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Comparison of Postural Features and Muscle Strength between Children with Idiopathic Short Stature and Healthy Peers in Relation to Physical Exercise

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  • Jessica Brusa

    (Department of Psychological, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy)

  • Maria Cristina Maggio

    (Department of Health Promotion Sciences, Maternal and Infantile Care, Internal Medicine and Medical Specialities “G. D’Alessandro”, University of Palermo, Via del Vespro 133, 90127 Palermo, Italy)

  • Daniele Zangla

    (Department of Psychological, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy)

  • Valerio Giustino

    (Department of Psychological, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy)

  • Ewan Thomas

    (Department of Psychological, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy)

  • Romilda Palma

    (Department of Psychological, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy)

  • Giuseppe Messina

    (Department of Psychological, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy)

  • Antonio Palma

    (Department of Psychological, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy)

  • Giovanni Corsello

    (Department of Health Promotion Sciences, Maternal and Infantile Care, Internal Medicine and Medical Specialities “G. D’Alessandro”, University of Palermo, Via del Vespro 133, 90127 Palermo, Italy)

  • Marianna Bellafiore

    (Department of Psychological, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy)

Abstract

Previous research has reported that children with idiopathic short stature (ISS) showed functional and cognitive impairments. The purpose of this study was to compare muscle strength and body posture between children with ISS treated with growth hormone (GH) and healthy peers (healthy children, HC), and to analyze whether these parameters were affected by physical exercise. Eighteen children for the ISS group (mean age: 10.96 ± 1.68 years) and 26 children for the HC group (mean age: 10.19 ± 1.06 years) were recruited for the study. All participants performed the following assessments: handgrip and Sargent test for the muscle strength evaluation; baropodometric and stabilometric test for the posturographic measures. Data were analyzed with analysis of covariance (ANCOVA) using height and weight as covariate. Groups were then stratified into active and inactive and independent t -tests were used to determine differences between variables. Significance level was set to p < 0.05. Our results showed a significantly lower performance for both hands ( p < 0.01) and a greater difference of plantar loading distribution between feet in the ISS compared to the HC groups ( p < 0.01). In relation to physical exercise, the HC active group showed the highest handgrip strength values for both hands among the analyzed groups and, moreover, handgrip strength of both ISS active and inactive groups was significantly lower than corresponding CH peers for both hands. Although ISS and HC inactive groups reported an unequal plantar loading distribution between feet ( p < 0.05), this asymmetry was not present in both ISS and HC active groups. We assume that GH therapy integrated with physical exercise in young patients with ISS could be suggested to increase muscle strength and body posture improving their quality of life.

Suggested Citation

  • Jessica Brusa & Maria Cristina Maggio & Daniele Zangla & Valerio Giustino & Ewan Thomas & Romilda Palma & Giuseppe Messina & Antonio Palma & Giovanni Corsello & Marianna Bellafiore, 2020. "Comparison of Postural Features and Muscle Strength between Children with Idiopathic Short Stature and Healthy Peers in Relation to Physical Exercise," Sustainability, MDPI, vol. 12(9), pages 1-10, May.
  • Handle: RePEc:gam:jsusta:v:12:y:2020:i:9:p:3639-:d:352869
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    References listed on IDEAS

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    1. Giuseppe Battaglia & Valerio Giustino & Giuseppe Messina & Mariangela Faraone & Jessica Brusa & Anna Bordonali & Mario Barbagallo & Antonio Palma & Ligia-Juliana Dominguez, 2020. "Walking in Natural Environments as Geriatrician’s Recommendation for Fall Prevention: Preliminary Outcomes from the “Passiata Day” Model," Sustainability, MDPI, vol. 12(7), pages 1-9, March.
    2. Mingli Liu & Lang Wu & Qingsen Ming, 2015. "How Does Physical Activity Intervention Improve Self-Esteem and Self-Concept in Children and Adolescents? Evidence from a Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-17, August.
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    Cited by:

    1. Jessica Brusa & Maria Cristina Maggio & Valerio Giustino & Ewan Thomas & Daniele Zangla & Angelo Iovane & Antonio Palma & Giovanni Corsello & Giuseppe Messina & Marianna Bellafiore, 2020. "Upper and Lower Limb Strength and Body Posture in Children with Congenital Hypothyroidism: An Observational Case-Control Study," IJERPH, MDPI, vol. 17(13), pages 1-10, July.

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