Purpose: The aim of this study was to analyse the impact of applying an external load on the distribution of pressure on the plantar side of the foot and maintaining body balance, using the podobarographic platform. Methods: The study was conducted on 130 school children aged 8–10: girls (n = 68, body mass = 22.8 ± 6.0 kg, body height = 129.3 ± 7.5 cm) and boys (n = 62, body mass = 31.1 ± 6.5 kg, body height 134.4 ± 7.3 cm). The study involved 2 trials. At first, children stood on the platform assuming a natural position. Then, they put on a 5-kg backpack and stood on the platform once more. Results: The results indicate that after backpack loading, for the total research group of girls and boys, statistically significant differences were found in the distribution of foot force on the ground in the left forefoot (p = 0.008), metatarsus (p = 0.000) and heel areas (p = 0.002). While in the right foot, these differences were noted for the forefoot (p = 0.024) and metatarsus (p = 0.000). The results of balance testing were also statistically significant. They concerned measurements of the body barycentre area (cop-bars p = 0.003), the barycentre area of the left foot (l-bars p = 0.034) and the parameter comparing distance to surface ratio (cop-lsf p = 0.000). Conclusions: It may be concluded that prolonged overloading with backpacks affects movement patterns, which may further lead to the acquisition and consolidation of postural defects.

Background and Study Aim: The article presents the results of analyses of students’ foot pressure distribution on the ground, as well as their body balance before and after exercise (Harvard Step Test). The aim of the paper was to carry out a comparative analysis of foot pressure distribution on the ground, as well as assess the degree of body balance before and after exercise. With that purpose in view, the following research hypothesis was formulated: in the students participating in the study, the distribution of foot pressure on the ground and the degree of body balance differ significantly after physical effort compared with the at-rest conditions. Material and Methods: The study encompassed n=48 students, including 37 women and 11 men. The tests were carried out using such tools as: an EPS/R1 podobarographic mat and the impedance methods – i.e. the InBody 270 body composition analyser. An analysis was performed for the parameters concerning body composition, the distribution of foot pressure on the ground, and the level of body balance. Results: The results obtained revealed statistically significant differences in the physiological parameters of foot arching and the functional efficiency of the body balance system under different measurement conditions that reflected the impact of effort stimuli. Conclusions: Significant differences reflecting the impact of the effort stimuli were expected to be achieved during the mathematical analysis of the results of podobarographic tests that allow for the assessment of the physiological parameters of foot arching and the functional efficiency of the body balance system under different measurement conditions. The authors’ assumption was mathematically and statistically confirmed by significant differences foe most of the parameters arising out of the possibilities offered by the research method applied. Comparative assessment unquestionably revealed a negative change in foot arching, as well as lower body posture stability in the female and male subjects, resulting from the physical exercise applied.

Aim. Analysis of the distribution of foot force on the ground in children before and after kinaesthetic stimulation. Materials and methods. Research was conducted from April 11 to May 22, 2019, in two groups of children aged 7-12. The experimental group (E) consisted of children attending dance classes, while the control group (C) comprised their peers undergoing mandatory physical educations classes. To obtain answers to the posed research questions, the tests were carried out using a sub-pararographic mat. The results were analysed using the Statistica program. The authors are aware that some of the results obtained are nonparametric data, therefore, the non-parametric Mann-Whitney U test and the Kolmogorov-Smirnov test were used. Considering further results analysed via the Student’s t-test, non-parametric data were analysed for this test. Results. There were statistically significant differences between the average results of the subjects at the level of p<0.05 occurring before the introduction of kinaesthetic stimulation. Distribution of forces on the metatarsal bones of the left foot (pd0.04), the tarsus bones of the left foot (pd0.0078), the toes of the right foot (pd0.0039) and the metatarsal bones of the right foot (pd0.03). However, after stimulation, a statistically significant difference at the level of pd0.0076 occurred in the distribution of forces on the bones of the toes of the right foot. Analysing the average results, statistically significant differences were observed for COP distance (pd0.0001) and the area of t he body’s barycentre ellipse (pd0.01999). Conclusions. Dance practiced in childhood significantly affects the postural stability of the body and the distribution of forces on the ground. It was also noticed that when performing fast movements, there were noticeable differences in the body posture of dancing and non-dancing children.

