Assessment of inclusive and safe physical education under war conditions for posture prevention in 11–12-year-old schoolchildren
DOI:
https://doi.org/10.15561/health.2026.0202Keywords:
postural disorders, schoolchildren, physical fitness, inclusive physical education, war conditions, corrective exercisesAbstract
Background and Study Aim. The prevention of postural disorders in schoolchildren is a component of maintaining health and functional development. Increased static, sensory, and informational loads during growth contribute to the formation of stable musculoskeletal deviations that affect health and quality of life. Despite the use of various exercise-based approaches, their effectiveness under constrained and safety-limited conditions remains of practical interest. The aim of the study was to evaluate the impact of specially selected exercises on posture indicators and physical fitness in 11–12-year-old schoolchildren under war conditions.
Materials and Methods. Thirty-two 5th grade students aged 11–12 years (20 boys and 12 girls) participated in the study. A four-month pedagogical experiment was conducted in Kharkiv, Ukraine, under mixed learning conditions in a war-affected environment with safety-related restrictions and limited space. The physical education program was supplemented with specially selected strength and flexibility exercises implemented as part of an inclusive safe physical activity protocol and performed for 5–7 minutes three times per week. The exercises were adapted for confined spaces, absence of equipment, and different levels of physical and psycho-emotional readiness. Physical fitness was assessed using flexibility, strength, and balance tests. Posture deviations were evaluated using Mashkov’s rhombus method. A questionnaire survey was conducted among students and their parents to assess physical activity patterns and parental involvement. Statistical analysis included descriptive statistics, correlation analysis, and Student’s t-test.
Results. Results. The survey results indicated low levels of extracurricular physical activity, with 23 out of 32 students demonstrating minimal activity and predominantly sedentary behavior. Moderate correlations were identified between posture deviations and flexibility and strength indicators (r = –0.54 to –0.62), while balance indicators showed no significant relationships. After the intervention, flexibility and strength indicators improved in both boys and girls. The number of students without posture deviations increased from 19 to 22.
Conclusions. The integration of short strength and flexibility exercise complexes into physical education lessons within an inclusive safe physical activity protocol represents a feasible approach to organizing physical activity under conditions of limited space, safety restrictions, and increased psycho-emotional stress. In this context, inclusion is achieved through the adaptation of exercises to different levels of physical and psycho-emotional readiness, as well as by maintaining continuity of participation in unstable and potentially hazardous environments. Such exercise formats can be implemented in constrained educational settings as a means of maintaining functional capacity and supporting engagement in physical activity.
References
World Health Organization. WHO Guidelines on physical activity and sedentary behaviour [Internet]. 2020 [updated 2023 Jun; cited 2023 Sep 28]. Available from: https://www.who.int/publications/i/item/9789240015128
Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity, 2011;8(1): 98. https://doi.org/10.1186/1479-5868-8-98
Rossi L, Behme N, Breuer C. Physical Activity of Children and Adolescents during the COVID-19 Pandemic—A Scoping Review. International Journal of Environmental Research and Public Health, 2021;18(21): 11440. https://doi.org/10.3390/ijerph182111440
Do B, Kirkland C, Besenyi GM, Smock C, Lanza K. Youth physical activity and the COVID-19 pandemic: A systematic review. Preventive Medicine Reports, 2022;29: 101959. https://doi.org/10.1016/j.pmedr.2022.101959
Ramirez A, Rapp AB, Santarossa S. Effects of the COVID-19 Pandemic on Physical Activity in Children: A Systematic Review. International Journal of Medical Students, 2024;12(3): 311–333. https://doi.org/10.5195/ijms.2024.1716
