Performance of postural balance in children and adolescents living with and without HIV

Rafaela Catherine da Silva Cunha de Medeiros; Racquel Guimarães da Silva; Radames Maciel Vitor Medeiros; Carlos Jean Damasceno de Goes; Jason Azevedo de Medeiros; Isis Kelly Dos Santos; Phelipe Wilde; José Angelo Barela; Breno Guilherme de Araújo Tinoco Cabral; Paulo Moreira Silva Dantas

doi:10.1016/j.gaitpost.2021.09.204

Performance of postural balance in children and adolescents living with and without HIV

Gait Posture. 2022 Jan:91:42-47. doi: 10.1016/j.gaitpost.2021.09.204. Epub 2021 Oct 6.

Affiliations

¹ Postgraduate Program in Health Science, Federal University of Rio Grande do Norte, Natal, 59078-970, Brazil; Department of Physical Education, State University of Rio Grande do Norte, Mossoró, 59600-000, Brazil.
² Department of Physical Education, Federal University of Rio Grande do Norte, Natal, 59078-970, Brazil.
³ Postgraduate Program in Health Science, Federal University of Rio Grande do Norte, Natal, 59078-970, Brazil.
⁴ Institute of Biosciences, São Paulo State University, Rio Claro, SP, Brazil.
⁵ Postgraduate Program in Health Science, Federal University of Rio Grande do Norte, Natal, 59078-970, Brazil; Department of Physical Education, Federal University of Rio Grande do Norte, Natal, 59078-970, Brazil.
⁶ Postgraduate Program in Health Science, Federal University of Rio Grande do Norte, Natal, 59078-970, Brazil; Department of Physical Education, Federal University of Rio Grande do Norte, Natal, 59078-970, Brazil. Electronic address: pgdantas@icloud.com.

PMID: 34634615
DOI: 10.1016/j.gaitpost.2021.09.204

Abstract

Research question: The present study aimed to compare the postural control of children and adolescents with and without Human Immunodeficiency Virus (HIV).

Methods: A total of 32 children and adolescents (18 with HIV and 14 without) of both sexes, aged 6-18 years, were included in the present study. Participants in the HIV + group were infected through vertical transmission and received antiretroviral therapy. Participants maintained an erect, bipedal posture in the following conditions: with vision, without vision, and on a foam base.

Results: Concerning the evaluation of time variables, higher values were observed in the HIV + group for mean anterior-posterior (AP) velocity, mean medial-lateral (ML) velocity, AP perimeter (p = 0.001), and ML perimeter (p = 0.001). Concerning the evaluation of conditions, a difference was observed in the mean AP mean sway amplitude (MSA) (p = 0.039), as the AP MSA was lower with vision than without vision or with foam. Concerning the evaluation of spectral domain variables, higher values were observed in the HIV+ group for the predominant ML frequency (p = 0.04) and mean AP (p = 0.001) and ML frequencies (p = 0.001). Regarding the evaluation of conditions, a difference was found only in the predominant AP frequency (p = 0.001). Higher values were found in the closed eye condition than in with foam (Δ = +103 %).

Conclusion: The results of the present study indicated that children and adolescents living with HIV have poorer postural control performance than those without HIV.

Keywords: Adolescence; Childhood; HIV; Postural balance.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Child
Female
HIV Infections* / complications
Humans
Male
Postural Balance*
Standing Position
Vision, Ocular