1,721,013 research outputs found
Progettazione definitiva e esecutiva dell’edificio per autorimessa ed alloggi della caserma Caracciolo dei Carabinieri in Napoli
No full textProgettazione definitiva e esecutiva dell’edificio per autorimessa ed alloggi della caserma Caracciolo dei Carabinieri in Napoli, committente il Comando Generale dell’Arma dei Carabinieri Direzione Lavori del Genio
Progettazione definitiva e esecutiva dei lavori di recupero, adeguamento impiantistico e di sicurezza della Biblioteca “Bruno Molajoli”, ubicata nel complesso monumentale di Castel Sant’Elmo a Napoli
No full textProgettazione definitiva e esecutiva dei lavori di recupero, adeguamento impiantistico e di sicurezza della Biblioteca “Bruno Molajoli”, ubicata nel complesso monumentale di Castel Sant’Elmo a Napol
Progettazione preliminare, definitiva e esecutiva della casa comunale di Comiziano (Na)
No full textProgettazione preliminare, definitiva e esecutiva della casa comunale di Comiziano (Na), committente il Comune di Comiziano
Progettazione definitiva e esecutiva dei lavori di recupero, adeguamento impiantistico e di sicurezza del complesso monumentale di Castel Sant’Elmo a Napoli
No full textProgettazione definitiva e esecutiva dei lavori di recupero, adeguamento impiantistico e di sicurezza del complesso monumentale di Castel Sant’Elmo a Napoli, committente la Soprintendenza per i Beni Artistici e Storici di Napoli e provincia
ABNORMALITIES OF DISTRIBUTION OF THE PODALIC LOAD IN SCOLIOTIC PATIENTS
No full textIntroduction. Idiopathic scoliosis is a spine deformity characterized by deviation in the frontal (lateral tilt) and horizontal plane (rotation and torsion). The incidence is about 2% and the 0.7% of cases requires surgical intervention. The aim of our case- control study is to detect an association between idiopathic scoliosis and abnormalities of the distribution of the podalic load by postural examination.
Materials and methods. From January to May 2012, we assessed 37 subjects: 20 affected by idiopathic scoliosis and 17 controls. All patients and controls underwent clinical and postural examination (baropodometric and stabilometric exam, podoscanalyzer).
Results. Of the 20 patients with idiopathic scoliosis, 16 were females; the mean age was 13.4 (range 11- 17); the mean BMI was 20.99 kg/m2 (SD±3.1). Cobb angle range was 20°-40° (average value 32.25°) in scoliotic patients. Six patients presented a right dorsal curve, other six a double curve (right dorsal - left lumbar), seven a right dorsal-lumbar double curve and one subject a left lumbar curve. Sixteen patients presented heterometry (average value 6.83mm). Of the 17 patients of the control group 10 were females, the mean age was 12.4 (range 10- 16), BMI average 20.52 kg/m2 (SD± 2.74). The parameters assessed by baropodometric exam (in static), showed that the average percentage of support in the region of midfoot resulted 10.39 ± 9.38% (SD) in scoliotic patients and 23.20 ± 15.11% (SD) in the control group. The ratio between the hindfoot and forefoot was altered in 17/20 (85%) scoliotic patients (both for left and right foot), while in the control group this ratio was altered in 13/17 (76.5%) subjects at the right foot and in 10/17 (58.8%) at the left foot.
Conclusions. The results show an association between scoliotic disease and presence of load variations, especially in the area of midfoot. In scoliotic patients, in fact, there is an alteration of load distribution with an almost complete exclusion of the midfoot and a greater load in hindfoot and forefoot regions. This is in line with the hypotheses of postural changes in relation to the difference of loads in scoliotic subjects.
Bibliography
1. Grivas TB, Stavlas P, Koukos K, Samelis P, Polyzois B. Scoliosis and cavus foot. Is there a relationship? Study in referrals, with and without scoliosis, from school screening. Stud Health Technol Inform. 2002;88:10-4.
2. Carpintero P, Entrenas R, Gonzalez I, Garcia E, Mesa M. The relationship between pes cavus and idiopathic scoliosis. Spine (Phila Pa 1976). 1994 Jun 1;19(11):1260-3.
