Tag: dynamic balance

Effects of upper cervical HVLA manipulation on static and dynamic balance parameters in healthy adults – a systematic literature review

Przemysław Malich, Agata Pasternak, Danuta Lietz-Kijak, Aleksandra Bitenc-Jasiejko, Piotr Skomro, Konrad Kijak, Małgorzata Kowacka, Zbigniew Śliwiński


Przemysław Malich, Agata Pasternak, Danuta Lietz-Kijak, Aleksandra Bitenc-Jasiejko, Piotr Skomro, Konrad Kijak, Małgorzata Kowacka, Zbigniew Śliwiński – Effects of upper cervical HVLA manipulation on static and dynamic balance parameters in healthy adults – a systematic literature review. Fizjoterapia Polska 2023; 23(3); 210-220

DOI: https://doi.org/10.56984/8ZG1436RB

Abstract
Background. Balance is a complex concept that applies not only to tasks with a reduced base of support, but also to everyday activities that require us to maintain a fixed position. Just as the concept itself is broad, the mechanisms for maintaining balance are complex and rely on information received from many regions of the body and organs.
Objective. The aim of this systematic literature review is to analyse whether HVLA manipulation of a blocked C0-C1 segment can affect static and dynamic balance parameters in healthy adults.
Methods. Based on the available literature, accessed via PubMed, Google Scholar, Scopus, EBSCO databases, a detailed search of the electronic literature was performed for 2010–2023. Eligible studies were chosen according to inclusion and exclusion criteria, using keywords: static balance, dynamic balance, manipulation, HVLA. Out of 114 manuscripts, 82 were short-listed for the preliminary review process. Twenty experimental studies were selected for final analysis.
Results. Out of the 20 publications analysed, 14 examined the effect of HVLA manipulation on balance parameters. In most cases, the study groups consisted of people with no dysfunction or complaints and/or people with neck pain. The most commonly studied parameter was static balance in standing: 17 of 20 publications. For the cervical spine, 50% of the studies found a significant improvement in the parameters studied in the immediate assessment, while in the delayed assessment there were as many significant positive results as there were results with no effect on balance. In the analysis of a subset of trials that examined only asymptomatic patients, partial or significant positive effects were observed in both immediate and delayed assessment.
Conclusions. We were not able to identify studies that would provide a clear answer to the research question. Based on the publications included in the review, it can be assumed that HVLA manipulation in the cervical region has the potential to affect balance in healthy adults, but the number of available studies is too small to draw firm conclusions. Further research in this area is therefore warranted.
Keywords
static balance, dynamic balance, manipulation, HVLA, podoscope
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The interlimb and between gender differences in the performance of Y-balance test in healthy athletic students

Marwan M Aljohani,Abdulmohsen M Alroumi, Ayman M Alawamer, Osama Ahmed Khalid


Marwan M Aljohani,Abdulmohsen M Alroumi, Ayman M Alawamer, Osama Ahmed Khalid – The interlimb and between gender differences in the performance of Y-balance test in healthy athletic students. Fizjoterapia Polska 2022; 22(5); 154-158

DOI: https://doi.org/10.56984/8ZG20A24g

Abstract:

Objectives. To investigate the gender effect on the performance of Y-balance test (YBT) and the interlimb differences in males and females.
Methods. Thirty-six healthy athletic students aged 22 ± 2 years voluntarily participated in this study. YBT scores in_cm for anterior, posteromedial, posterolateral, and composite scores for dominant and non-dominant limbs were measured. YBT scores were used for the analysis. Independent_t-test was used to investigate the gender differences in YBT scores. Paired_t-test was used to examine the interlimb differences of YBT for males and females.
Results. Males athletic student demonstrate greater reach scores in all direction for the non-dominant and dominant leg except the posteromedial reach direction for the dominant leg. In addition, male athletic students demonstrated significant interlimb differences in the posteromedial reach direction.
Conclusions. Male athletic students demonstr`ated better dynamic balance compared to females. However, there was a_significant interlimb differences in the posteromedial reach direction which is known to be risk factor for non-contact injury for who participate in soccer.

Keywords:
Y-balance test, dynamic balance, interlimb, gender differences

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Influence of Vestibular Rehabilitation on Balance and Dual-Task Cost of Walking in Patients with Multiple Sclerosis: A Randomized Controlled Trial

Bassam A. El-Nassag, Amina Awad

Bassam A. El-Nassag, Amina Awad – Influence of Vestibular Rehabilitation on Balance and Dual-Task Cost of Walking in Patients with Multiple Sclerosis: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(3); 84-89

DOI: https://doi.org/10.56984/8ZG1406E7

Abstract
Background. Balance dysfunction and high dual-task costs are eminent features in multiple sclerosis (MS). Vestibular rehabilitation therapy (VRT) proved to promote functional outcomes; yet, its influence on dynamic balance and dual-task cost of walking (DTCW) in MS needs further research.
Objective. To investigate the effect of adding VRT to aerobic training on dynamic balance and DTCW in people with MS.
Design. Single blinded, parallel randomized controlled trial.
Settings. Out-Patient Clinic at Faculty of Physical Therapy and Kasr Al-Ainy Multiple Sclerosis Unit, Cairo University, Egypt.
Participants. 40 patients with remitting-relapsing multiple sclerosis.
Intervention. Patients were randomized to a control (n = 20) and intervention (n = 20) groups. Over four successive weeks, all patients received stationary bicycle aerobic training. Intervention group received an additional VRT program.
Outcomes measures. Berg Balance Scale (BBS), walking speed tested by the 10 meters timed walk test (10 m-TWT), (DTCW), and overall stability index (SI).
Results. Intervention group showed a remarkable improvement in BBS (p = 0.02), SI at levels four (p = 0.002) and seven (p = 0.03), and DTCW (p = 0.03) compared with control group. Walking speed did not show significant changes post-treatment within or between groups comparison (P > 0.05).
Conclusion. Adding VRT to aerobic training has a positive effect on dynamic balance and dual-task cost of walking in MS.
Key words:
Multiple sclerosis, vestibular rehabilitation, dynamic balance, dual task cost of walking
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