Tag: równowaga

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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The effect of stabilization exercises and rotational mobilizations on postural reactions

Oliwia Mokrus, Mirosław Kokosz, Edward Saulicz, Bogdan Bacik, Mariola Saulicz, Łukasz Drożdż

Oliwia Mokrus, Mirosław Kokosz, Edward Saulicz, Bogdan Bacik, Mariola Saulicz, Łukasz Drożdż – The effect of stabilization exercises and rotational mobilizations on postural reactions. Fizjoterapia Polska 2007; 7(2), 95-106

Abstract

Background. The maintenance of stability and the performance of any motor task is possible thanks to the control function of the nervous system, which collaborates closely with both active and passive components of the locomotor apparatus. The aim of this study was to find out whether stabilizing exercises executed in closed kinetic chains (influencing active elements) and rotational mobilizations (engaging passive structures) could improve body balance. Material and methods. Twenty young, healthy, physically active women were randomly divided into two equal groups. The first group (I) performed stabilizing exercises and the second (II) was subjected to rotational mobilizations. Every woman was examined twice (before and after the exercise procedure). Stability in double-feet quiet stance with and without visual control was examined using a dynamometric platform. The resulting data were analysed statistically. Results. More evident changes could be seen in the frontal plane. These were more noticeable in the active stabilization exercise group (especially with reference to stiffness, where the differences were statistically significant). Conclusions. Some changes of the viscoelastic system were seen in response to both passive and active exercise procedures. More distinct changes were seen following active exercises in a closed kinetic chain (Group I), suggesting that this kind of exercise has a greater effect on postural reactions.

Key words:

stabilization, rotational mobilizations, equilibrium, visco-elastic system

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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 >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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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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Evaluation of balance in 5-7-year-old children with autism spectrum disorder

Alicja Salwach, Aleksandra Czaplińska, Sylwia Potępa, Małgorzata Domagalska-Szopa, Andrzej Szopa

A. Salwach, A. Czaplińska, S. Potępa, M. Domagalska-Szopa, A. Szopa – Evaluation of balance in 5-7-year-old children with autism spectrum disorder. Fizjoterapia Polska 2019; 19(1); 38-44

Abstract
Autism spectrum disorder (ASD) represents an extensive class of symptoms manifested as deficiencies in such fields as communication, social development and stereotypical behavioural patterns. Autism symptoms appear in social interactions issues, mood disorders, somatosensory disorders, concentration problems. The conversion disorders are frequently diagnosed in autistic children. Maintaining the standing balance is an immensely important skill in the child’s development, which consists in controlling the centre of gravity over the support plane. Appropriate balance is necessary for successful performance of numerous daily actions. Retarded development of balance impedes the future motor development and affects the opportunity of the children’s involvement in interactions with peers.
The purpose of this paper was an impartial evaluation of balance skills in children with autism spectrum disorder.
Material and methods. 30 children 5-7 year-old with ASD, including 22 boys and 8 girls. Methods: The Scoring Form for Fullerton Advanced Balance (FAB) Scale test was used for evaluation of the balance.
Results. The lowest results were obtained in the tandem walk and stand on one leg test. The test results varied in specific age groups, however, the differences were not significant. Substantial differences were displayed in tandem gait test for specific age groups.
Conclusions. In children with ASD disorders in balance skills occur.

Key words:
autism, balance, postural control

 

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Risk assessment of falls by selected parameters of Berg balance scale in patients with acute coronary syndrome and after coronary angiography

Grzegorz Biliński, M. Wójtowicz, Małgorzta Fuchs, Jacek Soboń, Henryk Racheniuk, Jan Szczegielniak

G. Biliński, M. Wójtowicz, M. Fuchs, J. Soboń, H. Racheniuk, J. Szczegielniak – Ocena ryzyka upadków wybranymi parametrami skali Berg u chorych po ostrych zespołach wieńcowych i po koronarografii. FP 2013; 13(4); 19-23

Abstract

The treatment and selected diagnostic tests performed inpatient cardiac patients often require immobilization. The procedures used in the treatment of these patients may have an impact on the control of postural and balance after immobilization and involve disturbances at the level of activities of daily living, preventing or hindering the maintenance of upright posture.
The aim of the study was to evaluate body balance control in patients with acute coronary syndromes and after coronary angiography
Examined 70 patients, including 35 after acute coronary syndrome treated with interventional cardiology ward of the Regional Medical Center. The study was conducted using a modified scale Berg showing deterioration in the balance in the group of patients who underwent angiography.

Key words:
Body balance, myocardial infarction, coronary angiography, BBS- Berg Balance scale, physiotherapy

Analysis of the effect of comprehensive rehabilitation with stabilometric platform on body balance in patients with multiple sclerosis and after stroke

Justyna Redlicka, Jan Niedzielski, Elzbieta Miller

J. Redlicka, J. Niedzielski, E. Miller – Analysis of the effect of comprehensive rehabilitation with stabilometric platform on body balance in patients with multiple sclerosis and after stroke. FP 2017; 17(4); 18-23

Abstract

Objective. The objective was to evaluate the effect of a comprehensive rehabilitation program on body balance in patients with multiple sclerosis (MS) and after cerebral stroke.
Materials and methods. Tests were performed at the NeurorehabilitationWard of Dr K.Jonscher Municipal Hospital no. 3 in Lodz on randomly selected patients with MS and after stroke. The group included 50 subjects – 30 men and 20 women, aged 32 to 76 years. All the patients were examined twice for body balance with the use of a computerized stabilometric platform. The following parameters were analyzed: the mean number of all sways, the mean number of sways forwards and backwards, as well as to the left and right. All the sway parameters were measured both with eyes closed and open. The results obtained after rehabilitation were compared to those from before the introduction of rehabilitation.
Results. A course of comprehensive rehabilitation of MS patients resulted in a significant reduction of sways with eyes closed (p < 0.001), however less significant with eyes open (p < 0.2). Similarly, a marked improvement was observed in post-stroke patients in the mean number of sways with eyes closed (p < 0.001), whereas with eyes open, the results were not statistically significant (p < 0.02).
Conclusions. Comprehensive rehabilitation has a significant effect on the body balance of patients with MS and after stroke. In the trial with the use of a stabilometric platform, better results after a course of rehabilitation were noted inpost-stroke patients.

Key words:
stabilometric platform, balance, stroke, multiple sclerosis

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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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