PURPOSE: The aim of the study is to capture the difference between the groups in direct relation to the type of electrode array insertion during cochlear implantation (CI). The robotic insertion is expected to be a more gently option. As recent studies have shown, there is a difference in perception of visual vertical (SVV) and postural control related to the CI. We assume that there can be differences in postural control and space perception outcomes depending on the type of the surgical method. METHODS: In total, 37 (24 females, mean age ± SD was 42.9 ± 13.0) candidates for CI underwent an assessment. In 14 cases, the insertion of the electrode array was performed by a robotic system (RobOtol, Colin, France) and 23 were performed conventionally. In all of these patients, we performed the same examination before the surgery, the first day, and 3 weeks after the surgery. The protocol consists of static posturography and perception of visual vertical. RESULTS: The both groups, RobOtol and conventional, responded to the procedure similarly despite the dissimilar electrode insertion. There was no difference between two groups in the dynamic of perception SVV and postural parameters. Patients in both groups were statistically significantly affected by the surgical procedure, SVV deviation appeared in the opposite direction from the implanted ear: 0.90° ± 1.25; - 1.67° ± 3.05 and - 0.19° ± 1.78 PRE and POST surgery (p < 0.001). And this deviation was spontaneously adjusted in FOLLOW-UP after 3 weeks (p < 0.01) in the both groups. We did not find a significant difference in postural parameters between the RobOtol and conventional group, even over time. CONCLUSION: Although the robotic system RobOtol allows a substantial reduction in the speed of insertion of the electrode array into the inner ear, our data did not demonstrate a postoperative effect on vestibular functions (SVV and posturography), which have the same character and dynamics as in the group with standard manual insertion. REGISTRATION NUMBER: The project is registered on clinicaltrials.gov (registration number: NCT05547113).

• MeSH
• Adult MeSH
• Cochlear Implantation * methods   MeSH
• Cochlear Implants MeSH
• Middle Aged MeSH
• Humans MeSH
• Postural Balance * physiology   MeSH
• Robotic Surgical Procedures * methods   MeSH
• Space Perception * physiology   MeSH
• Treatment Outcome MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Comparative Study MeSH

Recently, transcranial electrical stimulation (tES) has gained increasing popularity among researchers, especially for recovery and improvement, but interpretation of these results is difficult due to variations in study methods and outcome measurements. The main goal of this study was to better understand the postural and balance indicators affected by cerebellar tES, as the cerebellum is the main brain region responsible for controlling balance. For this systematic literature review, three databases were searched for articles where the cerebellum was stimulated by any type of tES in either healthy participants or those with neurologic disorders. Postural, dynamic, and/or static stability measurements were recorded, and risk of bias was assessed on the PEDro scale. A total of 21 studies were included in the analysis. 17 studies reported improvements after application of tES. 14 studies stimulated the cerebellum unilaterally and 15 used this modality for 20 min. Moreover, all studies exclusively used transcranial direct current as the type of stimulation. Evaluation of PEDro results showed that studies included in the analysis utilized good methodology. Although there were some inconsistencies in study results, overall, it was demonstrated that tES can improve balance and postural index under both healthy and neurological conditions. Further research of bilateral cerebellar stimulation or the use of transcranial alternating current stimulation, transcranial random noise stimulation, and transcranial pulsed current stimulation is needed for a more comprehensive assessment of the potential positive effects of cerebellar tES on the balance system.

• MeSH
• Humans MeSH
• Cerebellum * physiology   MeSH
• Posture physiology   MeSH
• Postural Balance * physiology   MeSH
• Transcranial Direct Current Stimulation * methods   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Journal Article MeSH
• Review MeSH
• Systematic Review MeSH

