Walowska Jagoda, Bolach Bartosz, Bolach Eugeniusz
a J. Gromkowski Provincial Specialist Hospital , Wroclaw , Poland.
b Department of Sport Didactics, Faculty of Sport Sciences , University School of Physical Education , Wroclaw , Poland.
Disabil Rehabil. 2018 Dec;40(25):3061-3069. doi: 10.1080/09638288.2017.1370731. Epub 2017 Nov 13.
Hearing impairment may affect the body posture maintenance. The aim of the study was to evaluate the effect of modified Pilates exercise program on the body posture maintenance in hearing impaired people.
Eighty students (aged 13-24) were enrolled and randomly allocated into two groups: test group (n = 41) which attended an original program based on modified Pilates exercises and control group (n = 39) which attended standard physical education classes. Stabilographic tests were conducted at baseline and after 6-week training program.
Both groups showed improved control of body balance in a standing position manifested in reductions of the length of path, surface area, and speed of deflection. Modified Pilates program was significantly more effective in improving body balance control in relaxed posture and with feet together than standard physical education classes. The greater efficiency of the modified Pilates program was expressed in a significant improvement in balance control parameters, i.e., path length, surface area, and speed of deflection.
The modified Pilates program was more effective in improving body balance control in the hearing impaired people than standard physical education classes. Modification of physical activity recommendations for hearing impaired students may be considered; however, further research is required. Implications for Rehabilitation Hearing impairment impacts the mental, social and, physical spheres of life as well as deteriorates equivalent reactions and the way body posture is maintained. In hearing impaired people, control of body balance and muscle coordination is often disturbed, thus more attention should be paid to exercises associated with balance which may improve the ability to learn and develop motor skills. Modified Pilates program was significantly more effective in improving body balance control than standard physical education classes in hearing impaired people.
听力障碍可能会影响身体姿势的维持。本研究的目的是评估改良普拉提运动方案对听力障碍者身体姿势维持的影响。
招募了80名学生（年龄在13 - 24岁之间），并随机分为两组：试验组（n = 41）参加基于改良普拉提练习的原始方案，对照组（n = 39）参加标准体育课。在基线和为期6周的训练方案结束后进行了稳定图测试。
两组在站立位时身体平衡控制均有所改善，表现为路径长度、表面积和偏移速度的降低。改良普拉提方案在改善放松姿势且双脚并拢时的身体平衡控制方面比标准体育课显著更有效。改良普拉提方案的更高效率体现在平衡控制参数（即路径长度、表面积和偏移速度）的显著改善上。
改良普拉提方案在改善听力障碍者的身体平衡控制方面比标准体育课更有效。可以考虑对听力障碍学生的体育活动建议进行调整；然而，还需要进一步的研究。康复意义 听力障碍会影响生活的心理、社会和身体领域，还会恶化同等反应以及身体姿势的维持方式。在听力障碍者中，身体平衡控制和肌肉协调常常受到干扰，因此应更加关注与平衡相关的练习，这可能会提高学习和发展运动技能的能力。改良普拉提方案在改善听力障碍者的身体平衡控制方面比标准体育课显著更有效。
