Postural stability of children born prematurely in the perinatal risk group

Katarzyna Kniaziew-Gomoluch, Andrzej Szopa, Tomasz Łosień, Zenon Kidoń, Małgorzata Domagalska-Szopa


Katarzyna Kniaziew-Gomoluch, Andrzej Szopa, Tomasz Łosień, Zenon Kidoń, Małgorzata Domagalska-Szopa – Postural stability of children born prematurely in the perinatal risk group. Fizjoterapia Polska 2022; 22(2); 118-129

Abstract
Introduction. With advances in neonatal care, children born prematurely have a greater chance of survival, but their organ immaturity puts them at increased risk for central developmental disorders. The most common risk factors for such disorders are neonatal respiratory distress syndrome (RDS) and intraventricular hemorrhage (IVH grade III, IV).
Object. Based on the assumption that early central motor disorders are accompanied by impaired postural control, we compared measures of postural stability in infants born prematurely and at high risk for central motor disorders, i.e.: 1) IVH stage III or IV; or 2) RDS with infants born prematurely with normal brain ultrasound results and no perinatal burden (control group).
Materials and Methods. For this purpose, in a group of 76 prematurely born infants qualified for the SYNAGIS program, a posturometric examination was performed in a supine position using a stabilographic platform (device designed and manufactured in the Department of Biomedical Electronics of the Institute of Electronics of the Silesian University of Technology in Gliwice).
Results. Analysis of stability measures in individual subgroups showed that in both groups of infants with perinatal risk (IVH and RDS), the values of all evaluated posturometric parameters were lower than those presented by infants without perinatal stress.
Conclusions. 1. Evaluation of stability measures  in the supine position is an original proposal for the evaluation of postural control of infants born prematurely in the first months of life.
2. Differences in stability measures between children born prematurely with the risk of central disturbances due to hypoxia (RDS) or intraventricular hemorrhage (IVH) and their peers without perinatal stress with normal head ultrasound results may indicate the appearance of postural control development disorders in the former.
Key words:
prematurely born children, perinatal risk factors, infant postural control disorders, posturometry, stabilographic platform
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Early and late effect of unilateral mastectomy on the weight bearing distribution

Anna Koralewska, Małgorzata Domagalska-Szopa, Robert Łukowski

Anna Koralewska, Małgorzata Domagalska-Szopa, Robert Łukowski – Early and late effect of unilateral mastectomy on the weight bearing distribution. Fizjoterapia Polska 2022; 22(1); 6-18

Abstract
Introduction. A mastectomy is a common treatment for breast cancer. In Poland, the vast majority of women after mastectomy use an external breast prosthesis.
Objective. The aim of the study was to identify differences in the weight-bearing distribution between women in the early and late period after mastectomy.
Material and methodology. 42 women after unilateral complete or radical amputation of the breast were qualified for the study. The study consisted of 3 parts: anthropometric measurements, measurements of the circumference of the upper limbs, assessment of the weight-bearing distribution using the stabilometric platform.
Results. Within the group of women in the early post-mastectomy period, the weight-bearing distribution was similar between the amputated and non-amputated sides in test with and without external breast prothesis. This has also been observed within the group of women in the late post-mastectomy period. There was no statistical difference between both studied groups. The tests were carried out with and without external breast prosthesis and the results indicate no significant effect of prosthesis on the symmetry of the weight-bearing distribution nor the percentage of load on the amputated and non-amputated sides of the body.
Conclusions. Lymphodema occurs in women in both early and late period after mastectomy however that occurrence does not affect  the nature of the asymmetry of the weight- bearing distribution  between the amputated and non-amputated body sides; The breast prosthesis does not have a significant impact on the weight-bearing distribution between the amputated and non-amputated sides. The analyzed issue requires further comprehensive research.
Key words:
total mastectomy, external breast prosthesis, postural control disorders, posturography, stabilographic platform
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Lateral spinal curvature and the stabilographic parameters MLPX and MLPY measured among children aged 12 to 15 years

Jacek Wilczyński

Jacek Wilczyński – Lateral spinal curvature and the stabilographic parameters MLPX and MLPY measured among children aged 12 to 15 years. Fizjoterapia Polska 2008; 8(1); 65-71

Abstract
Background. The aim of the study was to analyse the relationship between lateral spinal curvatures and MLPX and MLPY among children aged 12 to 15 years. Material and methods. The sample consisted of 503 children chosen from among attending Promary School No. 13 and Junior Secondary School No. 4 in Starachowice. The spatial photogrammetric method, based on Moire’s topography, was used. Balance was examined on a stabilographic platform. The MLPX and the MLPY were used to describe balance findings. Results. Analysis of variance showed a significant effect of the testing options. In the test with eyest closed, MLPX increased in all three defect groups in the frontal plane. Closing eyes increases MLPX, which reflects an increased pressure of the left leg. Increased instability in this plane is usually effectively compensated for by the hip joint strategy. Conclusions. Although the analysis of variance did not show any essential effects, the value of MLPY with eyes closed was hightest in curvatures >10o. This group also showed the biggest difference in Romberg’s test.
Key words:
lateral spinal curvature, balance, stabilographic platform, Romberg’s test, COP, MLPX, MLPY
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Impact of treatment on selected functional parameters in patients after hip joint replacement surgery – preliminary report

Arletta Hawrylak, Dorota Weigel, Katarzyna Barczyk, Bożena Ostrowska, Barbara Ratajczak

Arletta Hawrylak, Dorota Weigel, Katarzyna Barczyk, Bożena Ostrowska, Barbara Ratajczak – Impact of treatment on selected functional parameters in patients after hip joint replacement surgery – preliminary report. Fizjoterapia Polska 2010; 10(3); 222-233

Abstract
Background. The aim of the study was to assess the impact of physiotherapy on selected functional parameters and the process of maintaining body balance in patients after hip joint replacement surgery. Material and methods. The study involved 30 patients, aged 60-75 years, following cementless hip replacement surgery. All subjects underwent a goniometric examination of hip joint range of motion and were assessed with regard to the process of maintaining body balance in a standing position on a stabilographic platform. The treatment regimen comprised kinesiotherapy and physical therapy procedures. Results. The comprehensive programme of physiotherapy improved the range of motion of the hip joints and the process of maintaining body balance in a standing position in the study group. Conclusions. By improving the functional status of joints and the process of maintaining balance, the treatment method used in this study enabled the patients after hip replacement surgery to improve their quality of life.
Key words:
hip replacement surgery, stabilographic platform, goniometry, kinesiotherapy, physical therapy
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