Tag: balance

Wpływ metody treningu obwodowego z wykorzystaniem masy ciała na zwiększenie siły mięśniowej, wytrzymałości mięśniowej i równowagi zapaśników

Farid Imam Nurhadi, Wawan Sundawan Suherman, Yudik Prasetyo, Ahmad Nasrulloh, Rina Yuniana, Muhamad Ichsan Sabillah


Farid Imam Nurhadi, Wawan Sundawan Suherman, Yudik Prasetyo, Ahmad Nasrulloh, Rina Yuniana, Muhamad Ichsan Sabillah – The effect of the circuit bodyweight training method on increasing muscle strength, muscle endurance, and balance of wrestling athlete. Fizjoterapia Polska 2023; 23(3); 138-144

DOI: https://doi.org/10.56984/8ZG143BD3

Streszczenie
To badanie ma na celu ustalenie: (1) Wpływu metody treningu obwodowego z wykorzystaniem masy ciała na zwiększenie siły mięśni, wytrzymałości mięśniowej i równowagi zapaśników. (20) Różnicy w efekcie metody treningu obwodowego z wykorzystaniem masy ciała między grupą badaną a grupą kontrolną w zakresie wzrostu siły, wytrzymałości mięśniowej i równowagi zapaśników.
Rodzaj badania to badanie kwazieksperymentalne z projektowaniem przedtestowym i projektowaniem grupy kontrolnej po testach. Próba w tym badaniu wyniosła 77 osób, wybranych za pomocą technik losowego doboru próby. Badani zostali podzieleni na 2 grupy: grupę otrzymującą terapię (36 osób) oraz grupę kontrolną (31 osób).
Do pomiaru siły mięśni dłoni użyto dynamometru chwytu dłoni, wytrzymałość mięśni ramion była mierzona testem push-up, wytrzymałość mięśni brzucha za pomocą testu sit-up, siła mięśni nóg przez test ściany, a równowaga przez test stojącego bociana. Analiza danych opierała się na niezależnych testach t dla próbek, a następnie sparowane testy t dla próbek.
Wyniki wskazują, że (1) istnieje znaczący wpływ metody treningu obwodowego z wykorzystaniem masy ciała na wzrost siły mięśniowej, wytrzymałości mięśniowej i równowagi u zapaśników w grupie badanej. Wszystkie pomiary wykazały wartości istotności mniejsze niż 0,05 (p < 0,05); istnieje znacząca różnica wpływu między grupą badaną a grupą kontrolną na wzrost siły mięśni, wytrzymałości mięśniowej i równowagi u zapaśników. Średnia wartość dla grupy badanej wynosiła 60,46, podczas gdy dla grupy kontrolnej 48,54, co daje różnicę 11,92 w teście po.
Zatem, badanie wykazało, że nastąpił znaczący wzrost siły mięśni dłoni, wytrzymałości mięśni dłoni, wytrzymałości mięśni brzucha, siły mięśni nóg i równowagi przed i po terapii w grupie badanej. W grupie kontrolnej nie odnotowano znaczącej poprawy. Grupa badana miała lepsze wyniki w zakresie siły mięśni dłoni, wytrzymałości mięśni dłoni, wytrzymałości mięśni brzucha, siły mięśni nóg i równowagi niż grupa kontrolna.

Słowa kluczowe
trening obwodowy z wykorzystaniem ciężaru własnego ciała, siła mięśniowa, siła mięśniowa, siła mięśniowa

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Use of the posturography platform as a tool for quantitative assessment of imbalance and postural control in post-stroke patients in chronic phase

Paulina Magdalena Ostrowska, Rita Hansdorfer-Korzon, Rafał Studnicki, Dawid Spychała


Paulina Magdalena Ostrowska, Rita Hansdorfer-Korzon, Rafał Studnicki, Dawid Spychała – Use of the posturography platform as a tool for quantitative assessment of imbalance and postural control in post-stroke patients in chronic phase. Fizjoterapia Polska 2023; 23(1); 142-163