Význam pohybové aktivity se v průběhu života zvyšuje, a to nejen z pohledu osobního, ale i společenského. Přesto se většina osob v pokročilém věku hýbe nedostatečně. Důsledky se projevují ve všech oblastech života a ovlivňují jeho kvalitu. Cílem této studie bylo posoudit přijatelnost, zvládnutelnost a účinnost inovativního pohybově-vzdělávacího programu inspirovaného principy vývojové kineziologie pro podporu funkční zdatnosti osob nad 70 let. Studie se zúčastnilo 82 seniorů žijících v domácím prostředí (průměrný věk 73,7 ± 3,4; 77 % žen), kteří byli náhodně rozděleni do intervenční (n = 45) a kontrolní (n = 37) skupiny. Účastníci v intervenční skupině cvičili 15 minut minimálně 6 dní v týdnu po dobu 12 týdnů z domova podle video sestav. Přijatelnost a zvládnutelnost byla vyhodnocena na základě záznamů z deníků a dotazníků. Účinnost byla hodnocena terénními objektivními a subjektivními testy vybraných komponent funkční zdatnosti. Data byla analyzována v SPSS pomocí deskriptivní statistiky, t-testů, chí-kvadrátu a ANOVA. Výsledky potvrdily nejen přijatelnost a zvládnutelnost, ale i účinnost. Míra dodržování programu byla 99,9 %. Program byl hodnocen jako srozumitelný, smysluplný a zvládnutelný. Všichni účastníci v intervenční skupině by program doporučili svým vrstevníkům a 91 % vyjádřilo záměr pokračovat. Účastníci se po intervenci cítili více fit (T = 4,96, p < ,001; F = 4,83, p < ,05) a zlepšili se v parametrech statické rovnováhy (T = –3,45, p = ,001) i dynamické rovnováhy (ES = ,05). Síla stisku ruky nebyla ovlivněna. Domácí online cvičení má potenciál se stát vítanou součástí každodenního života seniorů a přispívat tak ke zlepšení nebo zachování výchozích komponent funkční zdatnosti nezbytných pro aktivní život v pozdním věku.

The importance of physical activity increases throughout life, not only from a personal but also from a social perspective. Yet most people in old age do not move enough. The consequences are felt in all areas of life and affect the quality of life. The aim of this study was to assess the acceptability, manageability and effectiveness of an innovative movement-education programme inspired by the principles of developmental kinesiology to promote functional fitness in people over 70 years of age. Participants in the study included 82 home-dwelling older adults (mean age 73.7 ± 3.4; 77 % female) who were randomly assigned to intervention (n = 45) and control (n = 37) groups. Participants in the intervention group exercised for 15 minutes at least 6 days per week for 12 weeks from home according to video reports. Acceptability and manageability were assessed by diary entries and questionnaires. Efficacy was assessed by field objective and subjective tests of selected components of functional fitness. Data were analyzed in SPSS using descriptive statistics, t-tests, chi-square and ANOVA. The results confirmed not only acceptability and manageability but also efficacy. The compliance rate was 99.9%. The program was rated as understandable, meaningful and manageable. All participants in the intervention group would recommend the program to their peers and 91% expressed an intention to continue. Participants felt more fit after the intervention (T = 4.96, p < .001; F = 4.83, p < .05) and improved in both static balance (T = −3.45, p = .001) and dynamic balance (ES = .05) parameters. Handshake strength was not affected. Home-based online exercise has the potential to become a welcome part of seniors‘ daily lives, contributing to improving or maintaining baseline components of functional fitness necessary for active living in late life.

• MeSH
• Treatment Adherence and Compliance statistics & numerical data   MeSH
• Video Recording MeSH
• Humans MeSH
• Health Promotion methods   statistics & numerical data   MeSH
• Data Collection methods   statistics & numerical data   MeSH
• Aged MeSH
• Statistics as Topic MeSH
• Physical Functional Performance MeSH
• Exercise Therapy * methods   statistics & numerical data   MeSH
• Check Tag
• Humans MeSH
• Male MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH
• Randomized Controlled Trial MeSH

