Department of Physiotherapy, Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, 35-310 Rzeszów, Poland.
Int J Environ Res Public Health. 2022 Sep 5;19(17):11095. doi: 10.3390/ijerph191711095.
AIM: The study was designed to assess the effects of surface instability in the response of the balance control system in children and youths with visual impairment (BL) and in normally sighted controls (NE). MATERIALS AND METHODS: The empirical research study involved 80 individuals, aged from 6 to 20 years, with a mean age of 14.37 (±4.68), including 40 blind individuals and a randomly selected control group 40 normally sighted. Stabilometric measurements were performed with the use of the Platform CQ Stab 2P, with eyes open (EO) and closed (EC) on the solid surface, and then, the same procedure was performed on the platform covered with 1-centimetre-thick foam. RESULTS: Statistical analyses (Wilcoxon matched-pairs test, Mann-Whitney U test) of the results identified during the trials reveal the following findings in the BL group in the EO and EC tests. The results of the foam surface test were higher and the differences were statistically significant in the BL group (sway path EO = 0.009, EC = 0.006; mean amplitude EC = 0.030; mean velocity EO = 0.009, EC = 0.006; sway area EO = 0.017, EC = 0.009; and number of COP deflections along the sagittal plane EO = 0.004). No similar correlations were observed in the NE group, except for the mean amplitude EO = 0.033 and sway area EO = 0.030. There was one difference between the BL and the NE group for the mean amplitude parameter, = 0.018, in a solid surface test with open eyes. The results were higher in the BL group. CONCLUSIONS: The present study showed no worse balance in the BL group than in the NE group but worse performance on the foam than without it. It indicates the need to develop body balance skills in blind people by improving their proprioceptive sensitivity. In everyday life and training, blind people should experience exteroceptive stimuli, different textures, and unstable surfaces as much as possible.
目的:本研究旨在评估表面不稳定对伴有视觉障碍(BL)和正常视力(NE)的儿童和青少年平衡控制系统反应的影响。
材料和方法:本实证研究涉及 80 名年龄在 6 至 20 岁之间的个体,平均年龄为 14.37(±4.68)岁,包括 40 名盲人个体和随机选择的 40 名正常视力对照组。使用 Platform CQ Stab 2P 进行平衡测量,睁眼(EO)和闭眼(EC)在固体表面上,然后在覆盖 1 厘米厚泡沫的平台上进行相同的程序。
结果:在 BL 组的 EO 和 EC 测试中,对试验过程中获得的结果进行统计分析(Wilcoxon 配对检验,Mann-Whitney U 检验),结果显示,在 BL 组的 EO 和 EC 测试中,泡沫表面测试的结果更高,差异具有统计学意义(EO 的摆动路径=0.009,EC=0.006;EC 的平均振幅=0.030;EO 的平均速度=0.009,EC=0.006;EO 的摆动面积=0.017,EC=0.009;沿矢状面的 COP 偏移数 EO=0.004)。在 NE 组中没有观察到类似的相关性,除了 EO 的平均振幅=0.033 和 EO 的摆动面积=0.030。BL 组和 NE 组在睁眼固体表面测试中,平均振幅参数有一个差异,=0.018,BL 组的结果更高。
结论:本研究表明,BL 组的平衡状况并不比 NE 组差,但在泡沫上的表现比没有泡沫时差。这表明需要通过提高盲人的本体感觉敏感性来发展盲人的身体平衡技能。在日常生活和训练中,盲人应尽可能多地体验外感受性刺激、不同质地和不稳定的表面。
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