DOI: https://doi.org/10.56984/8ZG07B4A3

Abstract
Background. Imbalance during standing, which is usually observed as an asymmetry in the weight shifting toward to the unaffected side of the body, is one of the most common factors affecting the independence and quality of life of post-stroke patients. Clinical assessment of imbalance in post-stroke patients is often conducted by visual observation using standardised tools (balance tests). However, quantitative analysis, using a posturographic platform, is more accurate and provides more information about the patient’s functional status. The TYMO® device, used in this study, is a portable posturography platform that measures tilts of the body’s center of mass and reports the results of the rehabilitation process. It enables an objective, direct and quantitative assessment of the patient’s functional status. Such an assessment can contribute to significant effectiveness of physiotherapy and consequently improve the patient’s quality of life and shorten the period of abstinence from work. Objective. Quantitative assessment of imbalance and postural control using a posturography platform (TYMO®) in patients after ischaemic stroke, in the chronic phase, as an important component of the functional diagnosis process and rehabilitation programme design. To emphasise the role of the posturography platform (TYMO®) as a tool for measuring static balance – symmetry of body weight distribution, and a tool for monitoring and reporting the results of physiotherapy treatment. Methods. In the current study, before and after two weeks of rehabilitation, quantitative measurements of balance on the TYMO® platform were made in a group of subjects (n = 60: adults, after ischemic stroke – first stroke episode, in chronic phase – up to 5 years after the stroke incident occurred) undergoing therapy using neurophysiological methods (PNF – Proprioceptive Neuromuscular Facilitation and NDT-Bobath – Neurodevelopmental Treatment according to the Bobath concept) and the SPIDER system (Strengthening Program for Intensive Developmental Exercises and activities for Reaching health capability). Measurements included: the distance marked by the patient’s center of mass while performing the test, the medial-lateral and anterior-posterior tilts of the subject’s body, the area of movement marked by the body’s center of mass, the average speed at which the patient performed the movement to maintain the required position, and the distribution of the subject’s weight. Based on the posturographic results obtained before therapy, it was possible to design a targeted rehabilitation programme. The magnitude of the difference in measurements before and after rehabilitation made it possible to assess the impact of the therapy on the patient’s balance. In addition, it was a specific indicator of the accuracy of the selection of physiotherapeutic treatment (a large difference in the mean results before and after therapy reflected an improvement in the parameters of postural control, hence the effectiveness of the therapy) and determined the direction of the future rehabilitation programme. Results and conclusions. The parameters measured by the TYMO® platform are crucial in assessing the functional status of post-stroke patients, especially with regard to postural control or balance disorders. The results described confirm the validity of using quantitative assessment, using the posturography platform, as an important component of the functional diagnostic process and designing an rehabilitation programme. The TYMO® platform itself is a useful tool for measuring, monitoring and reporting the effects of physiotherapeutic treatment in post-stroke patients.
Key words:
stroke, body weight distribution, balance, quantitative assessment, posturographic platform
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Effect of Minds in Motion program on vestibular function and balance in children with hemiplegia: A randomized controlled study

Dina Mohammed Mustafa Abdelhamid, Emam Hassan El Negmy, Hoda Ishac AbuMoussa, Samah Attia El Shemy


Dina Mohammed Mustafa Abdelhamid, Emam Hassan El Negmy, Hoda Ishac AbuMoussa, Samah Attia El Shemy – Effect of Minds in Motion program on vestibular function and balance in children with hemiplegia: A randomized controlled study. Fizjoterapia Polska 2022; 22(3); 170-178

Abstract
Purpose. To investigate the effect of Minds in Motion (MiM) program on vestibular function and dynamic balance in children with hemiplegia.
Methods. Thirty children with hemiplegic cerebral palsy (CP) of both genders with age ranged from 6-12 years were randomly assigned into two groups of equal number; Group (A) (control group), received specially designed physical therapy program for 3 months, Group (B) (study group), received MiM vestibular exercise program in addition to the specially designed physical therapy program given to the control group for 3 months. Vestibular functions and stability indices were assessed for all children before and after treatment using cervical vestibular evoked myogenic potentials (cVEMPs) device and biodex balance system (BBS) respectively.
Results. The results of the present study showed statistically significant improvement within both groups when comparing their pre and post-treatment mean values of stability indices and VEMP amplitude. Post-treatment significant improvement was also observed in the amplitude asymmetry ratio (AAR) in the study group compared with the pre-treatment mean values while no significant change was detected in the control group. Also, no significant changes were detected in P1, and N1 latencies in both groups after treatment. Statistically significant differences were observed in all measured variables between both groups in favor of the study group while there was no significant difference between both groups when comparing the post-treatment mean values of P1 and N1 latencies.
Conclusion. Minds in motion program is an effective modality that can be used for improving the vestibular functions and balance capabilities in children with hemiplegic CP.

