An Assessment of Rotational Mobility of the Trunk among Teenagers with Faulty Posture

• Authors: Małgorzata Matyja , Edward Saulicz , Mariola Saulicz , Mirosław Kokosz , Rafał Gnat , Michał Kuszewski , Joanna Bereszko , Anna Gogola
• Languages of publication: EN

Abstracts

EN

Body posture is determined by many factors, including central regulation connected with anti-gravitational mechanism which develops in ontogenesis. Postural disorders arise as a result of a compensatory anti-gravitational mechanism, in which the main component is reduced postural tone (volume and distribution disorders). Compensation mechanisms consist in improper alignment of particular body segments (distribution disorders) (e.g., increase or decrease of spinal curvatures, external or internal rotation of the lower limbs, valgus and varus deformity of the knees and feet). Such disorders may constitute a reason for abnormal component development, thus limiting trunk rotational mobility.An aim of the study was to assess the range of trunk rotational mobility.Pupils (n=123) aged 13-15 underwent the following parameter evaluations: 1. Posture according to Kasperczyk's scoring method, 2. Postural tone volume by analysis of pelvis control in the long sitting, 3. Range of trunk rotation with use of upper tension test (muscle latissimus dorsi and thoracolumbar fascia).Positive tension test was recorded in 32 children (21 unilateral and 11 bilateral). Diversification of statistical averages of scoring for body posture, from the lowest (x=6.41) in 91 subjects with negative tension test, to the highest (x=7.72) in 11 subjects with double-sided positive result was recorded. Statistical analyzes confirmed significance of correlation between body posture's quality and trunk's rotational mobility (r=0.286 at p=0.001), as well as between volume of postural tone and range of trunk's rotational mobility. Coefficients of correlation amount to, respectively, for tension test and free sitting position r=0.187, p=0.038; and for tension test and corrected sitting position r=0.253, p=0.05. Disorders of muscle tone volume and distribution cause limitation of trunk rotational mobility development.

Keywords

EN

faulty posture; rotation of the trunk

• Publisher: De Gruyter Open
• Journal: Journal of Human Kinetics
• Year: 2010
• Volume: 24
• Pages: 43-50

Dates

published

1 - 1 - 2010

online

21 - 6 - 2010

Contributors

author

Małgorzata Matyja

• Department of Physiotherapy in Disorders Nervous and Locomotor System, Academy of Physical Education in Katowice, Poland

author

Edward Saulicz

• Department of Basic of Physiotherapy, Academy of Physical Education in Katowice, Poland

author

Mariola Saulicz

• Department of Basic of Physiotherapy, Academy of Physical Education in Katowice, Poland

author

Mirosław Kokosz

• Deparment of Ergonomics, Protetics and Orthotics Academy of Physical Education in Katowice, Poland

author

Rafał Gnat

• Deparment of Ergonomics, Protetics and Orthotics Academy of Physical Education in Katowice, Poland

author

Michał Kuszewski

• Chair of Kinesiology, Medical University of Silesia, Katowice, Poland

author

Joanna Bereszko

• Graduate of Department of Physiotherapy, Academy of Physical Education in Katowice, Poland

author

Anna Gogola

• Department of Physiotherapy in Disorders Nervous and Locomotor System, Academy of Physical Education in Katowice, Poland

References

• Banaszek G. Rozwój niemowląt i jego zaburzenia a rehabilitacja metodą Vojty. Wydawnictwo Alfa - Medica Press, Bielsko-Biała, 2004.
• Białek M, Kotwicki T. Lower limb muscle shortening in structural versus non-structural spinal deformity. Scoliosis 2009, Vol. 4(Suppl. 2):O26.
• Błaszczyk J. Biomechanika kliniczna. Wydawnictwo Lekarskie PZWL, Warszawa, 2004
• Bobath B. The facilitation of normal postural reactions and movements in the treatment of cerebral palsy. Physiotherapy, 1964; 50,246.
• Bober T. Biomechanika chodu i biegu. Wydawnictwo AWF, Wrocław, 1985.
• Borkowska M. Uwarunkowania rozwoju ruchowego i jego zaburzenia w mózgowym porażeniu dziecięcym. Wydawnictwo Zaułek, Warszawa, 1999.
• Doriot N, Wang X. Effects of age and gender on maximum voluntary range of motion of the upper body joints. Ergonomics 2006, Vol. 49(3):269-281.[PubMed][Crossref]
• Kabat H, Knott M. Principles of neuromuscular reeducation. Phys. Ther. Rev. 1948; 28,107.
• Kasperczyk T. Wady postawy ciała. Diagnostyka i leczenie. Kasper, Kraków, 2001.
• Kotwicki T, Kinel E, Stryla W, Szulc A. Discrepancy in clinical versus radiological parameters describing deformity due to brace treatment for moderate idiopathic scoliosis. Scoliosis 2007, Vol. 2:18-25.[PubMed]
• Matyja M, Domagalska M. Podstawy usprawniania neurorozwojowego wg Berty i Karela Bobathów, AWF, Katowice, 2005.
• Matyja M, Gogola A. Edukacja sensomotoryczna niemowląt. AWF, Katowice, 2005.
• Matyja M, Saulicz E, Kokosz M, Syryjczyk M. Zaburzenia kontroli miednicy w pozycji siedzącej i podczas siadania jako przejaw hipotonii posturalnej w wieku przedszkolnym. Fizjoterapia Polska, 2004; Vol.4, Nr 1, 31-39.
• Menegoni F, Vismara L, Capodaglio P, Crivellini M, Galli M. Kinematics of trunk movements: protocol design and application in obese females. Journal of Applied Biomaterials & Biomechanics 2008; Vol. 6:178-185.
• Nowotny J, Domagalska M, Matusiak G. Rola rotacyjnej składowej ćwiczeń stosowanych w usprawnianiu dzieci z porażeniem mózgowym. Zeszyty Metodyczno - Naukowe, nr 3, AWF, Katowice, 1993.
• Quinton M. B. Normal and abnormal development during the first year of life. NDT Baby Course. Unpublished lecture notes. Warszawa, Dziekanów Leśny, 1987.
• Scherzer A, Tscharnuter I. Early diagnosis and therapy in cerebral palsy. Marcel Dekker INC, New York and Basel, 1982.
• Straton A, Cismaş G. Differences of maximal isometric force between different trunk angles and different movements in women. Palestrica of the Third Millennium Civilization & Sport 2009; Vol. 10, nr 1(35):83-89.
• Touven B. Variability and stereotypy in normal and deviant development. (In): Apley J. (ed). Care of handicapped child. Clin. Dev. Med. Dev. Med. Heinemann, London, 1978; 67,99.

Identifiers

DOI

10.2478/v10078-010-0018-1