scholarly journals EFFECTS OF VESTIBULAR EXERCISES ON POSTURAL BALANCE FOR CHILDREN

Author(s):  
Aivars Kaupužs ◽  
Viesturs Lāriņš ◽  
Lorita Rižakova

The balance is one of the most important skills of the postural control and ability to move. The data are gained during the research that was supported by National Research Program "Innovative solutions in social rehabilitation in Latvian schools in the context of inclusive education". The balance sway index (SI) was tested by digital platform BioSway. The research group included 8 boys and 7 girls in the 12-14 years age range with vestibular function insufficiency. The aim of the study was to examine the immediate effect of vestibular exercises and to evaluate the degree of postural balance parameter changes after vestibular exercises complex applications. Vestibular exercise with head rotation 20 seconds with 3 repetitions caused statistically significant (p- 0.03) increasing of SI. The statistically significant (p- 0.025) improvement of SI was set after vestibular rehabilitation exercises complex application during 6 weeks (10-15 minutes a day).

Author(s):  
Ilga Prudnikova

The main goal of the National Research Program INOSOCTEREHI (Innovative solutions for social telerehabilitation in the schools of Latvia in the context of inclusive education) is related to the research on the issues and problems that are important to our society, as well as it is closely related with the goal of Rezekne Academy of Technologies Research Institute for Regional Studies: to promote interdisciplinarity and innovation transfer in spheres of socialization, re- socialization, human security (including people with special needs).The research is particularly relevant in connection to the NDP (National Development Plan) and Education Development Guidelines and the educational content reform implemented by the Ministry of Education and Science (MoES) in general and inclusive education ensuring the introduction of the competence based approach by implementing Specific Goals of Support (SGS) with the help of EU Structural Funds. The practical importance of the outputs is especially high as the findings of the research are being used by being involved in the work of the cooperation partner – the ESF project “The Competencies Based Approach in the Content of Education (Activity 8.3.1.) – as project cooperation partners and as individuals. Therefore the outputs of the NRP INOSOCTEREHI enable the development of the support system for the implementation of the innovations according to the specific needs  of the target groups (teachers, learners, etc.).


2020 ◽  
Author(s):  
Nguyen Nguyen ◽  
Kyu-Sung Kim ◽  
Gyutae Kim

Abstract Background: Due to the paired structure of two labyrinths, their neural communication is conducted through the interconnected commissural pathway. Using the tight link, the neural responding characteristics are formed in vestibular nucleus, and these responses are initially generated by the mechanical movement of the hair cells in the semicircular canals and otoliths. Although the mechanism to describe the neuronal responses to the head movements was evident, few direct experimental data were provided, especially the directional preference of otolith-related neurons as one of critical responses to elucidate the function of the neurons in vestibular nucleus (VN). Experimental Approach: The directional preference of otolith-related neurons was investigated in VN. Also, a chemically induced unilateral labyrinthectomy (UL) was performed to identify the origin of the directional preference. For the model evaluation, static and dynamic behavioral tests were performed. Following the evaluation, an extracellular neural activity was recorded for the neuronal responses to the horizontal head rotation and the linear head translation. Results: Seventy seven neuronal activities were recorded from thirty SD rats (270-450 g, male), and total population was divided into three groups; left UL (20), sham (35), right UL (22). Based on the directional preference, two sub-groups were again classified as contra- and ipsi-preferred neurons. There was no significance in the number of those sub-groups (contra-: 15/35, 43%; ipsi-: 20/35, 57%) in the sham (p=0.155). However, more ipsi-preferred neurons (19/22, 86%) were observed after right UL (p=6.056×10-5) while left UL caused more contra-preferred neurons (13/20, 65%) (p=0.058). In particular, the convergent neurons mainly led this biased difference in the population (ipsi-: 100% after right UL & contra-: 89% after left UL) (p<0.002). Conclusion: The directional preference was evenly maintained under a normal vestibular function, and its unilateral loss biased the directional preference of the neurons, depending on the side of lesion. Moreover, the dominance of the directional preference was mainly led by the convergent neurons which had the neural information related with head rotation and linear translation.