Key words:
cerebral palsy, hemiplegia, minds in motion, vestibular function, balance

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Prevalence of dynamic instability among football players in the UAE: A cross-sectional study

Mouza Lootah, Tamer Shousha, Nehad A. Abo-zaid, Mohamed A. Behiry

Mouza Lootah, Tamer Shousha, Nehad A. Abo-zaid, Mohamed A. Behiry – Prevalence of dynamic instability among football players in the UAE: A cross-sectional study. Fizjoterapia Polska 2021; 21(3); 128-133

Abstract
Although dynamic balance is one of the most important components of stability, it is not considered properly during athletic evaluations.
Aim. To investigate the prevalence of dynamic instability among a group of football players in the UAE. In addition, to investigate the possible association between dynamic instability and player position, weight, and body mass index (BMI). Materials and Methods. 142 Emirati football players from different emirates, between the ages of 16-24 years free from any upper or lower limb injuries at least 3 months prior to the study. The participants were assessed for dynamic balance using the overall stability index during single leg stance measured by the Biodex balance system Results. revealed a high prevalence of dynamic instability among football players in the UAE as 73.2% of the participants showed to be unstable. In addition, there was a strong negative correlation observed between field position and single leg stability index (P = 0.002), however, there was no correlation found between dynamic instability and weight (P = 0.106) or BMI (P = 0.212). Conclusions. Study results suggest the prevalence of dynamic instability among UAE football players with a strong negative correlation between dynamic instability and player position with no significant correlation with weight or BMI.
Key words:
Balance, instability, Biodex
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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 &gt;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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Clinical factors affecting balance and symmetry of the lower extremity weight bearing in post stroke patients

Teresa Pop, Joanna Glista, Wojciech Rusek

Teresa Pop, Joanna Glista, Wojciech Rusek – Clinical factors affecting balance and symmetry of the lower extremity weight bearing in post stroke patients. Fizjoterapia Polska 2012; 12(3); 251-262

Abstract
Cerebrovascular stroke has become the third most common cause of death in many developing countries and one of main causes of long term disability. The aim of the study was to evaluate an impact of the degree of paresis in the upper extremity and the side of paresis on balance and the lower extremity weight bearing in patients with ischemic stroke. The study group included 51 stroke patients, admitted for treatment to the Provincial Hospital No.2 in Rzeszow. The control group included 51 subjects in the same age group with no stroke history. We assessed functional efficiency of the hand according to the Brunnström scale, balance and symmetry of the lower extremity loading using stabilometric Zebris platform. Statistical analysis did not show any significant differences between the mean values obtained for the examined balance parameters in regard to the side of paresis. However, a statistically significant difference was found between the mean values obtained for the examined parameters of lower extremity weight bearing symmetry and the side of paresis. The degree of the upper extremity paresis correlates with balance parameters and lower extremity weight bearing symmetry in stroke patients with left-sided hemiparesis. The side of paresis affects the symmetry of lower extremity weight bearing.
Key words:
Cerebrovascular stroke, upper extremity paresis, lower extremity weight bearing symmetry, balance
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Proposition of conservative treatment of patients with vertigo and balance disorders caused by vestibular dysfunction

Joanna Jaczewska, Witold Rongies, Marek Zaleski

Joanna Jaczewska, Witold Rongies, Marek Zaleski – Proposition of conservative treatment of patients with vertigo and balance disorders caused by vestibular dysfunction. Fizjoterapia Polska 2012; 12(3); 201-212

Abstract
The aim of this study was to evaluate the effectiveness of physical exercises used in the treatment of vertigo and balance disorders caused by vestibular dysfunction. The study group consisted of 30 patients (22 women and 8 men, aged 30-84) with vertigo and/or balance disorders of vestibular origin. Half of the patients (10 women and 5 men, aged 30-79) took the medicine. All patients attended in an individually selected programme of exercises dependent on diagnosis. The control group consisted of 15 patients (10 women and 5 men, aged 30-74) treated only pharmacologically. In order to investigate the effect of rehabilitation, a modified DHI questionnaire was used. For statistical evaluation, an analysis of variance with repeated measurements was performed. Statistical significance was assumed at a level of 0.05.In the group of patients who participated only in the programme of vestibular rehabilitation, an improvement of the questionnaire score was on average 48%. The result in the group performing exercises and additionally taking medication improved on average by 45%. In the control group only 15% of improvement was achieved. The difference in the results is statistically significant. 1. Vestibular rehabilitation has proved to be an effective treatment approach for vertigo and balance disorders caused by diseases of the vestibular system. 2. The age had no significant effect on the result of rehabilitation. 3. An improvement was noted, both in structural, functional and emotional aspects.
Key words:
vestibular system, vertigo, dizziness, balance, vestibular rehabilitation
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Effect of whole-body vibration on craniovertebral angle and balance control in forward head posture: Single-Blinded randomized controlled trial

