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Background: Dynamic balance monitoring involves the assessment of the muscular control during changes of the centre of gravity location in space above the supporting plane. We aimed to determine the structure of the Y-Balance Test and its accuracy based on measurements of strength and resistance to fatigue of muscles acting on the knee joint under static conditions, as well as joint motion ranges and static balance in girls aged 14 years. Methods: The study included 40 girls aged 14, who attended Gymnasium No. 2 in Cracow (Poland). The research was conducted in October 2020. Postural stability was examined with the use of the YBT. The measurements of muscle strength and knee joint extensor and flexor resistance to fatigue during an isometric contraction were performed in a standard position on the test bench. The measurements of lower extremity joint range of motion were performed in accordance with the SFTR methodology. Static balance was assessed with the use of the modified FBT. Results: The factor structure obtained for both lower extremities has satisfactorily explained the common variance (about 70%) and showed slight differences between the left and right extremities. Conclusion: The factor structure in the group of examined girls suggests a highly hybrid nature of the Y-Balance Test with a wide spectrum of biomechanical variables that have little influence on the measurement results.

Purpose: The aim of this study was to compare the effects of scapular stabilization exercise with and without cognitive functional therapy (CFT) on disability and scapular kinematics in people suffering from chronic neck pain. Methods: A total of 72 patients with chronic non-specific neck pain were randomized into scapular stabilization exercise alone, n = 24, combined (scapular stabilization exercise + CFT), n = 24, and a control group, n = 24. Scapular kinematic and disability were measured at baseline and after the intervention. Results: Statistically significant differences in neck pain and disability scale (NPAD) were found when the multimodal physiotherapy group including a cognitive functional approach was compared with stabilization exercises group at 6 weeks (effect size (95%CI) = –1.63 (–2.55, –.71); P = 0.019). Regarding the neck disability index (NDI), a significant between-group difference was observed at six-week (effect size (95%CI) = –2.69 (–3.80, –1.58); P = 0.007), with the superiority of effect in multimodal physiotherapy group. A significant between-group difference was observed in the scapular upward rotation and scapular osterior tilt at 30°, 60°, 90° and 120° of shoulder adduction. Conclusions: A group-based multimodal rehabilitation program including scapular stabilization exercise plus cognitive functional therapy was superior to group-based stabilization exercises alone for decreasing disability and, improving scapular kinematic in patients with chronic neck pain

Background: The aim of the study was to compare the effect of vibration massage and passive rest on accelerating the process of muscle recovery after short-term intense exercise. Methods: Eighty-four healthy men aged 20 to 25 years participated in the study. Study participants performed isometric (ISO-M Group) and auxotonic (AUX-M group) contraction exercise in the lower limbs. Vibration massage was administered after exercise in the first recovery period. In the same period, controls rested passively, without the support of vibration massage. To assess the effectiveness of the applied vibration, a 4-fold measurement of the maximum force of the muscles involved in the exercise was performed under conditions of isometric contractions on a leg press machine set at an angle of 45° degrees upwards. Results: Differences in maximum strength during isometric contraction were found compared to baseline in favor of the groups subjected to the experimental vibration massage. Differences were demonstrated in muscle strength between the study groups (p &lt, 0.005). The second period of passive rest in all groups did not bring significant changes in the values of maximal lower limb strength. Conclusions: Properly selected characteristics of the vibration effect can be an effective method in accelerating recovery and regaining lost motor capabilities of muscle groups fatigued by exercise. This offers the potential to shorten rest periods between sets of repetitions in training or between training units.

Background: Ju-jitsu training has to be comprehensive in terms of training intensity, developing a wide range of physical fitness and learning multiple technical skills. These requirements result from the specificity of the competition characteristic of the sport form of this martial art. The aim of this study was to evaluate the aerobic capacity and special physical fitness of ju-jitsu athletes at the highest sports performance level and to determine the relationships between special fitness and the indices of technical and tactical skills. Methods: In order to determine the current level of special fitness of the athletes, a set of karate fitness tests were used, namely, the Special Judo Fitness Test and the Kickboxer Special Physical Fitness Test. Furthermore, maximal oxygen uptake (VO2peak) was measured using a graded exercise test in a group of 30 sport ju-jitsu athletes at the highest level of sports performance. To evaluate the level of technical and tactical skills, an analysis of recordings of tournament bouts was carried out, and, based on the observations, the indices of effectiveness, efficiency, and activeness of the attack were calculated. Results: Individuals with higher fitness were more active and effective in the attack. The special efficiency indices showed significant correlations with the technical and tactical parameters. Better fighting performance was dependent on the speed of the punches, kicking range, and the results of the special fitness tests. Conclusions: To achieve greater efficiency and effectiveness of sport ju-jitsu, the training process should be based on comprehensive motor development and an optimal level of special fitness.

Summary Objective Regular judo training may induce favourable developmental changes in body posture of boys. The purpose of this work was to assess changes in body posture of 8-year-old boys training judo versus a control group in two repeated assessments. Methods The study included 73 boys aged 8. Thirty-six of them started judo training in sports clubs at the beginning of the school year (JU). The control group included 37 boys attending first and second classes of primary schools, selected at random (NT). Body posture was assessed with the Moire's method, two times, at a 6-month's interval between the two assessments. Distributions of the values of the obtained variables were assessed with the W Shapiro–Wilk test. Non-parametric tests were used for their analysis. The median, mean and SD were calculated. To evaluate the differences between the T1 and T2 results, the Wilcoxon matched-pairs test was used, and to evaluate the intergroup differences both for the first and for the second measurement – the Mann–Whitney U test, adjusted for continuity. Results In group JU, the time factor (T1–T2) had a significant effect (P ≤ 0.05) on changes of 6 body posture indices. In the first assessment, there was a significant difference between the JU and NT groups with respect to 5 body posture indices; in the second assessment, there were only two differences. Conclusion Regular 6-month's judo training in the examined boys resulted in deepening of physiological spinal curvatures, progressing symmetrisation of shoulder blades and spine alignment to the C7–S1 line.