2019 ◽  
Vol 126 (6) ◽  
pp. 1619-1629 ◽  
Author(s):  
Sally M. Rosengren ◽  
Konrad P. Weber ◽  
Sendhil Govender ◽  
Miriam S. Welgampola ◽  
Danielle L. Dennis ◽  
...  

The short-latency vestibulo-collic reflex in humans is well defined for only the sternocleidomastoid (SCM) neck muscle. However, other neck muscles also receive input from the balance organs and participate in neck stabilization. We therefore investigated the sound-evoked vestibular projection to the splenius capitis (SC) muscles by comparing surface and single motor unit responses in the SC and SCM muscles in 10 normal volunteers. We also recorded surface responses in patients with unilateral vestibular loss but preserved hearing and hearing loss but preserved vestibular function. The single motor unit responses were predominantly inhibitory, and the strongest responses were recorded in the contralateral SC and ipsilateral SCM. In both cases there was a significant decrease or gap in single motor unit activity, in SC at 11.7 ms for 46/66 units and in SCM at 12.7 ms for 51/58 motor units. There were fewer significant responses in the ipsilateral SC and contralateral SCM muscles, and they consisted primarily of weak increases in activity. Surface responses recorded over the contralateral SC were positive-negative during neck rotation, similar to the ipsilateral cervical vestibular evoked myogenic potential in SCM. Responses in SC were present in the patients with hearing loss and absent in the patient with vestibular loss, confirming their vestibular origin. The results describe a pattern of inhibition consistent with the synergistic relationship between these muscles for axial head rotation, with the crossed vestibular projection to the contralateral SC being weaker than the ipsilateral projection to the SCM. NEW & NOTEWORTHY We used acoustic vestibular stimulation to investigate the saccular projections to the splenius capitis (SC) and sternocleidomastoid (SCM) muscles in humans. Single motor unit recordings from within the muscles demonstrated strong inhibitory projections to the contralateral SC and ipsilateral SCM muscles and weak excitatory projections to the opposite muscle pair. This synergistic pattern of activation is consistent with a role for the reflex in axial rotation of the head.


2008 ◽  
Vol 381-382 ◽  
pp. 369-372
Author(s):  
Gi Beum Kim ◽  
S.H. Jeong ◽  
Woo Suk Chong ◽  
H.S. Kang ◽  
S.J. Kim ◽  
...  

The effectiveness of the visual feedback to improve ability with the sense and muscular strength of human in our bicycle system was quantitatively verified in our study. Experiments were performed to find the factors related to the training of equilibrium sense. The subjects consisted of young and the aged and the group of young people was compared against the group of the aged. We investigated three different training modes, non-visual feedback (NVF), visual feedback of the weight (VFW), and visual feedback of the center of pressure (VFC) and measured the riding time and speed, the weight shift, and the center of pressure (COP) for twenties and seventies. The results showed that the running capability of the young and the aged became much better after repeated training. In addition, it was found out that the ability to control postural balance and the capability of equilibrium sense were improved with the presentation of the visual feedback information. These results will be effective in the diagnosis of equilibrium sense and vestibular function with the aged.


2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Sun Jong Kim ◽  
Myung Jin Kim ◽  
Young Jun Lee ◽  
Joo Chan Lee ◽  
Ji Hyang Kim ◽  
...  

Abstract Background Alopecia refers to a condition developed by gradual reduction of hair loss by various abnormal causes such as endocrine system, genetic factors, and stress. Stromal vascular fraction (SVF) isolated from the fat is one of the latest innovative solutions in the field of regeneration therapy. We focused on presenting effectiveness of clinical cases to improve AGA through transplantation of autologous SVF into the scalp. Objective To confirm the efficacy of the autologous SVF usage to the patients with AGA. Methods Nine patients (age range 43–64 years; 4 men, grade IV to V and 5 women, grade I to III), who are suffering from androgenic alopecia (AGA), were treated with single transplantation of autologous SVF in the upper scalp. Autologous SVF was isolated and characterized prior to the injection of live 7–9 × 106 cells into the patients’ treatment site. The hair loss improvement effect was assessed by three test criteria: hair skin quality, hair thickness and hair density 3 and 6 months after post-injection compared to pre-injection status. Results Hair density of SVF-treated side was significantly increased after 3 and 6 months of transplantation compared to non-treated side (P = 0.01 and P = 0.009 per each). And significant improvement in the score of the keratin on the scalp was seen in the injected area as compared to the non-injected area 6 months after transplantation (P = 0.032). Although thickness increase was observed at 3 and 6 months after transplantation, there was no statistical significance (P = 0.142 and 0.155, respectively). Conclusions One transplantation of autologous SVF for the AGA patients, hair density and score for the keratin were significantly increased within 6 months. This study shows that SVF is a very effective way to treat hair loss and most of subjects are satisfied with the result after treatment.


