Static Balance and Dynamic Balance in Obese School Going Children Between 11 and 14 Years of Age: A Cross Sectional Study

Author(s):  
J Andrews Milton ◽  
A Turin Martina
2021 ◽  
Vol 9 (1) ◽  
pp. 3759-3764
Author(s):  
Tejaswini Padmanabha Suvarna ◽  
◽  
Joseph Oliver Raj ◽  
Nithin Prakash ◽  
◽  
...  

Background: Balance deficits are usually related to medial-lateral instability. BMI could be an important factor to consider as; excess body mass or increased accumulation of adipose tissue can directly impact the postural stability which in return impacts balance. Purpose of the study: To find the correlation between BMI and Balance. Method: Sample consisted of 149 students, out of which 100 (67%) were males and 49 (33%) were females. BMI was calculated and was categorized into groups. Bilateral limb length was measured for normalising the data. Static balance was measured by performing blinded stork test and dynamic balance by performing Y- balance test. Data was analysed using Pearson’s correlation test. Result: There was significant correlation between BMI and static balance of left leg (r=0.713, 95% CI 0.623, 0.784, p=0.01) but on comparison, there was no significant correlation between BMI and static balance of right leg (r=0.0458, 95% CI -0.11, -0.205, p=0.58). It was found that there was no significant correlation between BMI and Left Anterior (r= -0.134, 95% CI -0.289, -0.0274, p= 0.103), Left Posterolateral (r=-0.0775, 95% CI -0.235, 0.0843, p=0.347), Left Posteromedial (r=-0.0903, 95% CI -0.248, -0.0715, p=0.273) respectively. Also, it was found that there was no significant correlation between BMI and Right Anterior (r=-0.236, 95% CI -0.382, -0.0778, p=0.00381), Right Posterolateral (r=-0.193, 95% CI -0.343,-0.0334, p=0.0183), Right Posteromedial (r=-0.126, 95% CI -0.281, -0.0354, p=0.125) respectively. Conclusion: There was significant correlation between BMI and static balance of left leg and no correlation was established between BMI and static balance on right leg and also no correlation was established between BMI and static and dynamic balance for right and left leg. KEY WORDS: Static balance, Dynamic balance, Body Mass Index, Obesity, Limb length.


2022 ◽  
Vol 5 (1) ◽  
Author(s):  
Stefanie John ◽  
Katja Orlowski ◽  
Kai-Uwe Mrkor ◽  
Jürgen Edelmann-Nusser ◽  
Kerstin Witte

BACKGROUND: Following amputation, patients with lower limb amputations (LLA) are classified into different functional mobility levels (K-levels) ranging from K0 (lowest) to K4 (highest). However, K-level classification is often based on subjective criteria. Objective measures that are able to differentiate between K-levels can help to enhance the objectivity of K-level classification. OBJECTIVE(S): The goal of this preliminary cross-sectional study was to investigate whether differences in hip muscle strength and balance parameters exist among patients with transfemoral amputations (TFA) assigned to different K-levels. METHODOLOGY: Twenty-two participants with unilateral TFA were recruited for this study, with four participants assigned to K1 or K2, six assigned to K3 and twelve assigned to K4. Maximum isometric hip strength of the residual limb was assessed in hip flexion, abduction, extension, and adduction using a custom-made diagnostic device. Static balance was investigated in the bipedal stance on a force plate in eyes open (EO) and eyes closed (EC) conditions. Kruskal-Wallis tests were used to evaluate differences between K-level groups. FINDINGS: Statistical analyses revealed no significant differences in the parameters between the three K-level groups (p>0.05). Descriptive analysis showed that all hip strength parameters differed among K-level groups showing an increase in maximum hip torque from K1/2-classified participants to those classified as K4. Group differences were also present in all balance parameters. Increased sway was observed in the K1/2 group compared to the K4 group, especially for the EC condition. CONCLUSION: Although not statistically significant, the magnitude of the differences indicates a distinction between K-level groups. These results suggest that residual limb strength and balance parameters may have the potential to be used as objective measures to assist K-level assignment for patients with TFA. This potential needs to be confirmed in future studies with a larger number of participants. Layman's Abstract Patients with lower limb amputation (LLA) are classified into different mobility levels, so-called K-levels, which are ranging from K0 (lowest) to K4 (highest). K-level classification is relevant for the patients as it determines the type of prosthetic components available. However, K-level can vary greatly based on the clinician or orthopedic technician individual assessment. Objective data from physical performance tests can help to improve K-level classification. Therefore, muscle strength tests of the amputation stump as well as balance tests were performed in this study to determine whether these parameters have the potential to support K-level classification. Twenty-two participants with a thigh amputation participated in the study (four K1/2-, six K3- and twelve K4-participants). Hip muscle strength on the amputation side was assessed as well as static balance in the double leg stance with eyes open and eyes closed. Analysis of the data showed that all hip strength parameters differed between the K-level groups, with maximum strength increasing from the K1/2 group to the K4 group. Group differences were also seen in the balance parameters with greater body sway for the K1/2 group when compared to the K4 group, especially when participants had their eyes closed. These results show that muscle strength tests of the residual limb and static balance tests may serve as additional measures to improve K-level assignment for patients with LLA. This was only an initial study and further studies with a larger number of participants are required to confirm these results. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/37456/28905 How To Cite: John S, Orlowski K, Mrkor K.U, Edelmann-Nusser J, Witte K. Differences in hip muscle strength and static balance in patients with transfemoral amputations classified at different K-levels: A preliminary cross-sectional study. Canadian Prosthetics & Orthotics Journal. 2022; Volume 5, Issue 1, No.5. https://doi.org/10.33137/cpoj.v5i1.37456 Corresponding Author: Stefanie John,Department of Sports Science, Faculty of Humanities, Otto von Guericke University, Magdeburg, Germany.E-Mail: [email protected] ID: https://orcid.org/0000-0001-6722-7195


2021 ◽  
pp. 110753
Author(s):  
Flávio Tavares Vieira ◽  
Jaqueline Mello Porto ◽  
Pâmela Precinotto Martins ◽  
Luana Letícia Capato ◽  
Fernanda Saori Suetake ◽  
...  

Sensors ◽  
2020 ◽  
Vol 20 (3) ◽  
pp. 940 ◽  
Author(s):  
Raquel Leirós-Rodríguez ◽  
Vicente Romo-Pérez ◽  
Jose Luis García-Soidán ◽  
Jesús García-Liñeira

The identification of factors that alter postural stability is fundamental in the design of interventions to maintain independence and mobility. This is especially important for women because of their longer life expectancy and higher incidence of falls compared to men. The objective of this study was to construct the percentile box charts and determine the values of reference for the accelerometric assessment of the static balance in women. For this, an observational and cross-sectional study with a sample composed of 496 women (68.8 ± 10.4 years old) was conducted. The measurement of accelerations used a triaxial accelerometer during three tests: two tests on the ground in monopodal support and a test on a mat with monopodal support for 30 s each. In all of the variables, an increase in the magnitude of the accelerations was detected as the age advanced. The box charts of the percentiles of the tests show the amplitude of the interquartile ranges, which increased as the age advanced. The values obtained can be used to assess changes in static balance due to aging, trauma and orthopaedic and neurodegenerative alterations that may alter postural stability and increase the risk of falling.


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