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The Activity of the Postural Control System and Its Compensation in the Morbid Obese Subjects

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Bosek M., Pierściński S., Dąbrowiecki S., Grzegorzewski B.
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issue 6A
932-935
EN
The method based on two-dimensional stochastic process was used to examine the short-term postural sway under eyes-open and eyes-closed conditions. Obtained parameters, i.e., matrix of the fluctuation strength and friction coefficient, describe the stochastic activity of the muscles of the lower limbs as well as mechanisms compensating that activity. The standard force platform was used to measure the center of pressure displacements. In this investigation 17 control subjects and 22 morbid obese subjects were included. It is shown that the method is useful in the study of the postural control system of morbid obese subjects. The muscles responsible for postural control in these subjects have exhibited larger stochastic activity, than these muscles in non-obese subjects. However morbid obese as well as non-obese subjects compensate additionally enlarged level of muscles activity after closure of their eyes. The morbid obesity causes an increase of the muscles' force but does not cause the impairment of the postural control system.
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Posture Stability Evaluation Using Static Posturography in Patients after Cruciate Ligament Reconstruction

100%
Kubisz L., Werner H., Bosek M., Weiss W.
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issue 6A
957-960
EN
Ligament reconstruction is one of the surgical methods for treatment of anterior cruciate ligament injury. The main purpose of rehabilitation after surgical ligament reconstruction is to obtain maximal efficiency of knee joint, their stability and appropriate lower limbs encumbrance. Static posturography is one of the control, rehabilitative and diagnostic tools in such treatment. The purpose of the study was to evaluate the posture stability differences between healthy people and patients after anterior cruciate ligament reconstruction. The centre of pressure sway was registered using the standard posturography platform (Pro-med). During the test, the subject stood freely with eyes open and closed. In order to determine the stability of the subject, the average velocity of the centre of pressure sway, and the average accretion rate of surface area encircled by centre of pressure, a mean radius of centre of pressure and amount of its displacement were calculated. Parameters measured for the eyes closed posture were significantly greater for people after anterior cruciate ligament reconstruction, while differences between groups for eyes open test were statistically insignificant. This indicates impairment of the somatosensoric posture control system. It should be noted that selected stability indicators: an average velocity of the centre of pressure sway, its anterior-posterior and mediolateral components, a mean radius of centre of pressure and a mean accretion rate of surface area encircled by centre of pressure varied in both groups.
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