The Effect of Physical Activity Programme on Balance and Posture in Visually Impaired Individuals
Yıl 2025,
Cilt: 9 Sayı: 2, 67 - 78, 28.12.2025
Benil Kıstak Altan
,
Mustafa Arslan Başar
,
Sercan Karabacak
,
Menşure Aydın
Öz
The aim of this study was to evaluate the effect of an 8-week physical activity program on balance and posture in visually impaired individuals. Fifteen visually impaired individuals aged between 18-25 years participated in the study voluntarily. Participants were divided into two groups: Experimental-Control. Experimental group participated in a physical activity program 3 days a week for 45 minutes a day with expert trainers, while control group did not participate in this program. Balance time (Stork test) and head-shoulder segments (Posture Screen application) were evaluated before and after the program. Head and shoulder translational and angular values and the differences between them were determined separately from four different viewpoints (anterior, posterior, right lateral and left lateral). The data were analyzed by Wilcoxon and Mann-Whitney U test in JASP 0.17.1. A statistical difference was found between the groups in shoulder translations in the anterior plane. In addition, there was a statistical difference between the groups in post-test balance times. As a result, it was determined that physical activities applied to visually impaired individuals prevented loss of balance and improved posture. It is recommended that physical activity programs should be implemented for the balance and posture development of visually impaired individuals.
Etik Beyan
For the implementation of the study, approval was obtained from Haliç University Non-Interventional Research Ethics Committee with document number 145 dated 04.07.2024.
Kaynakça
-
Abbasi, H., Esfandiyari Ghalesorkhi, Z., Sharifatpour, R., & Abedinzadeh, S. (2022). The effects of 6 weeks of balance training on static and dynamic balance of blind students. Iranian Journal of Health Sciences, 10(4), 63–72.
-
Afzal, M., Iqbal, M., Iqbal, M. Z., & Ali, M. (2020). Postural balance in visually impaired and sighted individuals: A comparative study. Pakistan Journal of Medical Sciences, 36(1), 40–44. https://doi.org/10.12669/pjms.36.1.1357
-
Ahmed, S. A., Othman, N. A., Sabet, N. A., & Salwa, F. (2021). Validity and reliability of Posture Screen mobile application in adolescent idiopathic scoliosis. The Medical Journal of Cairo University, 89, 737–743.
-
Arslantekin, B. A. (2014). The effects of visual impairment on psychomotor development and independent mobility and supportive programs. Journal of Occupational Therapy and Rehabilitation, 2(3), 165–175.
-
Berry, K. J., Johnston, J. E., & Mielke, P. W. (2018). The measurement of association: A permutation statistical approach. Springer International Publishing. https://doi.org/10.1007/978-3-319-98926-6
-
Boland, D. M., Neufeld, E. V., Ruddell, J., Dolezal, B. A., & Cooper, C. B. (2016). Inter- and intra-rater agreement of static posture analysis using a mobile application. Journal of Physical Therapy Science, 28(12), 3398–3402. https://doi.org/10.1589/jpts.28.3398
-
Carretti, G., Manetti, M., & Marini, M. (2023). Physical activity and sport practice to improve balance control of visually impaired individuals: A narrative review with future perspectives. Frontiers in Sports and Active Living, 5, Article 1260942. https://doi.org/10.3389/fspor.2023.1260942
-
Cevik, O., & Kabasakal, K. (2013). Investigation of the effects of sport activities on disabled persons, social adaptation and their socialization by sport. International Journal of Social and Economic Sciences, 3(2), 74-83.
-
Colak, T. K., Bamaç, B., Aydin, M., Meriç, B., & Özbek, A. (2004). Physical fitness levels of blind and visually impaired goalball team players. Isokinetics and Exercise Science, 12(4), 247–252.
-
Daneshmandi, H., Norasteh, A. A., & Zarei, H. (2021). Balance in the blind: A systematic review. Physical Treatments – Specific Physical Therapy Journal, 11(1), 1–12.