Yelizarova O, Hozak S, Stankevych T, Polka N, Koblianska A, Parats A, et al. The COVID-19 pandemic and children: Impact on physical activity. In: International and Life Course Aspects of COVID-19, Elsevier; 2024. p. 465–474. https://doi.org/10.1016/B978-0-323-95648-2.00053-8
Moore SA, Faulkner G, Rhodes RE, Brussoni M, Chulak-Bozzer T, Ferguson LJ, et al. Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: a national survey. International Journal of Behavioral Nutrition and Physical Activity, 2020;17(1): 85. https://doi.org/10.1186/s12966-020-00987-8
Dunton GF, Do B, Wang SD. Early effects of the COVID-19 pandemic on physical activity and sedentary behavior in children living in the U.S. BMC Public Health, 2020;20(1): 1351. https://doi.org/10.1186/s12889-020-09429-3
Stockwell S, Trott M, Tully M, Shin J, Barnett Y, Butler L, et al. Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown: a systematic review. BMJ Open Sport & Exercise Medicine, 2021;7(1): e000960. https://doi.org/10.1136/bmjsem-2020-000960
Kadir A, Shenoda S, Goldhagen J. Effects of armed conflict on child health and development: A systematic review. Das JK (ed.) PLOS ONE, 2019;14(1): e0210071. https://doi.org/10.1371/journal.pone.0210071
Bendavid E, Boerma T, Akseer N, Langer A, Malembaka EB, Okiro EA, et al. The effects of armed conflict on the health of women and children. The Lancet, 2021;397(10273): 522–532. https://doi.org/10.1016/S0140-6736(21)00131-8
Jawad M, Hone T, Vamos EP, Cetorelli V, Millett C. Implications of armed conflict for maternal and child health: A regression analysis of data from 181 countries for 2000–2019. Bhutta ZA (ed.) PLOS Medicine, 2021;18(9): e1003810. https://doi.org/10.1371/journal.pmed.1003810
Ferrara P, Zona M, Giardino I, Scaltrito F, Pettoello-Mantovani C, Cammisa I. The silent wounds of war: Psycho-physical impacts and international legal implications for children in conflict zones. Global Pediatrics, 2025;14: 100287. https://doi.org/10.1016/j.gpeds.2025.100287
Umphrey L, Patel A, Alayyan A, Haq HA, Suchdev PS, Schonfeld DJ, et al. The Effects of Armed Conflict on Children and Adolescents: Policy Statement. Pediatrics, 2026;157(3): e2025075748. https://doi.org/10.1542/peds.2025-075748
Tassitano RM, Weaver RG, Tenório MCM, Brazendale K, Beets MW. Physical activity and sedentary time of youth in structured settings: a systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 2020;17(1): 160. https://doi.org/10.1186/s12966-020-01054-y
Saudi L, Lameky VY. A Systematic Review of Physical Activity, Sedentary Behavior, and Screen Time in Youth Aged 7–18. Journal of Pubnursing Sciences, 2025;3(01): 30–41. https://doi.org/10.69606/jps.v3i01.218
Da Costa L, Lemes IR, Tebar WR, Oliveira CB, Guerra PH, Soidán JLG, et al. Sedentary behavior is associated with musculoskeletal pain in adolescents: A cross sectional study. Brazilian Journal of Physical Therapy, 2022;26(5): 100452. https://doi.org/10.1016/j.bjpt.2022.100452
Baradaran Mahdavi S, Mazaheri-Tehrani S, Riahi R, Vahdatpour B, Kelishadi R. Sedentary behavior and neck pain in children and adolescents; a systematic review and meta-analysis. Health Promotion Perspectives, 2022;12(3): 240–248. https://doi.org/10.34172/hpp.2022.31
Lubans DR, Smith JJ, Eather N, Leahy AA, Morgan PJ, Lonsdale C, et al. Time-efficient intervention to improve older adolescents’ cardiorespiratory fitness: findings from the ‘Burn 2 Learn’ cluster randomised controlled trial. British Journal of Sports Medicine, 2021;55(13): 751–758. https://doi.org/10.1136/bjsports-2020-103277
Watson A, Timperio A, Brown H, Best K, Hesketh KD. Effect of classroom-based physical activity interventions on academic and physical activity outcomes: a systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 2017;14(1): 114. https://doi.org/10.1186/s12966-017-0569-9
Block ME, Obrusnikova I. Inclusion in Physical Education: A Review of the Literature from 1995-2005. Adapted Physical Activity Quarterly, 2007;24(2): 103–124. https://doi.org/10.1123/apaq.24.2.103
Lesko O, Potop V, Soia M, Sultanova I. Inclusive physical activity for war affected adolescents: a systematic review. Pedagogy of Health. 2026;5(1):27-42. https://doi.org/10.15561/health.2026.0103
Krun L, Nesen O. The effect of an adapted inclusive physical education program on motor skills and academic engagement of children aged 9–10 years. Pedagogy of Health. 2026;5(1):4-13. https://doi.org/10.15561/health.2026.0101
