RESUMEN
OBJECTIVE: To assess the impact of range of motion changes before and after Mulligan mobilisation with ankle movement interventions on the daily lives of children with diplegic cerebral palsy. METHODS: The single blind randomised controlled study was conducted from July 30, 2022, to January 10, 2023, at 3 rehabilitation centres in Hebron, Palestine, after approval from the ethics review committee of Eastern Mediterranean University, Northern Cyprus, and comprised children with cerebral palsy, who were randomised into intervention group IG and control group CG. All the subjects received regular physiotherapy sessions, overseen by their parents, while those in group IG received mobilisation with ankle movement treatment 3 times per week for 4 weeks. Post-intervention assessment of ankle range of motion, balance, functional performance and quality of life was done using a goniometer, the timed up and go test, 88-item gross motor function measure, 6-minute walk test and the cerebral palsy quality of life questionnaire. Data was analysed using SPSS 24. RESULTS: Of the 64 patients, 40(63%) were girls, and 24(37%) were boys. The overall age range was aged 4-12 years. There were 32(50%) patients in each of the two groups. Mobilisation with movement had a significant effect on active and passive range of motion for the left and right ankles (p<0.05) as well as on balance, gross motor function and quality of life (p>0.05). However, mobilisation with movement had no significant effect on the the distance covered during the 6-minute walk test (p>0.05). CONCLUSIONS: Mobilisation with movement had a significant impact on active and passive ankle range of motion, balance and quality of life in diplegic children with cerebral palsy, but it had no impact on gait function. Clinical trial registration number: The study was registered at the United States National Institutes of Health (ClinicalTrials.gov) with registration number NCT05500924.
Asunto(s)
Parálisis Cerebral , Calidad de Vida , Rango del Movimiento Articular , Humanos , Parálisis Cerebral/rehabilitación , Parálisis Cerebral/fisiopatología , Femenino , Masculino , Método Simple Ciego , Niño , Preescolar , Articulación del Tobillo/fisiopatología , Modalidades de Fisioterapia , Equilibrio Postural/fisiología , Tobillo/fisiopatologíaRESUMEN
BACKGROUND: Appropriate arrangement of classroom ergonomics is necessary for maintaining health and improving academic performance, learning, and motivation. OBJECTIVE: We aimed to determine the anthropometric measurements and ergonomic risk levels of students during a handwriting activity on a fixed desk and chair and to analyze the mismatch and relationships between these factors. METHODS: This study included 149 university students (female:73, male:76). Anthropometric measurements (lower and upper extremity length, shoulder height, elbow-rest height, hip-popliteal length, popliteal height, knee height, the distance between tragus and wall, and between acromion and wall) were done with a tape measure. The Rapid Upper Limb Assessment (RULA) tool was conducted to determine the ergonomic risk level while students wrote a standard text on a fixed desk and chair as if they were taking notes in the classroom. The mismatch was evaluated between backrest height and sitting shoulder height, seat height, and popliteal height. The Pearson Chi-Square and the Spearman Correlation test were used for statistical analysis. RESULTS: The median values of the participants' age, height, weight, and BMI were 22 years, 1.70âm, 68âkg, and 23.18âkg/cm2, respectively. Most students had inadequate ergonomic posture while writing on fixed furniture at the university (Median RULA grand score: 4). More mismatches for seat height (54.4%) were found in high ergonomic risk levels but mismatches for backrest height did not follow a similar result. CONCLUSIONS: More investigation should be conducted with prospective studies including interventions like adjustable furniture.
RESUMEN
Aim: This study investigated the effects of exercises conducted with a Pilates ball on the motor skills of preschool children. Methods: 62 preschool children were randomly divided into two groups: an intervention group (IG) (n = 30) and a control group (CG) (n = 32). Exercises with a Pilates ball were practiced in IG. The One Leg Standing test, Functional Reach test, Ruler Drop test and Timed-Up and Go test were the outcome measures. Results: Static balance performance and dual-task performance were found to be significantly improved in the intragroup and intergroup comparisons, favoring the IG (p < 0.05). Conclusion: The exercises carried out in this study were found to be effective on static balance and dual-task performance. The study can guide an exercise program for the preschool age group. Clinical Trial Registration: NCT04575441 (ClinicalTrials.gov).
Asunto(s)
Técnicas de Ejercicio con Movimientos , Preescolar , Terapia por Ejercicio , Humanos , Equilibrio Postural , Tiempo de Reacción , Análisis y Desempeño de TareasRESUMEN
We aimed at investigating the effects of using stiletto style shoes with different heel heights on balance and climbing up the stairs. Assessments were conducted in three conditions (barefoot, 4 cm, 10 cm heels) on 40 women who are familiar with stiletto heels. In conclusion, when stilletto heeled shoes were worn, both balance and climbing up the stairs got worsen. Although 4 cm heel height had been considered as a normal heel height or upper limit of heel height in other shoe styles, stiletto heeled shoes with 4 cm heel height has affected every parameter negatively.