Browsing by Author "Klavina, Aija"

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    The assessment of static balance in children with hearing, visual and intellectual disabilities
    (2017) Klavina, Aija; Zusa-Rodke, Anna; Galeja, Zinta; Latvian Academy of Sport Education (LASE)
    Background: Balance is a fundamental part of many movement tasks a child performs. Maintaining upright posture is a complex process involving multiple body parts and functional systems. Objective: This study aimed to explore the mean amplitude and velocity of the center of pressure (COP) displacements during static balance tests in children with and without disabilities. Methods: Participants were 34 children (age 8.5 to 10.8 years) including 6 typically developed children, 8 children with hearing, 8 children with visual and 12 children with intellectual disabilities. 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 COP amplitude in anterior-posterior (COPA-P), medio-lateral (COPM-L) directions and COP velocity (COPV). Results: Study outcomes revealed that all subgroups presented larger COP displacement and velocity with eyes closed (p <.001). During bipedal stance with eyes open for results of COPM-L and COPV no significant differences were found between children with and without disabilities (p >.05). Children with intellectual and visual impairments presented significantly larger displacement in COPA-P and COPM-L in comparison with children with hearing impairment and without disability (p <.05). Conclusions: This study provided evidence of comparative outcomes on static stability assessment in elementary school children with and without disability. While in many test items children with disability did not demonstrate a significantly decreased level of postural control outcomes comparing to their peers without disability, the balance assessment should be used for early detection of dysfunction in children, so as to guide the application of appropriate intervention.
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    Association between competencies of biopsychosocial approach and job satisfaction of rehabilitation professionals in Ukraine
    (2022-12) Klavina, Aija; Ng, Kwok; Lazarieva, Olena; Mruga, Marina; Tymruk-Skoropad, Kateryna; Rokutov, Serhii; Bazylchuk, Oleh; Zakaliak, Nataliia; Billiet, Lorenzo; Tsizh, Lubov; Popovych, Dariya; Myndziv, Kateryna; Yezhova, Olha; Latvian Academy of Sport Education (LASE)
    Background: The Biopsychosocial (BPS) model is recognized and widely accepted in the field of health care, particularly in rehabilitation. However, in clinical practice the applicability of the BPS model is a challenge for many professionals. Method: This study aimed to explore the factors that impact the perception of rehabilitation professionals about the BPS model in Ukraine. In addition, the job satisfaction assessment was done to measure whether rehabilitation specialists in Ukraine fulfil their professional roles according to their expectations and values. Participants were 346 rehabilitation specialists from Ukraine who completed the Bio-Psycho-Social Scale (BPS) for Use in Healthcare and the Global Job Satisfaction Scale (GJSS). The ANOVA was used to investigate the outcome differences between the two scales. Results: The highest proportion of responders in this study represented state health services. The BPS subscale outcomes on “assessment and reporting” and “professional knowledge and skills” were significantly higher for specialists from a private sector. The global job satisfaction scale outcomes did not differ between responders from the private and state health sector. The perception of professionals networks was associated with greater job satisfaction. Conclusions: The findings suggest that conception of the BPS approach in rehabilitation system of Ukraine varies across the private and state settings. The professional network plays important role in job satisfaction of rehabilitation professionals in Ukraine. Future research focusing on education strategies to effectively train professionals to apply biopsychosocial approach to practice is of critical importance to prepare rehabilitation specialists in Ukraine.
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    The Associations Between Problematic Internet Use, Healthy Lifestyle Behaviors and Health Complaints in Adolescents
    (2021-05-04) Klavina, Aija; Veliks, Viktors; Zusa-Rodke, Anna; Porozovs, Juris; Aniscenko, Aleksandrs; Bebrisa-Fedotova, Luize; Latvian Academy of Sport Education (LASE)
    This study aimed to explore relationship between problematic internet use (PIU), healthy lifestyle behaviors and subjective health complaints. Methods: Participants (396 adolescents, aged 11–18 years) from 34 general education schools across Latvia completed online survey. The PIU was assessed by the Problematic and Risky Internet Use Screening Scale (PRIUSS) collecting data on social impairment, emotional impairment, and risky/impulsive internet use. The subjective health complaints assessed were somatic and psychological symptoms. Healthy lifestyle behaviors assessed were daily physical activities, time spent in using information technologies (IT), eating habits, and duration of sleep. Results: This study found that 31.00% (n = 124) of the participants scored at risk for PIU. Correlates associated with PIU were subjective health complaints, low physical activity, lack of meals together with family and disturbed sleeping regimes on weekends (P < 0.001). Stepwise multiple regression analyses showed that 34% of the variance in the PRIUSS scores was explained by psychological health complaints (irritability, depression, and nervousness), screen time use on weekends, physical activity, drinking sweetened soft drinks and unhealthy eating habits. Conclusion: PIU behaviors among adolescents in Latvia are associated with psychological symptoms and unhealthy lifestyle. Further effective measures and interventions are needed to prevent development of psychosomatic health problems.
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    The effect of peer tutoring in physical education for middle school students with severe disabilities
    (2015) Klavina, Aija; Rodionova, Karina; Latvian Academy of Sport Education (LASE)
    This study assessed the effect of peer tutoring on physical, instructional and social interaction behaviors between middle school age students with severe and multiple disabilities (SMD) and peers without disabilities. Additional measures addressed the activity time of students with SMD. The study was conducted in inclusive general physical education settings under two instructional support conditions for students with SMD: (a) teacher-directed, and (b) peer-mediated. During teacher-directed conditions students with SMD had frequent interactions with education personnel while interactions with peers were minimal. When peer -mediated conditions were implemented, the interactions between target students and trained peer tutors increased, however, data did not present stability and clear trend. The trained peer tutors delivered fewer instructions during intervention than teachers during baseline. The activity engagement time did not change across the two conditions for both students with SMD. The social interactions remained low throughout the study.
