Posture control after 5 months body balance training in Down syndrom children and youth

Physiotherapy ◽  
2013 ◽  
Vol 21 (3) ◽  
Author(s):  
Izabela Drzewowska ◽  
Małgorzata Sobera ◽  
Aleksandra Sikora

AbstractAim of the study: The aim of this study was to verify whether the 5-month training exercises using specific balance exercises of the authorial program improves body balance control in children with Down syndrome (DS).Materials and methods: The purpose of this study was the verification if the 5-months posture control exercises training by original program relays to posture control in Down syndrome (DS) children and youth. The subjects were 8 DS persons: 4 males and 4 females, aged 13-24. Two 20-seconds consecutive trails of natural bipedal standing position on 2 force platforms AccuSway (AMTI), one under each foot, were performed during research. On the basis of COP (centre of pressure) time series the following indices were computed: range, variability, velocity and area of COP shifts. There were 2 sessions of the research: one just before and the second just after 5-month lasting specific posture control training based on the original exercise program.Results: The results revealed decreasing of the COP velocity of right lower limb and the COP range in anterior-posterior direction of both lower limbs after the training, comparing to the values from the first research session.Conclusions: It is concluded that the specific posture control training by the presenting of the original exercises program influenced the posture control improving it and the program can be used in therapy of DS children and youth.

2018 ◽  
Vol 2018 ◽  
pp. 1-17 ◽  
Author(s):  
Marica Giardini ◽  
Antonio Nardone ◽  
Marco Godi ◽  
Simone Guglielmetti ◽  
Ilaria Arcolin ◽  
...  

We hypothesised that rehabilitation specifically addressing balance in Parkinson’s disease patients might improve not only balance but locomotion as well. Two balance-training protocols (standing on a moving platform and traditional balance exercises) were assessed by assigning patients to two groups (Platform,n=15, and Exercises,n=17). The platform moved periodically in the anteroposterior, laterolateral, and oblique direction, with and without vision in different trials. Balance exercises were based on the Otago Exercise Program. Both platform and exercise sessions were administered from easy to difficult. Outcome measures were (a) balancing behaviour, assessed by both Index of Stability (IS) on platform and Mini-BESTest, and (b) gait, assessed by both baropodometry and Timed Up and Go (TUG) test. Falls Efficacy Scale-International (FES-I) and Parkinson’s Disease Questionnaire (PDQ-8) were administered. Both groups exhibited better balance control, as assessed both by IS and by Mini-BESTest. Gait speed at baropodometry also improved in both groups, while TUG was less sensitive to improvement. Scores of FES-I and PDQ-8 showed a marginal improvement. A four-week treatment featuring no gait training but focused on challenging balance tasks produces considerable gait enhancement in mildly to moderately affected patients. Walking problems in PD depend on postural instability and are successfully relieved by appropriate balance rehabilitation. This trial is registered with ClinicalTrials.govNCT03314597.


2005 ◽  
Vol 13 (2) ◽  
pp. 198-209 ◽  
Author(s):  
Ro DiBrezzo ◽  
Barbara B. Shadden ◽  
Blake H. Raybon ◽  
Melissa Powers

Loss of balance and falling are critical concerns for older adults. Physical activity can improve balance and decrease the risk of falling. The purpose of this study was to evaluate a simple, low-cost exercise program for community-dwelling older adults. Sixteen senior adults were evaluated using the Senior Fitness Test for measures of functional strength, aerobic endurance, dynamic balance and agility, and flexibility. In addition, measures of height, weight, resting blood pressure, blood lipids, and cognitive function were obtained. Participants then attended a 10-week exercise class including stretching, strengthening, and balance-training exercises. At the completion of the program, significant improvements were observed in tests measuring dynamic balance and agility, lower and upper extremity strength, and upper extremity flexibility. The results indicate that exercise programs such as this are an effective, low-cost solution to improving health and factors that affect falling risk among older adults.


