THE EFFECT OF THE USE OF A STABLE PLATFORM ON THE ASSESSMENT OF POSTURAL BALANCE INDICATORS IN PERSONS WITH INSTABILITY OF THE CERVICAL SPINE
DOI:
https://doi.org/10.11603/1811-2471.2023.v.i3.14088Keywords:
instability of the cervical spine, rehabilitation, postural balance, stabilometry, balance test, stability platform, quality of lifeAbstract
SUMMARY. It is known that one of the causes of musculoskeletal disorders is a deviation in the postural balance of patients. Instability of the cervical spine is dangerous for patients, as vital centers can suffer. The main reliable method of assessing postural balance and improving the functional activity of brain departments is stabilometry.
The aim – to establish the therapeutic effect of the use of stabilometry in persons with instability of the cervical spine.
Material and Methods. The studies were performed on a stable platform with biofeedback TYMO (Tyromotion). 28 healthy people aged 18–25 years and 28 patients with instability of the cervical spine participated in the study. The patients underwent a 10-day rehabilitation course using a stability platform and stabilometry analysis before rehabilitation, immediately and 1 month after the course. Psychological testing was also conducted during these terms.
Results. In patients with instability of the cervical spine, deterioration of all indicators recorded on the stability platform was found. After 10 training sessions, almost all indicators improve, which is most pronounced in the M1 position, that is, on a hard surface with open eyes. After 1 month, almost all indicators remain at the level of control values. The most pronounced effect occurs in positions M1 and M3, that is, on a soft surface. Indicators of attention and memory improve significantly. The results of research give reason to believe that in order to preserve the normal function of the musculoskeletal system, it is necessary to maintain the level of physical activity, including static and balancing exercises with the use of postural muscles, which contributes to improving the quality of life of patients.
Conclusions. The stabilometry method makes it possible to effectively treat patients with cervical spine instability and significantly improve their postural balance and psychological characteristics. With the help of the stabilometry method, it is possible to detect the dysfunction of the musculoskeletal system in time and carry out its correction.
References
Patti, A., Bianco, A., Şahin, N., Sekulic, D., Paoli, A., Iovane, A., Messina, G., Gagey, P.M., & Palma, A. (2018). Postural control and balance in a cohort of healthy people living in Europe: An observational study. Medicine, 97(52), e13835. DOI: https://doi.org/10.1097/MD.0000000000013835
Scoppa, F., Capra, R., Gallamini, M., & Shier, R. (2013). Clinical stabilometry standardization: Basic definitions–acquisition interval–sampling frequency. Gait Posture, 37, 290-292. DOI: https://doi.org/10.1016/j.gaitpost.2012.07.009
Surgent, O.J., Dadalko, O.I., Pickett, K.A., & Travers, B.G. (2019). Balance and the brain: A review of structural brain correlates of postural balance and balance training in humans. Gait & posture, 71, 245-252. DOI: https://doi.org/10.1016/j.gaitpost.2019.05.011
Porto, C., Lemos, T., & Ferreira, A.S. (2019). Analysis of the postural stabilization in the upright stance using optimization properties. Biomed. Signal Process. Control., 52, 171-178. DOI: 10.1016/j.bspc.2019.04.009. DOI: https://doi.org/10.1016/j.bspc.2019.04.009
Feldman, A.G. (2016). The Relationship Between Postural and Movement Stability. Adv. Exp. Med. Biol., 957, 105-120. DOI: 10.1007/978-3-319-47313-0_6. DOI: https://doi.org/10.1007/978-3-319-47313-0_6
De la Torre, J., Marin, J., Marin, J.J., Auria, J.M., & Sanchez-Valverde, M.B. (2017). Balance study in asymptomatic subjects: Determination of significant variables and reference patterns to improve clinical application. J. Biomech., 65, 161-168. DOI: 10.1016/j.jbiomech.2017.10.013. DOI: https://doi.org/10.1016/j.jbiomech.2017.10.013
Shimon, V.M., Vasilynets, M.M., Heleta, M.M., Palinkash, A.M., & Meziv, Yu.M. (2012). Khirurhichne likuvannya posttravmatychnoyi nestabilnosti shyinoho viddilu khrebta. [Surgical treatment of post-traumatic instability of the cervical spine]. Travma – Trauma, 13(3). Retrieved from: http://www.mif-ua.com/archive/article/34210 [in Ukrainian].
Sánchez-Sánchez, M.L., Belda-Lois, J., Mena-delHorno, S, Viosca-Herrero, E, Igual-Camacho, C, & Gisbert-Morant, B. (2018). A new methodology based on functional principal component analysis to study postural stability post-stroke. Clin. Biomech., 56, 18-26. DOI: 10.1016/j.clinbiomech.2018.05.003. DOI: https://doi.org/10.1016/j.clinbiomech.2018.05.003
Yamamoto, M., Ishikawa, K., Aoki, M., Mizuta, K., Ito, Y., Asai, M, … & Yoshida, T. (2018). Japanese standard for clinical stabilometry assessment: Current status and future directions. Auris Nasus Larynx., 45(2), 201-206. DOI: 10.1016/ j.anl.2017.06.006 DOI: https://doi.org/10.1016/j.anl.2017.06.006
Clark, R.A., Seah, F.J.-T., Chong, H.-C., Poon, C.L.-L., Tan, J.W.-M., Mentiplay, B.F., & Pua, Y.-H. (2017). Standing balance post to talk neearthroplasty: sensitivity to change analysis from four to twelve weeks in 466 patients. Osteoarthritis Cartilage, 25, 42-45. DOI: 10.1016/j.joca.2016.08.009. DOI: https://doi.org/10.1016/j.joca.2016.08.009
(2000). Recomendaciji shchodo provedennja profvidboru hromadyan na profesijne navchannya za pevnymy profesiyamu – Recommendations regarding vocational selection of citizens for vocational training in certain professions. Кyiv: Polihrafist: DTzZ: Іnstytut pidhotovky kadriv derjavnoji sluzhby zajnyatosti Ukrajiny [in Ukrainian].
Vadzyuk, S.N., & Bilinska Т.M. А. с. 16330 МОN Ukrajiny, Derjavnyj departament іntelectualnoji vlasnosti. Psykhodiahnostychna kompyuterna prohrama «Fizioloh», zajav. 21.02.2006 № 16556. Оfitzijnyj byuleten 15.07.2006, № 9, kataloh № 5. – S. 412. A. p. 16330 MES of Ukraine, State Department of Intellectual Property. Psychodiagnostic computer program "Physiologist", declared on 02/21/2006 No. 16556. Official Bulletin of 07/15/2006, No. 9, Catalog No. 5 [in Ukrainian].