扁平足对儿童膝关节和脊椎姿势缺陷发生的影响

Katarzyna Bogacz, Bartosz Pańczyszak, Daria Duch, Jacek Łuniewski, Marcin Krajczy, Jan Szczegielniak

K. Bogacz, B. Pańczyszak, D. Duch, J. Łuniewski, M. Krajczy, J. Szczegielniak- The influence of static splayfoot on body posture within knee joints and spine in children. Fizjoterapia Polska 2019; 19(1); 52-58

摘要
研究目的。研究目的为评估小学生的身体姿势,并评估扁平足对下肢和脊椎姿势缺陷发生的影响。
材料及研究方法。研究材料包括306名克卢奇堡市小学四年级的学生,该研究于2017及2018年间进行,针对所获得的研究结果进行统计分析,以调查特定身体姿势缺陷间的依赖性,相关分析用于确定评估变量之间的关系。
结果。对受试人群的姿势错误发生的分析显示脊椎侧弯、扁平足及膝外翻上的统计学显著变量。此外,有一名儿童膝关节弯曲挛缩。
结论
1. 下肢及脊椎的姿势缺陷在四年级学生中为普遍现象。
2. 扁平足和膝盖及脊椎姿势缺陷间有重要关系。

关键词:
扁平足、姿势缺陷、儿童、健康

 

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感觉统合法对一侧化发展的影响评估

Natalia Habik-Tatarowska, Paweł Wieczorkowski, Zbigniew Śliwiński

N. Habik-Tatarowska, P. Wieczorkowski, Z. Śliwiński – Assessment of the impact of sensory integration method on the development of laterality. Fizjoterapia Polska 2018; 18(4); 122-128

摘要
前言。儿童动作发展的方面和要素之一为侧向化的渐进过程,也就是其体能活动的侧面优势。儿童侧向化在强度和过程发展速度上各不相同,许多活动必须在眼、手和脚的和谐合作下完成,身体同侧的器官支配即有助于此。不平稳的侧化将成为空间定向及视觉-运动协调的干扰源,学龄儿童的侧化过程失调经常成为阅读和写作受挫的原因,可能因此导致情绪障碍产生。
研究目的。进行研究的主要目的在评估情感统合法对儿童侧化发展的影响。
材料及方法。共46名7-9岁的儿童接受研究,在感觉统合治疗开始前及6个月后进行侧化进展分析,研究持续时间从2016年6月至2017年12月。6个月的感觉统合法疗程包含下列练习:多重感官刺激、手部灵活性练习、分析练习及视觉综合练习、听觉和视觉顺序练习、顺序及同时记忆练习及视觉-听力协调练习等。
结果和结论。所进行的研究分析显示感觉统合法治疗可以改善侧化的进展,我们越早帮助孩子选择优势手,就越容易尽早让他做好理解环境语言及独立构建语法正确句子的准备。

关键词:
一侧化、感觉统合、儿童、治疗

 

 

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Anxiety among therapists working with children with autism

Paweł Wieczorkowski, Natalia Habik, Zofia Śliwińska, Zbigniew Śliwiński

P. Wieczorkowski, N. Habik, Z. Śliwińska, Z. Śliwiński – Anxiety among therapists working with children with autism. FP 2017; 17(4); 76-82

Abstract

Introduction. The anxiety among the therapists working with the children diagnosed with autism is associated with the fear and concerns associated with planning and conducting the therapeutic process. The objective of the study is to analyse the situations in which therapists experience discomfort and anxiety during classes and exercises with the persons diagnosed with autism. The studies conducted included observations of the causes of anxiety behaviours, the degree of their intensity and elimination.
Materials and methods. The analysis covered 16 therapists working in the Polish Autism Society. The research was conducted from December 2014 to January 2015. The therapists were aged between 22 and 45. The research made use of a diagnostic survey conducted using questionnaires.
Results. The most frequent symptoms of anxiety among the therapists working with autistic children are nervousness and higher heart rate. The best way of handling anxiety is relaxation. The most frequent cause of anxiety among the therapists working with autistic children is physical and verbal aggression demonstrated by children and absence of effects of work.
Conclusions. An important think to remember when working with autistic children is that work problems should not be brought home. The point is to eliminate occupational burnout. An important element that eliminates anxiety is finding the time for relaxation.