-
Deliceoğlu, G., Çavuş, T. P., Karaman, G., Kocahan, T., Tortu, E., & Tekçe, A. (2017). Goalball antrenmanının kadın goalball paralimpik takımının kuvvet, denge ve esneklik parametrelerine etkisinin incelenmesi. Gaziantep Üniversitesi Spor Bilimleri Dergisi, 2(1), 74-84.
-
Eskandari, A., Zarei, M., Barati, A., & Mohammadi, F. (2024). Eight-Week Pilates Program Effects on Balance, Fall Risk, and Proprioception in Visually Impaired Female Students. Asian Journal of Sports Medicine, 15(4). https://doi.org/10.5812/asjsm-148272
-
Giagazoglou, P., Amiridis, I. G., Zafeiridis, A., Thimara, M., Kouvelioti, V., & Kellis, E. (2009). Static balance control and lower limb strength in blind and sighted women. European Journal of Applied Physiology, 107(5), 571–579. https://doi.org/10.1007/s00421-009-1161-0
-
Hallemans, A., Ortibus, E., Meire, F., & Aerts, P. (2010). Low vision affects dynamic stability of gait. Gait & Posture, 32(4), 547–551. https://doi.org/10.1016/j.gaitpost.2010.07.005
-
Hopkins, B. B., Vehrs, P. R., Fellingham, G. W., George, J. D., Hager, R., & Ridge, S. T. (2019). Validity and reliability of standing posture measurements using a mobile application. Journal of Manipulative and Physiological Therapeutics, 42(2), 132–140. https://doi.org/10.1016/j.jmpt.2018.08.001
-
Kalia, A. A., Legge, G. E., Roy, R., & Ogale, A. (2010). Assessment of indoor route-finding technology for people who are visually impaired. Journal of Visual Impairment & Blindness, 104(3), 135–147. https://doi.org/10.1177/0145482X1010400305
-
Kurz, A., Lauber, B., Franke, S., & Leukel, C. (2018). Balance training reduces postural sway and improves sport-specific performance in visually impaired cross-country skiers. Journal of Strength and Conditioning Research, 32(6), 1–8. https://doi.org/10.1519/JSC.0000000000002597
-
Lamoureux, E. L., Hassell, J. B., & Keeffe, J. E. (2004). The determinants of participation in activities of daily living in people with impaired vision. American Journal of Ophthalmology, 137(2), 265–270. https://doi.org/10.1016/j.ajo.2003.10.007
-
Mäestu, J., Jürimäe, J., & Jürimäe, T. (2005). Monitoring of performance and training in rowing. Sports Medicine, 35(7), 597–617. https://doi.org/10.2165/00007256-200535070-00004
-
Moreira, R., Teles, A., Fialho, R., Baluz, R., Santos, T. C., Goulart-Filho, R., ... & Teixeira, S. (2020). Mobile applications for assessing human posture: A systematic literature review. Electronics, 9(8), 1196. https://doi.org/10.3390/electronics9081196
-
Pekel, A. Ö., Suveren, C., Arslan, Y., Yavaşoğlu, B., Beykumül, A., Ayyıldız Durhan, T., & Ceylan, L. (2023). Effect of 6-week karate (kihon) and basic movement exercise on balance performance in visually impaired individuals. Frontiers in Physiology, 14, 1332393. https://doi.org/10.3389/fphys.2023.1332393
-
Perrin, P., Deviterne, D., Hugel, F., & Perrot, C. (1997). Judo, better than dance, develops sensorimotor adaptabilities involved in balance control. Gait & Posture, 15(2), 187–194. https://doi.org/10.1016/S0966-6362(01)00155-7
-
Ray, C. T., Horvat, M., Croce, R., Mason, R. C., & Wolf, S. L. (2008). The impact of vision loss on postural stability and balance strategies in individuals with profound vision loss. Gait & Posture, 28(1), 58–61. https://doi.org/10.1016/j.gaitpost.2007.09.010
-
Ribeiro, F. S., de Oliveira, L. V., da Silva, R. A., & de Sá, C. A. (2018). Effects of a physical activity program on postural balance in blind children. Human Movement Science, 60, 158–163. https://doi.org/10.1016/j.humov.2018.05.004
-
Silva, M. R., Amaral, P., Viana, M. M., & Sousa, N. (2017). Effects of adapted physical activity programs on balance in visually impaired people: A systematic review. European Journal of Special Needs Education, 32(3), 361–373. https://doi.org/10.1080/08856257.2016.1240347
-
Türkmen, M., Özgür, E., Bozkurt, O., Kurtoğlu, A., & İsmihan, E. (2025). Görme engelli bireylerde sirkadiyen ritim ve fiziksel performans: Bir derleme çalışması. Journal of History School, 18(74), 427-446.
