Żurawski Arkadiusz, Śliwiński Zbigniew, Kozieł Dorota, Kiebzak Wojciech
Collegium Medicum, Jan Kochanowski University in Kielce, 25-369 Kielce, Poland.
Children (Basel). 2023 May 30;10(6):974. doi: 10.3390/children10060974.
In the literature, we find information about the impact of changes in the shape of the spine on the efficiency of equivalent reactions, and we also find information about the methods and effects of physiotherapy in improving equivalent reactions. However, there is a lack of publications showing the process of changes taking place over time and defining their nature at individual stages of treatment. The aim of this study is to present the process of monitoring the expression of balance in patients aged 8-12 years with postural disorders, in the course of the therapeutic process. The shape of the spine and the efficiency of equilibrium reactions in standing posture and during gait were assessed in all the subjects. The subjects were put into two groups: with a shape-of-spine disorder and without one. The recommended set of therapeutic activities in home conditions lasted about 20 min and was performed by the child with a parent's supervision. The therapeutic program was based on elements of neurophysiological methods: Vojta and PNF. The following parameters were measured: the maximum movement of the center of pressure (CoP) in the frontal plane during gait, the maximum movement of the CoP in the sagittal plane, the movement of the CoP in the frontal plane in static conditions and the movement of the CoP in the sagittal plane in static conditions. Six statistically significant differences were recorded, and all of them were related to measurement I. The Friedman test result was statistically significant for all the indexes. Post hoc analyses were performed using the Dunn-Bonferroni test. The children with shape-of-spine disorders had a lower efficiency of equivalent reactions in relation to the children without disorders. The therapy with the application of neurophysiological methods in the treatment of shape-of-spine disorders improved equilibrium reactions in these patients. Long-lasting and thorough observations of the therapeutic process in children with shape-of-spine disorders should include the monitoring of the efficiency of equilibrium reactions.
在文献中，我们发现了有关脊柱形状变化对等效反应效率影响的信息，也发现了物理治疗在改善等效反应方面的方法和效果的信息。然而，缺乏展示随时间变化过程并界定治疗各个阶段其性质的出版物。本研究的目的是呈现对8至12岁姿势障碍患者在治疗过程中平衡表达的监测过程。对所有受试者评估了脊柱形状以及站立姿势和步态中的平衡反应效率。受试者被分为两组：有脊柱形状障碍组和无脊柱形状障碍组。在家中条件下推荐的一套治疗活动持续约20分钟，由儿童在家长监督下进行。治疗方案基于神经生理学方法的要素：沃伊塔法和本体神经肌肉促进法。测量了以下参数：步态中压力中心（CoP）在额面的最大移动、CoP在矢状面的最大移动、静态条件下CoP在额面的移动以及静态条件下CoP在矢状面的移动。记录到六个具有统计学意义的差异，且所有差异均与测量I相关。所有指标的弗里德曼检验结果具有统计学意义。使用邓恩 - 邦费罗尼检验进行事后分析。与无脊柱形状障碍的儿童相比，有脊柱形状障碍的儿童等效反应效率较低。在治疗脊柱形状障碍中应用神经生理学方法的疗法改善了这些患者的平衡反应。对脊柱形状障碍儿童治疗过程进行长期而全面的观察应包括对平衡反应效率的监测。
