Step-Initiation Deficits in Children with Faulty Posture Diagnosed with Neurodevelopmental Disorders during Infancy
BackgroundEarly detection of movement deficits during step initiation will facilitate the selection of the optimal physiotherapy management strategy. The main aim of the study was to assess potential differences in step initiation between 5- and 6-year-old children with faulty posture who had been d...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2017-11-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fped.2017.00239/full |
| _version_ | 1818652056603328512 |
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| author | Magdalena Stania Alina Sarat-Spek Teresa Blacha Beata Kazek Kajetan J. Słomka Ewa Emich-Widera Grzegorz Juras |
| author_facet | Magdalena Stania Alina Sarat-Spek Teresa Blacha Beata Kazek Kajetan J. Słomka Ewa Emich-Widera Grzegorz Juras |
| author_sort | Magdalena Stania |
| collection | DOAJ |
| description | BackgroundEarly detection of movement deficits during step initiation will facilitate the selection of the optimal physiotherapy management strategy. The main aim of the study was to assess potential differences in step initiation between 5- and 6-year-old children with faulty posture who had been diagnosed with neurodevelopmental disorders during infancy and healthy children.MethodsThe experimental group consisted of 19 children aged 5–6 years with faulty posture, who had been diagnosed with neurodevelopmental disorders during infancy and were given physiotherapy in the first year of their lives. The control group comprised 19 nursery school children aged 5–6 years with no postural defects, no history of postural control or movement deficits, and no physiotherapy interventions in the first year of their lives. Step initiation was performed on force platforms under various conditions, i.e., with and without an obstacle, stepping up onto a platform placed at a higher level, stepping down onto a platform placed on a lower level. The recording of center of foot pressure (COP) displacements was divided into three phases: phase 1 (P1)—quiet standing before step initiation, phase 2 (P2)—transit, phase 3 (P3)—quiet standing until measurement completion.ResultsThe Tukey post hoc test showed that the means of sway range (raCOP) and mean velocity (vCOP) in sagittal (AP) plane for phase 1 and vCOP in frontal (ML) plane for phase 3 registered in the step-up trial were significantly higher (p < 0.05) in children with faulty posture compared to children with typical development. P1vCOPML, P3vCOPAP, P3raCOPML, and P3vCOPMLof the step-down trial were also significantly higher in children with faulty posture (p < 0.05).ConclusionInclusion of functional movement exercises (stair-walking tasks) in physiotherapy interventions for children with postural defects seems well justified.The trial was registered in the Australian and New Zealand Clinical Trials Registry (no. ACTRN12617001068358). |
| first_indexed | 2024-12-17T02:15:56Z |
| format | Article |
| id | doaj.art-e5595d8cb0474bb1b367460153f53cd4 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-17T02:15:56Z |
| publishDate | 2017-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-e5595d8cb0474bb1b367460153f53cd42022-12-21T22:07:25ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602017-11-01510.3389/fped.2017.00239309812Step-Initiation Deficits in Children with Faulty Posture Diagnosed with Neurodevelopmental Disorders during InfancyMagdalena Stania0Alina Sarat-Spek1Teresa Blacha2Beata Kazek3Kajetan J. Słomka4Ewa Emich-Widera5Grzegorz Juras6Faculty of Physiotherapy, Department of Physiotherapy Basics, Jerzy Kukuczka Academy of Physical Education, Katowice, PolandThe Independent Public Clinical Hospital No. 6 of the Medical University of Silesia in Katowice, The John Paul II Upper Silesia Child Health Centre, Katowice, PolandThe Independent Public Clinical Hospital No. 6 of the Medical University of Silesia in Katowice, The John Paul II Upper Silesia Child Health Centre, Katowice, PolandPersevere – Child Development Support Center, Katowice, PolandDepartment of Human Motor Behavior, Jerzy Kukuczka Academy of Physical Education, Katowice, PolandDepartment of Pediatric Neurology, Medical University of Silesia, Katowice, PolandDepartment of Human Motor Behavior, Jerzy Kukuczka Academy of Physical Education, Katowice, PolandBackgroundEarly detection of movement deficits during step initiation will facilitate the selection of the optimal physiotherapy management strategy. The main aim of the study was to assess potential differences in step initiation between 5- and 6-year-old children with faulty posture who had been diagnosed with neurodevelopmental disorders during infancy and healthy children.MethodsThe experimental group consisted of 19 children aged 5–6 years with faulty posture, who had been diagnosed with neurodevelopmental disorders during infancy and were given physiotherapy in the first year of their lives. The control group comprised 19 nursery school children aged 5–6 years with no postural defects, no history of postural control or movement deficits, and no physiotherapy interventions in the first year of their lives. Step initiation was performed on force platforms under various conditions, i.e., with and without an obstacle, stepping up onto a platform placed at a higher level, stepping down onto a platform placed on a lower level. The recording of center of foot pressure (COP) displacements was divided into three phases: phase 1 (P1)—quiet standing before step initiation, phase 2 (P2)—transit, phase 3 (P3)—quiet standing until measurement completion.ResultsThe Tukey post hoc test showed that the means of sway range (raCOP) and mean velocity (vCOP) in sagittal (AP) plane for phase 1 and vCOP in frontal (ML) plane for phase 3 registered in the step-up trial were significantly higher (p < 0.05) in children with faulty posture compared to children with typical development. P1vCOPML, P3vCOPAP, P3raCOPML, and P3vCOPMLof the step-down trial were also significantly higher in children with faulty posture (p < 0.05).ConclusionInclusion of functional movement exercises (stair-walking tasks) in physiotherapy interventions for children with postural defects seems well justified.The trial was registered in the Australian and New Zealand Clinical Trials Registry (no. ACTRN12617001068358).http://journal.frontiersin.org/article/10.3389/fped.2017.00239/fullstep initiationchildrenneurodevelopmental disorderspostural balancefaulty posture |
| spellingShingle | Magdalena Stania Alina Sarat-Spek Teresa Blacha Beata Kazek Kajetan J. Słomka Ewa Emich-Widera Grzegorz Juras Step-Initiation Deficits in Children with Faulty Posture Diagnosed with Neurodevelopmental Disorders during Infancy Frontiers in Pediatrics step initiation children neurodevelopmental disorders postural balance faulty posture |
| title | Step-Initiation Deficits in Children with Faulty Posture Diagnosed with Neurodevelopmental Disorders during Infancy |
| title_full | Step-Initiation Deficits in Children with Faulty Posture Diagnosed with Neurodevelopmental Disorders during Infancy |
| title_fullStr | Step-Initiation Deficits in Children with Faulty Posture Diagnosed with Neurodevelopmental Disorders during Infancy |
| title_full_unstemmed | Step-Initiation Deficits in Children with Faulty Posture Diagnosed with Neurodevelopmental Disorders during Infancy |
| title_short | Step-Initiation Deficits in Children with Faulty Posture Diagnosed with Neurodevelopmental Disorders during Infancy |
| title_sort | step initiation deficits in children with faulty posture diagnosed with neurodevelopmental disorders during infancy |
| topic | step initiation children neurodevelopmental disorders postural balance faulty posture |
| url | http://journal.frontiersin.org/article/10.3389/fped.2017.00239/full |
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