-
West, S. K., Rubin, G. S., Broman, A. T., Munoz, B., Bandeen-Roche, K., Turano, K., & SEE Project Team. (2002). How does visual impairment affect performance on tasks of everyday life? The SEE Project. Archives of Ophthalmology, 120(6), 774–780. https://doi.org/10.1001/archopht.120.6.774
-
Zhikai, Q., Zizhao, G., & Junsheng, W. (2024). Effects of aerobic exercise on balance and mobility in individuals with visual impairment: a systematic review. Disability and Rehabilitation, 46(22), 5134-5143. https://doi.org/10.1080/09638288.2023.2288931
Görme Engelli Bireylerde Fiziksel Aktivite Programının Denge ve Postür Üzerine Etkisi
Yıl 2025,
Cilt: 9 Sayı: 2, 67 - 78, 28.12.2025
Benil Kıstak Altan
,
Mustafa Arslan Başar
,
Sercan Karabacak
,
Menşure Aydın
Öz
Bu çalışmanın amacı, 8 haftalık fiziksel aktivite programının görme engelli bireylerde denge ve postür üzerindeki etkisini değerlendirmektir. Çalışmaya 18-25 yaş aralığında 15 görme engelli birey gönüllü olarak katılmıştır. Katılımcılar deney ve kontrol olmak üzere iki gruba ayrılmıştır. Deney grubu haftada 3 gün, günde 45 dakika süresince uzman eğitmenler eşliğinde fiziksel aktivite programı uygularken kontrol grubu bu programa katılmamıştır. Uygulama öncesinde ve sonrasında denge süresi (Stork testi ile) ve baş-omuz segmentleri (Posture Screen uygulaması ile) değerlendirilmiştir. Baş ve omuz translasyon ve açısal değerleri ile aralarındaki farklar dört farklı bakış açısında (anterior, posterior, sağ lateral ve sol lateral) ayrı ayrı belirlenmiştir. Veriler, JASP 0.17.1 analiz programında Wilcoxon testi ve Mann-Whitney U testi ile analiz edilmiştir. Anterior düzlemde omuz translasyonlarında gruplar arasında istatistiksel fark bulunmuştur. Ayrıca, test sonrası denge sürelerinde gruplar arasında istatistiksel bir fark olduğu tespit edilmiştir. Sonuç olarak, görme engelli bireylere uygulanan fiziksel aktivitelerin denge kaybını önlediği ve postürü iyileştirdiği belirlenmiştir. Görme engelli bireylerin denge ve postür gelişimi için fiziksel aktivite programlarının uygulatılması önerilmektedir.
Etik Beyan
Çalışmanın yürütülmesi için 04.07.2024 tarihli ve 145 sayılı belge ile Haliç Üniversitesi Girişimsel Olmayan Araştırmalar Etik Kurulu’ndan onay alınmıştır.
