Tag: the body posture

Disturbances of pelvic control in sitting and while assuming a sitting position as a manifestation of postural hypotonia in pre-school children

Małgorzata Matyja, Edward Saulicz, Mirosław Kokosz, Marta Syryjczyk

Małgorzata Matyja, Edward Saulicz, Mirosław Kokosz, Marta Syryjczyk – Disturbances of pelvic control in sitting and while assuming a sitting position as a manifestation of postural hypotonia in pre-school children. Fizjoterapia Polska 2004; 4(1); 31-39

Abstract

Background. The purpose of our research was to evaluate the connection between the pelvis in sitting position and posture in standing position, as well as the manner of changing from supine position to sitting position. Material and methods. We examined 37 six-year-old boys and girls. Posture was assessed according to Hoppe’s modified scale of posture measurement. The manner of maintaining upright sitting position and changing from supine position to sitting position was also examined. The angle of pelvic back tilt in sitting position was examined by means a Rippstein plurimeter. Statistical analysis was based on the Spearman test, the Manova-Anova test, and the Tukey test, taking p < 0.05 as the critical level. Results. There is a clear connection between the way a young child maintains sitting position and both pelvic back tilt and the quality of posture (in both cases r = 0.67, p < 0.001). We also found a smaller but equally important connection between the way of changing from supine to upright sitting position (r = 0,44 p < 0,01) and the other parameters. Conclusions. The evaluation of pelvic control in sitting position and in the course of sitting up is a good technique for the diagnosis of postural tone in young children.

Key words:
the body posture, defects of posture, postural hipotone, the pelvis control
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Neurodevelopmental analysis of postural correction exercises

Małgorzata Matyja, Ewa Zmudzka-Wilczek, Barbara Karasz

Małgorzata Matyja, Ewa Zmudzka-Wilczek, Barbara Karasz – Neurodevelopmental analysis of postural correction exercises. Fizjoterapia Polska 2006; 6(3); 251-259

Abstract
Posture correction exercises in posture defects of the body are conducted on the basis of Wiles conception. In this approach the reason for the posture disturbance is abnormal pelvis position and Wiles distinguishes four different types of incorrect posture. The exercises (depending on the type of faulty posture) consist of intensification or relaxation of the appropriate group of muscles and include different types of exercises: breathing, elongation, shoulder girdle, abdominal muscles and back muscles exercises. According to neurodevelopmental approach the posture development in the result of gradual integration of the muscles tone and the postural reflex mechanism. The development of the posture is not connected with the intensification of the particular muscle group but rather with the integration of their functions in righting and equilibrium reactions. In case of postural hipotone the appropriate development of the posture is disturbed and as a consequence children compensate the lack of optimal postural muscle tone by placing particular parts of the body in such a position that makes their functioning easier. In neurodevelopmental approach the abnormal posture is the result of the compensation of postural hipotone. For example the pelvis position can be one of many elements of the compensation, but not the reason for the posture disturbance. The aim of the publication is to present correction exercises, including posture correction exercises (like normalizing postural tone exercises, righting and equilibrium reaction exercises).

Key words:
the body posture, defects of posture, abnormal postural reflex mechanism

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