Purpose: The research aimed to assess the influence of vibration therapy on acceleration of muscles regeneration process after physical effort. Verification of the pace of motor capabilities recovery in fatigued muscles was performed with the use of the measurement method applying shear-wave elastography. It took into account an alteration in muscle stiffness affected by created passive stresses and accompanying deformations connected with muscles work above their resting length. Methods: The research included 42 young males aged 20–24. They all were a homogeneous group regarding body build indices (body height 175.4 ± 8.1 cm; body mass 75.5 ± 8.32 kg) and the level of physical activity. Muscles of lower limbs (hip and knee joints extensors and flexors plantaris) were subject to submaximal exercise of the auxotonic muscle work character after a 90 s warm-up. The exercise comprised 20-fold overcoming the load at the level of 75% of maximal strength abilities without rest, by alternating between extension and flexion of lower limbs joints at the leg press placed at 45° angle upward and monitoring of angle setting of lower limbs joints. The post-exercise restitution used a vibration stimulus of variable frequency ranging from 20 to 50 Hz and amplitude of 0.5 mm, and passive resting in the control group. For an objective assessment of the applied vibration effect, a 5-fold measurement of rectus femoris muscles stiffness of both limbs at the middle of venter took place after each stage of the experiment. Results: After warm-up, a considerable increase of the examined muscles stiffness, that did not vary significantly, was observed. In the DW experimental group (vibration massage), where post-exercise restitution was enhanced by vibration, significantly lower values of muscle stiffness were registered after each of the post-exercise regeneration stages in relation to the DB control group (passive rest). After the I regeneration stage, a value of the Δσ_r1-s variable (p < 0.05) lower by 16% was noticed in favour of the group enhanced by vibration. Whereas, values of muscles stiffness after the II stage of regeneration, Δσ_r2-s were by 14% lower in favour of DW group (p < 0.005). Conclusions: Enhancement of the post-exercise relaxation of muscles by vibration treatment significantly lowered the values of post-exercise muscles stiffness and turned out to be a more effective method of restitution than passive resting. Recovery of the level of muscles stiffness from before the exercise was much slower in the control group than in the one enhanced by vibration. The improved method of muscle stiffness measurement with the use of shear-wave elastography with a special head attachment turned out to be a useful tool to assess post-exercise muscles restitution.

Aim. The aim of the study is to characterise and compare the values of angle changes within the lower limb joints in the sagittal plane and spatial pelvic movements while running in minimalist and neutral footwear. Materials and methods. Research was carried out among a group of 13 participants (6 men and 7 women), highly qualified male and female athletes from the AZS AWF (University of Physical Education) Kraków club. Registration of the run and analysis of the results was performed using spatial motion analysis via the Vicon system with speeds at 3.94±0.45 m/s for men and 3.97±0.32 m/s for women, and 3.91±057 m/s and 4.1±0.36 m/s for men and women, respectively, in the group of highly qualified athletes. Results. At the initial point of foot contact with the ground, the minimalist footwear run was characterised by greater plantar flexion totalling about 5º compared to the run in neutral footwear. There was also a 8º higher value of dorsiflexion during the amortisation phase and a lower value by approx. 5º during the swing phase in this joint when running in minimalist footwear. In the knee joint, a value of about 6º higher flexion was observed during the amortisation phase when running in minimalist footwear. Differences in hip joint angle of approximately 6-8º were found during maximal extension of the joint during the final rebound phase. Spatial pelvic movements were similar during runs in both types of footwear. Conclusions. The obtained results indicate that some of the amortisation and driving force tasks are taken over by the sports footwear. During the run in minimalist footwear, a key role in the field of body amortisation is played by the increased range of knee flexion, while during the rebound phase, the increased range of hip joint extension predominates.

Objective There is no existing standard, evidence-based, scientific model for motor ability improvement in Huntington's Disease (HD) patients aimed at maintaining independent gait for as long as possible, or performing activities of daily living, the effectiveness of which would be supported by the results of studies using objective research tools. Under these circumstances, the aim of this study was to analyze the influence of motor ability rehabilitation on the spatial-temporal parameters of gait in HD patients. Design It was an experimental trial. The studied group consisted of 30 patients (17 women and 13 men) with HD. In hospital conditions, the patients participated in the 3-week motor ability l rehabilitation programme tailored to individual needs. The study group was tested using the Vicon 250 three-dimensional gait analysis system before and after the physical exercise programme. Results Walking speed after therapy increased for the left lower limb from 1.06 (SD 0.24) [m/s] to 1.21 (SD 0.23) [m/s], and for the right lower limb from 1.07 (SD 0.25) [m/s] to 1.20 (SD 0.25) [m/s]. The cycle length increased after the applied therapy for the left lower limb from 1.17 (SD 0.20) [m] to 1.23 (SD 0.19) [m]. Conclusion The three-week motor ability rehabilitation programme positively influences spatial-temporal gait parameters in HD patients.

