring the rotation angle of the torso during the forward-directed flexion test; 2) when measuring the Cobb angle on X-rays (both in AP and LL projection), therefore both for scoliosis as well as kyphosis/lordosis. The Cobb angle is given by the sum of the two inclination angles of the limiting vertebrae. In addition, measuring the angle is faster than the traditional method (it is sufficent to move the instrument close to the limiting vertebrae and read the value on the graduated scale); it does not require additional instruments, it does not deteriorate the X-rays and it simplifies measuring by eliminating a few possible cases for error. Finally, an advantage of the inclinometer over other instruments is the possibility of measuring both the rotation angle of the patient's torso (gibbus) as well as the Cobb angle on the X-rays with one simple instrument.
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