Pratnja i procjena ravnih stopala kod predškolske djece i mlađeg školskog uzrasta

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

Sažetak
Pozadina. Pitanje ravnih stopala kod predškolske djece i mlađeg školskog uzrasta često se raspravlja u posljednje vrijeme. Ovo pitanje posebno se razmatra u vezi s pogoršanjem tjelesne kondicije i općeg zdravlja djece. Nedostatak senzornih podražaja s stopala uzrokuje nepravilan razvoj luka stopala, što se kasnije očituje u drugim dijelovima potpornog-kliznog sustava.
Cilj. Cilj istraživanja bio je pratiti trenutno stanje ravnih stopala kod djece.
Metoda. U našem istraživanju promatrali smo pojavu ravnih stopala kod predškolske djece (n:37; dob ø: 5,22) i mlađeg školskog uzrasta (n:52; dob ø: 7,45). U istraživanju su sudjelovala djeca predškolske dobi i mlađeg školskog uzrasta u dobi od pet do devet godina. Za ispitivanje stanja luka stopala koristili smo uređaj za ispitivanje Podoscope. Za procjenu otisaka prstiju koristili smo subjektivnu metodu Chipaux – Šmířák (CSI). Za svako dijete uspoređivane su obje noge. Rezultati su procijenjeni opisnom statistikom.
Rezultati. Utvrdili smo da 70,79% sve djece ima normalno oblikovan uzdužni luk na obje noge. U predškolskoj dobi, postotak normalnog luka na obje noge iznosi 64,86% svih djece. Kod djece mlađeg školskog uzrasta taj postotak iznosi 73,08%. Među djecom predškolske dobi i školske dobi postojala je također visoka stopala, koja je pronađena kod osam od 89 djece na obje noge. Ravno stopalo pronađeno je na obje noge kod 6,74% sudionika. 8,11% djece iz vrtića imalo je ravna stopala na obje noge. U 5,77% učenika osnovne škole pronađeno je ravno stopalo na obje noge.
Zaključak. Luk stopala mijenja se s godinama. Međutim, ne može se reći da se uvijek oblikuje u fiziološki ispravan oblik u svakoj situaciji. U djeci predškolske dobi prevladava ravno stopalo jer djeca koja pohađaju ovu ustanovu još nisu imala dovoljno vremena da potpuno oblikuju luk. Potrebno je razmotriti koju godinu djeca pohađaju. Učenicima mlađeg školskog uzrasta, odnosno od prvog do četvrtog razreda, prisutne su sve tri vrste luka stopala.
Ključne riječi
ravno stopalo, predškolska dob, mlađi školski uzrast
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Monitoring of physical activity of patients with essential hypertension by the Actigraph accelerator – the influence of the environment

Gabriela Škrečková, Eva Lukáčová

 

Gabriela Škrečková, Eva Lukáčová – Monitoring of physical activity of patients with essential hypertension by the Actigraph accelerator – the influence of the environment. Fizjoterapia Polska 2023; 23(2); 162-167

DOI: https://doi.org/10.56984/8ZG0DF153

Abstract
Background. The environment is an important determinant of physical behaviour and also affects the quality of life. A healthy lifestyle is considered to be the simplest form of hypertension prevention and therapy.
Objective. The aim of our study was to find the correlation of physical behaviour of patients with essential hypertension depending on the environment.
Method: We monitored the physical activity (PA) of 60 hypertensive patients from urban (n: 30) and rural (n: 30) environments with Actigraph accelerator. The average blood pressure values of the respondents were SBP 147 mmHg (± 8.24) and DBP 92.08 mmHg (± 8.08). Actigraph evaluated physical behaviour in the form of: sitting during the day, light, moderate and high physical activity (min/week) and steps (steps/week). The quality of life of the respondents was assessed by the Quality-of-Life SF36 – short version questionnaire.
Results. We confirm the statistically significant difference between hypertensive patients from urban and rural environments in the following categories: sitting during the day (p = 0.000052), light PA (p = 0.022009), medium PA (p = 0.0012 steps (p = 0.006993). Comparing the Quality-of-Life SF 36 questionnaire data, we find a worse quality of life in hypertensive patients living in rural areas (ø 74.40) than in hypertensive patients living in urban areas (ø 78.57).
Conclusion. Hypertensive patients living in rural areas have better physical behaviour than hypertensive patients living in urban areas, but larger population studies are needed to confirm the influence of the environment on physical activity and quality of life.
Key words: hypertension, Actigraph, environment
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The occurence of postural disorders and muscular imbalance in children from urban and rural environment

Eva Lukáčová, Gabriela Škrečková, Lucia Demjanovič Kendrová


Eva Lukáčová, Gabriela Škrečková, Lucia Demjanovič Kendrová – The occurence of postural disorders and muscular imbalance in children from urban and rural environment. Fizjoterapia Polska 2022; 22(5); 116-120

DOI: https://doi.org/10.56984/8ZG20Az2j

Abstract

Background. Postural examination is considered to be one of the most important parts of the general examination and is therefore the basis for correct diagnosis and determining preventive measures or appropriate treatment procedures.
Objective. The aim of the study was to evaluate the functional status of school-aged children.
Methods: The study was carried out at selected primary schools in Slovakia, we examined 453 children. We assessed the quality of the postural system according to Thomas Klein´s evaluation, modified by Mayer, the presence of shortened and weakened muscles according to Janda. The following measurements were used to assess the range of motion of the spine: Otto’s inclination and reclination distance, Schober’s distance, Stibor’s distance and Thomayer’s distance.
Results. A statistically significant difference was found in the examination of gluteal muscles strength l.dx. (p = 0.03), gluteal muscles l.sin. (p ≤ 0.001), with the children from urban environment having, on average, lower muscle strength. Statistically significant differences were found in the evaluation of m. trapesiusl.dx. at significance level p = 0.04, m. trapesiusl.sin. at the level of significance p ≤ 0,001, with higher average values found in children from the urban environment.
Conclusion. Children from countryside show better postural outcomes and exhibit fewer postural disturbances than children from city backgrounds.

Keywords:
school age, postural disorders, muscular imbalance

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