Aim The aim of this study was to evaluate the effects of Nordic Walking training and physical training on the balance and body composition in adult people with Down syndrome. Basic procedures We enrolled 32 subjects with Down syndrome, aged 25-40 years with moderate intellectual disability. They were randomly divided into three groups: Nordic Walking training group, physical training group and control group with no intervention. Training sessions were held for 10 weeks at a frequency of 3 times a week. Subjects were examined twice: 1 week before training and a week immediately after intervention. To evaluate balance we applied modified Clinical Test for Sensory Integration and Balance (mCTSIB) on BioSway platform. Evaluation of body composition was assessed with Tanita Body Composition Analyzer TBF – 300. Results After training, in the mCTSIB statistically significant changes were observed only in the Nordic Walking group. In the control group in the mCTSIB the changes were not reported. There were observed improvements in the body composition after Nordic Walking training and in the control group there were deteriorated. Conclusions The research shows that regular physical activity such as Nordic Walking training has positive influence on the balance in people with Down syndrome. The changes were greater in people participated in Nordic Walking training rather than physical training. Both of the study groups presented improvement compared to controls. Key words: Down syndrome, Nordic Walking, disability, balance, stability, BMI, mCTSIB, body composition, rehabilitation

Purpose: The aim of this study was to analyse absolute and relative reliability of a number of postural static stability measures obtained from a GYKO inertial sensor system in young adults. Methods: The study examined 29 healthy non-athlete young adults. A test was performed for 30 s while standing on one foot, without moving, with eyes open and arms relaxed along the sides of the body. The examinations were performed twice, with a one-week interval. Relative reliability was measured using the intraclass correlation coefficient (ICC) and the 95% confidence interval (95% CI), whereas the absolute reliability was evaluated based on the standard error of measurement (SEM) and the minimal detectable change (MDC). Results: The results of this study showed moderate to good relative reliability scores for all the postural stability measures, with ICC values ranging from 0.62 to 0.70. For most of the analysed variables, SEM% ranged from ca. 10 to 14%. Relatively high SEM% values were obtained only for two variables (Area, Convex Hull Area). Conclusions: The low costs of GYKO inertial sensor systems, the fast and easy installation, the mobility and high reliability of the measurement of postural stability show that it can be effective alternative to stabilographic platforms.

The purpose of this work was to assess changes in body posture in a group of 6-year-old boys training judo, compared to a control group, in three repeated examinations.The study included 88 boys aged 6. Fifty-one of them started judo training in sports clubs at the beginning of the school year (JU). The control group included 37 boys attending reception classes in primary schools, selected at random (NT). Body posture was assessed 3 times at 3-month intervals, according to the general methodology of the Moire's technique, and 15 body posture indices were obtained as a result: 7 in the sagittal plane, 1 in the axial plane and 7 in the coronal plane. The system for photogrammetric body posture assessment of CQ Elektronik System was used in this study.The ANOVA test showed that neither the group factor - the fact of judo training - nor the time factor had any significant effect on the number of "deviations from normal values" of body posture (p0.05). Statistically significant intergroup differences were noted for six body posture indices measured with the Moire's method.Steadily decreasing numbers of "deviations from normal values" of body posture indices in the JU group were observed over the three examinations. Regular 6-month judo training had a statistically significant effect on a decrease of body rotation in the axial plane - the effect of judo training may be considered corrective in this case.

The purpose of this work was to assess the differences of the values of body posture indices, measured with the Moire's method, between girls and boys aged 13 and the relationships of these values with the results of the Y-Balance Test.The study involved a group of healthy volunteers attending junior high schools in Cracow. The group consisted of 20 girls and 35 boys. Basic somatic parameters were measured within this work: body height and weight. Body posture was assessed according to the general methodology of the Moire's technique and 14 body posture indices were obtained as a result: 6 in the sagittal plane, 1 in the axial plane and 7 in the coronal plane. Postural stability was assessed with the Y-Balance Test (YBT).The studied girls and boys had practically the same body posture - statistical differences were found only in 3 out of 14 assessed indices measured with the Moire's technique. Scoliosis was found in as many as 51% of the subjects, however, mean values of deviations from the C7-S1 line were not large.In the group of girls, the set of blades (below - above) was statistically significantly correlated with the global YBT result for the right inferior extremity, and in the group of boys - the set of the waist triangles (below - above) was statistically significantly correlated with the global YBT results for the right and left inferior extremities.

Maintaining balance in humans involves continuous changes in parameters. The aim of this study was to assess the effect of hippotherapeutic exercises on development of the sense of balance in boys aged 15 to 17 years with mild intellectual disability.The study examined 50 randomly chosen boys aged 15 to 17 years with mild intellectual disability from the special education centre in Leżajsk, Poland. The study participants were divided into two groups: experimental group, who participated for 3 months in hippotherapeutic classes and the control group, with boys attending outdoor or indoor physical education classes. Before and after completion of the study, both experimental and control groups were diagnosed by means of Accu SwayPlus force plate. The force plate was used to determine alterations in the position of the centre of pressure (COP) on the platform in the frontal and sagittal planes in relaxed standing position with feet spread to the shoulder width and with eye control with respect to the base of support (BOS). The description was based on mean displacement of the centre of gravity (COG), mean velocity of displacements of the COG, mean radial displacement and total length of the COP pathway.In the experimental group, equestrian exercises induced a series of significant changes that pointed to the improved balance reactions. The character of these changes in the positions analysed was similar: values of body sway in the sagittal plane and their range and mean displacements decreased statistically significantly after training. The same tendency was observed for mean radial displacements in the free open position and with closed support surface. Furthermore, the velocity of displacement and the length of the COP's projection pathway on the support surface in the free open position was also reduced. All significant changes and trends found for the experimental group, which occurred after 3 month of hippotherapeutic classes, suggest improved parameters of balance.The lack of changes in balance parameters in the control group shows that the hippotherapeutic classes significantly develop balance abilities in boys aged 15 to 17 years with mild intellectual disability.

