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Laterality versus ankle dorsiand plantarflexion maximal torques

100%

Trzaskoma Z. , Ilnicka L. , Wiszomirska I. , Wit A. , Wychowański M.

Acta of Bioengineering and Biomechanics

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2015

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tom Vol. 17, no. 2

131--141

EN

Purpose: The aim of the study was to analyze the connections between the functional asymmetries of lower limbs, taking into account morphological feet features, and ankle dorsi- and plantarflexion maximal torques in men and women. Methods: The study population consisted of 56 young subjects among which there were 30 women and 26 men. The assessment of upper and lower limbs’ side dominance was performed on the basis of surveys, verified with simple motor tasks that resembled the actions characteristic of the upper and lower limbs. The measurements of body build, as well as foot build, were performed with the use of accepted instruments according to the anthropometry standards. The measurements of longitudinal foot arches were conducted using the pantographic method. Ankle dorsi- and plantarflexion maximal torque values were measured under static conditions. Results: We found a positive correlation between the functional dominance of lower limb and greater strength only for ankle plantarflexion maximal torque values in correct laterality variants in women and in only one variant in men. No correlation was found between foot morphological asymmetry and the ankle dorsiand plantarflexion maximal torque values, either in women or in men. Conclusion: Our results support the idea that the functional lower limb dominance is not equivalent to the greater muscle strength.

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Postural stability disorders in patients with osteoarthritis of the hip

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Truszczyńska A. , Rąpała K. , Gmitrzykowska E. , Trzaskoma Z. , Drzał-Grabiec J.

Acta of Bioengineering and Biomechanics

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2014

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tom Vol. 16, no. 1

45--50

EN

The osteoarthritis of the hip dominant symptom is pain that leads to disability and to postural and gait disorders. The aim of this study was to analyze postural stability and its impact on disability and pain. The study population consisted of 60 patients and control group of 30. Group 1 (n = 30) included patients with unilateral coxarthrosis, aged 56.2 (±12.3) years, BMI 25.17 (±2.87) kg/m2. There were 16 men (53.3%). The mean age of patients in group 2 (n = 30) with bilateral coxarthrosis was 62.3 (±12.1) years; the mean BMI was 24.87 (±2.06) kg/m2. There were 15 men in this group (50%). The patients were evaluated using the WOMAC, the Harris Hip Score, VAS and the Biodex Balance System. Both study groups had stability index results different than the control group. There was a significant correlation between the stability indexes and BMI. VAS correlated with the M-L plane variance. In group 2, there were significant differences related to disability for the disability scales for all measured parameters. Balance disorder is a basic parameter found in coxathrosis. There is a statistically significant correlation between balance disorders and BMI, VAS and functional scales.

3

Laterality versus jumping performance in men and women

100%

Trzaskoma Z. , Ilnicka L. , Wiszomirska I. , Wit A. , Wychowański M.

Acta of Bioengineering and Biomechanics

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2015

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tom Vol. 17, no. 1

103--110

EN

Purpose: The aim of this study was to investigate relationships between functional asymmetry of lower limbs, taking into account morphological features of the feet, and jumping ability in men and women. Methods: The study population consisted of 56 subjects, 30 women (age: 20.29 ± 0.59 years; body mass: 58.13 ± 4.58 kg, body height: 165.60 ± 5.03 cm) and 26 men (age: 20.41 ± 0.78 years, body mass: 78.39 ± 8.42 kg, body height: 181.15 ± 6.52 cm). The measurements of longitudinal arches were performed with the plantographic method on the basis of Clarke’s angle mapped on a computer foot print. The measurements of jumping performance during bilateral (two legs) and unilateral (single-leg) counter movement jump (CMJ) were done on force plate. All subjects jumped three times each type of jump (total 9 jumps): three right leg, three left leg and three two legs. We put the test results through a detailed statistical analysis with the Statistica 8.0. The t-test for dependent variables and the Wilcoxon signed-rank test for divergent variances of the features compared. The analysis of relationships between the chosen podometric and plantographic features and jumping performance was conducted on the basis of the Pearson product-moment correlation coefficient (for the features which presented normal distribution, according to the Shapiro–Wilk test). Results: The correlations between values of height of single-leg jumps (right and left) and bilateral jumps, and foot indices were found in few cases only in men who had greater values of jump height with the non-dominant limb. We did not find a significant difference in jumping ability between the dominant limb and the non-dominant limb in women. We found bilateral deficits in jumping ability in the study groups, though we did not find significant differences (P ≤ 0.05) between the values for women (a mean of 6.5%) and for men (a mean of 8.4%). Conclusion: We found significant gender differences of the correlations between the values of height of jumps (single-leg and bilateral jumps) and foot indices.

