Postural Disorders and Muscle Power in Primary School Children

Saša Bubanj; Stefan Đorđević; Saša Milenković; Ratko Stanković; Mikica Vidojević; Milan Đokić

doi:10.5937/afmnai38-29283

Saša Bubanj Faculty of Sport and Physical Education, University of Niš
Stefan Đorđević Fakultet sporta i fizičkog vaspitanja, Univerzitet u Nišu, Niš, Srbija
Saša Milenković Fakultet sporta i fizičkog vaspitanja, Univerzitet u Nišu, Niš, Srbija
Ratko Stanković Fakultet sporta i fizičkog vaspitanja, Univerzitet u Nišu, Niš, Srbija
Mikica Vidojević Zdravstveni centar Knjaževac, Knjaževac, Srbija; Sportski Savez Knjaževac, Knjaževac, Srbija
Milan Đokić Opština Knjaževac, Knjaževac, Srbija

DOI: https://doi.org/10.5937/afmnai38-29283

Ključne reči: posturalni status, mišićno-skeletni poremećaji, korektivne vežbe, deca osnovnoškolskog uzrasta

Sažetak

Cilj istraživanja je doprinos boljem razumevanju povezanosti posturalnih deformiteta i snage mišića dece osnovnoškolskog uzrasta. Uzorak ispitanika sačinjavalo je 1120 dece, uzrasta od 7 do 12 godina (549 dečaka i 571 devojčica), učenika osnovnih škola sa teritorije opštine Knjaževac. U proceni posturalnog statusa kičmenog stuba u frontalnoj i sagitalnoj ravni korišćen je „Spinal Mouse“ (Švajcarska), dok je u analizi statusa stopala korišćen podoskop „Pedic“ (Mađarska). U analizi snage mišića korišćeni su ručni dinamometar „Lafayette“ (SAD) i tenziometrijska platforma sile „Vernier Force Plate“ (SAD). U pitanju su neinvazivne metodologije merenja, tj., savremeni kompjuterizovani merni instrumenti sa pripadajućim softverima. U obradi podataka korišćene su deskriptivna statistika i korelaciona analiza, upotrebom softvera SPSS verzija 24. Rezultati istraživanja sprovedenog u okviru nacionalnog projekta OI179024, finansiranog od strane Ministarstva prosvete, nauke i tehnološkog razvoja Republike Srbije, pokazali su da preko 80% dece ima funkcionalni poremećaj kičmenog stuba i stopala povezanih sa neadekvatnim nivoom snage mišića. Deca sa utvrđenim posturalnim deformitetima opštine Knjaževac uključena su u besplatni korektivni sistem vežbanja i plivanje u najranijem uzrastu. Utvrđene posturalne deformtete karakteriše rani funkcionalni stadijum. Utvrđeni posturalni deformiteti mogu se redukovati primenom odgovarajućeg programa korektivnog vežbanja i povećanim nivoom odgovarajuće fizičke aktivnosti.

Reference

1. Рaskalevа R. Diagnosis and rehabilitation of spinal disorders-New approach in practical training. Med Sci Sports Exerc 2017; 12(2): 2855-61.

2. Aroeira RMC, Estevam B, Pertence AEM, et al. Non-invasive methods of computer vision in the posture evaluation of adolescent idiopathic scoliosis. J Bodyw Mov Ther 2016; 20(4): 832-43.
https://doi.org/10.1016/j.jbmt.2016.02.004

3. Kowalski IM, Protasiewicz-Fałdowska H, Dwornik M, et al. Objective parallel-forms reliability assessment of 3 dimension real time body posture screening tests. BMC Pediatr 2014; 14(1): 221.
https://doi.org/10.1186/1471-2431-14-221

4. Jorgić B, Milenković M, Ždrale S, et al. Spinal cord posture in the sagittal plane among young schoolchildren residing in the area of Knjaževac. FU Phys Ed Sport 2016; 13(2): 311-18.