The aim of this study was to perform a comparative analysis of maximal muscle torques at individual stages of development of athletes and to determine the relationship between muscle torques, fighting methods and the level of sports performance. The activity of 25 judo contestants during judo combats and the effectiveness of actions were evaluated. Maximum muscle torques in flexors/extensors of the body trunk, shoulder, elbow, hip and knee joints were measured. The level of significance was set at p≤0.05; for multiple comparisons the Mann-Whitney U test, p≤0.016, was used. Intergroup differences in relative torques in five muscle groups studied (elbow extensors, shoulder flexors, knee flexors, knee extensors, hip flexors) were not significant. In cadets, relative maximum muscle torques in hip extensors correlated with the activity index (Spearman's r=0.756). In juniors, maximum relative torques in elbow flexors and knee flexors correlated with the activity index (r=0.73 and r=0.76, respectively). The effectiveness of actions correlated with relative maximum torque in elbow extensors (r=0.67). In seniors, the relative maximum muscle torque in shoulder flexors correlated with the activity index during the second part of the combat (r=0.821).

The study of dynamic balance involves tests that assess the muscle control of spatial changes of the position of the centre of gravity over the base of support. The purpose of this work was to determine the structure of the Y-balance test and its accuracy based on the measurements of strength performance of the muscles acting on the knee joint as well as the flexibility and balance in boys aged 14 years.The study included 43 schoolboys regularly participating in physical education lessons. The examination of postural stability was conducted with the use of the Y-balance test. The measurements of muscle strength and of resistance to fatigue of the extensors and flexors of knee joints in isometric contraction were performed on a measurement stand in a standard position with the use of tensometric sensors. The measurement of mobility range of the lower extremity joints was performed according to the SFTR. The examination of balance was performed with the use of the modified "Flamingo balance test".The factor structure of the Y-balance test results for the left and right lower extremities is similar and includes five principal independent factors that characterise the structure of analysed variables. They explain 76% and 74% of communality in total for the left and the right extremity, respectively.The extracted factor structure points to a hybrid structure of the Y-Balance Test and shows its accuracy in the measurements of the lower limb joint mobility and strength performance of knee joint extensors.

Objective: A number of studies on gait disturbances have been conducted, however, no clear pattern of gait disorders was described. The aim of the study was to characterize the gait pattern in HD patients by conducting analysis of mean angular movement changes the lower limb joints and trunk (kinematics parameters).Methods: The study group consisted of 30 patients with HD (17 women and 13 men). The reference data include the results of 30 healthy subjects (17 women and 13 men). Registration of gait with the Vicon 250 system was performed using passive markers attached to specific anthropometric points directly on the skin, based on the Golem biomechanical model (Oxford Metrics Ltd.). The research group and the control group were tested once.Results: Statistically significant (p < 0.05) angular changes in gait cycle for HD patients were observed in: insufficient plantar flexion during Loading Response and Pre-swing phases; insufficient flexion of the knee joint during Initial Swing and Mid Swing phases; excessive flexion of the hip in Terminal Stance and Pre-swing phases and over-normative forward inclination of the trunk in all gait phases. It should be noted that the group of patients with HD obtained, for all the mean angular movement changes higher standard deviation.Conclusion: A characteristic gait disorder common to all patients with HD occurring throughout the whole duration of the gait cycle is a pathological anterior tilt of the trunk. The results will significantly contribute to programming physiotherapy for people with HD, aimed at stabilizing the trunk in a position of extension during gait.

The aim of the study was to assess energy cost and total external work (total energy) depending on the speed of race walking. Another objective was to determine the contribution of external work to total energy cost of walking at technical, threshold and racing speed in elite competitive race walkers. The study involved 12 competitive race walkers aged years with 6 to 20 years of experience, who achieved a national or international sports level. Their aerobic endurance was determined by means of a direct method involving an incremental exercise test on the treadmill. The participants performed three tests walking each time with one of the three speeds according to the same protocol: an 8-minute walk with at steady speed was followed by a recovery phase until the oxygen debt was repaid. To measure exercise energy cost, an indirect method based on the volume of oxygen uptake was employed. The gait of the participants was recorded using the 3D Vicon opto-electronic motion capture system. Values of changes in potential energy and total kinetic energy in a gate cycle were determined based on vertical displacements of the centre of mass. Changes in mechanical energy amounted to the value of total external work of muscles needed to accelerate and lift the centre of mass during a normalised gait cycle. The values of average energy cost and of total external work standardised to body mass and distance covered calculated for technical speed, threshold and racing speeds turned out to be statistically significant . The total energy cost ranged from 51.2 kJ.m-1 during walking at technical speed to 78.3 kJ.m-1 during walking at a racing speed. Regardless of the type of speed, the total external work of muscles accounted for around 25% of total energy cost in race walking. Total external work mainly increased because of changes in the resultant kinetic energy of the centre of mass movement.