Asmaa Hossam, Fatma S Amin, Enas E Abutaleb

Asmaa Hossam, Fatma S Amin, Enas E Abutaleb – Effect of whole-body vibration on craniovertebral angle and balance control in forward head posture: Single-Blinded randomized controlled trial. Fizjoterapia Polska 2021; 21(1); 98-104

DOI: https://doi.org/10.56984/8ZG208142

Abstract
Background. A fault posture of head can disturb the body balance. Forward head posture (FHP) is one of common faulty postures seen among university students. Whole Body Vibration (WBV) is a quick method of neuromuscular training used to increase muscle strength, improve dynamic balance control and eventually correct posture.
Purpose. A randomized controlled trial was designed to investigate the effect of WBV training on craniovertebral angle and dynamic balance control in subjects with forward head posture.
Methods. Forty-five participants (11 males and 34 females, 18-23 years old) were randomly allocated into 3 equal groups: group (A) received traditional treatment (stretching and strengthening exercises) + postural advices, group (B) received whole body vibration training + postural advices, group (C) received traditional treatment + whole body vibration training + postural advices, 3 sessions /week for 4 weeks. Outcome measures included craniovertebral angle (CVA), overall stability index (OSI), anteroposterior stability index (APSI) and mediolateral stability index (MLSI) that were assessed at baseline and 4 weeks post-intervention.
Results.  Comparing all groups post training revealed that there were statistically significant increases (p < 0.05) in all measured variables (CVA, OSI, APSI and MLSI) in favour of group (C), while there were statistically non-significant differences between group A & B (p > 0.05).
Conclusion. The conjugation of WBV training with traditional treatment of FHP improved craniovertebral angle and dynamic balance control in subjects with forward head posture.
Key words:
whole body vibration, forward head posture, craniovertebral angle, balance
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Effect of ultraviolet on vitamin D activation and balance in postmenopausal women: A randomized controlled trial

Eman J. Hassan, Hala M. Omara, Mohamed A. Awad, Hossam H. Salem

Eman J. Hassan, Hala M. Omara, Mohamed A. Awad, Hossam H. Salem – Effect of ultraviolet on vitamin D activation and balance in postmenopausal women: A randomized controlled trial. Fizjoterapia Polska 2020; 20(5);  90-95

Abstract

Aim. To determine the effect of ultraviolet on vitamin D activation and balance in postmenopausal woman. Materials and methods. This study was conducted on forty postmenopausal women suffering from vitamin D deficiency (diagnosed by physician), with their age ranged from 50 to 60 years. They were randomly assigned into two equal groups. Group (A) received ultraviolet for 12 weeks (n = 20), while group (B) served as a control group (n = 20). Vitamin D was evaluated by blood analysis while balance was evaluated by Biodex balance system before and after treatment for both groups. Results. Comparing both groups post-treatment showed that there was a statistically significant increase in vitamin D (p < 0.05) and statistically significant reduction in all balance indices (p < 0.05) in favor of group (A). Conclusions. Ultraviolet radiation is effective, easy to apply, simple and successful method in improving vitamin D concentration and balance in postmenopausal women.

Key words:
ultraviolet, vitamin D, balance, post menopause
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電子平衡訓練對絕經後婦女姿勢不穩定性的影響：隨機對照試驗

Reham Ebrahim Mohammed, Hamada Ahmed Hamada, Amel Mohamed Yousef, Khadega Sayed Abdul Aziz, Ghada Mohamed Koura, Rafik Radwan

Reham Ebrahim Mohammed, Hamada Ahmed Hamada, Amel Mohamed Yousef, Khadega Sayed Abdul Aziz, Ghada Mohamed Koura, Rafik Radwan – Impact of Electronic Balance Training on Postural Instability in Postmenopausal Women: a Randomized Controlled Trail. Fizjoterapia Polska 2019; 19(3); 100-105

摘要
目的：确定电子平衡板对绝经后女性平衡的影响为本研究的目的。主题和方法。我们的研究设计为随机单盲对照试验，共40名惯于久坐、健康稳定且处于绝经阶段的女性抱怨其生活质量差，年龄在50至65岁之间的参与女性被随机分配至均等两组：A组除了平衡康复方案和有氧运动外，还参与电子平衡板训练计划，B组则接受平衡康复计划和有氧运动。每组每周接受3次疗程，持续一个月。干预前后记录其稳定性指数、AP指数和ML指数。结果。治疗后A组与B组相较下，稳定性指数、AP指数和ML指数均显著降低。结论。除了平衡康复计划和有氧运动外，为期四周的电子平衡板在Biodex平衡系统上比单独的平衡康复计划更能改善绝境后的平衡问题。

关键词：
平衡、电子平衡、有氧运动、更年期

 

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