Tag: Postural stability

The impact of suboccipital muscle inhibition on postural stability in young individuals

Weronika Zamara, Idzi Siatkowski, Małgorzata Wójcik

 

Weronika Zamara, Idzi Siatkowski, Małgorzata Wójcik – The analysis of the relationship between blood pressure and cardiovascular capacity in the elderlies –  Fizjoterapia Polska 2024; 24(1); 42-47

DOI: https://doi.org/10.56984/8ZG2EF8369

Abstract
Introduction. Postural stability is the result of cooperation between the musculoskeletal and nervous systems. The stability of standing posture ensures the spatial arrangement of the body, where the center of gravity falls within the center of the support base. FHT (Forward Head Posture) increases the extension in the occipito-cervical joint and upper cervical spine, deepening the flexion of the lower cervical segment, causing improper contraction of the suboccipital muscles. Disorders in the tone of the suboccipital muscles may affect the balance.
Objective. The research hypothesis was made that a single 4-minute suboccipital muscle inhibition procedure influences the change in postural stability values with open and closed eyes in individuals with cranio vertebral angle (CVA) within the normal range and below.
Materials and Methods. Healthy participants (10 women and 8 men) with an age of 22.7 ± 0.58. The participants took part in the study. They were classified into research groups based on the CVA angle assessment. Postural stability analysis used the Koordynacja stabilometric platform. Measurements were taken with open and closed eyes, before and immediately after suboccipital muscle inhibition.
Results. The suboccipital muscle inhibition was observed to affect anterior-posterior (A-P) displacements in group A (CVA < 50) p-value = 0.0168, with no significant impact in group
B (CVA ≥ 50), p-value = 0.3695.
Conclusion. A single 4-minute suboccipital muscle inhibition procedure does not significantly influence postural stability parameters in the examined groups, except for A-P displacements with open  eyes in the CVA < 50 group.
Keywords
suboccipital muscle, postural stability
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Effects of vestibular rehabilitation on postural stability in anterior circulation stroke patients: A randomized controlled trial

Ahmed Said Abd Elwahed, Wadida Hassan Abd Elkader, Soheir Shehata Rezkallah, Ehab Shaker Belal, Ahmed Ismaeil Abbas

Ahmed Said Abd Elwahed, Wadida Hassan Abd Elkader, Soheir Shehata Rezkallah, Ehab Shaker Belal, Ahmed Ismaeil Abbas – Effects of vestibular rehabilitation on postural stability in anterior circulation stroke patients: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 172-181

Abstract
Background. Postural stability after anterior circulation stroke is considered a major cause of falling and functional dependence. Recently, special attention regarding mechanisms about standing balance recovery following stroke has been grown. Evidence supports the effectiveness of vestibular rehabilitation therapy for patients with central vestibular disorders. Objective. A randomized controlled trial was designed to investigate the effects of vestibular rehabilitation on postural stability in anterior circulation stroke patients. Methods. Thirty-six patients (27 males, 9 females) their age range from (44 to 72 years) diagnosed with anterior circulation stroke were enrolled and assigned randomly into two similar groups: experimental group (A) received vestibular rehabilitation therapy in addition to conventional treatment 3 sessions per week for six consecutive weeks, but the conventional group received only conventional treatment. All patients were assessed for postural stability using sensory organization test and berg balance scale and for gait performance using time up and go test at baseline and after 6 weeks at end of the rehabilitation process. Results. Statistical analyses using mixed design MANOVA showed that there was statistical significant difference (p < 0.05) in all outcome variables for both groups in favor to VR group especially in SOT5, SOT6 while there were non-significant differences between groups in SOT1 variable. Conclusion. Vestibular rehabilitation may be a promising approach if it is integrated as standard in the rehabilitation program for improving postural control after anterior circulation stroke affecting parieto insular region.
Key words:
vestibular rehabilitation, postural stability, anterior circulation stroke, parieto insular cortex
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Effects of Thera Togs suit on postural stability in patients with central hypotonia. Preliminary report

Agata Michalska, Jolanta Dudek, Michał Linowski, Anna Tarasow-Zych

Agata Michalska, Jolanta Dudek, Michał Linowski, Anna Tarasow-Zych – Effects of Thera Togs suit on postural stability in patients with central hypotonia. Preliminary report. Fizjoterapia Polska 2012; 12(3); 275-284