Background and purpose Although Parkinson disease (PD) patients suffer falls more frequently than other old people, only a few studies have focused on identifying the specific risk factors for falls in PD patients. The aim of this study was to assess the incidence and risk factors of falls in a prospective study in comparison to a control group. Material and methods One hundred patients with PD were recruited to the study along with 55 gender- and age-matched healthy controls. Both groups were examined twice; the second examination took place one year after the first one. Examination of the PD group included: medical history including falls, neurological examination, assessment of the severity of parkinsonism [Unified Parkinson's Disease Rating Scale (UPDRS), Schwab and England scale (S&E), Hoehn and Yahr scale (H&Y), Mini-Mental State Examination (MMSE)], Hamilton scale and quality of life scales (SF-36, EQ-5D) and Freezing of Gait Questionnaire (FOG-Q). In both groups falls were recorded over the 12 months. Frequent fallers are defined as having more than 3 falls a year. Results Over the year falls occurred in 54% of PD patients and 18% of controls. In a prospective study 28% of PD patients fell more frequently than in retrospective analysis. Frequent fallers were found in 20% of patients and in 7% of controls. Fallers showed higher scores in UPDRS, H&Y, S&E, MMSE, and Hamilton scale than non-fallers. Independent risk factors for falls were: age, previously reported falls and higher score in the FOG-Q. Conclusions Falls in PD patients occurred three times more frequently than in controls. Independent risk factors for falls were: high score in FOG-Q, older age and presence of falls in medical history.

Background Physical activity is beneficial for young children. The aim of this study was to monitor the changes in body posture and balance, as well as in the level of lower limbs mechanical output in six-year-old boys practicing judo (JU) and in a group not practicing that sport (NT). Methods In 12 matched pairs of boys (JU+NT) body mass and height were measured and Body Mass Index (BMI) was calculated at three time points (baseline, three months, six months). Body posture was evaluated with the use of Moire method (TT, DTK, MR, LALBC-F, DALBS). The balance was examined by means of the UPST Test with the eyes open (EOA) and closed (ECA). Ground reaction and relative power were assessed in standing vertical jump on the dynamometric platform. In the subsequent calculations, the MANOVA with the GLM procedure using 10 dependent above variables (excluding BMI and Pr indices), and next Factorial Repeated Measures ANOVA were used. Results In MANOVA a significant interaction of the time, and group, factor was ascertained. Next, the series of univariate ANOVAs yielded following results: for MR the difference between groups was significant after three months (with JU having better results than NT group), but not at the baseline or after six months. For UPST EOA, JU group had higher results after three months than those of NT group. For impulse (J), the interaction and time positive trend were significant. Conclusions A six-month practice of judo results in a significant improvement in the quality of body posture, balance, and lower limbs muscle strength impulse.

Objective: The aim of this study was to assess the effect of physical exercise on gait pattern disorders, based on three-dimensional gait analysis in the sagittal plane in a group of people with Parkinson’s Disease (PD). Methods: 32 subjects with PD (14 women and 18 men; age: 50-75 years) were qualified for the study which ran for 3 weeks and included 18 therapeutic sessions. 35 control subjects were included in the research (13 women and 19 men; age: 52-77 years). Gait analysis using the Vicon 3D system took place in the Biokinetics Laboratory. The research group were tested before and after treatment, the control group was tested once. Results: Comparing the average peak angle changes and average standard time results (%gait cycle) corresponding with angles of movement in the lumbar and cervical spine, elbow and shoulder joint, statistically significant changes were observed. The study results are indicative of differences in spatio-temporal parameters and angular changes of gait for both groups. After therapeutic treatment we observed improvement in the angular range of changes for thorax tilting, but there were no difference between the most affected and less affected side. For the cervical spine a significant reduction in flexion during dual support was observed. The angular range of changes for shoulder joint were significant only in less affected shoulder during the Initial Contact (F1), Terminal Stance (F4) and Terminal Stance (F8) phases of gait (p

Background Scoliosis, the most prevalent orthopaedic condition affecting children and adolescents, may have lasting physical, psychological and social consequences. With limited evidence-base, scoliosis-specific exercise therapies are an option. Objective An overview of the subject and description of a long-term follow-up study including adults who in adolescence were treated with a scoliosis-specific exercise programme investigating the association of the exercise regime with present physical activity, physical functioning and subjective wellbeing. To the authors' best knowledge, this is the first long-term outcome study on scoliosis-specific exercises, in opposition to a number of studies in adults who were braced or treated surgically in adolescence. Methods Observational, registry-based case-control study. Adult subjects who in adolescence were treated with an exercise programme or were under observation are invited. Spine and trunk deformity, respiratory function, physical capacity and trunk muscles' function are measured. Health-related quality of life with generic and condition-specific instruments, general mental health, depression and anxiety symptoms, disability due to low back problems and physical activity are assessed. Conclusions The report is believed to provide the readers with an overview of this controversial aspect of rehabilitation, and that the proposed protocol will assist researchers designing their studies.

Background. The question of how to correct and rehabilitate scoliosis remains one of the most difficult problems of orthopaedics. Controversies continue to arise regarding various types of both symmetric and asymmetric scoliosis-specific therapeutic exercises.Objective. The aim of the present paper was to conduct an electromyographic assessment of functional symmetry of paraspinal muscles during symmetric and asymmetric exercises in adolescents with idiopathic scoliosis.Materials and Methods. The study was conducted in a group of 82 girls, mean age 12.4 ± 2.3 years with single- or double-major-idiopathic scoliosis, Cobb angle 24 ± 9.4°. The functional biopotentials during isometric work of paraspinal muscles in “at rest” position and during two symmetric and four asymmetric exercises were measured with the use of the Muscle Tester ME 6000 electromyograph.Results. In general, asymmetric exercises were characterised by larger differences in bioelectrical activity of paraspinal muscles, in comparison with symmetric exercises, both in the groups of patients with single-curve and double-curve scoliosis.Conclusion. During symmetric and asymmetric exercises, muscle tension patterns differed significantly in both groups, in comparison with the examination at rest, in most cases generating positive corrective patterns. Asymmetric exercises generated divergent muscle tension patterns on the convex and concave sides of the deformity.