BACKGROUND: Despite the increasing number of research studies examining the effects of age on the control of posture, the number of annual fall-related injuries and deaths continues to increase. A better understanding of how old age affects the neural mechanisms of postural control and how countermeasures such as balance training could improve the neural control of posture to reduce falls in older individuals is therefore necessary. The aim of this review is to determine the effects of age on the neural correlates of balance skill learning measured during static (standing) and dynamic (walking) balance tasks in healthy individuals. METHODS: We determined the effects of acute (1-3 sessions) and chronic (> 3 sessions) balance skill training on balance in the trained and in untrained, transfer balance tasks through a systematic review and quantified these effects by robust variance estimation meta-analysis in combination with meta-regression. We systematically searched PubMed, Web of Science, and Cochrane databases. Balance performance and neural plasticity outcomes were extracted and included in the systematic synthesis and meta-analysis. RESULTS: Forty-two studies (n = 622 young, n = 699 older individuals) were included in the systematic synthesis. Seventeen studies with 508 in-analysis participants were eligible for a meta-analysis. The overall analysis revealed that acute and chronic balance training had a large effect on the neural correlates of balance skill learning in the two age groups combined (g = 0.79, p < 0.01). Both age groups similarly improved balance skill performance in 1-3 training sessions and showed little further improvements with additional sessions. Improvements in balance performance mainly occurred in the trained and less so in the non-trained (i.e., transfer) balance tasks. The systematic synthesis and meta-analysis suggested little correspondence between improved balance skills and changes in spinal, cortical, and corticospinal excitability measures in the two age groups and between the time courses of changes in balance skills and neural correlates. CONCLUSIONS: Balance skill learning and the accompanying neural adaptations occur rapidly and independently of age with little to no training dose-dependence or correspondence between behavioral and neural adaptations. Of the five types of neural correlates examined, changes in only spinal excitability seemed to differ between age groups. However, age or training dose in terms of duration did not moderate the effects of balance training on the changes in any of the neural correlates. The behavioral and neural mechanisms of strong task-specificity and the time course of skill retention remain unclear and require further studies in young and older individuals. REGISTRATION: PROSPERO registration number: CRD42022349573.

• Publication type
• Systematic Review MeSH

OBJECTIVE: The purpose of this study was to analyze short-term changes in dynamic and static balance after a manual therapy protocol in healthy participants and analyze any repercussions on mood and perception of change after applying articulatory techniques. METHODS: A single-blind, randomized, multicenter clinical trial was conducted. Participants were allocated to either a manual therapy group (MTG) (n = 101) or a control group (CG) without intervention (n = 99), and measures were taken before treatment, after the intervention, and 1 week after treatment. Assessments included the Star Excursion Balance Test, Unipedal Stance Test (UPST), Profile of Mood States (POMS), and Patient Global Impression of Change (PGIC) scale. RESULTS: Two hundred healthy participants completed the study (mean age, 22 [SD = 2.67]). There was a statistically significant interaction between groups and time measurements in the right leg for anterior (P = .003), posteromedial (P < .001), and posterolateral (P = .001) directions in favor of the MTG, as well as in the left leg for anterior (P < .001), posteromedial (P < .001), and posterolateral (P = .012) directions. The analysis failed to show statistically significant interactions between any of the factors for the UPST and POMS (P > .05). The MTG showed a significant improvement compared to the CG after treatment (P = .003) and at 1-week follow-up (P < .001) on the PGIC scale. CONCLUSION: The results suggest the MT intervention was effective on dynamic balance in post-intervention in healthy participants, and some of the directions maintained the results at 1-week follow-up. Perception of change in post-treatment and 1-week follow-up also significantly improved. The protocol did not seem to produce changes in static balance and mood states. Positive changes after manual therapy were maintained in the short term.

• MeSH
• Adult MeSH
• Double-Blind Method MeSH
• Single-Blind Method MeSH
• Humans MeSH
• Young Adult MeSH
• Musculoskeletal Manipulations * MeSH
• Postural Balance * MeSH
• Physical Therapy Modalities MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Young Adult MeSH
• Publication type
• Journal Article MeSH
• Multicenter Study MeSH
• Randomized Controlled Trial MeSH