Kaynakça
-
Abbasi, H., Esfandiyari Ghalesorkhi, Z., Sharifatpour, R., & Abedinzadeh, S. (2022). The effects of 6 weeks of balance training on static and dynamic balance of blind students. Iranian Journal of Health Sciences, 10(4), 63–72.
-
Afzal, M., Iqbal, M., Iqbal, M. Z., & Ali, M. (2020). Postural balance in visually impaired and sighted individuals: A comparative study. Pakistan Journal of Medical Sciences, 36(1), 40–44. https://doi.org/10.12669/pjms.36.1.1357
-
Ahmed, S. A., Othman, N. A., Sabet, N. A., & Salwa, F. (2021). Validity and reliability of Posture Screen mobile application in adolescent idiopathic scoliosis. The Medical Journal of Cairo University, 89, 737–743.
-
Arslantekin, B. A. (2014). The effects of visual impairment on psychomotor development and independent mobility and supportive programs. Journal of Occupational Therapy and Rehabilitation, 2(3), 165–175.
-
Berry, K. J., Johnston, J. E., & Mielke, P. W. (2018). The measurement of association: A permutation statistical approach. Springer International Publishing. https://doi.org/10.1007/978-3-319-98926-6
-
Boland, D. M., Neufeld, E. V., Ruddell, J., Dolezal, B. A., & Cooper, C. B. (2016). Inter- and intra-rater agreement of static posture analysis using a mobile application. Journal of Physical Therapy Science, 28(12), 3398–3402. https://doi.org/10.1589/jpts.28.3398
-
Carretti, G., Manetti, M., & Marini, M. (2023). Physical activity and sport practice to improve balance control of visually impaired individuals: A narrative review with future perspectives. Frontiers in Sports and Active Living, 5, Article 1260942. https://doi.org/10.3389/fspor.2023.1260942
-
Cevik, O., & Kabasakal, K. (2013). Investigation of the effects of sport activities on disabled persons, social adaptation and their socialization by sport. International Journal of Social and Economic Sciences, 3(2), 74-83.
-
Colak, T. K., Bamaç, B., Aydin, M., Meriç, B., & Özbek, A. (2004). Physical fitness levels of blind and visually impaired goalball team players. Isokinetics and Exercise Science, 12(4), 247–252.
-
Daneshmandi, H., Norasteh, A. A., & Zarei, H. (2021). Balance in the blind: A systematic review. Physical Treatments – Specific Physical Therapy Journal, 11(1), 1–12.
-
Deliceoğlu, G., Çavuş, T. P., Karaman, G., Kocahan, T., Tortu, E., & Tekçe, A. (2017). Goalball antrenmanının kadın goalball paralimpik takımının kuvvet, denge ve esneklik parametrelerine etkisinin incelenmesi. Gaziantep Üniversitesi Spor Bilimleri Dergisi, 2(1), 74-84.