The dynamics of performance in professional sport requires a systematic improvement of the training process. Such activities should also include optimizing the children and youth training in these disciplines, where an early specialization operates. The main aim of this paper was to search for the relationship between swimmer's segmental kinematics (segmental velocities, stroke rate, stroke length, stroke index); the relationship between swimmer's technical skill level (in four competitive swimming techniques) and training overloads taking into consideration gender and age effect. The study group consisted of 121 swimmers (69 female and 52 male), of the Polish 12-15 age group swim team, volunteered to serve as subjects. Video-based methods and video equipment are being applied to assist qualitative and simple quantitative analysis for immediate feedback and research in swimming. Both technical skill level preparation and segmental kinematics of 12-15 year old swimmers proved to be highly conditioned by implemented training intensity (p0.001), as well as the volume of training (high and average trade at a level of significance p0.001). Implemented training overloads expressed by both volume and intensity of training showed high and very high correlation with the swimming efficiency, presented segmental kinematics and technical skill level, however, there appeared particularly pronounced relationship with the size of kinematic parameters taken into account in four competitive swimming techniques, components of the 100 m individual medley.

This study evaluates changes in the knee following anterior cruciate ligament (ACL) injuries by presenting the kinematic characteristics of the ankle and hip joints and the pelvis, and assessing the dynamic forces applied by knee joint muscles under isokinetic conditions to identify compensatory mechanisms. Seventeen ACL-deficient males, 16-47 years of age, participated in the study, and measurements were taken an average of 24.4 months after their injuries occurred. Vicon, a three-dimensional motion analysis system, was used to examine the participants' locomotive characteristics. Isokinetic tests were carried out using Easytech Genu 3 at two velocities 60 and 180°/s. We found that deviations from normal gait were most common in the ACL-deficient knee, and that there was also a noticeable impact on the functioning of other joints in the same limb. However, even chronic knee joint laxity did not result in a considerable change in a participant's gait stereotype. Measurements showed a reduction in muscular strength in knee joint extensors and flexors in isokinetic contraction in the developed joint moments of the muscle groups under research compared with the healthy limb.

Pelvic girdle combines two units: passenger and locomotor. That is why the importance of this part of the body is emphasized by all researchers in terms of gait economy. The purpose of our research was to determine the changes of pelvic girdle mobility and hip joint in men in three planes of movement (sagittal, frontal and horizontal) during gait at a speed of 5 km/h. The methodology used here aimed at assessing the impact of the surface (ground or treadmill) on the mobility in those planes. To register overground and treadmill locomotion we applied: Vicon 250, Cardionics Treadmill 3113. The sample of the study was the group of 30 men aged between 21 and 23. The analysis of the results revealed the biggest impact of the type of surface on both pelvis and hip joint in the transverse plane. When the subjects moved on the natural ground, the pelvic range of motion (ROM) in this plane was more than twice wider than that in treadmill walking. Whereas in the case of hip joint, significantly higher ROM values occurred in the transverse plane during walking on the treadmill.

Symmetrical loading and asymmetrical stretching of trunk extensors are applied in scoliosis physiotherapy management. Conflicting evidence is available on trunk erectors' bioelectrical activity during such static exercise, especially in adult subjects. Our purpose was to identify the profile of bioelectrical activity of trunk extensors during static contractions against symmetrical loading with body mass in young adult females with single curve scoliosis, who participated in adolescence in a scoliosis-specific physiotherapy program.Thirty five females, aged 30.6±2.7 years, with body weight of 56.8±4.4 kgs and height 1.64±0.05 m with single curve thoracic scoliosis, 11-36° Cobb, who in adolescence had attended a scoliosis-specific physiotherapy program, participated. Braced and/or surgically treated subjects were excluded. Characteristics of the integrated EMG were collected and analysed. The measurements were conducted on a subject in prone position at rest, during 20 second static symmetrical erectors' contractions while sustaining elevated trunk and during the same effort, while stretching trunk erectors on the concave side of the curve by extending and reaching the corresponding arm forward.The biopotentials measured on both sides of the spine differed significantly (p.001) during asymmetrical stretching of the erector muscles on the concave side while extending the trunk. We did not observe such differences in measurements obtained while at rest and during symmetrical contractions without stretching.We observed a beneficial scheme of muscle activity during trunk extension and stretching of the erector muscles on the concave side of the curvature in lying prone position, while extending and reaching forward an arm on the convex side. Significance. These findings could provide a useful remark for exercise prescription for adult patients with single thoracic scoliosis. However, the assumptions need wider studies.

In biomechanical studies of human locomotion, treadmill is a widely used measuring device. The purpose of this paper was to determine the values of kinematic parameters describing gait with the velocity of 5 km/h, both on the ground and on a treadmill. Besides, the authors assessed the impact of the surface on the mobility of three main joints of lower extremities in the sagittal plane. The measurements were done on a sample of 48 men aged between 21 and 23. The most important element of a measuring set was the Vicon system. Based on kinematic parameters our data indicated that during walking on a treadmill step frequency was slightly higher than that on the ground. Probably, due to that fact there were found some differences in other variables (e.g., single support as well as step and stride time). Besides, the results revealed that the type of surface affects joint range of motion, in particular ankle plantar flexion, the instantaneous values of joint angles and change in dynamics of these values.