PURPOSE OF THE STUDY This article presents the evidence and the rationale for the recommendations for surgical treatment of degenerative lumbar stenosis (DLS) and spondylolisthesis that were recently developed as a part of the Czech Clinical Practice Guideline (CPG) "The Surgical Treatment of the Degenerative Diseases of the Spine". MATERIAL AND METHODS The Guideline was drawn up in line with the Czech National Methodology of the CPG Development, which is based on the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. We used an innovative GRADE-adolopment method that combines adoption and adaptation of the existing guidelines with de novo development of recommendations. In this paper, we present three adapted recommendations on DLS and a recommendation on spondylolisthesis developed de novo by the Czech team. RESULTS Open surgical decompression in DLS patients has been evaluated in three randomized controlled trials (RCTs). A recommendation in favour of decompression was made based on a statistically significant and clinically evident improvement in the Oswestry Disability Index (ODI) and leg pain. Decompression may be recommended for patients with symptoms of DLS in the event of correlation of significant physical limitation and the finding obtained via imaging. The authors of a systematic review of observational studies and one RCT conclude that fusion has a negligible role in the case of a simple DLS. Thus, spondylodesis should only be chosen as an adjunct to decompression in selected DLS patients. Two RCTs compared supervised rehabilitation with home or no exercise, showing no statistically significant difference between the procedures. The guideline group considers the post-surgery physical activity beneficial and suggests supervised rehabilitation in patients who have undergone surgery for DLS for the beneficial effects of exercise in the absence of known adverse effects. Four RCTs were found comparing simple decompression and decompression with fusion in patients with degenerative lumbar spondylolisthesis. None of the outcomes showed clinically significant improvement or deterioration in favour of either intervention. The guideline group concluded that for stable spondylolisthesis the results of both methods are comparable and, when other parameters are considered (balance of benefits and risks, or costs), point in favour of simple decompression. Due to the lack of scientific evidence, no recommendation has been formulated regarding unstable spondylolisthesis. The certainty of the evidence was rated as low for all recommendations. DISCUSSION Despite the unclear definition of stable/unstable slip, the inclusion of apparently unstable cases of DS in stable studies limits the conclusions of the studies. Based on the available literature, however, it can be summarized that in simple degenerative lumbar stenosis and static spondylolisthesis, fusion of the given segment is not justified. However, its use in the case of unstable (dynamic) vertebral slip is undisputable for the time being. CONCLUSIONS The guideline development group suggests decompression in patients with DLS in whom previous conservative treatment did not lead to improvement, spondylodesis only in selected patients, and post-surgical supervised rehabilitation. In patients with degenerative lumbar stenosis and spondylolisthesis with no signs of instability, the guideline development group suggests simple decompression (without fusion). Key words: degenerative lumbar stenosis, degenerative spondylolisthesis, spinal fusion, Clinical Practice Guideline, GRADE, adolopment.

• MeSH
• Lumbar Vertebrae surgery   MeSH
• Decompression, Surgical methods   MeSH
• Spinal Fusion * MeSH
• Humans MeSH
• Spinal Stenosis * surgery   MeSH
• Spondylolisthesis * complications   surgery   MeSH
• Constriction, Pathologic surgery   MeSH
• Treatment Outcome MeSH
• Check Tag
• Humans MeSH
• Publication type
• English Abstract MeSH
• Journal Article MeSH
• Systematic Review MeSH

Introduction: Body balance control represents a key factor preventing falls and subsequent injuries in seniors aged 65+. Intervention based on yoga exercises seem to be effective in improving balance. Objective: The objective is to analyse and compare changes in static, dynamic, and total balance scores, changes in body composition and social indices as effects of yoga-based intervention. Methods: A total of 500 participants (234 men aged 74.5 SD±7.74 and 266 women aged 76.9 SD±7.23) were assessed using the Tinetti Balance Assessment Tool, the InBody 230 bioimpedance body composition analyser, and the SF-36 Health Survey, applied to pre and post-testing. The experimental group (n=262; 122 males; 140 females) underwent a four-week yoga-based intervention, 30 minutes daily, while the control group (n=238; 112 males; 126 females) underwent its usual daily programme at senior homes or centres. The ANOVA model, consisting of the Group, Stage, Subject and Group × Stage interaction factors, was used for data evaluation. Results: Intervention led to improvements in the static, dynamic and total balance scores in the experimental group compared to the control group. The results of SF-36 showed positive changes in the psychosocial aspects of health, such as promoting of calmness and happiness in male seniors and reducing fatigue, nervousness and depression in female seniors. The post-intervention decrease in body fat percentage and increase in muscle mass in seniors is discussed. Conclusions: The four-week yoga-based intervention had positive effects on the static, dynamic and total balance scores, body composition and social status.