-
Eskandari, A., Zarei, M., Barati, A., & Mohammadi, F. (2024). Eight-Week Pilates Program Effects on Balance, Fall Risk, and Proprioception in Visually Impaired Female Students. Asian Journal of Sports Medicine, 15(4). https://doi.org/10.5812/asjsm-148272
-
Giagazoglou, P., Amiridis, I. G., Zafeiridis, A., Thimara, M., Kouvelioti, V., & Kellis, E. (2009). Static balance control and lower limb strength in blind and sighted women. European Journal of Applied Physiology, 107(5), 571–579. https://doi.org/10.1007/s00421-009-1161-0
-
Hallemans, A., Ortibus, E., Meire, F., & Aerts, P. (2010). Low vision affects dynamic stability of gait. Gait & Posture, 32(4), 547–551. https://doi.org/10.1016/j.gaitpost.2010.07.005
-
Hopkins, B. B., Vehrs, P. R., Fellingham, G. W., George, J. D., Hager, R., & Ridge, S. T. (2019). Validity and reliability of standing posture measurements using a mobile application. Journal of Manipulative and Physiological Therapeutics, 42(2), 132–140. https://doi.org/10.1016/j.jmpt.2018.08.001
-
Kalia, A. A., Legge, G. E., Roy, R., & Ogale, A. (2010). Assessment of indoor route-finding technology for people who are visually impaired. Journal of Visual Impairment & Blindness, 104(3), 135–147. https://doi.org/10.1177/0145482X1010400305
-
Kurz, A., Lauber, B., Franke, S., & Leukel, C. (2018). Balance training reduces postural sway and improves sport-specific performance in visually impaired cross-country skiers. Journal of Strength and Conditioning Research, 32(6), 1–8. https://doi.org/10.1519/JSC.0000000000002597
-
Lamoureux, E. L., Hassell, J. B., & Keeffe, J. E. (2004). The determinants of participation in activities of daily living in people with impaired vision. American Journal of Ophthalmology, 137(2), 265–270. https://doi.org/10.1016/j.ajo.2003.10.007
-
Mäestu, J., Jürimäe, J., & Jürimäe, T. (2005). Monitoring of performance and training in rowing. Sports Medicine, 35(7), 597–617. https://doi.org/10.2165/00007256-200535070-00004
-
Moreira, R., Teles, A., Fialho, R., Baluz, R., Santos, T. C., Goulart-Filho, R., ... & Teixeira, S. (2020). Mobile applications for assessing human posture: A systematic literature review. Electronics, 9(8), 1196. https://doi.org/10.3390/electronics9081196
-
Pekel, A. Ö., Suveren, C., Arslan, Y., Yavaşoğlu, B., Beykumül, A., Ayyıldız Durhan, T., & Ceylan, L. (2023). Effect of 6-week karate (kihon) and basic movement exercise on balance performance in visually impaired individuals. Frontiers in Physiology, 14, 1332393. https://doi.org/10.3389/fphys.2023.1332393
-
Perrin, P., Deviterne, D., Hugel, F., & Perrot, C. (1997). Judo, better than dance, develops sensorimotor adaptabilities involved in balance control. Gait & Posture, 15(2), 187–194. https://doi.org/10.1016/S0966-6362(01)00155-7
-
Ray, C. T., Horvat, M., Croce, R., Mason, R. C., & Wolf, S. L. (2008). The impact of vision loss on postural stability and balance strategies in individuals with profound vision loss. Gait & Posture, 28(1), 58–61. https://doi.org/10.1016/j.gaitpost.2007.09.010
-
Ribeiro, F. S., de Oliveira, L. V., da Silva, R. A., & de Sá, C. A. (2018). Effects of a physical activity program on postural balance in blind children. Human Movement Science, 60, 158–163. https://doi.org/10.1016/j.humov.2018.05.004
-
Silva, M. R., Amaral, P., Viana, M. M., & Sousa, N. (2017). Effects of adapted physical activity programs on balance in visually impaired people: A systematic review. European Journal of Special Needs Education, 32(3), 361–373. https://doi.org/10.1080/08856257.2016.1240347
-
Türkmen, M., Özgür, E., Bozkurt, O., Kurtoğlu, A., & İsmihan, E. (2025). Görme engelli bireylerde sirkadiyen ritim ve fiziksel performans: Bir derleme çalışması. Journal of History School, 18(74), 427-446.
-
West, S. K., Rubin, G. S., Broman, A. T., Munoz, B., Bandeen-Roche, K., Turano, K., & SEE Project Team. (2002). How does visual impairment affect performance on tasks of everyday life? The SEE Project. Archives of Ophthalmology, 120(6), 774–780. https://doi.org/10.1001/archopht.120.6.774
-
Zhikai, Q., Zizhao, G., & Junsheng, W. (2024). Effects of aerobic exercise on balance and mobility in individuals with visual impairment: a systematic review. Disability and Rehabilitation, 46(22), 5134-5143. https://doi.org/10.1080/09638288.2023.2288931