Aija Klavina, Zinta Galeja


This study was executed to explore correlation between postural alignment in standing measured through photogrammetry and static balance in children with visual, hearing, intellectual and physical disability. METHODS: Participants were 34 children (age 7-12 years) including 8 children with hearing, 8 with visual, 6 with physical, and 12 children with intellectual disabilities Postural alignment in standing was measured through photogrammetry. Static balance data were obtained in 15 s bipedal stance with eyes open and eyes closed, and also in 10 s unipedal stance. A force plate was used to collect data of Centre of Pressure amplitude in anterior-posterior, medio-lateral directions and velocity. Correlation was obtained using Spearman's Rank Correlation co-efficient in SPSS software (version 19.0). RESULTS: Moderate positive correlation (r = 0.338 to r = 425; p ≤ 0.05) was found between angle of head position and angle of frontal and sagittal ASIS and PSIS level. Also, moderate positive correlation was found between angles in shoulder level and angles of the head (r =  .365 to r = .453, p < .05). In assessing the static balance outcomes between the four groups, results presented significant differences in results during bipedal stance with eyes open. CONCLUSION: Degree of forward head posture correlates directly with hip and shoulder anatomical placement. Children with intellectual disability presented larger displacement of the center of pressure with more body sway observed during eyes open condition.


children with disability; posture; static balance

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Assiante, C. (1998). Development of locomotor balance control in healthy children. Neuroscience & Biobehavioral Reviews, 22(4), 527 – 532.

Black, K.M., McClure, P., & Polansky, M. (1996) The influence of different sitting positions on cervical and lumbar posture. Spine, 21(1), 65-70.

Cardon, G., De Clercq, D., De Bourdeaudhuij, I., & Breithecker, D. (2004). Sitting habits in elementary schoolchildren: a traditional versus a "Moving school". Patient Education and Counseling, 54(2), 133-142.

The Center of Disease Prevention and Control of Latvia (2013). Statistic data on children health in Latvia.

Cil, A., Yazici, M., Uzumcugil, A., Kandemir, U., Alanay,.A., Alanay, Y., Acaroglu, R.E., & Surat, A. (2005). The evolution of sagittal segmental alignment of the spine during childhood. Spine. 30(1), 93-100.

Dewar, R., Love, S., & Johnston, L.M. (2014). Exercise interventions improve postural control in children with cerebral palsy: a systematic review. Developmental Medicine & Children Neurology, 57(6), 504 -20.

Domagalska, M.E., Szopa, A.J., & Lembert, D.T. (2011) A descriptive analysis of abnormal postural patterns in children with hemiplegic cerebral palsy. Medical Science Monitor, 17(2), CR110–CR116.

Domagalska-Szopa, & M.E., Szopa, A.J. (2013). Body posture asymmetry differences between children with mild scoliosis and children with unilateral cerebral palsy. BioMed Research International,

Geuze, R.H. (2003). Static balance and developmental coordination disorder. Human Movement Science, 22, 527 – 548.

Gheysen, F., Loots, G., & Van Waelveld, H. (2008). Motor development of deaf children with and without cochlear implants. Journal of Deaf Studies and Deaf Education, 13 (2), 215-224.

Hill, C. S., & Goldsmith J. (2010) Biomechanics and Prevention of Body Shape Distortion. Tizard Learning Disability Review, 15 (2), 15-29

Kendall, F. P. (1994). Muscles Testing and function. New - York : W&W. 451 p.

Kirshenbaum, N., Riach, C.L., & Starkes, J.L. (2001) Non-linear development of postural control and strategy use in young children: a longitudinal study. Experimental Brain Research, 140, 420–431.

Kohen – Raz, R. (1970). Developmental patterns of static balance ability and their relation to cognitive school readiness. Pediatrics, 46(2), 276 – 285.

Lafond, D., Descarreaux, M., Normand, M.C., & Harrison, D.E. (2007). Postural development in school children: a cross –sectional study. Chiropractoc & Osteopathy, 15(1), doi:10.1186/1746-1340-15-1

Mac-Thion, J.M., Berthonnaud. E., Dimar, J.R., Betz, R.R., & Labelle, H. (2004). Sagittal alignment of the spine and pelvis during growth. Spine, 29(15), 1642-1647.

Marshall, S.J., Gorely, T., & Biddle, S.J. (2006). A descriptive epidemiology of screen-based media use in youth: a review and critique. Journal of Adolescents. 29(3), 333-349.

McEvoy, M.P., & Grimmer, K., (2005). Reliability of upright posture measurements in primary school children. BMC Muskuloskeletal Disorders, 6(35) doi:10.1186/1471-2474-6-35.

Murphy, S., Buckle, P., & Stubbs, D. (2004) Classroom posture and selfreported back and neck pain in schoolchildren. Applied Ergonomics, 35(2), 113-120.

Pavao, S.L., Neves dos Santos, A., Woollacott, M.H., & Ferreira Rocha, N.A.C. (2013). ssessment of postural control in children with cerebral palsy: a review. Research in developmental disabilities, 34, 1367-1375.

Poblano, A., Ishiwara, K., de Lourdes Arias, M., Garcia – Pedroza, F., Marin, H., & Trujillo, M. (2002). Motor control alterations in posturography in learning- disabled children. Archives of Medical Research, 33(5), 485 – 488.

Poliszczuk, T., & Rutkowska, I. (2006). Comparative analysis of balance skills of blind girls and rhythmic gymnasts. In: Nowocień J. (ed.) Społeczno - edukacyjne oblicza olimpizmu AWF Warszawa, 157-163

Rain, S., & Twomey, L. (1994) Posture of the head, shoulder and tho­racic spine in comfortable erect standing. Australian Journal of Physical Therapy, 40(1): 25-32.

Ray, C.T., Horvat, M.B., Croce, R.C., Mason, C.B., & Wolf, S.L. (2008). The impact of vision loss on postural stability and balance strate­gies in individuals with profound vision loss. Gait & Posture. 28, 58-61

Ribot – Cisacar, Trefouret, Aimonetti, Attarian, & Poget, J., Roll, J.P. (2004). Is muscle spindle proprioceptive function spared in mscular dystrophies? A muscle tendon vibration study. Muscle Nerve, 29(6), 861 – 866.

Sharon, L., Cushing, B.C., Rutka, J.A., James, A.L., & Gordon, K.A. (2008). Evidence of vestibular and balance dysfunction in children with profound sensorineural hearing loss using cochlear implants. Laryngoscope, 118, 1814–1823.

Shumway-Cook, A., & Woollacott, M.H. (2001) Motor control: theory and practical applications. Maryland USA: Lippincott Williams and Wilkins.

Shumway-Cook, A., & Woollacott, M.H. (1985) The growth of stability: postural control from a developmental perspective. Journal of Motor Behavior, 17(131-147).

Zwierzchowska, A., & Gawlik, K. (2007). Deaf children and adolescents and defective posture. New Medicine. 2 (37-9).

Woollacott, M.H. , & Shumway-Cook, A. (1990). Changes in posture control across the life span – a system approach. Physical Therapy, 70(12), 799- 807.



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