3. Wiernicka M, Lochyński D, Kotwicki T, Michałowski L, Kamińska E, Lewandowski J, Hurnik E. Static and dynamic postural control in girls with idiopathic scoliosis. Stud Health Technol Inform. 2012;176:460
POSTURAL ALTERATIONS AND DISTRIBUTION OF PODALIC LOAD IN AGONISTIC ASYMMETRIC SPORT ACTIVITIES
No full textIntroduction. Asymmetric sports are characterized by a non-symmetric muscular activity of kinetic chains of two hemisoma. The aim of our case-control study is to evaluate the interference of non-symmetric muscular activity on the postural asset. In particular boxe and kick-boxing fighters were evaluated because of their asymmetric guard.
Materials and methods. From January to May 2012, 35 subjects were recruited; 15 were playing asymmetric sports (8 boxers and 7 kick-boxers), 10 symmetric sports (5 football players and 5 basket players), 10 no sport. Inclusion criteria were: age between 18 and 35 years, male gender, BMI range 20-25 kg/m2, right hand preference, middle- high agonistic level (at least 4 training for week, duration of the session≥ 1 hour), absence of pain or of muscle-skeletal injuries in the last 12 mounths. All subjects underwent clinic and biopostural (including baropodometric static and dynamic examination, stabilometric examination and podoscananalyzer) examination.
Results. Our results show that players of asymmetric sports present alterations in weight distribution beetwen the 2 lower limbs (left 44.86%, right 55.14%), an average alteration of the hindfoot/forefoot ratio on the left (hf= 60.54%- ff = 39.49%) and invertion of this ratio on the right (hf= 46.95%- ff= 53.05%) with PMP (pressure maximum points) localized on the right forefoot in the 80% of the patients. Moreover mean values of COF (center of foot) angle (5.6°) show a rotation in an anticlockwise direction of the over-segmentary structures in all the athletes. At stabilometric examination, mean values of ellipse surface were respectively of 71.09 mm2 with OE (opened eyes) and of 36.15 mm2 with CE (closed eyes). Players of simmetric sports present: weight distribution (left 48.16 – right 51.84%), hindfoot- forefoot ratio on the left (hf=59.1%- ff= 40.9%) and on the right (hf=59.06%- ff=40.94%) with PMP localized on the right forefoot in only the 10% of the patients; moreover mean value of COF angle (0.46°) was normal. At stabilometric examination, mean values of ellipse surface were normal with OE (42.96 mm2) and CE (49.16 mm2). As for those who don’t play any sport: weight distribution (left 49,38%- right 50,62%), hindfoot/forefoot ratio on the left (hf=56.77%- ff 43.23%), on the right (hf=53.78%- ff =46.22%) with PMP localized on the right forefoot in only the 15% of the patients; besides mean value of COF angle was 0.91°. At stabilometric examination, mean values of ellipse surface were normal (respectively of 209.66 mm2 with OE and of 247.08mm2 with CE).
Conclusions. Our results seem to confirm the hypothesis that asymmetric sport brings some postural changes such as weight distribuition on the lower limbs, hindfoot/forefoot ratio, COF angle. Moreover in agonistic players (asymmetric and symmetric athletes) the stabilometric examination shows a reduction of ellipse surface with OE compared to CE, suggesting an increase of proprioceptive control on the balance. We took underconsideration the boxe and kickboxing fighters who during the sport practice assume postures that are consisting with our findings; so our results are in agreement with the theory about the plasticity of the tonic-postural system.
Bibliography
1. Oyama S, Myers JB, Wassinger CA, Daniel Ricci R, Lephart SM. Asymmetric resting scapular posture in healthy overhead athletes. J Athl Train. 2008 Oct-Dec;43(6):565-70.
2. Leroy D, Polin D, Tourny-Chollet C, Weber J. GRHAL (Research group on gait disorders), CHU Rouen. Spatial and temporal gait variable differences between basketball, swimming and soccer players. Int J Sports Med. 2000 Apr;21(3):158-62.
3. Bressel E, Yonker JC, Kras J, Heath EM. Comparison of static and dynamic balance in female collegiate soccer, basketball, and gymnastics athletes. J Athl Train. 2007 Jan-Mar;42(1):42-6
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