EFFECT OF LOWER LIMB PROXIMAL TO DISTAL MUSCLE IMBALANCE CORRECTION ON FUNCTIONAL PES PLANUS DEFORMITY IN YOUNG ADULTS

The pes planus deformity is seen more in adults. Pes planus or low foot medial longitudinal arch, contributes to lower extremity injury due to the muscular imbalance. This deformity causes proximal to distal muscle imbalance in lower limb. Effective correction of muscle imbalance is prime important in correction of pes planus. The purpose of the study was to find the effect of exercise in pes planus to correct the imbalance, improve the condition & prevent the injuries along with the long-term effect of the pes planus deformity. To study and find the effect of lower limb proximal to distal muscle imbalance correction in pes planus deformity in young adults. 40 people with functional pes planus deformity were randomly assigned to a group that received the baseline treatment for the muscle imbalance along with the intrinsic muscle strengthening exercises (experimental group) or a group that received only intrinsic muscle strengthening exercises (control group). Each group received 6 weeks treatment. Statistical analysis were performed using paired t test and unpaired t test. In pre-intervention, there was no statistically significant difference seen with p values for the navicular drop test for the right leg and left leg 0.1127, 0.1504 respectively. Ink test p values for the right leg, left leg 0.4184, 0.8719 respectively. While on comparing the post-interventional values using the unpaired t test, revealed that there was extremely significant difference seen with p value for both legs the navicular drop test was 0.0001 and for the ink test (right leg=0.0008, left leg=0.0318). Our study reported that muscular imbalance corrective exercises along with the intrinsic muscle strengthening was more effective in improving the condition and muscle imbalance caused by the pes planus. So, muscular imbalance corrective exercises and intrinsic muscle strengthening exercises should be recommended to correct the deformity or prevent the abnormalities in people with functional pes planus.

Total hip arthroplasty in patients with neuromuscular imbalance

Patients with neuromuscular imbalance who require total hip arthroplasty (THA) present particular technical problems due to altered anatomy, abnormal bone stock, muscular imbalance and problems of rehabilitation.In this systematic review, we studied articles dealing with THA in patients with neuromuscular imbalance, published before April 2017. We recorded the demographics of the patients and the type of neuromuscular pathology, the indication for surgery, surgical approach, concomitant soft-tissue releases, the type of implant and bearing, pain and functional outcome as well as complications and survival.Recent advances in THA technology allow for successful outcomes in these patients. Our review suggests excellent benefits for pain relief and good functional outcome might be expected with a modest risk of complication.Cite this article: Bone Joint J 2018;100-B(1 Supple A):17–21.

ASSESMENT OF THE POSTURE WITH THE STUDENTS OF THE FIRST GRADE OF PRIMARY SCHOOL

During childhood, respectively in adolescence, the human physiological changes due to growth and development of physical and mental functions. There are many factors that affect the growth and development of the individual, and which are reflected in its physical structure. The aim of this study was to determine whether muscular imbalance were observed in the group of pupils in the first grade of elementary school. As methodology, we chose to examinate shortened and weakened muscles by Janda. Survey sample consisted of students of the first grade at two elementary schools in Ruzomberok. The survey was conducted in the years 2015 - 2016, with the consent of parents, children and school head teachers. Students were divided into 4 groups, and we evaluated the incidence of faulty posture in pupils of first, second, third and fourth grade.Key words: primary school students, back pain, back excercises, posture