2021 ◽  
pp. 201-214

Background: Loss of balance and falls are the primary cause of accidental death in persons over 65 years of age. This review examines the role of visual functions in the maintenance of a balanced posture and associated fall avoidance, including how visual functions interact with proprioceptive, tactile, vestibular and cognitive factors under a range of environmental circumstances and conditions. Methods: Reference to relevant articles from a wide range of sources were used to examine how vision functions are usually integrated with other senses in avoiding falls. Results: Under most conditions vision can make an important contribution to posture control and fall avoidance although such contributions have not always been recognized in the past. However, successful balance training has been shown to be associated with multi-component programs. Conclusions: Given the complexity of posture control and the multiple changes (physiological- and disease-related) which occur with age, as well as the capacity for different professional groups to contribute more or less dissimilar fall prevention strategies, it is not surprising that there appears to be great potential for improved interdisciplinary coordination of remedial interventions which reduce the risk of fall-related injuries and death. Similarly, overcoming age- or frailty-related difficulties in standing from a seated position can be best handled by interdisciplinary approaches.


Author(s):  
Ieva Kvietkutė ◽  
Vilma Dudonienė

All European countries are experiencing significant ageing of the population. As the lifespan of the population increases, so does the prevalence of falls. Falls in older adults are a major public health concern and a main cause of morbidity and disability. More than one-third of persons 65 years of age or older fall each year, and in half of such cases the falls are recurrent. It is very important to maintain physical activity and independence in daily activities in elderly persons as well as to apply appropriate preventive means as soon as possible. Various interventions may be used to promote health, enhance quality life and reduce falls in elderly people: exercises, home modifications, appropriate footwear and walking aids. The purpose of this study was to determine the effect of specific balance training exercises for preventing falls among elderly women. Twenty eight women aged 55–75 years participated in the study. The subjects were randomly divided into two groups: exercise (n = 14, mean age 67.9 ± 6.13 years) and control (n = 14, mean age 68.9 ± 5.31). Exercise group women performed specific – Cawthorne-Cooksey balance training exercises for 4 weeks, 5 times a week. Cawthorne-Cooksey exercises consisted of moving head in sitting and standing positions with eyes open or closed, exercises on a balance platform, and walking around. One training session lasted for 30-35 minutes. No exercise was performed in the control group. Static and dynamic balance was assessed using the Berg Balance Scale, Functional Reach Test, and Tinetti Balance Scale, walking speed was assessed using Timed Up and Go Test. Risk for falls was assessed using Desmond Fall Risk Questionnaire [4]. Subjects were evaluated twice: before and after applying exercise program. More than 50% of women have had a fall in the past years, difficulty walking in the dark or on uneven surfaces, they have experienced loss of balance or a light-headed feeling standing up, and they could not walk a straight line. Only 29% of subjects participated in a regular exercise programme. The results of Berg Balance Scale, Functional Reach Test, Tinetti Balance Scale, Timed Up and Go Test did not differ between groups before applying specific exercise program. Specific exercises significantly improved patients’ static and dynamic balance, reach functions and walking speed, while in the control group the results of all performed tests had tendency to decline. Specific Cawthorne-Cooksey balance training exercises are effective (p < 0.05) in improving balance and preventing falls in elderly women.Keywords: falls, elderly age, balance, risk of falls.


Author(s):  
Paulina Hebisz ◽  
Rafal Hebisz ◽  
Marek Zaton

AbstractBackground: The purpose of this study was to compare body balance in road and off-road cyclists, immediately before and after the racing season.Material/Methods: Twenty individuals participated in the study and they were divided into two groups: specialists in road-cycling (n = 10) and in off-road cycling (n = 10). Immediately before and after the five-month racing season stabilographic trials were carried out (at rest and after progressive exercise). In assessing body balance the distance and velocity of the centre shifts (in the anterior-posterior and left-right direction) were analysed. The tests were performed with the cyclists’ eyes open, eyes closed, and in feedback.Results: After the racing season, in the off-road cyclists’ group, distance and velocity of the centre of pressure shifts increased after a progressive exercise.Conclusions: In the off-road cyclists’ group the balance of the body in the sagittal plane deteriorated after the racing season. Moreover, after the racing season off-road cyclists were characterized by a worse balance of the body, compared to road cyclists


2021 ◽  
Author(s):  
Ana Luiza Exel ◽  
Paulo Soares Lima ◽  
Christiano Bertoldo Urtado ◽  
Almir Vieira Dibai‐Filho ◽  
Claudia Lucio Vilanova ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Artur Stolarczyk ◽  
Igor Jarzemski ◽  
Bartosz M. Maciąg ◽  
Kuba Radzimowski ◽  
Maciej Świercz ◽  
...  