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    Fundamental movement skill and physical fitness measures in children with disabilities
    (2017) Klavina, Aija; Ostrovska, Karina; Campa, Martins; Latvian Academy of Sport Education (LASE)
    This study aimed to explore fundamental motor skills and physical fitness outcomes in the group of children with visual, physical and intellectual disabilities. Alongside the average data outcomes, possible gender differences in all measures were also explored. In addition, the association between the level of movement performance and physical fitness variables was investigated. Participants were 82 elementary school age children with mild to moderate disabilities (mean age 9.6 years). To assess fundamental movement skills (FMS), children completed the Test of Gross Motor Development (TGMD) -2. Physical fitness was measured by the four tasks including 30 m run, sit-ups, functional reach test, sit and reach test and handgrip strength. The average TGMD-2 score for the study group in locomotor skills corresponded to 6.3 years of age (39.3 points), while in object control skills it was at 6.6-7.6 years of age (30.9-36.3 points). The average scores in the fitness tests were 30.1 cm in the functional reach test, 17.1 kg in Handgrip test, 14.0 rep in Sit up test and 6.78 sec in 30 m run. There were no significant differences in physical fitness tests results between boys and girls. The linear regression results presented that TGMD-2 skills significantly predicted 30 m run test [F(2; 161) = 8.965, p = .000]. Data analyses according to the level of movement performance and physical fitness showed significant associations between FMS outcomes and 30 m run test (p < .05). The present study extended the small body of research on the fundamental motor skills of children with different functional limitations while having potential to participate in daily physical activities.
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    Partly and Fully Supervised Physical Exercise Effects on Cognitive Functions and Movement Proficiency of Adolescents
    (2022-12) Klavina, Aija; Veliks, Viktors; Gulevska, Inta; Aniscenko, Aleksandrs; Porozovs, Juris; Zusa, Anna; Latvian Academy of Sport Education (LASE)
    This study explored the effects of partly supervised physical exercise program (PSPEP) intervention compared to fully supervised physical exercise program (FSPEP) on cognitive functions, movement proficiency and problematic internet use (PIU) in adolescents presenting combined unhealthy lifestyle behaviors. Method: Over a period of 16 weeks the PSPEP group (n = 14) engaged in strength, balance and flexibility exercises three times per week with one supervised session and two unsupervised. The FSPEP group (n = 13) practiced dance activities for 2 to 4 days per week including in training sessions the same exercises as for the PSPEP group. Prior and after the study adolescents completed the PIU scale, performed movement proficiency and cognitive function tests. Results: The PSPEP had significant effect on improvement of stress tolerance (p < 0.01, g = 1.08), while the FSPEP had significant effect on contributing general intelligence (p < 0.05, g = 0.90), color-word interference of the reading speed or color recognition (p < 0.01, g = 1.33), short- and long-term memory (p < 0.01, g = 1.72) and stress tolerance (p < 0.05, g = 1.06). The PSPEP had significant effect on improvement of the bilateral coordination (p < 0.01, g = 1.08). None of the two programs had effect on PIU. Conclusions: Engagement in PSPEP selectively contributed bilateral coordination and cognitive skills related to reaction to multiple stimuli. The FSPEP had multiple significant effects in improvement of cognitive outcomes.
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    Problematic internet use, related psychosocial behaviors, healthy lifestyle, and subjective health complaints in adolescents
    (2021-09) Klavina, Aija; Veliks, Viktors; Zusa, Anna; Porozovs, Juris; Aniscenko, Aleksandrs; Bebrisa-Fedotova, Luize; Latvian Academy of Sport Education (LASE)
    Objective: In this study, we explored Internet use-associated psychosocial behavior problems in relationship to adolescents’ subjective health complaints and healthy lifestyle habits. Methods: A cross-sectional sample of Latvian adolescents (N = 570, age range 11-19 years) completed a survey. Problematic Internet use (PIU) was assessed by the Problematic and Risky Internet Use Screening Scale (PRIUSS) that measures social impairment, emotional impairment, and risky/impulsive Internet use. Subjective health complaints assessed were somatic complaints and psychological complaints. Healthy lifestyle behaviors assessed were daily physical activity, time spent using information technologies (IT), eating habits, and sleep duration. Results: We found that 27.02 % (N = 154) of the participants scored at risk for PIU with significantly higher PIU mean scores in 15-16-year-old girls (p <.05). Also, 15-16-year-old girls reported significantly higher prevalence of subjective health symptoms than boys and girls in other age groups (p <.05). There were statistically significant associations between PIU-related psychosocial behaviors and subjective health complaints and limited physical activity (p <.01). Conclusions: PIU behaviors, subjective health complaints and lack healthy lifestyles were common in adolescents in this study with a significantly high prevalence in 15-16-year-old girls.
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    Relationship Between Postural Alignment in Standing By Photogrammetry and Static Balance in Children with Disabilities
    (Rēzeknes Tehnoloģiju akadēmija, 2017) Klavina, Aija; Galeja, Zinta; Lubkina, V.; Zvaigzne, A.; Latvian Academy of Sport Education (LASE)
    his 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 disabilitiesPostural 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.