Background: The aim of the study is to assess the body balance and podological parameters and body composition of young footballers in the context of the control of football training. Methods: The study examined the distribution of the pressure of the part of the foot on the ground, the arch of the foot, and the analysis of the body composition of the boys. The pressure center for both feet and the whole body was also examined. The study involved 90 youth footballers from Olsztyn and Barczewo in three age groups: 8–10 years, 11–13 years old, and 14–16 years. The study used the Inbody 270 body composition analyzer and the EPSR1, a mat that measures the pressure distribution of the feet on the ground. Results: The results showed statistically significant differences in almost every case for each area of the foot between the groups of the examined boys. The most significant differences were observed for the metatarsal area and the left heel. In the case of stabilization of the whole body, statistically significant differences were noted between all study groups. In the case of the body composition parameters, in the examined boys, a coherent direction of changes was noticed for most of them. The relationships and correlations between the examined parameters were also investigated. The significance level in the study was set at p < 0.05. Conclusions: Under the training rigor, a statistically significant increase in stability was observed with age. The total length of the longitudinal arch of both feet of the examined boys showed a tendency to flatten in direct proportion to the age of the examined boys. Mean values of the body composition parameters reflect changes with the ontogenetic development, basic somatic parameters (body height and weight) and training experience, and thus with the intensity and volume of training. This indicates a correct training process that does not interfere with the proper development of the body in terms of tissue and biochemical composition.

Introduction: Numerous modalities of conservative therapeutic interventions are available to achieve the best health benefits in people with Low Back Pain (LBP), e.g., kinesiotherapy, physical therapy, behavior therapy. People with LBP continue to experience pain and disability despite receiving the best evidence based therapy. Osteopathic Manual Therapy (OMT) and Kaltenborn-Evjenth Ortopedic Manual Therapy (KEOMT) are the other options, although their effectiveness remains controversial. The aim of this study is a proposal for a protocol for randomized trials to compare the effectiveness of OMT vs. KEOMT on pain and disability in people suffering from LBP. Methods and analysis: It's a randomized study with two-arms parallel, designed with concealed allocation, the assessor's blinding with intention to-treat analysis. It will include 34 people a group with severe disability ranged from 41 to 60% in Oswestry Disability Index (ODI). There will be two groups: a treatment group (OMT) and a comparison group (KEOMT). All the patients in both groups will receive 2 treatments a week for 5 weeks. Each session in both groups will not exceed 30 minutes. During each session OMT and KEOMT techniques will be repeated 3 times. A baseline assessment will be performed pre and post intervention, two days later. The following parameters will be assessed during the evaluations: Numeric Pain Rating Scale – NPRS, ODI. Ethics and dissemination: The trial was approved by the Scientific Research Ethics Committee of University of Warmia and Mazury, Olsztyn, Poland. Registration approval number: 9/2018. Trial registration: The study protocol was prospectively registered in the Chinese Clinical Trial Registry on December 28, 2019 (registration ID: ChiCTR1900028580). Strengths and Limitations of this Study The participants' random allocation to the experimental and the control groups. The same experienced physiotherapist, blind to the outcome measures, provides the interventions. The same assistant, blind to the group allocation, administrates the outcomes. The same number of the interventions, the compared contact time with the physiotherapist providing the interventions. A short follow-up period and/or a rather small sample size.