The mechanism of creation and pathomechanics of lateral spinal deformation is still not fully explained. Modern medical imaging techniques give scientists possibility to understand some aspects, but vast majority of those techniques is based on static trials. A motion capture system belongs to techniques which enable visualization of a spine during dynamic trials; however, due to lack of appropriate computational model, it is unsuitable for scoliosis imaging. A few years ago our group has proposed a kinematic model of the spine to be used with Vicon Motion Capture System, which was based on Bézier curves. That model allowed for much more precise investigation of spinal kinematics during dynamic trials as compared with other computational models. However, it did not allowed to restrict only selected movements for particular segments of the spine (e.g. axial rotation for lumbar spine). The aim of the current work is to improve the proposed model in order to be able to restrict selected movements according to the knowledge concerning spinal anatomy and spinal range of motion. The new kinematic model of the spine was written in BodyBuilder for Biomechanics Language. For the purpose of visualization also an accurate graphical representation of each vertebra (polygon mesh) was computed and adapted to be compatible with the kinematic model. Using a new version of the model it is possible to perform precise analysis of movement of all vertebrae during such dynamic activities as e.g. gait and forward or lateral bending, as well as to present the results not only on the charts, but also as a 3D animation of movements of a realistically looking spine. The paper describes the new kinematic model and the process of creating graphical representation of the vertebrae. Also sample results obtained using that model are presented.

The human spine is definitively one of the most important parts of a living body. From biomechanical point of view, this organ is the most complicated structure, and a dynamic analysis of its motion still requires more detailed models be created. The aim of this study is to build an accurate computer model of the geometry of the spine and insert it into available skeleton models, used in Vicon. Up to now such models were simplified and that is why they were not sufficient for research of detailed motion of the spine. The paper describes the process of creating models of the vertebrae. During research, authors simultaneously used two techniques: 3D scanning of the vertebrae and computed modeling in 3D graphics software. A universal data format: .obj used to keep the information about surface shape of an object, its colour, texture etc. is presented in detail. In a discussion on Vicon data formats and relations between them, several file types are taken under consideration: marker files: .mkr, global model parameters files: .mp, files of the model structure: .mod. But first of all, step-by-step instructions of how to connect the files with geometrical objects for the visualization purposes, are presented.

BackgroundStudies on adults treated i n adolescence surgically orwith braces for idiopathic s coliosis, and on untreatedsubjects, indicate that both the condition and interven-tions can lead to psychological stress, poorer body imageand self-esteem and can reduce quality of life [1-4]. Com-parable evidence regarding treatment with specific physi-cal exercises is lacking.Purpose of the studyWe aimed to discuss the design of our ongoing case-control study on adults treated in adolescence for sco-liosis with specific exercises in the Centre of Correctiveand Compensatory Gymnastics in Bielsko Biala, Poland,and to indicate tendencies shown in a pilot analysis.Materials and methodsMedical records of 3009 subjects who attended the Centrebetween 1984 and 1995 and 2158 age matched indivi-duals, are accessible. A pilot case-control study on 12 trea-ted subjects and 10 controls, aged 31.4 (27 37) years,Cobb 35.4 (10 - 54°), was conducted. Total lung capacityand spirometry, physical activity, back pain, self-function-ing, quality of life and patients attitudes towards treatmentwere measured. One-way ANOVA or a non-parametricU-test were performed.ResultsIndividual results differed, but their relation to curveangle was observed. Differences between treated anduntreated individuals were ambiguous. However, inter-group analyses showed nonsi gnificant di fferencesbetween all variables (p

Trunk mobility was assessed before and after one session of FITS physiotherapy, by measuring the range of: (1) frontal trunk shift towards concavity, (2) lateral trunk inclination towards convexity, (3) trunk rotation towards correction, (4) thoracic spine length in forward flexion, (5) lumbar spine length in forward flexion. The control group consisted of the same patients who were examined once again one month later. They underwent identical measurements before and after one session of an unspecific body massage.

The purpose of the study was to evaluate the influence of extremities length improvement in the form of special shoe orthoses on the walking energy cost of the leading Polish representative in race walking. Before a proper study, the aerobic capacity of the subject was evaluated. The test consisted of two walking efforts performed on a mechanical treadmill. The subject was walking for 12 minutes with shoe orthoses at constant speed (12 km/h) and then the rest phase allowed for the total covering of the oxygen debt. Then the trial was repeated without orthoses. Simultaneously with measuring physiological variables, there was made 3D recording of the athlete's movements on the treadmill applying the Vicon system. There were chosen vertical oscillations of the body center of gravity and work of the subject's system of motion connected with kinetic and potential energy changes regarding the movements of COM during gait. The energy cost of walking at speed related to anaerobic threshold (starting) using shoe orthoses was slightly lower compared to energy expenditure during gait without improvement. No significant differences were noticed in the range of summary vertical COM oscillations during walking in both variants of the measurement. However, considerable asymmetries appeared in the value of COM kinetic energy changes that were lower for the right leg. This testifies to a strongly fixed asymmetrical scheme of individual athlete's technique.

The main goal of this study was to estimate the influence of knee arthroplasty on angular changes of pelvis movement in three planes. The three-dimensional analysis of locomotion was carried out with 13 patients afer total knee replacement aged 47-74, using Vicon system. The first examination took place before knee operation and the second examination 6 months after arthroplasty. The results were represented at the background of biomechanical gait parameters of 30 healthy people aged 50-70. The angular changes of pelvis movement in each gait phase were taken into consideration. After knee arthroplasty the results of patients examinations were similar to the biomechanical norm in sagittal and transversal plane. In the sagittal plane the difference between the results of the first and the second research was 15 degrees. The first examination of pelvis movement in transversal plane showed that the distinction between patients results and biomechanical norm was 17 degrees in initial contact and terminal swing; after total knee replacement the movement amplitude was similar to the biomechanical norm. The biggest change of the hip joint movement after knee replacement was noticeable in transversal plane but there was only slight improvement in sagittal and frontal plane. There was also noticeable change in the knee movement in frontal plane and the results of the two research sessions in sagittal and transversal plane was similar to the biomechanical norm.