5. Mannion AF, Knecht K, Balaban G, et al. A new skin-surface device for measuring the curvature and global and segmental ranges of motion of the spine: Reliability of measurements and comparison with data reviewed from the literature. Eur Spine J 2004; 13(2): 122-36.
https://doi.org/10.1007/s00586-003-0618-8

6. Post RB, Leferink VJ. Spinal mobility: Sagittal range of motion measured with the Spinal Mouse, a new non-invasive device. Arch Orthop Trauma Surg 2004; 124(3): 187-92.
https://doi.org/10.1007/s00402-004-0641-1

7. Bićanin P, Milenković S, Radovanović D, et al. Postural disorders in preschool children in relation to gender. FU Phys Ed Sport 2017; 15(1): 1-10.
DOI: 10.22190/FUPES1701001B

8. Ludwig O. Interrelationship between postural balance and body posture in children and adolescents. J Phys Ther Sci. 2017; 29(7): 1154-58.
https://doi.org/10.1589/jpts.29.1154

9. Sheehan DD, Grayhack J. Pediatric Scoliosis and Kyphosis: An Overview of diagnosis, management, and surgical treatment. Pediatr Ann 2017; 46(12): e472-e480.
https://doi.org/10.3928/19382359-20171113-01

10. Grossman DC, Curry SJ, Owens DK, et al. Screening for adolescent idiopathic scoliosis: US preventive services task force recommendation statement. JAMA 2018; 319(2): 165-72.
doi:10.1001/jama.2017.19342

11. Been E, Kalichman L. Lumbar lordosis. The Spine Journal 2014; 14(1): 87-97.
https://doi.org/10.1016/j.spinee.2013.07.464

12. Authors, 2018. In Serbian

13. Petrović M, Obradović B, Golik-Perić D, et al. Jumping abilities are not related to foot shape. FU Phys Ed Sport 2013; 11(3): 299-305.

14. Green BN, Johnson CD, Haldeman S, et al. The Global Spine Care Initiative: Public health and prevention interventions for common spine disorders in low-and middle-income communities. Eur Spine J 2018; 27(6): 838-50.
https://doi.org/10.1007/s00586-018-5635-8

15. Kolarová M, Kutiš P, Rusnák R, et al. Analysis of body segments and postural state in school children. Neuro Endocrinol Lett 2019; 40(Suppl.1): 17-23.

16. Chang JH, Wang SH, Kuo CL, et al. Prevalence of flexible flatfoot in Taiwanese school-aged children in relation to obesity, gender, and age. Eur J Pediatr 2010; 169(4): 447-52.
https://doi.org/10.1007/s00431-009-1050-9

17. Kothari A, Dixon PC, Stebbins J, et al. Are flexible flat feet associated with proximal joint problems in children?. Gait Posture 2016; 45: 204-10.
https://doi.org/10.1016/j.gaitpost.2016.02.008

18. Madadi-Shad M, Jafarnezhadgero AA, Sheikhalizade H, et al. Effect of a corrective exercise program on gait kinetics and muscle activities in older adults with both low back pain and pronated feet: A double-blind, randomized controlled trial. Gait Posture 2020; 76: 339-45.
https://doi.org/10.1016/j.gaitpost.2019.12.026

19. Lazić I, Petronić-Marković I, Sinđić-Antunović S, et al. Influence of physical activity on prevention and occurrence of spinal disorders in children during development. Vojnosanit Pregl 2019;
https//doi.org/10.2298/VSP190702127L

20. Dragić B, Midić D, Midić M. Posturalni poremećaji na kiĉmenom stubu u sagitalnoj ravni kod školske dece (Postural disorders of the spinal cord in the sagittal plane in schoolchildren). Godišnjak Učiteljskog fakulteta u Vršcu 2012; 3: 279-90. In Serbian

21. Jandrić S. Scoliosis and sport. SportLogia 2015; 11(1), 1-10.
doi: 10.5550/sgia.151101.en.001J

22. Anwajler J, Skrzek A, Mraz M, et al. The size of physiological spinal curvatures and functional parameters of trunk muscles in children with idiopathic scoliosis. Isokinet Exerc Sci 2006; 14(3): 251-9.
DOI: 10.3233/IES-2006-0234

23. Tomašević-Todorović S. Physiotherapy aspect of diagnosis and treatment of postural disorders. Exercise and Quality of Life 2014; 6(1): 7-15.

24. Radovanović D, Ignjatović A. Sekularni trend motoričkih sposobnosti dece i adolescenata u Srbiji (Secular trend in motor skills of children and adolescents in Serbia). Journal of the Association of Preventive Paediatrics of Serbia 2020; 6(1-2). In Serbian

25. Andrašić S, Milić Z, Cvetković M, et al. Relations between biomechanical parameters and static power of arms in children with disturbed posture. Sport Mont 2017; 15(1): 23-6.

26. Bang SH, Yoon JG, Park JM. Effects of core balance training on Cobb angle, isokinetic torque, and balance in unilateral handed athletes. J Exerc Rehabil 2020; 16(3): 279.
doi: 10.12965/jer.2040266.133

Posturalni deformiteti i snaga mišića dece osnovnoškolskog uzrasta

Sažetak

Reference