Yermakova T, Jagiello M. Inclusive physical culture for university students with disabilities: a systematic review. Pedagogy of Health. 2026;5(1):14-26. https://doi.org/10.15561/health.2026.0102
Yang L, Wu Q. Group Differences in the Psychological Integration Path of the Rural-to-Urban Migrants: A Conditional Process Analysis. International Journal of Environmental Research and Public Health, 2021;18(21): 11463. https://doi.org/10.3390/ijerph182111463
Costigan SA, Eather N, Plotnikoff RC, Taaffe DR, Lubans DR. High-intensity interval training for improving health-related fitness in adolescents: a systematic review and meta-analysis. British Journal of Sports Medicine, 2015;49(19): 1253–1261. https://doi.org/10.1136/bjsports-2014-094490
Norris E, Van Steen T, Direito A, Stamatakis E. Physically active lessons in schools and their impact on physical activity, educational, health and cognition outcomes: a systematic review and meta-analysis. British Journal of Sports Medicine, 2020;54(14): 826–838. https://doi.org/10.1136/bjsports-2018-100502
Zanevskyy I, Bodnarchuk O, Zanevska L. Validity of the Moshkov Test Regarding a Spine Asymmetry in Young Patients. Biomedical Engineering and Computational Biology, 2024;15: 11795972241272381. https://doi.org/10.1177/11795972241272381
Aubert S, Barnes JD, Abdeta C, Abi Nader P, Adeniyi AF, Aguilar-Farias N, et al. Global Matrix 3.0 Physical Activity Report Card Grades for Children and Youth: Results and Analysis From 49 Countries. Journal of Physical Activity and Health, 2018;15(s2): S251–S273. https://doi.org/10.1123/jpah.2018-0472
Viner RM, Russell SJ, Croker H, Packer J, Ward J, Stansfield C, et al. School closure and management practices during coronavirus outbreaks including COVID-19: a rapid systematic review. The Lancet Child & Adolescent Health, 2020;4(5): 397–404. https://doi.org/10.1016/S2352-4642(20)30095-X
Borshch KK. Features of stress manifestation among children in wartime conditions. Naukovyi visnyk Uzhhorodskoho natsionalnoho universytetu. Seriia: Psykholohiia, 2023;(1):47–51. (In Ukrainian). https://doi.org/10.32782/psy-visnyk/2023.1.9
Matviienko O, Vedmedenko N, Khymych M. Features of anxiety manifestation in children of primary school age under wartime conditions. Osvitno-naukovyi prostir, 2024;(6(1)):77–86. (In Ukrainian). https://doi.org/10.31392/ONP.2786-6890.6(1).2024.08
Halushko LIa, Amurova IaV. Application of a complex of thematic psychodrawings as a method of psychocorrection of the personality of primary school-aged children under martial law in Ukraine. Naukovi zapysky. Seriia: Psykholohiia, 2023;(2):7–14. (In Ukrainian). https://doi.org/10.32782/cusu-psy-2023-2-1
Sukhodolia Yu. Final results of an empirical study on the development of social intelligence of primary schoolchildren in families during distance learning. Psychology Travelogs, 2023;(3):236–258. (In Ukrainian).https://doi.org/10.31891/PT-2023-3-22
Andrushchenko N. Application of health-preserving technologies by future preschool teachers in work with children under martial law. Osvitno-naukovyi prostir, 2023;(5(2)):18–26. (In Ukrainian). https://doi.org/10.31392/ONP.2786-6890.5(2).2023.02
Vakulenko SM. Application of a trauma-informed approach in social work with children during war. Sotsialna robota ta psykholohiia: osvita i nauka, 2025;(1):17–22. (In Ukrainian). https://doi.org/10.32782/3041-1351/2025-1-3
Kholodova O, Marchenko O, Osadcha N. Impact of physical education means on the general condition of school-aged children under wartime conditions. Sportyvna medytsyna, fizychna terapiia ta erhoterapiia, 2024;(1):151–157. (In Ukrainian). https://doi.org/10.32652/spmed.2024.1.151-157
Yermakova T, Prusik K. Impact of the war in Ukraine on mental health, psychosocial adaptation, and physical activity of the population: a systematic review of Ukrainian-language publications. Physical Culture, Recreation and Rehabilitation. 2026;5(1):41-64. https://doi.org/10.15561/physcult.2026.0105
Pozdnyakov I. Prevention of postural disorders in middle class students during a mixed form of educational organization. Physical Culture and Sports. Challenges of Modernity, 2024;4:7078. (In Ukrainian). https://zenodo.org/records/14025907
Downloads
Received
Accepted
Published
How to Cite
License
Copyright (c) 2026 Ihor Pozdnyakov, Olena Nesen, Iryna Kryventsova, Vasyl Lutskyi, Oleh Vintoniak

This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright Holder - Author(s). more
Abstract views: 73 / PDF downloads: 3