Abstract Background Type 2 diabetes (T2D) is a cause of multiple complications, including retinopathy and peripheral neuropathy. These complications are well understood and believed to contribute to gait instability. Poor balance control and increased falling risk have also been reported in people with diabetic peripheral neuropathy (DPN). Patients with DPN have increased risk of falling due to decreased proprioceptive feedback. Effective balance training should improve postural control in patients with DPN. For this purpose further evaluation was conducted and balance training was designed. Methods The goal of our study was to determine values of proprioception, balance, muscle coordination and strength in patients with T2D and analyze whether biofeedback balance training with use of the Biodex Balance System could improve these parameters. To assess the fall risk the general stability index (GSI), the index of frontal-posterior (FPI) and medial–lateral (MLI) stability were evaluated. 37 patients with diagnosed type 2 diabetes mellitus were recruited to this study. Their results were compared with control group consisting of 41 healthy participants who were homogenic to the study group in terms of age and body mass index (BMI). Results There were statistically significant differences between patients with diabetes compared to healthy subjects in GSI (2.79 vs 1.1), FPI (1.66 vs 0.7), MLI (0.88 vs 0.52) and risk of falling (5.18 vs 2.72) p < 0.05. There were also statistically significant changes before and after training in all stability indices (GSI: 2.79 vs 1.26, FPI: 1.66 vs 0.77, MLI: 0.88 vs 0.54 accordingly) p < 0.05 and risk of falling (5.18 vs 3.87) p < 0.05 in the study group who had undergone training with biofeedback. Conclusions This study found that there is a decreased balance and motor coordination and an increased risk of falling in patients with type 2 diabetes. These parameters improved in patients who have undergone training programme with biofeedback. Furthermore, an age-dependent deprivation of static balance was observed along with an increased risk of falling as a result of increasing BMI.


2014 ◽  
Vol 73 (Suppl 2) ◽  
pp. 294.3-295
Author(s):  
S. Kibar ◽  
E. Yıldız ◽  
S. Ay ◽  
D. Evcik

Author(s):  
Alena Yu. Dimitrieva ◽  
Vladimir M. Kenis

Background. Mobile flat foot etiology and its correlations with postural imbalance remain topical issues for now, especially in children with generalized joint hypermobility. Additionally, it is poorly known that complaints prevail in children with mobile flat foot and joint hypermobility, and whether existing complaints are associated with foot deformation.Objective. The aim of the study is to estimate medium-term effects of body balance trainings on the height of longitudinal arch of the foot and on the complaints structure in primary school-aged children with generalized joint hypermobility.Methods. The study included 114 primary school-aged children (7–11 years old) with mobile symptomatic flat foot who were divided into four groups: I — control group of children who did not perform training; II — children who performed standard complex of rehabilitation exercises recommended for flat foot; III — children who performed a specially designed complex of exercises for body balance training; IV — children exercised on unstable platform. The foot examination included: clinical assessment of feet shape and position (FPI-6 scale), visual and manual mobility tests, computer scanning with calculation of anthropometric indices (basic anthropometric parameters were calculated from scanned foot images). Clinical evaluation of balance was carried out according to the BESS (Balance Error Scoring System) scale and computer pedobarometry. Assessment of complaints structure was carried out according to the Oxford Child Foot Condition Questionnaire.Results. Children of control group significantly increased the number of errors in performing tests compared to the baseline data (p = 0.034) according to the BESS scale. No statistically significant changes were obtained in children of the second group (p = 0.08). Total number of errors committed by children of third and fourth groups on unstable platform decreased by 2.9 times and 3.4 times, respectively (p = 0.022 and p = 0.044). Decrease in partial load on medial longitudinal arch of foot in step cycle in average by 2.0–3.5 times compared to baseline parameters was revealed in children of third and fourth groups. Moreover, children of third and fourth groups have shown improvement in parameters regarding the shape and position of the feet by average of 1.3–1.7 times higher compared to the parameters of the feet of children performing standard complex of rehabilitation exercises (p = 0.036).Conclusion. This study has shown the efficacy of body balance training in increasing the height of longitudinal arch of the foot and good dynamics in the structure of complaints in primary school-aged children with generalized joint hypermobility and symptomatic mobile flat foot.


2018 ◽  
Vol 43 (3) ◽  
pp. 306-314 ◽  
Author(s):  
Rebecca L. Lambach ◽  
Nicole E. Stafford ◽  
Julie A. Kolesar ◽  
B. Jenny Kiratli ◽  
Graham H. Creasey ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document