RESUMO
PURPOSE: The aim of the study was to determine whether eye tracking of a point moving in different directions influences balance test performance in young healthy subjects. METHODS: The study enrolled 45 healthy young adults aged 19-26. Balance assessment was carried out according to the modified Clinical Balance Sensory Integration Test protocol using the Biodex Balance System with an additional 63" screen to present the eye-tracking task. Each participant repeated measurements in standing on a stable and foam surface in six test conditions: two without eye tracking with eyes open and eyes closed, and four with eye tracking: with vertical, horizontal, star, and circle moving point. Each trial lasted 30 sec. RESULTS: Regression analysis for the Sway Index showed that there was no impact of eye tracking on test results (p = 0.4326), although detailed analysis showed a significant impact of tracking a point moving in a circle in standing on a foam surface (p ã 0.001). CONCLUSIONS: The presented results show that eye-tracking does not influence the results of the balance test with exception of eye-tracking of the circle movement in standing on a foam surface. It suggests that eye movements may affect the test results when performing more difficult balance tests.
Assuntos
Tecnologia de Rastreamento Ocular , Equilíbrio Postural , Humanos , Adulto Jovem , Modalidades de Fisioterapia , MovimentoRESUMO
PURPOSE: The aim of this study was to determine the impact of isometric and isokinetic hip abductor muscle strength on the quality of maintaining static balance in healthy subjects. METHODS: The study enrolled 51 healthy women aged 18-25. Balance assessment was carried out according to the M-CTSIB protocol and Single Leg Stance Test (with eyes open and closed) using the Biodex Balance System. An isokinetic evaluation conducted at 30 °/s and an isometric evaluation of the hip abductors were performed with the Humac Norm system. RESULTS: Regression analysis for Sway Index (SW) and Stability Index (ST) in bipedal standing showed a significant importance of the presence of visual feedback (RSW EO = -0.922; p < 0.0001; RST EO = -0.613; p = 0.0493), and unstable surface (RSW US = 1.253; p < 0.0001; RSW US = 2.547; p < 0.0001). Regression analysis for single-leg stance showed correlations between the following indices: overall sway index (OR) in single-leg stance, the antero-posterior (AP) sway index and the medio-lateral (ML) sway index on the one hand and isometric abduction time to peak torque (ROR TPT = 0.769; p = 0.0005; RAP TPT = 0.565; p = 0.008; RML TPT = -1.74; p < 0.05, respectively) as well as the test conditions on the other. CONCLUSIONS: Physiological activation of the hip abductors may be important for physiological maintenance of postural balance in young people, in both leg standing as well as in single-leg stance. The present results warrant prospective, randomized studies of larger groups that are diversified with regard to age and gender of the participants.
RESUMO
Behavioural disorders in adults with mental disabilities are very common and represent a diagnostic challenge. In fact, they often hide a somatic problem, which is more frequent in this population compared to the general population. These somatic symptoms may cause or enhance psychiatric symptoms. People with mental disabilities often have difficulties expressing their pain, which often manifests itself as mood changes. Consequently, it is important to be able to identify the pain as a priority and to treat it. The general practitioner should therefore check for the most common somatic complaints in people with mental disabilities, with the help of the acronym DODUGO (Dental, Otic, Digestive, UroGenital, Orthopaedic).
Les troubles du comportement chez les adultes en situation de handicap mental sont très fréquents et représentent un défi diagnostique. En effet, ils cachent souvent un problème somatique, par ailleurs plus fréquent dans cette population comparée à la population générale. Ces causes somatiques peuvent provoquer ou aggraver des troubles du comportement. Les personnes en situation de handicap ont souvent des difficultés à exprimer leur douleur, qui peut se manifester par un changement d'humeur. Il est donc important de pouvoir en priorité identifier la douleur et la traiter. Il s'agit aussi pour le médecin de premier recours de rechercher les affections somatiques les plus fréquentes chez les adultes en situation de handicap mental, en s'aidant de l'acronyme DODUGO (Dentaire, ORL, Digestif, Urogénital, Orthopédique).
