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Influence of scapulas asymmetry on children’s postural stability

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Rykała J., Drzał–Grabiec J., Podgórska J., Snela S.
Advances in Rehabilitation
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2013
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vol. 27
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issue 3
23-28
EN
Introduction Morphological asymmetry is understood as a disruption of symmetry of external body shapes on both sides of the median plane. Slight deviations in body posture do not influence significantly on the proper body functioning, and a significant deviations may pose a threat to the proper functioning of the body. Aim of this study was to determine whether the asymmetry of scapulas affects the values of selected parameters of movement of the feet pressure center. Material and methods: 180 children (between the age of 7 and 10 years) participated in the study. The study group has been chosen based on photogrammetric study, which consisted of children with asymmetric scapulas sizes 10-20 mm (group I: 30 children). In the comparison group (group II) there was 30 randomly selected children qualified, without asymmetric scapula. Standing balance was assessed in the trial with eyes open, by using stabilometric platform. Six different motion parameters of center of pressure (COP) have been evaluated. Results: The analysis of the results of the study showed no statistically significant correlation between asymmetry of scapula and balance worsening. Conclusions: Among children with a small asymmetry of scapula, the behavior of the movement of center of pressure do not differ significantly from the analogous parameters among children showing no asymmetry. Gender of children doesn’t affect the behavior of the movement of center of pressure.
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Correlation between body posture and postural stability of school children

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Walicka- Cupryś K., Skalska-Izdebska R., Drzał-Grabiec J., Sołek A.
Advances in Rehabilitation
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2013
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vol. 27
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issue 4
47-54
EN
Introduction: Low level of physical activity, frequent and long lasting sitting position and higher educational requirements make the postural defects more common. The main purpose of this thesis was to define the connection between body balance and postural defects in the body trunk. Material and methods: The examined group consisted of 104 Elementary School pupils: 46 boys and 56 girls in classes I-III. Zebris System with software WinSpine 2.3 was used to examine the body posture; to assess the balance Zebris PDM platform was used. Results: The correlation between the increase of right-sided scoliosis and the increase in the average deviation measure of the foot pressure in the frontal plane was observed. Conclusions: The lack of or low correlations between body posture and balance parameters in examined group were stated.
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Evaluation of static and dynamic postural stability in young, elderly and with vision loss women

84%
Wiszomirska I., Kaczmarczyk K., Zdrodowska A., Błażkiewicz M., Ilnicka L., Marciniak T.
Advances in Rehabilitation
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2013
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vol. 27
|
issue 3
29-35
EN
Introduction: Balance difficulties are one of the factors that have a negative impact on the daily activity of elderly people, which in turn lowers their quality of life. Aim: evaluation of the differences in static and dynamic postural stability in young, elderly and with vision loss women. Material and methods: Eighty-three female volunteers were divided into three groups: 26 young women (20,2 ± 1,75), 26 elderly (68,7 ± 7,55) and 15 pupils with vision loss (19,2±1,78). The following parameters were analysed from Accusway and BBS platforms. Results: A comparison of results with visual inspection between a group of young and elderly women showed statistically significant differences in terms of stabilogram ellipse area and maximal postural s way in ML direction. These two groups differ significantly in all parameters from BBS platform. The greatest differences are observed on a dynamic ground (p<0,001). Women with visual loss achieved the best results of path COP with eyes closed (37,01±6,73), the worst results were observed in a group of elderly women (49,59±21,04). They also did not perform any tasks on a dynamic ground without visual inspection. Women with visual loss achieved significantly worse results than young group. Conclusions: Greater balance control system involvement is observed in dynamic tests, which seem to be more appropriate and can detect disturbances earlier than static tests. Tests with changeable stability of the platform and without visual inspection that differentiate the groups seem to be particularly useful.
4
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Control of static balance among women after mastectomy. Vision impact on the quality of the equilibrium response

84%
Rachwał M., Drzał-Grabiec J., Walicka-Cupryś K., Truszczyńska A.
Advances in Rehabilitation
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2013
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vol. 27
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issue 3
9-16
EN
Introduction: Structural stability assess of the impact of the sense of the reactions equivalent. The aim of this study was to determine the importance of maintaining control patterns in static equilibrium of women after mastectomy. Materials and methods: The study included 150 women. In the first group there were 75 women after mastectomy, mean age 60 (±7,6), mean BMI 26 (±3,6). In the control group there were 75 age matched women (59 (±6,5), BMI 26 (±7,9) without a history of cancer diseases. The study was conducted using a tensometric platform. Quantification was composed of two 30-second test, the first test with eyes open and a second after 5-10 second pause with eyes closed. Results: It was found that there were significant statistical differences within a significant part of the measured parameters with eyes closed, and for all the Romberg parameters. There were: COP (centre of pressure) path length (p = 0.0411), the COP path length measured in the anterior-posterior direction (p = 0.0251), the average tilt COP (p = 0.0025), the maximum swing in the x-axis (relating to the range lateral stability) (p = 0.0447). In addition, there were statistically significant differences between the parameters: the average speed of a moving 2D COP (p = 0.0432) and the y-axis (p = 0.0240). Conclusion: Balance after mastectomy was less dependent on the vision than in the control group. Physiotherapy program after mastectomy should include proprioceptive training, with closed eyes to improve the equilibrium reaction quality and increase the postural stability.
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