Effectiveness of Global Postural Reeducation in Postural Changes and Postural Stability in Young Adults.

Maria Paula Pacheco, Sara Morais, Paulo José Carvalho, Luís Cavalheiro, Filipa Sousa
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Abstract

Background: Postural changes are considered a public health issue and have gathered significant interest in both research and clinical practice.

Aims: To evaluate the effectiveness of Global Postural Reeducation (GPR) in improving postural changes and postural stability in healthy young adults. Additionally, this study aims to identify the main postural changes in the sample population.

Methods: A longitudinal study was conducted with a sample of students (n = 38) from the 2nd and 3rd years of undergraduate programs at Coimbra Health School, divided into an experimental group (EG) with 20 subjects and a control group (CG) with 18 subjects. The EG underwent a GPR intervention, while the CG received no intervention. Postural changes were assessed using a 3D motion analysis system (Qualisys), and stabilometry was evaluated using a Bertec force platform.

Results: At baseline (T0), the groups were homogeneous regarding sample characterization variables, as well as postural and stabilometric variables (p > 0.05). After four weeks of the intervention (T1), no significant differences were observed between the EG and CG for any of the variables studied (p > 0.05). However, within-group analysis for the experimental group revealed a significant difference (p = 0.04) in anterior-posterior velocity, indicating a reduction in this parameter from T0 to T1. In the control group, a significant difference was observed (p = 0.03) in the left knee valgus, indicating a reduction in valgus alignment.

Conclusions: GPR does not appear to be effective in improving postural changes or center of pressure displacement in healthy young students.

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体位再教育对年轻人体位变化和体位稳定性的影响。
背景:体位改变被认为是一个公共卫生问题,在研究和临床实践中都引起了极大的兴趣。目的:评价全面体位再教育(GPR)在改善健康青年体位变化和体位稳定性方面的效果。此外,本研究旨在确定样本人群的主要姿势变化。方法:对科英布拉卫生学院二、三年级学生(38名)进行纵向研究,分为实验组(EG) 20名,对照组(CG) 18名。EG行探地雷达干预,而CG未行干预。使用3D运动分析系统(Qualisys)评估姿势变化,使用Bertec力平台评估稳定性。结果:在基线(T0),各组在样本表征变量以及姿势和稳定性变量方面均均匀(p > 0.05)。干预4周后(T1), EG和CG在任何研究变量上均无显著差异(p < 0.05)。然而,实验组的组内分析显示前后速度有显著差异(p = 0.04),表明该参数从T0到T1有所降低。在对照组中,观察到左膝外翻的显著差异(p = 0.03),表明外翻对齐减少。结论:GPR在改善健康青年学生体位变化和压力中心位移方面没有效果。
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期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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