Tag: Postural stability

The relationship between cognitive functions and postural stability in university students

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Eva Lukáčová, Gabriela Škrečková, Cyril Grus, Matúš Kozel, Jakub Čuj, Rút Lenková – The relationship between cognitive functions and postural stability in university students –  Fizjoterapia Polska 2025; 25(4); 118-123

DOI: https://doi.org/10.56984/8ZGA431V3NN

Abstract
Introduction: The aim of this study was to investigate the association between cognitive functions and postural stability in university students.
Material and methods: The research sample comprised 40 students from the Faculty of Health Care Professions at the University of Prešov in Prešov (age: 21.08±2.04 years; height: 1.74±0.09 m; weight: 69.93±11.83 kg; BMI: 23.10±2.50 kg/m²), divided by sex into male (n=20; age: 21.00 ±1.84 years; height: 1.74±0.09 m; weight: 78.20±10.18 kg) and female (n=20; age: 21.15 ±2.22 years; height: 1.73±0.09 m; weight: 61.65±7.05 kg). Posturographic parameters like travelled distance and ellipse surface area were assessed using the FootScan® baropodometric platform (Materialise Motion, Paal, Belgium), monitoring latero-lateral and antero-posterior foot loading.
Results: Our analysis revealed significantly higher anterior foot loading (p = 0.01) and sex-specific changes in postural control during cognitive tasks. Men showed increased left lower limb and anterior/forefoot loading across all cognitive tasks (p < 0.05), while women primarily had increased anterior/forefoot loading (p = 0.01) and a significant effect on travelled distance (p = 0.001) during verbal fluency.
Conclusion: The findings of the study indicate a significant association between cognitive functions and postural stability among university students, particularly regarding latero-lateral and antero-posterior loading.
Key words
postural stability, FootScan®, cognitive functions, dual task, baropodometric platform
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The Influence of high kinesiophobia on dynamic postural stability among females with patellofemoral pain syndrome during a single-leg squat test

Amjad Shallan, Bodor Bin sheeha, Hadeel Almimi, Adnan Wshah, Saker M. Obaidat, Ahmad Muhsen, Mohanad Hawamdeh, Saad Al-Nassan

Amjad Shallan et al. – The Influence of high kinesiophobia on dynamic postural stability among females with patellofemoral pain syndrome during a single-leg squat test –  Fizjoterapia Polska 2024; 24(4); 412-417

DOI: https://doi.org/10.56984/8ZG01A8F7G9

Abstract
Objective. The purpose of this study was to examine the effect of Kinesiophobia level on postural stability during Single Leg Squat Test (SLST) in females with patellofemoral pain syndrome (PFPS).
Methods. Forty women with PFPS were divided into a High Kinesiophobia level group (HK), a Low Kinesiophobia level group (LK), and a pain-free control group of twenty participants. Postural stability was measured during the performance of the Single Leg Squat Test (SLST) on a force platform. The centre of pressure (COP) excursion and velocity were recorded.
Results. The HK group had a significantly higher mean medial–lateral and anterior-posterior COP displacement compared to the LK and control groups. However, the results showed no significant differences in COP variables (velocity and displacement) between LK and healthy subjects. Muscle strength of participants with PFPS presented a significant deficit compared to healthy control group.
Conclusions. High Kinesiophobia negatively affects postural stability during the SLST. Kinesiophobia should be considered during the assessment and management of PFPS.
Key words
postural stability, patellofemoral pain syndrome, kinesiophobia, centre of pressure, single leg squat test
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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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