Tag: Małgorzata Domagalska

Distribution of body mass on the support base in cerebral motor disorders children as an expression of antigravity unabilities

Andrzej Szopa, Małgorzata Domagalska, Janusz Nowotny

Andrzej Szopa, Małgorzata Domagalska, Janusz Nowotny – Distribution of body mass on the support base in cerebral motor disorders children as an expression of antigravity unabilities. Fizjoterapia Polska 2007; 7(3); 250-257

Abstract
Background. Normal postural tone is high enough to act against gravity at every stage of motor development, but also low enough to ensure mobility in a given position. All disturbances of adaptation of muscle activity to postural and motor tasks are the cardinal symptoms of actual or potential central dysfunctions. This study attempted to use an objective measure of quantified distribution of forces of body mass on the supporting base to examine the adaptation of muscle activity for different postural patterns. Material and methods. Three groups of 15 children each aged about 12 months were examined, including two groups of children diagnosed with dysfunction motorica origis centralis (DMOC) II° and III°, and a control group of children with bronchitis. Measurement were carried out with a Sensor-Mass-System developed by Lack GmbH and including a platform with 200 sensors and dedicated software. All children were tested twice on two consecutive days. The values of forces and distribution of body mass on the supporting base was determined in three basic positions: supine, prone and sitting. Results. A preliminary analysis showed differences in the values of forces of body mass between the three groups. Statistically significant differences between the results of the first and second measurements in the same position were a rule in the control group. In the group of children with mild DMOC pathology such differences appeared slightly less often and were not found in the group of children with severe DMOC. Children with severe DMOC displayed marked asymmetry of body mass distribution in the frontal plane and along the craniocaudal axis. The other groups were generally characterized by symmetrical postural patterns. Conclusions. While this pilot study was part of a more extensive research project, some general conclusions can be made: an evaluation of body weight distribution on a supporting base is an indirect but objective and reproducible tool for evaluating mus-cle tone distribution in different postural patterns. It can be a valuable addition to the assessment of postural pattern quality.
Key words:
cerebral motor disorders, postural patterns, support base, distribution of body mass
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Postural consequences of muscle tone disorders in children with cerebral palsy (hemiparesis)

Andrzej Szopa, Małgorzata Domagalska, Krzysztof Czupryna, Maciej Płaszewski

Andrzej Szopa, Małgorzata Domagalska, Krzysztof Czupryna, Maciej Płaszewski – Postural consequences of muscle tone disorders in children with cerebral palsy (hemiparesis). Fizjoterapia Polska 2007; 7(3); 241-249

Abstract
Background. The spontaneous adjustment of abnormal muscle tone in CP children leads to abnormal postural and motor patterns development. The aim of this work was to recognize and define some of compensatory postural patterns in CP children. Material and methods. The group of 18 children with hemiplegia, aged 5-14, were taken into the examination. The objective measurement of they postural patterns while standing, kneeling (of one and both legs) and sitting was done with a help of photogrammetry. In the same time using baroresistive platform a force distribution on the support base were measured. Results. In case of standing position two kinds of postural patterns were observed — the progravitational pattern and the anti-gravitational pattern. In every children with progravitional pattern lateral spine curvature were observed. Their values were significantly higher than similar in antigravitational pattern. In standing on one leg and half kneeing the arrangement of postural parameters were the same. In sitting in children with progravitional type mutual arrangement of shoulders and pelvis line was changed to parallel and in children with antygravitional type overloaded side changed to opposite. Conclusions. 1. The postural patterns through hemiparetic children are habitual and have differentiated character according to character of paresis. 2. Development of postural patterns is predictable, it is possible to steer the compensation during the treatment.
Key words:
cerebral palsy, compensatory antigravity mechanisms, postural patterns
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Postural problems of children with CP based on hemiparesis

Małgorzata Domagalska, Krzysztof Czupryna, Andrzej Szopa, Janusz Nowotny

Małgorzata Domagalska, Krzysztof Czupryna, Andrzej Szopa, Janusz Nowotny – Postural problems of children with CP based on hemiparesis. Fizjoterapia Polska 2008; 8(3); 253-259

Abstract
Background. Injury to the immature brain leads to impaired development of the antigravity mechanism. The adoption of progressively higher body positions is only possible due to compensatory mechanisms. The aim of the study was to diagnose postural disorders in children with CP with respect to the adopted compensatory mechanisms. Material and methods. Eighteen children with advanced hemiparesis, aged from 5 to 14, took part in the study. Objective posturometric measurements were taken while the patients maintained a standing position without assistance. Photogrammetric measurements was used to evaluate the spatial arrangement of individual body segments, with pressure forces on the support base being assessed simultaneously using a baroresistive platform. Results. Patients demonstrated two types of postural patterns: a progravity pattern and an antigravity pattern, which differed mainly in terms of the patient habitually overloading or unloading one of the lower limbs, changing the position of the centre of gravity projection on the support base and a characteristic relation of the shoulder and pelvic lines. Conclusions. The nature of postural disorders in CP children depends on the anti- or progravitational nature of the paresis. The development of postural disorders in CP children is predictable and should therefore be taken into account from the very beginning of rehabilitation
Key words:
cerebral palsy, compensatory antigravity mechanism, postural problems
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The influence of external loading on weight compensatory changes and pelvic behaviour during walking in scoliotic children

Olga Nowotny-Czupryna, Krzysztof Czupryna, Anna Brzęk, Małgorzata Domagalska, Andrzej Szopa

Olga Nowotny-Czupryna, Krzysztof Czupryna, Anna Brzęk, Małgorzata Domagalska, Andrzej Szopa – The influence of external loading on weight compensatory changes and pelvic behaviour during walking in scoliotic children. Fizjoterapia Polska 2008; 8(4); 436-444

Abstract
Background. Compensatory changes in the spatial arrangement of body segments are a characteristic sign of the development of scoliosis. Additional external loads may lead to intensification of existing signs in both static and dynamic conditions. The manner of carrying heavy objects on a daily basis is a key factor here. The aim of this paper was to assess some changes in static and dynamic parameters associated with carrying the school pack in children with scoliosis.Material and methods. Thirty-six children aged 8-15 years with low-grade scoliosis were examined. Foot pressure in static conditions was recorded using a force platform without additional loading, and with a 4 kg external load carried in a symmetric or asymmetric manner. Three-dimensional gait analysis was also performed using a Zebris® system. Parameters were registered during walking without and with the external load.Results. Signs of asymmetric foot pressures were observed that intensified during external loading of spine (both symmetric and asymmetric). These changes were not clearly related to body posture parameters. There were also signs of gait asymmetry that intensified during walking with asymmetrical external loading. The most marked changes were observed with respect to pelvis-related gait determinants. The magnitude of changes was related to the manner of carrying the school pack rather than to body posture parameters. Conclusions. External loads intensify the asymmetry of foot pressure distribution as a result of spontaneous and unpredictable compensatory dislocations. The manner of carrying the school pack is not irrelevant in children with scoliosis.
Key words:
scolioses, foot pressure, gait, locomotion, external loading, gait determinants
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