1999 ◽  
Vol 9 (6) ◽  
pp. 401-412
Author(s):  
Y.P. Ivanenko ◽  
I. Viaud-Delmon ◽  
A. Sémont ◽  
V.S. Gurfinkel ◽  
A. Berthoz

The aim of this study was to examine whether the chronic loss of vestibular function modifies perceptual and oculomotor responses during torso rotations in darkness. Subjects (4 patients with complete vestibular loss and 7 healthy volunteers) were seated on a rotating chair. Stimuli consisted of sinusoidal chair rotations ( ± 30 ∘ , 0.1 Hz and 0.011 Hz). We used 2 conditions: space stationary head (neck stimulation) and space stationary head and shoulders (torso stimulation). Horizontal eye deviations and slow component of eye movements were analysed. The results showed that eye movements and perception of head motion in space during neck stimulation were similar to those during torso stimulation both in normal and labyrinthine-defective (LD) subjects. During low-frequency chair rotations (0.011 Hz) all subjects perceived illusory head or head and shoulder rotation in space (as if the lower part of the body was stationary relative to the room) and shifted their gaze in the direction of illusory head rotation. In these conditions there was no significant difference in eye movements between normal and LD subjects. During higher frequency chair rotations (0.1 Hz), LD subjects had significantly larger eye deviations as well as increases in the gain of the slow component of eye movements relative to normals. In these conditions patients mostly perceived illusory head or head and shoulder rotation in space while normal subjects mainly perceived the head as stationary in space. The results indicate that 1) neck and torso rotations can evoke similar ocular responses in LD subjects, 2) the chronic loss of vestibular function modifies the representation of axial body segment motion relative to space.


Author(s):  
Dina Bethere ◽  
Irina Cupere ◽  
Aivars Kaupuzs ◽  
Egija Laganovska ◽  
Velta Lubkina ◽  
...  

The study summarises scientific and theoretical information that provides the basis for the use of telerehabilitation methods in the promotion of the development of physical, emotional and social balance for 12 – 13 year old adolescents in the context of inclusive education. The study describes the efficiency of modern technologies for the improvement of the physical and mental health of adolescent learners, as well as suggests services of social rehabilitation which could be provided from the distance. The target audiences of the study are teachers with different professional competence, researchers and the education policy makers.


Author(s):  
Aivars Kaupuzs

Many scientific studies have found lower performance on standard fitness tests of strength, endurance, flexibility and motor coordination, in persons with intellectual disabilities and developmental speech and language disorders. There are limited body of research on motor performance in children with borderline intellectual functioning (BIF) that manifesting as cognitive and behavioural problems and specific language impairment (SLI) that is a developmental disorder involving delayed language. The balance is one of the substantial motor skills that ensure development of normal movement patterns. The aim of the research is to find the differences of vestibular system indicators in specific groups. The data are gained during the research that was supported by National Research Program "Innovative solutions in social rehabilitation in Latvian schools in the context of inclusive education". The balance sway index (SI) was tested by digital platform BioSway using the m-CTSIB test in four positions. The research group included 17 participants with SLI and 25 children with BIF diagnosis at the 11-14 years age range who are enrolled in special schools. The normative data of m-CTSIB test was gained from 305 participants in previous researches of National Program. It was found statistically significant differences (p=0.027) of SI between BIF and SLI groups in one test position (eyes closed on foam surface). Children with disorders demonstrated significantly lower balance performance in two test positions in each group. Participants with BIF had significantly higher SI than typical children in two test positions with eyes open. Respectively on firm surface (p=0.028) and on foam surface (p=0.012). Children with SLI had significantly higher SI accordingly in two test positions on firm surface respectively eyes open (p=0.001) and eyes closed (p=0.000). The findings suggest that mechanism of vestibular adaptation in challenging environments differ with disorder diagnosis. That indicates the need for further researches in these specific groups.