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Assessment of postural stability in patients with lumbar spine chronic disc disease

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Truszczyńska A. , Dobrzyńska M. , Trzaskoma Z. , Drzał-Grabiec J. , Tarnowski A.

Acta of Bioengineering and Biomechanics

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2016

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tom Vol. 18, no. 4

71--77

EN

Purpose: The pain, motor and sensory deficits are common symptoms of the lumbar disc disorder, and they can significantly affect human postural control. The aim of this study was to assess postural stability in patients with severe symptoms of lumbar spine disc disease qualifying them for surgical treatment and to compare them with a control group. Methods The study involved 103 subjects: 54 patients and 49 healthy subjects. Patient’s mean age was 46.4 ± 11.3 years, mean body height 172.2 ± 10.3 cm, mean body mass was 83.1 ± 18.9 kg and mean body mass index (BMI) was 27.9 ± 5.2 kg m-2. The mean time of their recent pain episode was 9.7 ± 8.5 month. Results: We found statistically significant differences between postural stability in patients with lumbar spine disc disease and the control group. The measurements taken with eyes closed, as compared with the clinical control group, revealed higher and statistically significant values of the mean amplitude of COP, mean amplitude of COP on sagittal plane, and maximal sway in sagittal plane parameters. The analysis of pressure value differences between the right and left lower limbs in both groups revealed statistical significance. In the study population the difference was significantly greater in comparison to the control group. The patients has significantly greater asymmetry of lower limb load. Conclusions: 1. Patients with lumbar spine discogenic pain had decreased postural control. 2. The patients had significant asymmetry in foot pressure, resultant from pain radiating to a lower limb.

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The foot deformity versus postural control in females aged over 65 years

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Drzal-Grabiec J. , Rachwał M. , Trzaskoma Z. , Rykała J. , Podgórska I. , Cichocka I. , Truszczyńska A. , Rąpała K.

Acta of Bioengineering and Biomechanics

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2014

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tom Vol. 16, no. 4

75--82

EN

Purpose: Correct foot structure is important due to locomotion and postural stability. The aim of this study was to determine the relationships between morphological foot structure and balance indices in a quiet standing position in women over 65 years of age. Methods: The study included 116 women aged 65-90 years. The mean age was 70.6±8.4 years and BMI 29.1±3.4 m/kg2. The measured indices included postural control while standing on both feet and photogrammetric foot evaluation. An analysis was performed of the selected foot and balance indices. Results: There were no significant differences observed in the feet structure. Certain correlations between some foot indices and the indices of postural control were noted. The increased differences in the width indices between the right and the left foot lead to balance deterioration. Larger angles of valgity and varus deformity of toes and indices describing the longitudinal arch and transverse front arch of the foot have the greatest impact on the deterioration of balance in the medio-lateral axis. Conclusions: The differences between the indices and morphological indices for the right and the left foot are not significant, which indicates the proportionate formation of feet in the individual life. The increased differences in the width indices between the right and the left foot lead to balance deterioration. Larger angles of valgity and varus deformity of toes and indices describing the longitudinal arch and transverse front arch of the foot have the greatest impact on the deterioration of balance in the medio-lateral axis.