• Publication type
• Journal Article MeSH

• MeSH
• Adult MeSH
• Patient Reported Outcome Measures MeSH
• Muscle, Skeletal MeSH
• Humans MeSH
• Neuromuscular Manifestations MeSH
• Neurological Rehabilitation MeSH
• Para-Athletes MeSH
• Paraplegia MeSH
• Postural Balance MeSH
• Multiple Sclerosis * rehabilitation   MeSH
• Athletic Performance MeSH
• Sports for Persons with Disabilities * MeSH
• Muscle Stretching Exercises MeSH
• Tennis MeSH
• Tremor MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Female MeSH
• Publication type
• Case Reports MeSH
• Research Support, Non-U.S. Gov't MeSH

BACKGROUND: Postural control is required during various fast-paced and offensive ice hockey actions, and therefore seems to be an important component in ice hockey performance. METHODS: Data were collected from two ice hockey teams with differing performance levels. The higher-performance team consisted of 26 players (with ages of 16.3±0.9 y, heights of 178.26±6.71 cm, and weights of 74.3±9.6 kg). The lower-performance team consisted of 19 players (with ages of 16.2±1.8 y, heights of 176.11±9.81 cm, and weights of 68.7±13.9 kg). Each participant performed six unilateral stances under static conditions on a balance pad placed on a force platform and five bilateral stances under dynamic conditions using a wobble board placed on the force platform. RESULTS: The higher-level players performed better in the unilateral static stance task in both the anterior-posterior direction and the medial-lateral direction (with a P value of P<0.001), and total velocity (P=0.001). The higher-level players also performed better in both the anterior-posterior and medial-lateral directions, and total velocity (with P value of P<0.001), in the bilateral dynamic stance task and therefore performed significantly better than the lower-level players. CONCLUSIONS: Hockey players who possess a highly developed postural control strategy have a superior ability to compensate for unexpected postural disturbances and collisions, and thus possess a strong competitive advantage. Therefore, testing the balance abilities of hockey players under static and dynamic conditions may be useful for evaluating their competitive performance levels.

• MeSH
• Hockey * MeSH
• Humans MeSH
• Adolescent MeSH
• Postural Balance * MeSH
• Check Tag
• Humans MeSH
• Adolescent MeSH
• Male MeSH
• Publication type
• Journal Article MeSH

The purpose of the study was to evaluate the effect of a repeated 1-week intensive programme in patients with mid-stage Huntington's disease on stability and quality of life. 12 patients completed two 1-week programmes, separated by a one-year interval. Each programme consisted of a 120-minute intervention in the form of a fitness exercise, procedures targeting static and dynamic postural stability, procedures of respiratory physiotherapy and orofacial region therapy. The patient completed a total of 4 evaluations using the Sit to Stand Test, Timed up and Go Test and completed the quality of life SF-36 questionnaire. Statistically significant changes have been shown in the Sit-and-stand test in both years. Weaker but still significant changes were found in the TUG test only in the first year, while there was improvement in the second intervention year that was not statistically significant. Evaluation of the quality of life suggested a positive influence of physical activity in the dimensions: restriction caused by emotional problems, somatic pain and change of health. Our results suggest that a repeated, intensive one-week intervention can have a positive influence on postural stability and can contribute to the improvement of some quality of life dimensions in patients with mid-stage HD.

• MeSH
• Walking classification   MeSH
• Adult MeSH
• Occupational Therapy MeSH
• Huntington Disease * rehabilitation   MeSH
• Quality of Life MeSH
• Middle Aged MeSH
• Music Therapy MeSH
• Postural Balance MeSH
• Exercise Therapy methods   MeSH
• Treatment Outcome MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Male MeSH
• Female MeSH