The tongue is considered an important part of the postural system, so it is fundamental to understand how it can interfere with the humans' postural oscillations. The aim of this preliminary investigation is to understand the effects of different tongue position and cervical ROM on postural oscillations measured in a stabilometric test. Thirteen voluntary subjects were recruited (30.8 ± 9.7 yrs.; 173.6 ± 14.9 cm; 72.6 ± 15.6 kg) and tested in three different random tongue conditions: comfortable tongue position (CT), palatal spot position (ST) and low tongue position (LT). All tests were performed with open eyes. Stabilometric test were performed with a pressure platform. In addition, the cervical ROM was assessed in the CT condition to create a baseline measurement and to find out baseline relationship with cervical ROM and postural oscillations. Data analysis indicates no significant difference in CoP sway path length for CT / ST / LT (260.7 ± 106.5 mm / 236.9 ± 79.3 mm / 272.9 ± 89.3 mm, respectively). A moderate but significant correlation is present between postural oscillations and cervical rotation ROM (R =-0.59; p = .03), indicating that good postural oscillations are connected with a free ROM of the highest part of the body. The results of this preliminary investigation do not support the use of different tongue position during postural assessment to discriminate some postural interferences of the tongue. At the same time the results suggest the relationship between cervical ROM and stability. These results suggest the necessity to study more in deep this phenomenon with other specific class of subjects.
The diabetic foot represents one of the most common complications among patients with type 2 diabetes mellitus. Prevention of the diabetic foot is therefore essential both to ensure the patient a better quality of life and to reduce the costs borne by the NHS and this requires a multidisciplinary approach. It is important to underline that the major complications of the diabetic foot are due to biomechanical, vascular and neuropathic alterations. Diabetic patients are less likely to perform physical exercises and tend to walk less, adopting compensatory strategies based on the type of terrain they find. They walk slower, tend to take shorter steps with a wider base of support, have limited knee and ankle mobility. It is very important to study the biomechanics and hyperload points in order to assess the risk of ulceration. In this study we decided to treat the postural alterations of diabetic patients not suffering from neuropathy with the use of proprioceptive insoles by analysing the degrees of perturbation of postural balance using a stabilometric platform. This work intends to evaluate the objective possibility of considering posturology in diabetology as an instrument discipline, to guarantee the patient less risk of ulceration through a correct postural structure and a possible postural reprogramming.
Hallux Valgus (HV) and Swallowing Disorder (SD) are two multifactorial postural and biomechanical alterations. It is very important to look for the incidence of these two conditions in order to promote psycho-physical and postural wellbeing. Our study aimed to clinically assess the presence of HV and SD in a large group with different ages spans. Fours skilled professionals performed the assessment following clinical criteria. A total of 61 volunteers subjects (163.5 ± 14.1 cm; 59.7 ± 15.7 kg; 22.9 ± 13.2 yrs.) were selected for the study. The 51% of the sample showed the HV alteration, 30% and 73% respectively for male and female. Regarding ages cluster, the HV was present in 44% under 20 yrs., in 53% between 21 and 40 yrs., in 75% over 40 yrs. The 46% of the sample showed a SD condition, 50% and 42% respectively for male and female. As for ages cluster, the incidence of SD was in 50% of subjects under 20 yrs., in 41% between 21 and 40 yrs., in 50% over 40 yrs. The 39% of subjects with HV showed a SD condition. On the other hand, the 43% of subjects with SD showed the HV deformity. HV and SD are postural disorders and most often occur together. In this framework, HV and SD should be interpreted as sign of global postural alteration and for this reason it is fundamental to assess them. Further research is needed on these two parameters in order to find out the optimal relationship between HV and SD.
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