Tag: równowaga

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

Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）

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

Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）

Evaluation of body balance in patients with transverse flat foot and the related falls

Sylwia Czesna, Jan W. Raczkowski

S. Czesna, J. W. Raczkowski – Evaluation of body balance in patients with transverse flat foot and the related falls. FP 2015; 15(3); 90-96

Abstract

Introduction. Transverse flat foot is a very often occurring foot defect, the most common in women wearing high-heeled shoes. It is the most common cause of musculoligamentous foot failure, which increases the risk of falls, threatening the efficiency of adults and the elderly. The ability to maintain a balance results from proper functioning of the so-called deep sensation of the human body, psychophysical coordination and strong muscles. Muscle weakness especially of lower limbs increases the risk of imbalance, thereby jeopardizing the fall. Improper passing burden on a flat foot makes it more difficult to maintain balance.
Material and methods. The study included 28 patients with transverse flat foot and 21 patients with normal foot arch at the age of 52±11.5
Results. Analysis of the tested parameters revealed that disturbances to maintain the balance with the transverse flat foot occurs in 68% (n= 9) subjects, and only 32% (n=9) of the test was within the normal range. In contrast, in patients with a normal arch feet imbalance occurs in 29% (n=6) subjects and 71% (n=15) subjects were in the standard range.
Conclusions. In this study it was we demonstrated that imbalance in patients with transverse flat foot is of 2:1 higher than in patients with normal arch feet. The results show that people with the transverse flat foot are more vulnerable to imbalances which result in falls.

Key words:
transverse flat foot, balance, motor coordination

Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）
1 2