Equilíbrio corporal na posturografia computadorizada Horus® e medidas corporais em crianças hígidas
Body balance on Horus® computerized posturography and body measurements in healthy children
Ândrea de Melo Boaz; Rudimar dos Santos Riesgo; Pricila Sleifer
Resumo
Palavras-chave
Abstract
Purpose To verify possible associations between body balance and growth curves, weight, height and body mass index in healthy children.
Methods Quantitative cross-sectional study. Two hundred and sixteen children aged between 4 and 6 years and 11 months participated. An interview was carried out with the parents/guardians and the children underwent visual screening, auditory assessment (pure tone audiometry screening method, otoacoustic emissions and immittance testing), verification of weight and height measurements and Horus® computerized posturography. Anthro and AnthroPlus software were used to classify the growth curves by age, sex, height, weight and body mass index. Responses were analyzed using the non-parametric Kruskal-Walli and post hoc Dunn-Bonferroni statistical tests for pairwise comparisons between ages, with p<0.05.
Results The measurement of weight by length showed a correlation with different examination conditions at 4 years-old, mainly for the average speed data. The same data, under different examination conditions, showed a correlation with the body mass index at 4 and 5 years of age, between children classified with weight outside the expected standard and those underweight. Children considered underweight had greater instability in body balance. Height and weight showed correlation for different examination conditions in the three age groups.
Conclusion There was an association between responses in posturography and individual body measurements (weight, height and body mass index. Therefore, it is suggested that these measurements be analyzed and considered in the evaluation with computerized posturography in children aged 4 to 6 years.
Keywords
Referências
1 Taguchi C, Rocha GD, Greco MC, Sousa MGC, Jacques R. Guia de orientação: Atuação do Fonoaudiólogo em avaliação e reabilitação do equilíbrio corporal [Internet]. Brasília: Conselho Federal de Fonoaudiologia; 2017 [citado em 2021 Jul 28]. Disponível em:
2 Patti A, Bianco A, Şahin N, Sekulic D, Paoli A, Iovane A, et al. Postural control and balance in a cohort of healthy people living in Europe: an observational study. Medicine (Baltimore). 2018;97(52):e13835.
3 Chiari L, Rocchi L, Cappello A. Stabilometric parameters are affected by anthropometry and foot placement. Clin Biomech (Bristol, Avon). 2002;17(9-10):666-77.
4 Eriksen ND, Hougaard DD. Age- and gender-specific normative data on computerized dynamic posturography in a cohort of Danish adults. Eur Arch Otorhinolaryngol. 2023;280(5):2191-200.
5 Hsu YS, Kuan CC, Young YH. Assessing the development of balance function in children using stabilometry. Int J Pediatr Otorhi. 2009;73(5):737-40.
6 Guzmán-Muñoz E, Valdés-Badilla P, Méndez-Rebolledo G, Concha-Cisternas YF, Castillo-Retamal ME. Relación entre el perfil antropométrico y el balance postural estático y dinámico en niños de 6 a 9 años. Nutr Hosp. 2019;36(1):32-8. PMid:30821164.
7 Lara S, Graup S, Balk RS, Teixeira LP, Farias AD, Alves GB, et al. Associação entre o equilíbrio postural e indicadores antropométricos em escolares. Rev Paul Pediatr. 2018;36(1):59-65.
8 Guzmán-Muñoz E, Mendez-Rebolledo G, Núñez-Espinosa C, Valdés-Badilla P, Monsalves-Álvarez M, Delgado-Floody P, et al. Anthropometric profile and physical activity level as predictors of postural balance in overweight and obese children. Behav Sci (Basel). 2023;13(1):73.
9 Duarte M, Freitas SMSF. Revisão sobre posturografia baseada em plataforma de força para avaliação do equilíbrio. Rev Bras Fisioter. 2010;14(3):183-92.
10 Casselbrant ML, Mandel EM, Sparto PJ, Redfern MS, Furman JM. Contribution of vision to balance in children four to eight years of age. Ann Otol Rhinol Laryngol. 2007;116(9):653-7.
