Title:

Tensegration of the pelvic-ilio-lumbar complex and foot and ankle joint

Author:

Bobak-Powroźnik, Katarzyna

Subject:

tensegration ; lumbar-pelvic-iliac complex ; biomechanical parameters of the foot and ankle

Abstract:

Introduction: In recent years, the role of fascia in the proper functioning of the body has attracted a lot of attention, and the concept of tensegration has become popular, helping to explain the connections between distant body regions and structures that do not have a direct nervous connection with each other. Material and methods: The study included 120 people (60F, 60M), aged 35-55 who met the inclusion criteria. The subjects were divided into the test group (asymmetry of the position of the pelvic girdle) and the control group (symmetry of the position of the pelvis). The study included a subjective and objective part. Statistical analysis was performed using the Statistica program (α = 0.05). The research project was approved by Bioethical Commision of the Jagiellonian University No. 31/01/2019. Results: In patients with pelvic asymmetry, the α angles of both feet were significantly smaller than the α angles of the feet of persons with pelvic symmetry. The γ angle of the right foot of people with symmetrical pelvis was significantly smaller compared to the subjects with asymmetry of the pelvis. Left foot valgus was found more often in people with symmetrically positioned pelvis, compared to those with pelvic asymmetry. There was no significant relationship between the position of the pelvis and the position of the ankle joint. Persons with pelvic ; asymmetry presented significantly greater% pressure on the forefoot of the left foot and significantly lower% pressure on the hindfoot in the left foot compared to subjects with a symmetrical pelvis. In subjects with an asymmetric pelvis, the pressure exerted on the forefoot of the right foot was significantly greater than in subjects with a symmetrical pelvis. People with a symmetrical pelvis exerted a significantly higher pressure on the hindfoot of the right foot. There was a tendency to shift the body's center of gravity away from the ideal position in the group of people with a negative Trendelenburg test result compared to people with a positive test result. There was shown a positive, weak relationship between the depth of lumbar lordosis and the shift of the body's center of gravity from its ideal position in this group of respondents, as well as a negative, weak correlation between the degree of pelvic tilt and the left foot Clark angle. A positive, weak, potential relationship was demonstrated between the degree of pelvic tilt and the γ angle of the right foot. Conclusions: There is a relationship between the pelvic position and the selected foot positioning parameters (α, γ). There was no statistically significant relationship between the position of the pelvis and the position of the ankle joint. The position of the pelvis influences the pressu ; re exerted by the foot on the ground. Pelvic asymmetry influences the position of the foot and its arches. The efficiency of the pelvic-trochanteric muscles correlates with the position of the body's center of gravity at the level of the statistical tendency. There was no statistically significant relationship between the efficiency of the pelvic-trochanteric muscles and the arches of the foot.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

rehabilitacja ; fizjologia ; choroby narządów ruchu

Degree grantor:

Rada Dyscypliny Nauki o zdrowiu

Promoter:

Jaworek, Jolanta ; Leja-Szpak, Anna

Date:

2022

Date issued:

2021

Type:

Praca doktorska

Call number:

ZB-135917

Language:

pol

Access rights:

nieograniczony

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