(1) Background: The influence of different factors on balance in adolescence is assessed by conducting functional balance tests that examine its different components. (2) Materials and methods: The study sample comprised 110 healthy adolescents of both sexes, aged 12–18 years. Single Leg Stance with Eyes Open (SLS-EO) and Eyes Closed (SLS-EC) tests were conducted to evaluate static balance, whereas the Functional Reach Test (FRT) and Lateral Reach Test (LRT) were performed to establish functional stability limits. The influence of sex, age, demographic factors, anthropometric characteristics, participation in sports activities, and trunk extensor muscle endurance (Biering–Sorensen test) on balance performance was determined through correlational and univariate linear regression analyses. (3) Results: Older age (Beta [β] = 0.247; 95% CI [0.75, 5.20]; p < 0.01) and better trunk extensor muscle endurance (β = 0.224; 95% CI [0.015, 0.13]; p < 0.05) were significant predictors of the SLS-EO results, while younger age (β = −0.219; 95% CI [−1.32, −0.11]; p < 0.05) and higher muscle percentage (β = 0.237; 95% CI [0.06, 0.48]; p < 0.05) emerged as significant predictors of LRT performance, and greater bone mass was a significant predictor of FRT results (β = 0.444; 95% CI [3.62, 8.17]; p < 0.01). However, none of the independent variables was a statistically significant predictor of the SLS-EC results. (4) Conclusions: The current study found that age, trunk extensor muscle endurance, muscle percentage, and bone mass are significant predictors of different balance components, suggesting that balance is task-specific.
Idiopathic scoliosis (IS) is a three-dimensional deformity of the spine and the trunk, of unknown etiology. Balance or postural control can be defined as the ability to maintain the body's line of gravity above the base of support and thus to avoid falling. Adequate balance control is not only important for maintaining postural stability, but also for safe mobility during activities of daily life. This requires efficient central processing of information coming from the visual, vestibular and somatosensory (proprioceptive) systems. The aim of this article was to review the literature about postural stability and balance performance in patients with idiopathic scoliosis. Some studies showed that people with idiopathic scoliosis have reduced postural stability, assessed with posturography, as well as proprioceptive and vestibular deficits. Two hypotheses in the literature, biomechanical and sensory integration hypotheses, tried to explain this from different points of view. The biomechanical hypothesis emphasizes biomechanical and morphological changes in IS as responsible for poorer postural stability, while the hypothesis of sensory integration points out that certain people with idiopathic scoliosis have impaired dynamic regulation of sensorimotor integration due to an inaccurate evaluation of sensory inputs. Studies that used clinical balance tests showed difficulties in mediolateral stability and dynamic proprioception in IS. Further studies on balance in this population are needed to deepen knowledge in this area.
Background/Objectives: As adults spend about 30% of each day asleep, having a sleep disorder can negatively affect their functioning. The study objective was to determine the factors that influence sleep quality among patients and healthcare providers in the primary healthcare setting. Methods: This study included respondents of both sexes aged 18–90 years, comprising outpatients and the healthcare providers working in the General Medicine Service at the “Liman” Department of the “Novi Sad” Health Center in Novi Sad, Republic of Serbia. Demographic data along with factors related to lifestyle and sleep habits were collected using a demographic questionnaire specifically designed for this research. The standardized Pittsburgh Sleep Quality Questionnaire, Serbian version (PSQI), was used to assess sleep quality. Results: The study sample comprised 92 respondents (42 healthcare providers and 50 patients), 73.9% of whom were female, with an average age of 50.0 years. Although 50% of healthcare providers reported sleeping only 3–6 h the previous night, according to the PSQI results, patients had lower overall sleep quality (54.0% vs. 33.3%; p = 0.046) and achieved lower scores in the DISTB (sleep disturbances, p = 0.001), SLPQUAL (subjective sleep quality, p = 0.013) and MEDS (use of sleeping medication, p = 0.003) PSQI domains. Conclusions: Sleep quality is impaired in more than half of patients and more than a third of healthcare providers. By detecting and acting on the factors in the home and work environment that affect quality of sleep, and by changing lifestyle habits, sleep quality in adults can be improved.
8 August 2025 in WORK: A Journal of Prevention, Assessment & Rehabilitation
Background: Sleep quality is essential for maintaining health and work performance. However, it remains understudied among healthcare professionals, such as physiotherapists, who are exposed to occupational demands that may impair sleep, even without night shifts. Objective: This pilot study aimed to assess sleep quality among physiotherapists and explore its associations with occupational and lifestyle factors. Methods: A cross-sectional study was conducted with 22 physiotherapists employed at the Clinic for Physical Medicine and Rehabilitation of Institute for Child and Youth Health Care of Vojvodina Novi Sad, Serbia. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and a custom questionnaire collected data on age, gender, work tenure, sport participation and commuting habits. Non-parametric statistical methods (Mann-Whitney U, Kruskal-Wallis, Spearman's correlation) were used. All participants provided informed consent, and ethical standards were followed. Results: The median age was 39.8 ± 10.9 years; 81.8% were female, with a mean work tenure of 15.7 ± 11.5 years. The average PSQI score was 7.0 ± 2.8, indicating poor sleep quality. Poorer sleep quality was significantly associated with longer work tenure ( p = 0.003) and commuting by bicycle ( p = 0.027). Gender and sport participation showed no significantly association with sleep quality ( p > 0.05). Conclusions: Despite the absence of night shifts, physiotherapists in this study exhibited poor sleep quality. Longer work tenure and active commuting may contribute to this issue. Further research with larger samples is needed to clarify causal relationships and inform sleep-related interventions targeting healthcare professionals.