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EN
The aim of the study was to compare the values of selected stability indices registered in the trials in standing with eyes open and without visual control, and in handstand in athletes practicing artistic gymnastics at the highest level of advancement. Methods: The study included 20 athletes practicing artistic gymnastics. The research tool was posturograph CQ-Stab 2P. The results obtained in individual trials were compared using Friedman repeated measures analysis of variance by ranks and then subjected to Dunn post-hoc test with Bonferroni adjustment. Results: Statistically significant differences in the values of stability indices recorded in individual samples were found. Exceptions are the results obtained in the trials with eyes open and without visual control with regard to the size of the surface area delineated by the COP ( p = 0.173) and the frequency of corrective reactions ( p = 0.464), as well as the length of the statokinesiogram path in the mediolateral direction ( p = 0.342), mean velocity of COP movement in the mediolateral direction ( p = 0.246), maximal amplitude of the COP in the mediolateral direction ( p = 0.342) and number of COP displacements in the mediolateral direction ( p = 0.246). Conclusions: In seniors, disabling visual control during free standing as well as adopting a handstand position result in deterioration of the stability indices, which is a resultant of the COP displacement in both directions as well as in the anteroposterior direction. Lack of differences in the values of stability indices in the mediolateral direction suggest that in a free standing position, seniors practicing artistic gymnastics control the movement of the center of foot pressure in the mediolateral direction and eye control is not important for the stability of the body in the frontal plane.
EN
The present study aimed at investigating the control of upright quiet standing in pregnant women throughout pregnancy, and whether low-back pain exerts influence on this motor task. Methods: Myoelectric signals from postural muscles and stabilometric data were collected from 15 non-pregnant and 15 pregnant women during upright quiet standing. Electromyogram envelopes and center of pressure metrics were evaluated in the control group, as well as in pregnant women in their first and third trimester of pregnancy. A correlation analysis was performed between the measured variables and a low-back pain disability index. Results: Pregnant women exhibited a decreased maximum voluntary isometric activity for all postural muscles evaluated. Additionally, the activity of lumbar muscles during the postural task was significantly higher in the pregnant women in comparison to the non-pregnant controls. The soleus muscle maintained its activity at the same level as the gestation progressed. Higher postural oscillations were observed in the anteroposterior direction while mediolateral sway was reduced in the third trimester of pregnancy. No correlation was detected between the lowback pain disability index and neuromechanical variables. Conclusion: This study provides additional data regarding the functioning and adaptations of the postural control system during pregnancy. Also, we provide further evidence that postural control during quiet standing cannot be used to predict the occurrence of low-back pain. We hypothesize that the modifications in the neural drive to the muscles, as well as in postural sway may be related to changes in the biomechanics and hormonal levels experienced by the pregnant women.
EN
The cerebral palsy symptoms are, among others, balance and gait disorders. The goal of this study was to assess balance capabilities in children with spastic diplegic cerebral palsy rehabilitated using Lokomat active orthosis. The experimental group included children with cerebral palsy, aged 6–14 years, independent standing, level II-III according to GMFCS classification. The cohort was randomly divided into two groups. The balance was assessed on a stabilometric platform. The experimental group was administered a rehabilitation program with the use of Lokomat active orthosis. Statistically significant improvement of balance was found in the experimental group; however, in the control group the improvement was also visible, but not on the statistically significant level. While comparing the results of both groups, significantly bigger improvement was achieved by the children from the experimental group. Lokomat active orthosis is one of the newest devices applied in the rehabilitation. The study shows that training with active orthosis can have positive influence on the balance improvement in children with CP and that further analysis of the impact of such training on locomotive functions is needed.
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