Abstract
Postural hypotonia is one of the many factors adversely affecting postural stability, understood as the attitude of resistance to interference of endogenous and exogenous interferences. It evokes a number of compensatory responses allowing the stabilization of the body and entailing changes in the reciprocal positioning of the key points: the head, the shoulders and the pelvis. This affects the spatial position of the overall center of mass (COM), changing the base of the support and physiological limits of stability. Thera Togs suit is an orthotic equipment applicable in the treatment of postural hypotonia. Through the compression it provides incentives for proprioceptors, affecting body awareness and postural stability. The paper attempts to assess the impact of Thera Togs suit on postural stability of the studied sample. The sample comprised 8 of Rehabilitation-Education-Pedagogical Centre in Kielce, diagnosed with postural hypotonia who were able to maintain an upright position. In order to evaluate the therapeutic effect of Thera Togs suit, triple stability measurements was carried out, first before putting the suit on and next after one hour and six hours of wearing the suit. A statistically significant improvement in postural stability was observed in each patient, expressed by a decrease in size and area of the confidence ellipse and reduction of the number of postural sways. The corrective effect, resulting from application of the tape, aimed at restoring a symmetrical load distribution between the feet, was not obtained. The preliminary results show an improvement in postural stability in the study group of patients.
Key words:
postural hypotonia, postural stability, orthotic equipment, Therapeutic effects
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Body mass index, postural stability and the risk for falls in women over 60

Paulina Handzlik, Katarzyna Karkoszka, Joanna Czesak

P. Handzlik, K. Karkoszka, J. Czesak – Body mass index, postural stability and the risk for falls in women over 60. Fizjoterapia Polska 2020; 20(3); 76-83

Abstract
Objective of the study. The aim of the study was to assess postural stability and the risk for falls in women over 60, as well as to evaluate the correlation between body mass index, postural stability and the risk for falls.
Material and methods. The research was conducted on a group of 74 women aged 60 to 85 who participated in a rehabilitation stay at a sanatorium. The subjects were divided into classes based on the value of the BMI. Specialistic balance assessment tests were used to evaluate balance. Postural stability and the risk for falls were determined using the Functional Reach Test (FRT) and the Romberg’s test. A stabilometric platform was applied to assess balance using the analysis of COP parameters, while the FRT test was used to evaluate the ability to maintain balance while leaning out and to assess the risk for falls.
Results. The analysis of the results of Functional Reach Test showed no significant effect of body mass index on balance. The analysis of the results of the Romberg’s test revealed statistically significant influence of the body mass index on some parameters.
Conclusions. Body mass index did not have a significant impact on the results of the FRT test. The analysis of the outcomes showed that overweight and obese people have a greater problem with maintaining balance in the presence of a disturbing factor. For those over the age of 60, this may be an additional factor increasing the risk for falls.
Key words:
postural stability, risk for falls, women, BMI
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Balance Versus Postural Stability and Its Disorders in Patients after Ischemic Stroke – Theoretical Study

Magdalena Goliwąs, Ewa Kamińska, Marta Flis-Masłowska,
Marzena Wiernicka, Jacek Lewandowski

M. Goliwąs, E. Kamińska, M. Flis-Masłowska, M. Wiernicka, J. Lewandowski – Balance Versus Postural Stability and Its Disorders in Patients after Ischemic Stroke – Theoretical Study. FP 2017; 17(1); 38-44

Abstract
The aim of this study is to explain the differences between balance and postural stability, and the changes which occur in these traits in patients after stroke.
Human being has the natural ability to stand on two feet and to move on the two feet across an unfamiliar terrain. However these abilities do constitute a big challenge for the balance control system, which is being controlled through the three separate systems, two of which are sight, responsible for planning of the locomotion activity, vestibular system, responsible for spatial orientation of the human body. The third, and the most complex is the sensory system (composed of proprioceptors and mechanoreceptors). In terms of biomechanics the balance is defined as the ability to maintain the center of gravity of the human body above the supporting plane.
One of the most important determinants of the correct body posture is the postural stability, which wider concept and denotes the ability to recover the balance. This is possible thanks to three strategies. Patients after a stroke have a problem with the ability of spontaneous kinesthetic response. The distribution of pressure forces of the plantar side of a foot on the ground changes, it becomes difficult to maintain balance, and the consequences are frequent falls, femur fractures and problems with the basic activities of daily living.

Key words:
Postural stability, balance, stroke

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