Background: The issues raised in this study were inspired by the concern for the musculoskeletal status of school children. Carrying excess weight in the form of a school bag in this period of life affects the correct body posture of school children. The aim of the study was to analyze the influence of school bags on the feet force distribution on the ground and postural balance in children of both sexes between 11 and 15 years of age. Methods: The study investigated the distribution of pressure forces on the sole of the foot and its arch. The center of pressure for both feet and the whole body was also examined. The participants were 100 students from primary schools in Gdańsk, aged 11 to 15, including 54 girls and 46 boys. The research used a podobarographic platform that measures the distribution of foot pressure to the ground. The examinations included two measurements: in the first, the children stood on the platform in a natural position. Then, a 5 kg backpack was put on and they stood on the platform again. Results: Statistically significant differences were found in the distribution of the foot pressure on the ground in the left metatarsus (p = 0.000) and heel (p = 0.000) after putting on the backpack in both girls and boys. However, in the right foot, these differences concerned the metatarsal area (p = 0.001). The results of the balance tests were only statistically significant in the group of girls in the right foot sway area (p = 0.020). Conclusions: The school backpack load led to an increase in the values of the heel and metatarsal area measured in the students, causing its flattening.

The aim of the study was to analyze the gait of physically active on stable and unstable surfaces of sports active individuals (canoeists and board sailors). The basic research idea was to identify possible differences in the analysis of the structure of traffic in conditions of stable and unstable surfaces. Materials and Methods The study included n = 18 people of school age. The condition for inclusion in the study was regular sports training. The test was conducted in Sports School in Mragowo, in April 2019, in the field, on a stable (pavement) and unstable (beach volleyball court) surface. Measurements were performed with the InBody 270 body composition analysis device and Wiva® Science sensorimotor device for scientific tracking. The results were processed statistically in Excel and Statistica programs. Results The results were regarded as statistically significant at p<0.05. The study revealed that surface type plays a very important role in gait analysis. Significant differences were observed in the analyzed gait parameters on unstable ground, including cadence (p=0.003), gait rhythm (p=0.02), step length (p=0.007), lift height (p=0.002), left step length (p=0.0006) and right step length (0.024) in unstable conditions, the differences are statistically significantly different from gait in stable surface. Conclusions The analyzed parameters can influence training goals. These factors could be taken into account by sports instructors when designing training programs. Further thorough research into the biomechanics of human gait on unstable surfaces will contribute vital knowledge in various areas of human activity, including sports, rehabilitation and physiotherapy.

Background: Dental malocclusion is an increasingly frequent stomatognathic disorder in children and adolescents nowadays. The purpose of this study was to confirm or deny the correlations between body posture and malocclusion. Methods: In the study, gait, distribution of foot pressure on the ground, and body balance were examined. The research group consisted of 76 patients aged 12–15 years. The research group was obtained from patients attending periodic dental check-ups at Healthcare Center Your Health EL who agreed to participate in the study. The patients were divided into two groups without malocclusion and with malocclusion, using Angle classification, which enabled determination of the anteroposterior relationship of the first molars. The pedobarographic mat was used to analyze the distribution of foot forces on the ground, the diagnostic system Wiva® Science was used for gait analysis, and Kineod 3D was used for posture analysis. The Shapiro–Wilk test used for analysis showed inconsistency with normal distribution for all measurement parameters. The Mann–Whitney U test was used for the analysis, and the significance level was set at p ≤ 0.05. Results: Examination of the relationship between stabilometric and gait parameters showed that the position of the mandible in relation to maxilla has an important effect on gait rhythm, gait cycle duration, and right step duration time. Patients diagnosed with malocclusion showed high-speed walking rhythm in comparison to patients with Angle’s class I (p = 0.010). The duration of the whole gait cycle (p = 0.007) and the duration of right step (p = 0.027) were prolonged in students without orthodontic disorders compared to the other. Conclusions: The conducted study proved that there is correlation between the presence of a stomatognathic disorder and gait cycle parameters. There is a statistically noticeable correspondence between the position of the mandible in relation to maxilla and walking rhythm, gait cycle duration, and right step duration time. Namely, students who presented malocclusion had a high-speed walking rhythm and decreased duration of the gait cycle and of the right step. On the other hand, students without disorders (Angle’s class I) showed low-speed rhythm and increased duration of the gait cycle and of the right step in comparison to Angle’s classes II and III.