11 WHO: World Health Organization. Child growth standards for 0-60 months. Geneva: WHO; 2006 [citado em 2021 Out 16]. Disponível em:
12 WHO: World Health Organization. Growth reference data for 5-19 years - Application tools (who.int). Geneva: WHO; 2007 [citado em 2021 Out 10]. Disponível em:
13 WHO: World Health Organization. AnthroPlus for personal computers Manual: Software for assessing growth of the world's children and adolescents. Geneva: WHO; 2009 [citado em 2021 Out 16]. Disponível em:
14 de Onis M. Curvas de Referência da Organização Mundial da Saúde. In: Frelut ML, editor. The ECOG’s eBook on Child and Adolescent Obesity. Geneva: WHO; 2015 [citado em 2021 Jun 22]. Disponível em
15 ASHA: American Speech-Language-Hearing Association. Guidelines for Screening for Hearing Impairment—School-age children, 5 through 18 years. Rockville: ASHA; 2007.
16 Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Cadernos temáticos do PSE – Saúde Ocular. Brasília: Ministério da Saúde; 2016. 28 p.
17 Romero MV, Mota HB, Nóro LA, Valentins Dos Santos Filha VA. Correlation between body balance exams and school children reading assessments. Int J Pediatr Otorhinolaryngol. 2020;137:110230.
18 Sá CDSC, Boffino CC, Ramos RT, Tanaka C. Development of postural control and maturation of sensory systems in children of different ages a cross-sectional study. Braz J Phys Ther. 2018;22(1):70-6.
19 Olechowski-Bessaguet A, Grandemange R, Cardoit L, Courty E, Lambert FM, Le Ray D. Functional organization of vestibulospinal inputs on thoracic motoneurons responsible for trunk postural control in Xenopus. J Physiol. 2020;598(4):817-38.
20 D’Hondt E, Deforche B, Bourdeaudhuij I, Gentier I, Tanghe A, Shultz S, et al. Postural balance under normal and altered sensory conditions in normal-weight and overweight children. Clin Biomech (Bristol, Avon). 2011;26(1):84-9.
21 Condon C, Cremin K. Static balance norms in children. Physiother Res Int. 2014;19(1):1-7.
22 Goulding A, Jones IE, Taylor RW, Piggot JM, Taylor D. Dynamic and static tests of balance and postural sway in boys: effects of previous wrist bone fractures and high adiposity. Gait Posture. 2003;17(2):136-41.
23 Neves JCJ, Souza AKV, Fujisawa DS, Souza AKV, Fujisawa DS. Controle postural e atividade física em crianças eutróficas, com sobrepeso e obesas. Rev Bras Med Esporte. 2017;23(3):241-5.
24 Norris RA, Wilder E, Norton J. The Functional Reach Test in 3- to 5-year-old children without disabilities. Pediatr Phys Ther. 2008;20(1):47-52.
25 Villarrasa-Sapiña I, Álvarez-Pitti J, Cabeza-Ruiz R, Redón P, Lurbe E, García-Massó X. Relationship between body composition and postural control in prepubertal overweight/obese children: a cross-sectional study. Clin Biomech (Bristol, Avon). 2018;52:1-6.
26 Stanek E, Truszczyńska A, Drzał-Grabiec J, Tarnowski A. Postural balance assessment in children aged 7 to 9 years, as related to body weight, height, and physical activity. Biomed Hum Kinetics. 2015;7(1):142-6.
27 Kolic J, O’Brien K, Bowles KA, Iles R, Williams CM. Understanding the impact of age, gender, height and body mass index on children’s balance. Acta Paediatr. 2020;109(1):175-82.
28 Alice A, Yadav M, Verma R, Kumari M, Arora S. Effect of obesity on balance: a literature review. IJHS. 2022;6(S4):3261-79.
29 Balestrin M. Estado nutricional de crianças e adolescentes do município de Caiçara, RS [Trabalho de conclusão de curso]. Palmeira das Missões: Especialização em Gestão e Organização Pública em Saúde, Universidade de Santa Maria; 2015.
30 da Silva LS, Franco DS, Linhares AO, Gigante DP. Classificação do estado nutricional de pré-escolares matriculados em escola pública e privada da cidade de Pelotas-RS. RBONE. 2022;15(95):608-17.
31 Van Hecke R, Deconinck FJA, Wiersema JR, Clauws C, Danneels M, Dhooge I, et al. Balanced Growth project: a protocol of a single center observational study on the involvement of the vestibular system in a child’s motor and cognitive development. BMJ Open. 2021;11(6):e049165.
32 Sleifer P, Borges VMS. Vestibulopatias Centrais na Infância. In: Cabral A, organizador. Tratado de Otoneurologia Infantil. Ribeirão Preto: BookToy; 2023. p. 159-74.
Submetido em:
05/02/2024
Aceito em:
05/08/2024
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email