The main goal of this study was to estimate the variability of gait parameters in patients diagnosed with arthroplasty of the knee joint. Angular changes of the knee joint in three planes, and spatio-temporal parameters of gait were analysed.A three-dimensional analysis of locomotion patterns was carried out using the Vicon 250 system in 33 patients aged 48-74.The most significant biomechanical deviations from the norm were revealed in the transverse and horizontal planes. Walking speed was visibly decreased, leading to noticeable changes in other spatio-temporal parameters.1. Degenerative disease of the knee joints markedly affects the normal gait pattern, resulting in deviations from the biomechanical norm with regard to angular change in the knee joints in the three planes of movement. 2. The abnormal locomotion pattern was most evident in the frontal and transverse planes. 3. Gonarthrosis also changed the values of particular spatio-temporal parameters. 4. Statistical analysis revealed significant (p0.05) differences from the biomechanical norm in variables determined in the frontal and transverse planes, and in the sagittal plane in the group with a varus knee deformity.

Analysis of hand therapy programmes used in various hand therapy centres shows that the programmes primarily aim to restore a maximum range of motion, although basic activities of daily living do not often require full joint mobility. This report of our investigations, which commenced in 2003, presents the results of an evaluation of the range of motion in the joints of the upper limb, including both proximal and hand joints, during selected daily activities.Right-handed students of physical therapy were examined using a three-dimensional motion analysis system in the Biokinetics Laboratory of the Division of Biomechanics at the University of Physical Education in Kraków. Spatial registration of movement focused on three daily activities that primarily involve the upper limb, namely, natural movements associated with combing, closing a zip fastener and answering a telephone call. Angular changes in the joints recorded in three movement planes were used as analysis inputs.The range of motion in the analysed joints during daily activities never reached the respective maximal values, usually centering around the middle point of the ranges.Daily activities require only limited mobility in the upper limb joints. Three-dimensional motion analysis is a useful tool to monitor and assess this phenomenon. The results of such assessments should be taken into account by hand therapists designing and implementing rehabilitation programmes.

Planning and verification of progress of efficacious physiotherapeutic effect on Parkinson's disease depends notably on the right identification of areas and scope of dysfunction of motoric systems. Biomechanical evaluation of motoric organ disability made by means of three-dimensional motion analysis using the "Vicon" system can make it considerably easier. A sample of three patients (two women and one man of average age of sixty-four) with idiopathic parkinsonism has been examined for the purpose of this evaluation. Based upon results of the three-dimensional motion analysis of these patients, dominant individual movement disorders were determined and individual therapeutic rehabilitation using the PNF method was planned. Within therapy, using the PNF method, they applied special techniques using motor patterns for the pelvis, upper and lower limbs in order to improve movement through an approach of assessed parameters to the biomechanical standard. After three weeks of therapy, specific characteristics of gait were examined again. On the basis of research results before therapy, it was found that these patients had none or limited scope of plantar flexion of feet, excessive dorsal flexion of feet, lengthened duration of stance phase, considerable excessive external rotation of shanks and excessive anteversion of the pelvis during gait cycle. Also big differences in values for spatiotemporal parameters (such as walking speed and frequency, stride length and time of single limb support) between the patients and healthy people were observed. After therapy, there has not been a marked variability in the scope of angular changes to the above-mentioned dysfunction. Only proportions between the duration of stance phase and swing phase have improved noticeably, so that they have directly resulted in better rhythm of gait. They have considerably approached the standards of frequency and speed (p = 0.05). However, stride length and duration of single limb support has not changed significantly.

The aim of the study was to evaluate effectiveness of rehabilitation in patients before and after rACL, based on stabilographic indicators.The research group was comprised of 31 men aged 20-57 with anterior cruciate ligament injury, qualified for reconstruction surgery. A measurement of static stabilometric indicators and muscle strength was taken twice for each patient - before surgery and after 6 months. To assess stabilographic indicators the stabilographic platform was used and to asses muscle strength a dynamometer was used. In order to assess knee function the Lysholm scale and VAS scale were used.The rehabilitation programme improved static stability of the knee in the frontal plane, which is manifested by a significant shortening of the SPML path length. Rehabilitation proceedings should focus on improving static stability of the knee joint in the sagittal plane, because the results obtained indicate only a slight shortening of the SPAP length. The results of the Lysholm and VAS scales point to a positive influence of the applied rehabilitation.Inclusion into rehabilitation diagnostic tools to assess stabilometric indicators enables for effective verification of rehabilitation proceedings focused on restoring body posture control before and after the rACL.

The developed model uses surface markers to determinepositions and orientations of the head, C7 vertebra andthe sacrum. Next, Bezier curves and the radiological data(scoliosis size and location) are configured to connect thesegments (head, C7 and sacrum) and to create a model ofthe whole spine.Dynamic trials were performed in order to verify the algo-rithm. The spine kinematics of 8 juveniles suffering fromidiopathic scoliosis were investigated during gait, lateralbending and twisting. Additional markers were placed onthe skin over a few vertebrae in order to compare theirphysical locations with calculated locations.