Key words:
autism, children, therapy, anxiety

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Assessment of Body Posture in Children of Kindergarten Age

Katarzyna Sołtysiak, Natalia Kociuga

K. Sołtysiak, N. Kociuga – Assessment of Body Posture in Children of Kindergarten Age. FP 2017; 17(2); 82-99

Abstract

Study Goal. The goals of this study are: to examine body posture in children of kindergarten age in two ages groups (4 and 5 years), assess the range of motion of the shoulder and hip joints, as well as that of tensile strength of certain postural muscles.
Materials and methods. The sample size for this study consisted of 28 girls and 22 boys (n = 50).
This study was conducted in accordance with guidelines set by the Bioethical Commission of the Medical University of Łódź. Each subject was asked to disrobe to his/her undergarments and stand upright in a comfortable position. The assessment of his/her posture was performed based on both visual observation from a distance of 2 m and by palpation. Kasperczyk’s Protocol as well as the Dega, Thomas, and pseudo-Laseque’s tests were utilized in each assessment. In addition, the body mass and height of each subject was measured. Lovette’s test was utilized in the assessment of strength of the gluteus muscles and the rectus abdominis.
Results. No statistically significant corelation was found in this study between gender and age, however a statistically significant corelation was found between abdominal posture and gender: a flat abdomen was found in 22.73% of boys, but in none of the girls, in this study. An important contrast was found when comparing test subjects based on age in the assessment of body mass: older children were heavier and taller. In terms of the corelation between the Dega test results and age, the results were significant: there were far fewer cases of negative results in children aged 5 years.
Conclusions. 1. Body posture in children of kindergarten age varies greatly for each individual. 2. Lordotic postures or varus/valgus knees, frequently observed in children at this age, are normal variants of ontogenetic development. 3. Results of Lovette’s test indicate good, if not very good, strength of the gluteus maximus and rectus abdominis muscles. 4. Results of Dega, Thomas, and pseudo-Laseque’s tests indicate frequent contractions of the muscles of the shoulder and hip joints. 5.In children aged 4-5 years, improper arching of the feet is frequently evident. 6. The occurrence of abnormalities in body posture occurs in many children of kindergarten age is an indication of the need for corrective treatment to be implemented as early as possible, so as to avoid the permanent fixation of these abnormalities later in life.

Key words:
Body Posture, children, assess the range of motion, postural muscles

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Gender Dimorphism of Postural Static Stability in Children 9 to 12 Years of Age

Marzena Wiernicka, Ewa Kamińska, Dawid Łochyński,
Elżbieta Hurnik, Łukasz Michałowski, Daniel Choszczewski, Piotr Kocur, Marta Flis-Masłowska, Zbigniew Śliwiński, Jacek Lewandowski

M. Wiernicka, E. Kamińska, D. Łochyński, E. Hurnik, Ł. Michałowski, D. Choszczewski, P. Kocur, M. Flis-Masłowska, Z. Śliwiński, J. Lewandowski – Gender Dimorphism of Postural Static Stability in Children 9 to 12 Years of Age. FP 2014; 14(2); 68-76

Abstract

Introduction. Equilibrioception – or sense of balance – is dependent on a number of features of the nervous system and motor system. A rotational sense of balance is fully developed at around 6 years of age; static and dynamic balance, however, is achieved at about 12 years of age.
Purpose. This paper aims to identify dimorphic differences of postural static stability in children of the same age range.
Research Material and Method. Material: The research group consisted of 450 children aged 9 to 12, comprising 235 girls and 215 boys. Research method: The measurement of the Centre of Pressure Sway Path length (mm) and the Sway Area size (mm2) with Eyes Open and Eyes Closed (EO/EC) using CQ-STAB device. The results have been subjected to statistical analysis.
Results. The results obtained did not present a normal distribution and therefore non-parametric tests were used for the calculations. The analysis shows that girls, when compared with boys, achieved significantly better results in static stability measured by determining both the Sway Path and the Sway Area of the COP, both in EO and EC conditions.
Conclusions. Research results analysis indicated a better postural static stability in females compared to male research participants. Gender differences were observed in the study in both Eyes Open and Eyes Closed conditions; this may indicate functional developmental variability of the central nervous system responsible for postural stability control in girls and boys.

Key words:
static stability, children, dimorphism

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The use of pedobarographic examination in children – own experience and review of literature

Jacek Lorkowski, Oliwia Grzegorowska, Ireneusz Kotela

J. Lorkowski, O. Grzegorowska, I. Kotela – The use of pedobarographic examination in children – own experience and review of literature. FP 2014; 14(4); 46-51

Abstract

A non-invasive method, that can be used to describe the underfoot pressure distribution during stance and gait, is pedobarography. This examination helps to describe biomechanics of motor system, especially foot pathologies, among children and adults. It has been used to assess and monitor the progress and effectivness of undergone treatment. In this article we describe chosen issues of pedobarographic examination in diagnostics and treatment of the motor system in children, in whom an appropriate therapy can be more effective than in adults.
In our opinion, pedobarography should be used more often and widely than now. Together with clinical and radiological examination, it can simply complement standard diagnosctics.

Key words:
foot, diagnostics, pressure, gait, children

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