Revista CEFAC ◽  
2018 ◽  
Vol 20 (1) ◽  
pp. 101-109
Author(s):  
Juliana Jandre Melo ◽  
Paula Carolina Dias Gibrin ◽  
Luciana Lozza de Moraes Marchiori

ABSTRACT Cochlear implants directly stimulate nerve fibers and ganglion cells of the auditory nerve, which transform sound energy into low levels of electrical current, stimulating the remaining fibers of the auditory nerve in patients with severe to profound hearing loss, in order to provide the significant range of auditory sensation and speech comprehension. Due to the close relationship between cochlea and vestibular receptors, some patients may present vestibular and postural balance changes concomitantly after surgery. This study aimed to perform a narrative review of the main studies that relate vestibular symptoms in patients implanted in the last six years. The research was performed through the databases: SciELO, LILACS and PubMed, using associated descriptors for "cochlear implant", "vestibular dysfunction", "vertigo" and "balance", totalizing 21 studies that fitted the inclusion criteria. The results were described in a chronological order of publication, showing the main conclusions. Of the total studies analyzed, 18 related vestibular function to cochlear implant and only 3 studies did not find such a relationship. The literature characterize the effects of the cochlear implant on the vestibular system, however, the results are contradictory.


2014 ◽  
Vol 21 (3) ◽  
pp. 417-424 ◽  
Author(s):  
Yukitaka Nagamoto ◽  
Motoki Iwasaki ◽  
Tsuyoshi Sugiura ◽  
Takahito Fujimori ◽  
Yohei Matsuo ◽  
...  

Object Cervical laminoplasty is an effective procedure for decompressing the spinal cord at multiple levels, but restriction of neck motion is one of the well-known complications of the procedure. Although many authors have reported on cervical range of motion (ROM) after laminoplasty, they have focused mainly on 2D flexion and extension on lateral radiographs, not on 3D motion (including coupled motion) nor on precise intervertebral motion. The purpose of this study was to clarify the 3D kinematic changes in the cervical spine after laminoplasty performed to treat cervical spondylotic myelopathy. Methods Eleven consecutive patients (6 men and 5 women, mean age 68.1 years, age range 57–79 years) with cervical spondylotic myelopathy who had undergone laminoplasty were included in the study. All patients underwent 3D CT of the cervical spine in 5 positions (neutral, 45° head rotation left and right, maximum head flexion, and maximum head extension) using supporting devices. The scans were performed preoperatively and at 6 months after laminoplasty. Segmental ROM from Oc–C1 to C7–T1 was calculated both in flexion-extension and in rotation, using a voxel-based registration method. Results Mean C2–7 flexion-extension ROM, equivalent to cervical ROM in all previous studies, was 45.5° ± 7.1° preoperatively and 35.5° ± 8.2° postoperatively, which was a statistically significant 33% decrease. However, mean Oc–T1 flexion-extension ROM, which represented total cervical ROM, was 71.5° ± 8.3° preoperatively and 66.5° ± 8.3° postoperatively, an insignificant 7.0% decrease. In focusing on each motion segment, the authors observed a statistically significant 22.6% decrease in mean segmental ROM at the operated levels during flexion-extension and a statistically insignificant 10.2% decrease during rotation. The most significant decrease was observed at C2–3. Segmental ROM at C2–3 decreased 24.2% during flexion-extension and 21.8% during rotation. However, a statistically insignificant 37.2% increase was observed at the upper cervical spine (Oc–C2) during flexion-extension. The coupling pattern during rotation did not change significantly after laminoplasty. Conclusions In this first accurate documentation of 3D segmental kinematic changes after laminoplasty, Oc–T1 ROM, which represented total cervical ROM, did not change significantly during either flexion-extension or rotation by 6 months after laminoplasty despite a significant decrease in C2–7 flexion-extension ROM. This is thought to be partially because of a compensatory increase in segmental ROM at the upper cervical spine (Oc–C2).


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