Evaluation of the effect of postural muscle strengthening exercises on static and dynamic balance in preschool children

Elżbieta Cimochowska, Idzi Siatkowski, Małgorzata Wójcik

 

Elżbieta Cimochowska, Idzi Siatkowski, Małgorzata Wójcik – Evaluation of the effect of postural muscle strengthening exercises on static and dynamic balance in preschool children –  Fizjoterapia Polska 2025; 25(2); 92-96

DOI: https://doi.org/10.56984/8ZG7D19XLJS

Abstract
Introduction. Preschool age is a key period in terms of physical and motor development. Balance is essential for improving all motor skills and learning more complex forms of movement.
Objective. The research hypothesis predicts that strengthening postural muscles during a two-week exercise cycle, three times a week, has an impact on improving static and dynamic balance in preschool children.
Materials and Methods. The study included n = 33 children aged five years. Static and dynamic balance were assessed. Five-year-olds in the study group performed exercises for five weeks, after which they were re-evaluated using the same tests.
Results. A statistically significant improvement was noted in tests assessing static balance. For the Left Lower Limb Standing Test with eyes closed, the time to complete the test differed (p = 0.0412) between the study group after the exercise cycle and the control group. Differences were also noted between the groups in the Tandem Stance Test with the right and left lower limb in front: for the right lower limb p = 0.0038, and for the left p = 0.0104.
Conclusions. Performing postural exercises for two weeks improved the time of functional tests: the tandem stance test and standing on the left lower limb with eyes closed.

Key words
children, preschool age, balance, functional tests

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Monitoring and evaluation of flat-feet in children of pre-school age and younger school age

Matúš Kozel, Gabriela Škrečková, Eva Lukáčová, Cyril Grus

 

Matúš Kozel, Gabriela Škrečková, Eva Lukáčová, Cyril Grus – Monitoring and evaluation of flat-feet in children of pre-school age and younger school age. Fizjoterapia Polska 2023; 23(4); 144-148

DOI: https://doi.org/10.56984/8ZG20AF33

Abstract
Background. The issue of flat-feet in children of pre-school and younger school age has been a frequently discussed issue in recent times. This issue has been addressed in particular with regard to the deteriorating physical fitness and general health of children. The lack of sensory stimuli from the foot causes incorrect development of the arch of the foot, which later becomes apparent in other parts of the support-movement system.
Objective. The aim of the study was to monitor the current condition of flat-feet in children.
Method. In our study we observed the occurrence of flat-feet in children of pre-school (n:37; age ø: 5,22) and younger school age (n:52; age ø: 7,45). The study enrolled children of pre-school and younger school age between five and nine years of age. We used the examination device Podoscope to examine the condition of the arch of the foot. We used the subjective method Chipaux – Šmířák (CSI) to evaluate the fingerprints. For each child, both feet were always compared. The results were evaluated with descriptive statistics.
Results. We found that 70.79% of all children have a normally shaped longitudinal arch on both feet. In the preschool year, the percentage of normal arch on both feet indicates 64.86% of all children. In primary school children, the figure is 73.08%. Among preschool and school age children, there was also a high foot, which was found on both feet in 8 out of 89 children. Flat-foot was found on both feet in 6.74% of the participants. 8.11% of kindergarten children had a flat-foot on both feet. In 5.77% of primary school pupils, a bipedal flat-foot was found.
Conclusion. The arch of the foot shapes with age. However, it cannot be said that it always shapes into a physiologically correct shape in every circumstance. In kindergarten children, flat-foot predominates because children attending this facility have not yet had time to fully form the arch. It is necessary to consider which year the children attend. In younger school age pupils, i.e. first to fourth grades, all three types of arch of the foot are present.
Keywords
flat-foot, pre-school age, younger school age
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